Archives for posts with tag: managing chronic pain

I slept in a little, this morning, a rare and delightful experience for me. I woke rested and eager to begin the day.

My Traveling Partner is awake and greets me happily. There’s so much love in his eyes and his words. He playfully quotes song lyrics to me in lieu of conversation. He knows I won’t assume any ill intention (the lyrics are fron a song with a vaguely threatening tone). Neither of us is a jealous sort of person. We both find jealousy toxic and destructive. We enjoy word play, and have a lot of fun in using song lyrics in conversation; it’s amusing when we spot it, and often just as funny when we don’t. I feel wrapped in his love as I leave the house, and the chilly morning doesn’t dampen my good cheer – I know I’ll come home to the warmth of my Partner’s love.

One dark and foggy autumn morning.

It’s enough later in the morning that it’s almost daybreak when I get to the trailhead. I decide to write a bit and wait for the sun. It is Saturday, and it is my weekend.

I find myself noticing that I’m feeling somewhat nauseous. This early in the morning, nausea on an empty stomach (for me) is pretty rare. I take a deep breath and exhale slowly and thoroughly and begin doing a “body scan”, making a point to be present in my physical experience and aware of all the many feelings and sensations. I quickly determine my nausea is most likely a byproduct of pain, nothing more (or less) serious than that. I’ve already taken my morning medications, but they haven’t yet had time to reach peak effectiveness. I sigh to myself, and stretch, change my posture, continue breathing, and hoping the pain eases shortly. I’ve got an appointment later that may be helpful.

I sigh quietly, feeling mostly pretty contented and merry while I wait for the sun. Could be worse. This is just physical pain, and although it is pretty bad this morning, my anxiety of the past several days is greatly diminished, somehow making the pain both more obvious and less significant. Meaning to say, I guess, context matters and perspective is useful.

What does “enough” look like?

Dawn comes, gray and foggy. It’s a spooky sort of misty autumn morning, chilly but not freezing. I can see the trail quite easily, and I’ll have it to myself; I am alone here. Quite alone. I embrace the solitude and joyfully seek it out. I know it’s not the sort of thing that suits everyone. I even recognize that my enduring fondness for time alone is a reflection of past trauma; I feel safe and at peace alone, less anxious, unconcerned about the expectations, needs, and experiences of other people. It’s just me and this trail right here, now. Sure, I often (sometimes quite quickly) find myself missing the charm and companionship of my Traveling Partner, but he is understanding and encouraging of self-care, and knows how much this solitary time nurtures me. Self-reflection is a healthy practice, and I enjoy walking with my thoughts.

I breathe, exhale, and relax. After a few minutes of meditation, I grab my hat and my cane, and wrap my scarf around my neck. Already time to begin again… the trail leads into the marsh, disappearing into the fog. I get to my feet, ready to follow it where it leads.

In spite of taking some weekend time to properly relax and rest, and in spite of sleeping decently well lately, and in spite of having some help and rearranging things to reduce my day-to-day workload, I’m tired. Not the physical fatigue of effort exerted, instead it is the consuming, distracting, encroaching loss of will and focus that comes from “too much for too long” and I really need a break from… everything. It’s dumb. I feel as if I am literally fatigued by living life. I’ve got to do a better job of self-care, before I face legitimate burnout.

…Seems like there is always another chore to do, or another errand to run…

I start the morning already tired, already feeling “over it”, and the work day hasn’t even started. It’s raining at the trailhead, and I’m in pain before I even start my walk. I’m going to walk, anyway, it is a favorite self-care practice, and it is in the very nature of a practice to be practiced. I sigh to myself, feeling annoyed by everything but the solitude, and start down the path, one step at a time.

Eventually, I reach my halfway point. As I stop, the rain stops too. My rain poncho, which has been flapping against my legs as I walk, or wrapping annoyingly around me in the wind, becomes something to be grateful for; it’s keeping me dry, sitting here on this very wet bench. My sour mood is sweetened a bit by the moment of sincere gratitude. I sit with that feeling for s little while. It’s better than being cranky, by far.

The morning is still dark, and I persist in yearning for a weekend that is still days away. It’s time to plan the Thanksgiving dinner. Time to figure out the holidays generally. Life feels ludicrously busy. No wonder I’m tired. I rarely give my mind enough rest. I breathe, exhale, and relax. These quiet moments in the mornings are so necessary to my mental health overall – but they are not enough to prevent me from exhausting myself over time. I need to do a better job of setting boundaries, and pacing myself – and asking for (and accepting) help.

