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First of all, I want to point out that 2000 years ago was essentially still the height of the Roman Empire, who were far from unknowledgeable about a number of topics, including the human body. In fact, the Romans are actually closer to us modern people than to the first humans who wore body jewellery - any type of jewellery that required body modification (such as, a needle cutting through flesh to create a tunnel).
The oldest ear piercing evidence for example goes back 7000 years, around 5000BC, pre-dating even the Egyptian and Mesopotamian cultures. The oldest mummy ever found had its ears pierced.
As to how this came to be... I think it's pretty straightforward. Humans have liked pretty jewellery since the dawn of time, and there's even proof that such items were used to barter, as a pre-currency, pre-coin form of money. This includes gold and silver and other precious metals, but even pretty shells and stones.
However the main issue with jewellery is that it's easy to take from your body. How do you make it harder? By embedding it in your body.
What I think happened is that a group of humans discovered the generally antiseptic properties of silver (potentially a silver arrowhead or similar item embedded itself into a human, it wasn't removed due to fear of bleeding out, and the wound didn't get infected days later, allowing it to heal around the item), and began utilising it as a way to provide more protection for their jewelry - after all it's much harder to remove an ear, nose, lip, or nipple ring than a bracelet or necklace.
Such practices spread easily with trade, so it's no surprise that in a few hundred years it was all over the place that you can, in fact, cause a bit of pain to yourself to have some permanent value added to your body.
Some fun facts: