Archives for posts with tag: pain management

I woke up in pain this morning, more pain than most mornings, and particularly more so than recent mornings.  A morning with an unusual amount of pain kicks over some self-care dominoes pretty quickly, and I found myself clumsy, slow, and emotional before I’d even finished my first coffee.

Clumsy with pain, and not my best cup of coffee. One morning, one moment, of many.

Clumsy with pain, and not my best cup of coffee. One morning, one moment, of many.

I’m okay, really. At this point, I am struggling more with the un-eased stiffness of my arthritic spine than with the pain itself. Coffee #2 is quite excellent, and I’m finding a bit of yogurt with some oats and dried fruit mixed in quite satisfying for a late bite of breakfast. The morning is a good one, pleasantly relaxed and without stress…aside from the pain, the stiffness, and the coming and going of emotions associated with those experiences. I am in enough pain to evoke tears, each time the pain resurfaces. The stiffness of my joints makes me ‘feel old’ more than the pain itself does, but the pain is what moves me to tears. Now and then I contemplate just going back to bed, although it was likely some characteristic of how I was sleeping that finds me here this morning. I feel frustrated and annoyed.

I checked in with my traveling partner online between coffees. I miss him greatly, and we had discussed hanging out today. I am a lot less fun when I hurt this much. I feel the frustration in the background, and a yearning to ‘force myself’ through ‘whatever it takes’ to ease my pain – not because I hurt, but because I want so much to hang out with my traveling partner and enjoy that time together wholly undistracted by pain. Punishing myself because I am trapped in this fragile vessel, limited by mortal limitations, isn’t really a good way to treat myself – or to get the results I’d like, either, and tends to put me in a bad mood over time. I stop myself long enough to recognize that I am doing my best, and remind myself that it is enough.

I put myself on pause to meditate. I take time to do some yoga. Both these things offer some measure of relief of both the pain, and the emotionality. I sit quietly, and enjoy my coffee while watching the rain fall just beyond the patio door. I’m okay right now. Pain is what it is, and I am dealing with that today, but what I’m not having to deal with is treating myself poorly for a condition in life that is not worthy of blame, or punishment. I’ll enjoy the day, in spite of the pain I am in – because it isn’t the pain that determines the quality of my experience, it’s just something I have to deal with.

I take some good deep breaths, sip my coffee, and pay attention to my posture as I write; it is an easy enough bit of mindfulness to bring to my experience and relieves considerable discomfort. I lose sight of it repeatedly and, as with any bit of mindfulness, that’s to be expected. I begin again. And yet again. I keep practicing. Over time, I relax more comfortably with better posture, slowly encouraging muscles that may not have been doing their part to become stronger and more involved. Incremental change over time is a powerful thing. With the yoga too, postures that were too difficult upon waking are now within reach, and later today I will achieve others that offer still more relief. The toughest of the practices on a morning like this one is simply being patient with myself, and giving myself the time and consideration to get results more slowly than I might on another day.

I smile thinking of my traveling partner, and hope that his morning is going well, and that his coffee is excellent, also. Today is a good day to smile, and enjoy what each moment offers; the moments themselves are so few in a mortal lifetime. Today is a good day to appreciate what is working out well, and any improvements that develop over time. Today is a good day to appreciate the woman in the mirror and to treat myself well, rather than criticizing my best efforts on a difficult day. Today is a good day to enjoy my coffee and listen to the rain fall. It’s enough.

 

This morning I am fighting off unexpected nausea. I am in more than usual pain. I am still in a pretty good mood, and mostly enjoying the morning in spite of the discomfort. It helps, this morning, that I am feeling encouraged by how yesterday evening unfolded.

Moments of encouragement or unexpected joy are some of life's most beautiful ornaments.

Moments of encouragement or unexpected joy are some of life’s most beautiful ornaments.

I left work at a good time, realizing as I walked home in more pain than usual that I had forgotten to take my mid-day Rx pain relief. By the end of the day, no surprise that I was in pain. I thought no more of it, I felt good otherwise, and it had been a productive work day. I knew I could also count on my vape pen, and medical cannabis, and I wasn’t stressed about the small miss on my medication. The battery on my vape pen flashed at me right about then, to let me know it was also done for the day. No big deal; I would just recharge it at home…

…A bit more than an hour later, and sometime after arriving home, I had determined with certainty that my vape pen’s battery had actually just up and quit. Well. In the meantime I had experienced some serious frustration troubleshooting it, and frustration being my kryptonite, here’s the part where I generally continue to talk about some serious challenge, a wrecked evening, and the efforts involved in getting a better outcome as quickly as possible… only… last night wasn’t like that. Sure, I got wrapped up in the troubleshooting of a small replaceable device that I would not be able to repair, regardless, when I could have been enjoying hanging the new wreath on the front door, enjoying a good cup of coffee or tea, having a bite of dinner, or a long hot shower… in general, I could have been taking care of me, and enjoying my evening, instead of immersing myself in some minutes of frustration. Here’s the thing, though – I didn’t wreck my evening, and neither did the frustration, and I identified the start of that damaging pattern of behavior, and put myself on pause long enough to become engaged and present in the moment I was in, and to give myself an opportunity to re-evaluate what actions would really meet my needs best, both short and long-term. No tears.

