Archives for posts with tag: pain management

Life is rich with eye-opening moments. Some of them are heart-breaking (like the moment I realized I was only a resource to someone I thought loved me, many years ago). Other eye-opening moments are simply moments of greater awareness than the moments that preceded. A few are literally moments at that point at which I open my eyes – like this morning, when I woke, opened my eyes, and found as my initial eye-opening experience that I am in tremendous physical pain this morning. My arthritis. It’s not a crisis of any magnitude, and there’s not much to be done about it that would be new, or particularly noteworthy; I take my pain medication, and I head for my yoga mat. After my morning coffee, I will soak in a hot bath and hope that the saturating heat will ease my pain and stiffness further.

My arthritis is in my spine. I rarely think much about how I rely on my spine until I find myself mostly unable to make use of it in any sort of flexible way. This morning getting out of bed was complicated by both the stiffness and the pain. I rolled off the side of the bed, letting my legs drop to the floor, and leaning on the wall to slowly stand. Sitting and standing maneuvers are difficult today, even after yoga eased some of the stiffness.

The pain is another matter. Even after easing some of the stiffness in my spine, I am hurting too much to find joy in the day, so far, which makes me cross. I reach out to my traveling partner and cancel plans to hang out. I am in no mood to be in the company of others, and for the time being, all I can think about is the pain. While that may change as I practice good self-care practices, I can’t really rely on being able to hold on to a pleasant demeanor long enough to be certain of treating others well. Solitude is a good choice when I am in this much pain. I don’t mind the solitude – and I definitely dislike finding that I have treated my traveling partner poorly over something as trivial (and commonplace) as pain. It was an easy choice to make, and my traveling partner does not complicate such things with manipulation, tantrums or drama; he appreciates being treated well.

Summer flowers are everywhere; I only see them when I look. Awareness matters.

Summer flowers are everywhere; I only see them when I look. Awareness matters.

The weather forecast is for a hot day. I take a moment to appreciate the existence of air-conditioning, sip my coffee, and pretend to plan my day in some way that isn’t centered on the pain I am in – but I keep finding myself accounting for the pain in a very frank way as I figure out what I want to do with this day – I keep having to remind myself that some of the things I might like to do are going to be damned difficult if I can’t bend, reach, lift, carry, get down on the floor and back up, sit in one place, or generally move with any ease. I am irritated to be stalled by pain. I remind myself to be kind to myself; this fragile vessel can only do so much on a day like this, and there’s nothing lazy about that.

I sip my coffee indifferently, contemplating just going back to bed…but that won’t work either; it was the pain of being in bed that woke me, earlier. I frown at myself for a moment; I am not making taking care of me easy, at all. I pause and put the focus on the good qualities of the day, the pleasant features of this moment, just beyond the pain…

Clematis on a summer morning is lovely even when I hurt.

Clematis on a summer morning is lovely even when I hurt.

…It’s a lovely morning, in spite of the promised heat of the day. The early morning sunlight is clear and bright, and filters through the blinds casting interesting stripe-y shadows that I enjoy greatly. The coffee I have been sipping with such disregard is quite delightful – a darker roast than I have been drinking (I tend to prefer darker roasts, myself). I am enjoying the warmth of the mug in my hands when I pause to take a sip.  (I nearly always finish my coffee in sips, consuming it well before it cools off, most days.) The a/c kept the apartment quite comfortable through the night, and I slept well and deeply, and woke feeling alert and clear-headed. Most of the housework on my ‘to do list’ for a Sunday can be done with relative ease, even when I am hurting, and occupying my time in that fashion will quite likely take my mind off the pain for a time. I have a couple new books to read, and it looks like a great day for that, too. I can choose from  Pablo Naruda‘s “Twenty Love Poems and a Song of Despair”, Thich Nhat Hanh‘s “Anger”, or Naomi Wolf‘s “Vagina”. Taking breaks between chapters to do yoga will help ease my pain and stiffness if I find myself sitting too long.

It’s admittedly easier to focus on the pain; it shouts at me within my consciousness in a way that the pleasant details of the morning simply don’t compete with easily. It is worthwhile to patiently choose to be aware of more. Like so many practices, it does take practice, and there are verbs involved. My results vary. 🙂

The heavy scent of summer jasmine reminds me of my childhood home. I wonder why I haven't gotten a potted one for my patio yet?

