Our perception of pain is complex
Nociception is often a part of the experience of pain, but it is not pain. It is not sufficient nor necessary for pain, for example, when we consider the pain of depression or grief.
So tissue damage can happen without pain, and pain can occur without tissue damage, and nociception that seems like pain isn't pain. This is because our experience of our bodies, perceptions, and explanations of the perceptions is part of a complex network of our nervous system.
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