I set aside the frantic and frustrated troubleshooting. I have a back up vape pen of another brand, no problem. I ordered a replacement battery for my preferred one. I started some dinner, put on the kettle for a cup of tea, and hung the wreath on my door. I sat down to enjoy an email from a dear friend, and to enjoy a cute selfie my partner sent me earlier in the day. I took care of me, and did so with my full attention. The evening ended well. I didn’t lose my mind over some small thing, or panic because I’d missed on my medication, or frustrate myself into becoming enraged. Pretty cool.

"Welcome home" I think to myself for no obvious reason.

“Welcome home” I think to myself for no obvious reason.

This morning I am getting a slow start, and that’s okay; it’s a good morning to linger over progress, and to savor the small practices that have, over time, changed my experience so very much. Today is a good day to be the change, and to become the woman I most want to be. 🙂

The evening is a quiet one. I arrived home at the end of a busy day with a headache, which has slowly become irrelevant, ignored in the background; my back aches much more. All evening my awareness has bounced between the two. I laid down for a while with the headache. The backache got me up some time later. Yoga eased the backache somewhat. The headache became more prominent. I had a bite of dinner, and meditated later, and found that my headache was substantially eased. I am now most aware of the backache. I’m not bitching, just noticing, being aware, and taking time to monitor these states without judgment, providing myself with whatever symptomatic relief is available, and doing what I can to make the most of the evening nonetheless. It’s a lovely quiet one.

I am enjoying the evening doing quiet things, and making a point to embrace the softer sounds, and the peaceful stillness. It is rare for things to be so entirely quiet, and I find myself wondering if it is the new windows; I don’t hear the traffic. The wall clock in the kitchen, a recent addition, ticks off the seconds quite audibly. It wasn’t long ago I would not have been able to bear the ceaseless ticking reminding me of time slipping away…precious…finite… The quiet tick-tick-tick no longer resonates with finality. It’s just a quiet tick that indicates nothing more or less than the movement, in increments, of the second-hand on a man-made mechanical device that measures time in arbitrarily selected units devised by human beings for record-keeping, communication, and convenience. That quiet ticking has no relevance to my subjective experience of time. The clock does not control me. It’s a nice feeling… I don’t know when I got here. (I wasn’t watching a clock at the time, I guess. lol)

I find myself favoring a different approach to time than I did when I was younger. Relative to subjective experience in the moment, the only time that is ‘finite’ is the time that has already happened, and become ‘the past’; my future, as yet uncreated and only imagined, is entirely infinite and limited only by my imagination itself… And my present? Also infinite – infinitely now – and utterly continuous, and also a series of tiny singular moments that quickly become experienced, and past. In my thinking of it, time isn’t so different from light…sometimes a wave…sometimes particles…sometimes science…sometimes poetry. I mean, sure, I am mortal (as far as I know) and someday I’ll die – I guess at that point I will, myself, pass from the present and into the past, but from my perspective, what then? Will I even continue to know time? I have no particular thoughts on the subject of ‘things after death’, and no answers, no conclusions, no expectations, or assumptions; I am comfortable with accepting that there are both things that are known and things that are unknown…about most things.

I didn’t have any particular notions when I sat down to write. It’s hard to think past this headache, even to notice the ticking clock. Oh, hey. The headache is back. The backache isn’t so bad, though; this chair is pretty comfortable backache-wise.

What time is love?

What time is love?

I find myself just sitting, fingers poised over the keyboard, thinking over my recent conversations with my traveling partner, and feeling secure, compassionate, understanding, and very much in love. For a few minutes neither the headache nor the backache have much to say to me, while love fills my thoughts. I smile, half wondering how is it that I love this particular human being so very much, the way I do? I am not concerned with troubleshooting love.  I am grateful to enjoy any measure of sentiment so profound; it’s a complicated journey, and the good bits are so splendid in good company – the bad bits far easier to endure when shared. I noticed time passing at some point. It wasn’t the clock; my traveling partner hits send on a moment of love on his end, and my reverie ends with a smile renewed when I see the emoji pop up, a brief distraction that is no distraction at all. Love comes first.

Be love, if you can, I remind myself; it’s enough.

I am a fan of explicit expectation setting. I am also a person who struggles with some sorts of unexpected changes – maybe you are too? With both those things in mind, I figured I would make a point of saying that I will be shifting my writing from early mornings to late evenings; I’d like to take more time in the mornings to meditate, and start the day slowly, and with summer becoming autumn, and winter not so far off at this point, pain management will be enhanced by doing (more) yoga in the mornings, too.

