You’ll have to figure out your own body.
IME, pain has always been attributed to fit. Small problems were magnified by intensity and volume, but the problems had always been there.
The tricky thing is that when a minor acute injury happened, I’d fix the fit issue, but the pain would linger for a few weeks. Sometimes months. I’d have to resist the temptation of making further tweaks, and very carefully evaluate my condition to make sure that I was recovering, knowing that improvement would be very gradual.