I’ve played with a broken hand, a sprained ankle, a torn shoulder, a fractured tooth, a severed lip, and a knee the size of a softball. I don’t miss games because of a toe injury that everybody knows wasn’t that serious in the first place.
There are no hard distinctions between what is real and what is unreal, nor between what is true and what is false. A thing is not necessarily either true or false; it can be both true and false.