Change isn’t so bad; I enjoy a change of perspective now and then, and I find evenings and mornings fill my thoughts quite differently. When I started this blog, I often wrote in the evenings. At that time it was a less-than-ideal fit for the needs of others in the household. Mornings were ‘easier’. That’s no longer a significant consideration and for some time to come I expect I will need a bit more in the way of self-care, just to manage my physical pain as the season changes.

I am hopeful the change in timing will be comfortable all around…this post will be waiting for you tomorrow morning, as if I wrote it at the usual time, and I will sit down to write after work tomorrow evening – perhaps with my head in a very different place, open to other ideas, and different ways of viewing life and the world than what mornings have tended to reveal?

A change of season, a change in routine, a change in perspective.

A change of season, a change in routine, a change in perspective.

Today is a good day for change, and a good day to take care of me. 🙂

 

…More practice. You knew I was going there, right? I suspect I am fairly predictable about this topic. There’s just one hitch; it’s all a bit like a game, in some respects, and we’re dealt some cards, given some pieces, or exist with some details of who we are/what’s going on, and the practice is what we do ‘on our turn’. We still each start somewhere. I’ve been a fan (and Hero) playing SuperBetter for awhile. Jane McGonigal’s book, just published, arrived last week. Like any tool, or any practice, there are verbs involved – but it is a fantastically fun, helpful, and supporting way to build a practice, and take a journey toward a goal. Better still, however many times I set one practice or another aside, it’s there for me to resume when I choose to; I can begin again.

I can’t quite pinpoint the ‘true starting point’ of this journey, anymore. Did it begin with a game at the dinner table with my traveling partner, and the many tears that followed that moment? Not really – I was already going somewhere with myself. Maybe it started with the break up of the previous 15-year-long relationship? No, I definitely felt I was ‘on a journey’ before that moment, too. It wasn’t when I turned 40…but it may have been shortly afterward…or shortly before… it matters what I count as revealing, and instructive. It matters what I choose to include as being worthy of the journey I am now on. Any starting point I choose from the past tends to look worthy of calling ‘the beginning of this journey’ if I open my heart to accepting that have I faltered many times along the way… and when I do that, I have to wonder if perhaps I have always been on this journey, and perhaps it is so much less significant and grandiose than I want such a profound thing to be – Is it simply that I am living my life? Starting moments, ending moments, moments of great change, moments of ennui or confusion… one being, one woman, one journey, continuous change on a journey of self-discovery?

Is there any need to deny myself the experienced profundity of the journey I am on in this time, to accept that the journey is, and has been, ongoing “all along”? Thoughts over coffee, on a lovely morning; every day starts somewhere.

With autumn comes pain.

With autumn comes pain.

This morning, the journey of this one day of many begins with pain, rather a lot of it, and I’ve done what I can to put my attention on other things, having taken steps to ease the pain, itself. Giving it a lot of direct attention makes it more prominent in my experience, and although turning my consciousness to other things doesn’t reduce, eliminate, or ease the pain in any direct way, it at least distracts me from it in some moments. Not this moment. This moment I am writing about pain, because pain is where I am. Do me just one favor today? When you find yourself confronted with elders moving slowly, or awkwardly, take just a moment to understand that they do so because they are in pain – the sort of every moment of every day pain that if you ask them about it they may answer that they are not in pain – not because they don’t hurt at all, but because they don’t hurt more than that. It sucks, and I find myself reluctantly facing far greater awareness of all those moments in all those younger years when my impatience with the slow movement of elders frustrated me excessively, and wishing I could go back in time and if not be helpful, at least not be such an impatient dick about it.

I’d like very much to move quickly through my morning, myself, with easy efficient movement – and that isn’t an option on my menu this morning. “Choosing not to hurt” amounts to taking carefully timed pain medication, practicing yoga, and yes – just being patient with myself early in the morning, before the yoga, and before the medication kicks in. Right now? I can barely move without grabbing something else to give me leverage, pulling myself upright, supporting myself for balance if I have to lean over or down, and all of it hurts. Mornings like this one are best when I think to slow way down first thing, and be extra patient with myself, letting yoga begin with the natural movements needed to get out of bed in the first place, and stretching my muscles slowly, unfolding my spine from unknown sleep postures into something more vertical and aligned before I even take a step…my bladder does not always cooperate with that idealized version of getting up in the morning…sometimes my lack of executive function on waking results in nothing at all like a morning ‘routine’ and I lurch around the apartment awkwardly before I remember to slow down and take care of this fragile vessel.  This morning I am getting a taste of what my old age might really hold for me, at least with regard to my arthritis, my mobility, and my experience of pain and movement. Taking care of me and practicing good practices to nurture the wellness of this fragile vessel seem incredibly important – a time machine would be nice right about now; I would try to persuade a younger me to take better care, sooner.

Would I really go back in time and risk changing who I am now? That’s an interesting question for another day.

Today is a good day to practice the very best self-care. Today is a good day to be aware that the people ‘in my way’ are indeed people, and they are having their own experience; kindness is free, and I can’t know someone else’s pain. Today is a good day to change the world.