The heavy scent of summer jasmine reminds me of my childhood home. I wonder why I haven’t gotten a potted one for my patio yet?

Today is a good day to practice exceptional self-care, and to treat myself well. Today is a good day to make choices that result in not treating others badly. Today is a good day for good choices, good practices, and an awareness that there is life beyond pain. Today is a good day to enjoy everyday moments of delight, and to practice self-compassion. This fragile vessel can only do so much, and there is no rush to complete living as though it were on my task list; the journey is the destination.

This morning I woke in pain; my arthritis has flared up after many days of not bothering me much at all. The hot dry days offer relief…but…it’s still hot. It’s still dry. I am in pain. I slowly rose, patient with the stiffness of my spine. This is a morning for music and dance, cool breezes be damned. I peer through the patio blinds and notice with some surprise that already the days are shortening and dawn is coming later…did I wake ahead of the alarm? I double-check. It went off. It woke me. I no longer remember hearing it. Pain is a distraction.

I start the day with Usher, and coffee. Facebook tells me my computer is infected with malware. I glare at the page with skepticism and irritation. Why is Facebook telling me what to do? I log out with a promise to myself to let my traveling partner know; I trust him, and his skills, more than any app or browser warning. Hell – the warning probably is the malware, requesting permission to get started. For the moment I find myself in contemplation of all that is unclean and vile about the internet, and my head aches with the weight of the suspicion, and distrust. The pain, again, is a distraction.

I reach for my coffee, and burn my tongue, then spill it in my lap for the added delight of hot coffee held to tender flesh by coffee soaked jeans. Seriously? Who the hell ordered this day? I snarl at myself, managing to knock over my chair as I get up, too quickly, to change clothes. The chair falls on my foot. Great. The top I wanted to wear doesn’t go with the pair of jeans I just put on. The top I’d wear instead is in the laundry. I break a nail reaching for an acceptable alternative. Are you fucking kidding me? What is up with today?

Pain is no joke. The unexpected return of significant arthritis pain this morning easily throws me off, which would be, perhaps, just a little amusing in the face of words like ‘chronic’ and ‘long-term’ – if I were in any mood whatever to laugh about it. Right now I just hurt. I hurt and I’m sort of mad at the day right now. Don’t say it. I know what works. There are practices to practice and it’s time for that. I get it. Pardon me while I take a few minutes to take care of me.

Yes, yes. I know.

Yes, yes. I know.

1. I took my medication on time, and it’ll take another 30-40 minutes to be fully effective. It only addresses the symptom: pain. There is more to do to put the day back on track.

2. Medical cannabis helps by potentiating the Rx pain reliever – and it will take the edge off my quickly deteriorating mood, and wipe the snarl off my face promptly…and make yoga easier.

3. Putting the rest of the morning aside, yoga is next, and I take my time with a long sequence of postures that lengthen and gently flex my spine, easing the pain where the pain lives. The headache begins to diminish.

4. Then, meditation – this is an Rx that goes straight to the brain, literally, and is a first/last/always step for me these days…although, sometimes, like a child resisting bedtime I fight the necessity irritably for no good reason.

5. Coffee. I take my time making a really first-rate cup of coffee for myself, and sit down to enjoy it, feeling very much that the morning has been ‘reset’.

It is once again a morning filled with music and I am smiling and sipping my coffee as contentedly as if I woke up on an entirely different morning. Choices, verbs, patience and self-compassion, and the willingness to accept that the potential to improve a poor experience exists…and practicing practices for the win. 🙂

Enjoying other moments.

Enjoying other moments.

The morning moves on, time passes, I sit quietly enjoying pictures of a walk with the wanderer after work, yesterday. If I spend more time thinking about the rough start to the morning, lingering on uncomfortable sensations, unpleasant emotions, or the difficulties themselves, than I do savoring the delights of other moments with similar depth and clarity, over time my negative bias will increase, and my ‘background experience’ will become more negative as well. I take this understanding very seriously, and commit to enjoying my coffee and thinking about the evening behind me. I linger over the recollection of finally taking a photograph of a dragonfly.

He's there, really. (I have no idea why I like dragonflies so very much, but I do.)

He’s there, really. (I have no idea why I like dragonflies so very much, but I do.)

I think, too, about the later conversation with my traveling partner, and the feeling of connection and warmth in spite of the physical distance. That takes my thoughts all sorts of lovely places, thinking about love, Love, and loving. At this point there is no hint of the morning’s challenges remaining in my experience of the moment, and I find myself ready to move on with the day.