…It is proving to be quite difficult to adjust from full-time caregiving back to a more evenly balanced partnership, even though it’s timely, appropriate, and necessary…

I sit listening to the rain sprinkling the leaves that still cling to the trees, and spattering my poncho. I enjoy the delicate not quite random percussion. I breathe the rain-fresh autumn air. My tinnitus is crazy loud this morning, so I don’t hear much in the predawn quiet, besides the zing and buzz of tinnitus, the pattering of raindrops, and my breathing. As if to call me a liar (or to expand my perspective), an HVAC system somewhere nearby comes on, and adds its tones to the background noise. I chuckle to myself; it’s definitely not personal. It’s just noise.

Daybreak comes. It is a gray rainy morning under a soggy overcast sky. A deer startles me walking past. I didn’t see her approach. I twitch, startled. My movement startles her in turn, and she gives a little jump then runs off to the side, into the trees. As she disappears, I see that she was not alone, and wonder how long I sat quietly, surrounded by the herd (three does, four fawns, and a stately buck with branching antlers), before they began to walk on. Do they recognize me? (“Mama, that weird creature is back.” “Don’t get to close to that thing, you don’t know where it’s been.”) I wonder if they mind the rain?

I don’t much feel like getting on with the day, really, but there are chores, and errands, and work to be done, and all these damned practices aren’t going to practice themselves. I laugh at my eagerness to do nothing at all…or maybe to paint… either way, now is not that time. The weekend ahead is a long one (for me), for the Veterans Day holiday. I’m looking forward to that. Right now though, it’s time to begin again, and I get to my feet to head on down the path ahead, one foot ahead of the other, a step at a time. (That’s how progress is made, after all.)

I’m sipping my coffee as the day begins. My walk this morning was pleasant, uneventful, and frankly rather ordinary. The day is cloudy, and looks like rain. I’m in a thoroughly manageable amount of pain (for now), and I make a point of appreciating how (relatively) comfortable I am. In a life where chronic pain is a day-to-day experience, it is critical to really pause and be aware of it when pain is not a characteristic of the moment. Most of us don’t actually experience “chronic pain” as 100% of always every moment of every day all the time – it does come and go, and the severity varies. Our implicit memory and sense of “how things are” is notably affected by what we hold on to as “how we always feel” – so making room to be mindful and aware of a lack of pain becomes incredibly important for managing the whole experience of pain over time. Perspective matters. So, I sip my coffee, noticing how (relatively) little pain I am in right now, and make room for gratitude; it could be so much worse (and often is).

I breathe, exhale, and relax. I think about sunrises and sunsets, and views of distant horizons. I think about miles I have not yet walked, and contemplate trails I’ve yet to try. I think about camping, and I wonder when I might next spend a couple days on the coast, painting. I sip my coffee, and let my diffuse feeling of general contentment grow larger in my awareness. My eye falls on a small Hue Forge “painting” my Traveling Partner did from a photograph I’d taken. I feel loved and visible and appreciated as a person, as an artist, and as a partner.

Hue Forge rendering of a sunrise, Mt Hood silhoutted on the horizon.

That distant horizon is a good metaphor for goals and progress and walking my own path; there it is, just out of reach, that thing I think I want to get to. A goal, a vision, a destination – it could be any of those things, or just a place to camp that happens to be within view, but quite far away. What’s on the horizon? I never actually know, I only imagine, based on what I think I see. I have an idea, and a limited view. The closer that thing seems to get, the more detailed and real it may become – but it changes as it comes into closer view, more subject to scrutiny. Is it what I imagined? Is it actually what I want? Am I actually going to get “there” – or is that “there” quite different than I expected it might be? Am I being true to myself, and staying on my path, or has something fantastical on that distant horizon distracted me from my sense of purpose? Is it even real, or only something I thought I saw?

I sip my coffee feeling surprisingly content with “now”. Nice moment for it. Sure, the work day is ahead, but I don’t find that I mind. I’m fortunate to have a job I enjoy, working with a team of people I appreciate and respect (and even like), I feel appreciated in return. We get shit done. I’m working from home, which has the lovely quality of taking my breaks in my garden, or being able to run a quick errand during the day, and not finding myself quite so exhausted when the day finally ends. Nice “now” – I feel fortunate, and pause for gratitude; this too could be so much worse. Most of us do have to work to keep the bills paid and the pantry stocked, and it’s a difficult world. It’s not uncommon to have to endure a terrible work environment in servitude to a company whose values one can’t respect, simply to keep the lights on and the gas tank filled. It’s a lucky few who do jobs they love for companies they appreciate in an environment of mutual respect while being paid a good wage. If you’ve got it, be sure you appreciate it. Change is. Be kind to those who struggle with shit jobs for terrible bosses – it could be you at some point.

