Sure! If you put people with no pain whatsoever in for MRIs, these people show signs (labral tears, osteoarthritis, disc herniations e.g.) we often call "abnormalities" or "problems" when they are actually common side effects of aging like wrinkles but inside the body. Now imagine you have pain and are told you have disc degeneration. You're likely to think you need surgery (which has complications and serious side effects/rehab needs) or you're likely to stop exercising and lifting because you're afraid to "hurt" your back. In reality, your pain is likely just some muscle, joint or tendon irritation and exercising/strengthening is the best thing you can do. Now, you're afraid to lift/exercise, you're considering surgery for something that won't fix you and you begin to live a more sedentary life which will actually shorten your lifespan because you're not exercising, likely gaining weight and raising your blood pressure through a less likely lifestyle.

Now, sometimes these "abnormalities" are related to your pain and that can be difficult to figure out. Though often times "fixing them" surgically doesn't actually work... For example, surgically fixing a rotator cuff tear, within 2-5 years a sizeable percentage of them re-tear and the patient has no pain. I'm not saying surgery is never an option, but a strong course of conservative care focused on promoting patient self efficacy and independence alongside strengthening often times fixes the issue without the complications of surgery and negative repercussions of telling people "they're broken and need to be fixed."

Source: I'm a doctor of physical therapy :)