Am I achieving emotional self-sufficiency? Do I need to ask this question now? Living the experience is, perhaps, enough.

Beautiful.

Beautiful.

Today is a good day for practicing practices, using verbs, and having my own experience – if it’s mine, I can change it. 🙂

I woke with a nasty headache this morning. It rises from locked up muscles alongside my arthritic vertebrae, like parallel columns of pain, becoming one just at the base of my neck and feeling rather ‘braided’ with tension up my neck, cradling my skull with an embrace of even more pain that wraps the lower back portion of my head. It is not acute nor pulsating, it is a more dull steady presence with more than necessary intensity. I have this headache relatively often. Generally, expressed in words, it sounds like this “I have a headache”. Other headaches sound more like this “I have a headache”. It isn’t possible to tell from words how severe someone else’s pain is. Pain doesn’t show much; by the time pain can be easily seen on my face, I am in so much more pain than can be easily managed that it’s not likely sympathy can do much more than offer a few kind words. I cherish the kindness.

Much of the time, because pain is not easily visible, my experience is one of being haplessly mistreated by well-meaning people, even people who know me well, and profess deep affection for me; they don’t know I am in pain, moment to moment. Simple requests sometimes sound quite ludicrous to me… “Can you just go ahead and…”. I have not yet learned to say “No, actually, I can’t ‘just’… I’m in too much pain to do that.” The amount of pain I am in this morning is well beyond the day-to-day pain I know so well. It’s hard to consider other things and look past the pain…and when I succeed in turning my attention elsewhere, I quickly find that whatever I am thinking over becomes tainted by the pain; my negative bias increases, I feel discontent, angry, frustrated, emotional, resentful… and it so easily changes from an experience of physical pain, to an experience of emotional pain. The result is often that I find myself blaming some circumstance for my feelings. My subjective emotional experience becomes the focus of my attention, distracting me from the pain but leading me down a rabbit hole of mis-information, negativity, doubt, insecurity, and fearful speculation not tied to my actual experience of events. Pain is a mind-altering drug, and it’s always a bad trip.

I woke early today. I woke because of the pain. This headache is that bad. I meditated quietly until the alarm went off; two hours passed pretty quickly. I feel reasonably calm, content, and balanced; I know that the pain has the potential to mess with my mind, and destroy my fragile lovely moment. Mindfulness, self-compassion, kind treatment of this mortal vessel I inhabit, and patient attentiveness to self-care basics will be incredibly important while this headache lingers. I know what to expect when I speak up about the headache, too. “Well, have you…?” and “When I have a headache, I…” or “What have you done for it?” People tend to be pretty well-meaning about headaches. It’s frustrating to wade through the helpful suggestions; I’ve been doing this awhile, and at 52 there’s not much in the way of new stuff to try for this headache. I work on staying calm and focused, and not crying over small bullshit simply because I hurt too much to handle real life well. It’s the best favor I can do the world on a morning like this one.

Choose your adventure. Choose your perspective. Choose your experience.

Choose your adventure. Choose your perspective. Choose your experience.

Oddly, this isn’t really a post about pain; it’s about the very subjective nature of perspective. Pain is a metaphor, but I’m finding it challenging to move on from the pain itself, this morning. Tedious.

I recently read some writing an associate did regarding a shared experience. The subjective nature of perspective being what it is, I reacted to the words before I remember to take a few breaths and approach the words mindfully and aware that the unique perspective presented has nothing whatever to do with my experience of those same events. It took some time to move past my initial reaction of irritation at the ‘obvious’ dishonesty, the ‘irresponsible minimization’, and [to me] clear use of the opportunity for image management; my perspective is also subjective. I managed to set that baggage down pretty easily, and reconsider the words as nothing more than personal narrative, subjective and likely well-intended, without judging the words as ‘truthful’ or ‘honest’. Regardless of any of that, they are the words this associate chose to describe the experiences we shared. While it does say something about my associate’s experience – and my associate – those words have nothing to do with my experience, at all. If I react, buy in, become angry and express my anger with demands that my associate change their perspective of the shared experience we had, I give up my own experience to own theirs as the valid reflection of events. It was a pretty joyful moment when that hit me; all I have to do to enjoy my experience from my own perspective when someone else’s perspective causes me discomfort, alarm, distress, or anger, is to go ahead and continue to have my own experience, from my own perspective! I validate my own experience fully by simply having it. Wow. Simple and powerful.