…Good cup of coffee…

My Traveling Partner gave me an early birthday gift last night. A new cookbook, and one that I’d spotted thinking “oooh, I’d like to have this one!” quite recently. I thought I’d added it to my wishlist, and was delighted that he had selected it. More delighted still – and a little amazed – when I discovered that I had not added it to my list at all. He knows me so well. I feel loved. This morning when my mind wanders, it is often to the kitchen, and thinking about what new adventures I may find there, between the pages of a new cookbook. 😀

Life can be experienced as a journey. I find it a useful metaphor. No map, lots of choices, and the path is mine to choose for myself. The horizon never really gets any closer – but it’s out there in the distance, tempting me onward. It’s a worthy journey – each step down the path has the potential to reveal some new delight, or to teach me a lesson I probably need to learn. We are mortal creatures – at some point, this journey will come to an end. Hopefully, I’ve learned all I could, experienced much worth sharing, and made a point to jot down some notes for anyone who may follow me down the trail (or simply wonders where I wandered off to).

I glance at the time. The clock is always ticking, and there are things to be done. It’s time, again, to begin.

The sun is up as I return to the car. I’m at a less frequented trailhead tucked away on the far side of the nature park. Different approach to the park, different views (more meadow than marsh), and that provides me with a different perspective.

A meadow of fragrant wildflowers.

I’ve been feeling a bit “stuck” now and then, recently, especially with regard to my fitness progress. Realistically, I know “the math”, and the basic truth of it is that I need to get more exercise and cut back on caloric intake (without reducing nutritional value). Such easy words to put on a page. Harder to live them in practice, primarily because I’m living with chronic pain, have some underlying metabolic concerns that complicate things by drastically reducing the amount of energy I can reliably make use of in a given day. Those things don’t prevent me from making progress over time, they just tend to slow me down and discourage me. File under “adulting is hard”. lol

I’m not complaining. Just saying these are real circumstances and sometimes I feel “stuck”. I often find a change of perspective very helpful for getting “un-stuck”, and so this morning I followed a favorite trail from a different direction, at a different starting point, and walked my difficult miles from a different perspective. Helpful.

A different point of view is sometimes the only difference needed.

I walked along as the sun rose, listening to the noisy robins in the meadow grass, and the geese calling to each other overhead. The air was filled with the scent of Spring flowers.

The sun rising beyond a grove in the meadow.

Feeling stuck? Maybe it will be helpful to change your point of view, to adjust your perspective in some way, even if only as a matter of taking a different route to a familiar destination? I know I find it helpful, and almost without noticing, I find myself walking farther at a faster pace (in spite of stops to snap a picture or two along the way). Sometimes beginning again is more effective if we begin from a different starting point, or heading in a new direction, or by entirely changing our approach to a challenge or journey. Your results may vary, but if you’re feeling stuck, isn’t that the desired effect?

Where does your path lead? What is beyond the next bend?

My Traveling Partner suggested, out of love and a desire to be helpful, that maybe I should consider using an elliptical machine at a nearby gym, or some lower-impact means of getting more miles in. It’s an idea I’ve considered (and tried), but I thoroughly dislike the gym environment and the mindless tedium of walking a treadmill to the point that I just don’t stick with it. It’s not a good choice of practice for me, generally. I’m willing – even eager – to be out on a trail at dawn walking a couple miles, happily alone with my thoughts, feeling the moment, enjoying the sights, and I do it day after day, without a miss. It’s time to pick up the pace, though, and challenge myself to go further more often. It’s time to increase my “non-negotiable distance” from 1 mile to two, then from 2 to three. It’s time to spend less time meditating at some beautiful halfway point, and more of my time steadily on my feet. (This is where my thoughts were as I walked this morning.)

Reflections and mist.

I breathe, exhale, and relax. I guess I needed a change of perspective (and a change of direction). I certainly feel less stuck, sitting with my thoughts after my walk, feeling my muscles relax, and my heart beat slowing down as I write. There’s an entire day ahead of me and a couple of errands to run. The clock is ticking – it’s time to begin again.