Every one of us has our own perspective. Being able to comfortably listen and hear another person’s perspective improves my ability to be compassionate, to be kind, to be wise… and it also eases me into a lovely place with myself, too; more able to treat myself well, by honoring my own experience as real and true, and mine. It isn’t about who is ‘right’ – ‘right’ doesn’t enter into my subjective perspective of my own experience – nor does it feature heavily in yours. Arguing about a subjective perception of events isn’t helpful – because we choose our experience, and have no obligation to choose what someone else has chosen. Facts are facts – and I have learned caution, even there; very little of what we share with each other has anything at all to do with ‘facts’. Thoughts are not facts. Emotions are not facts. Values are not facts. Narratives of experiences are not facts. Memories are not facts. Each of those things are entirely subjective, and mostly pretty made up. We are attached to our own, sometimes to the point of being completely irrational about holding on to the ‘rightness’ of them without regard to the pain we cause others.

One beautiful moment, so many ways to enjoy it.

One beautiful moment, so many ways to enjoy it.

Today is a lovely morning, from my perspective, in spite of pain. Today is a good day to live my experience awake, aware, and mindfully. Today is a good day to show the world kindness – because I can, and it’s simply a better way to enjoy my experience. Today is a good day to brush off the things that distract me from love, with an understanding smile; we are each so very human. Today is a good day to be the change.

I love fairy tales, and stories with a strong heroine, who faces a challenge, learns a lesson, and grows to become someone wonderful. I like a happy ending. I read a lot of ‘happily ever after’ endings over the years, and at some point ‘happily ever after’ became an implicit goal. That’s especially maddening because that is basically the least attainable goal ever imagined. I enjoy feeling happy. I find ‘joy’, ‘delight’, and all manner of pleasant happiness-related, happiness-producing quite wonderful and worth experiencing. I didn’t have much success making the whole point of existence getting to some difficult to define ‘happily ever after’ place. Quite the contrary, I think making ‘happily ever after’ something to chase resulted in a lot of personal unhappiness.

I don’t actually understand why happiness seems so much more common now that I’m not chasing it…but it does tend to be the experience I am having.

Unfolding like spring flowers.

The loveliness of simply being.

I am okay right now. It wasn’t my best evening. I enjoyed the day in relative physical comfort. By the time I arrived home, after a chilly drizzly commute, I was in pain and irritable. If I could fold time, I would put this moment, here, adjacent to my arrival, and perhaps enjoy myself and my family more, being in a better mood, and less pain. I’m not complaining, and I don’t recall being unpleasant, just in pain and perhaps too tired to be more considerate with my phrasing; I know it takes a lot to hurt my traveling partner’s feelings, and I know I succeeded. I will make amends in the morning, learn from the experience and move on. It’s okay to treat myself with great care, even though I feel badly about the evening going a bit sideways, and I have spent the evening gently, managing my pain, watching South Park, and writing. It was my intention to do these things when I arrived home hurting so much, and it’s pretty satisfying to find that good self-care has indeed helped a lot, although I am still in too much pain to be able to sleep just yet; yoga will help with that a lot, and meditation afterward is a nice way to finish the day.

Every time something works out just a bit better, I take time to really appreciate it, notice it, and hold onto the experience for some minutes. I ‘let it soak in’. I make a point of continuing those practices, and even investing more time in those that are regularly part of some new moment of personal success. In the most difficult moments, I am sometimes very briefly so bitter and hurt that I am unsure these things really matter, or that I am actually making progress day-to-day. The doubts are incredibly painful, and I am very relieved each time I get past that moment, to this place when ‘I am okay right now’, and able to enjoy the moment of progress, or resilience, or emotional safety – successes, all.

Stormy sky, quiet evening.

Stormy sky, quiet evening.

I feel more vulnerable sharing successes, than I do ‘failures’, or learning experiences. Vulnerable is okay, too. It’s a nice evening.

I’ve gotten some decent sleep this weekend, even ‘slept in’ two days in row. This morning I slept until nearly 9:00 am. I woke abruptly, some noise most likely, but truly I was well-rested and returning to sleep was neither likely, nor would it be a healthy choice; the day had begun. I woke in considerable physical pain, and moments into the morning it was clear that I was not yet sufficiently able to maintain emotional balance to be casually interacting with people – I was genuinely hurt by the initial interaction with one member of the household, this morning, and it was not worth all that; it was a just moment of insensitivity and callousness common to people before they are completely awake, first thing in the morning, and I myself was also just waking up and prone to taking things excessively personally. It wasn’t personal, but I was – and perhaps still am – unprepared to deal with it appropriately, although I think I did okay with it. Pain management is a very big deal for good emotional resilience; if my pain is not well-managed I tend to take things more personally, and also struggle with being very emotionally needy. I chose a wiser path, and took my coffee with me into a quieter space, to take time for meditation, then catch up on email…and now, here I am.

Choose your experience; we're live and unscripted.

Choose your experience; we’re live and unscripted.

Good sleep. Appropriate pain management. Taking medication on time. Taking time to meditate. Recognizing and distinguishing between internal and external stressors. Calories. Exercise. There are a lot of pieces to the self-care puzzle, and they all matter. The challenge is practicing good self-care even when I am in a crappy mood, in pain, feeling ill, or distressed with PTSD symptoms. Today shouldn’t be that difficult…the major challenge today is ‘merely’ physical pain. I hurt, but I hurt pretty much all winter long, every year, and have for many years. I’m not bitching; other people hurt more often, and hurt worse than I do. I have a lot to be grateful for, and I don’t take those things for granted these days; they really matter, and taking care to appreciate the good things, and be grateful for what I have, and what works, and what feels good is a practice that is tending to ‘adjust’ my implicit memory, and my ‘default settings’ regarding how I experience my life in a more positive direction. I’ve made a lot of progress down this path – I both enjoy a better experience, generally, than I used to most days – and I can tell that my experience is improved, too.  (It’s not much help when things get objectively better, but do so in the absence of being able to recognize that improvement!)

It’s an interesting puzzle that what I want in life, the things I yearn for most fervently, can so easily sap me of my emotional resilience and self-sufficiency, and undermine a good experience I have by drawing my attention away from what is good right now, and putting the focus on some moment of discontent – that in some cases actually only exists in my thinking, without any anchor in some element of my experience in life.

Discontent joins the emotions on the short list of ’emotions I just don’t enjoy or find value in’…worry, guilt, jealousy, disappointment, and discontent amount to a lot of dark days for a lot of human primates. I don’t put anger or fear on that list – they both serve obvious purposes ‘used in moderation’; they are legitimate warning klaxons to improve my chances of survival. Moving away from what frightens me may mean my surviving some dangerous moment in the world. Being moved to anger tends to keep my awareness aligned to my values, but for now I can’t do much more to describe anger’s potentially helpful qualities; it’s an area of weakness for me, and I struggle with it to this day. The thing about those other emotions? They are all pinned to expectations and expectations are so often the ruin of a good time. I love to plan, and I like the comfort and security of having done so…but becoming attached to an expectation is a different thing. Clear and explicit expectation-setting has its place in day-to-day life, absolutely true. It’s the implicit, unverified, un-validated, unconfirmed, “I thought we…” sorts of expectations that fuck us all up. It occurred to me this morning, sipping coffee that is unexpectedly ‘bitter’…if I could entirely let go of implicit expectations, I would likely also be letting go of worry, guilt, jealousy, disappointment, discontent…and possibly other subtle negative emotions that can potentially mess with another otherwise great day. It’s a practical thing, and probably worth the effort involved. I won’t miss even a moment of discontent, worry, guilt, disappointment, or jealousy if I never feel those emotions ever again.

Today? Yes, I’m contemplating expectations and discontent, because I woke first with one, and then trending toward developing the other. I happened to take notice of the trajectory of my emotions, and put myself on pause to give it some thought. Had I allowed the moment to overwhelm me, and gotten caught up in ruminating about the drivers of my discontent, and begun wallowing in my disappointment that ‘my expectations’ failed me, I’d be in a very different place right now. I think the constant practicing of better practices proved itself this morning; I found perspective over my unexpectedly bitter coffee, and a tiny bit of unexpectedly positive news.

Today is unscripted. Ideally, I hold no expectations that I haven’t set explicitly, and even then I understand that change is. Today is a good day to live life engaged in the moment, present in my interactions, and open to the possibilities I hadn’t considered exploring. Today is a good day to change my experience of the world.