Archives for posts with tag: pain management

My tinnitus is super loud this morning. Distracting. Annoying. I breathe, exhale, and relax, as I absentmindedly rub my left trapezius muscle, up near my neck… Or is it my sternocleidomastoid? That general area. Feels like it is carved of stone and most of the time also a prominent source of day-to-day pain. I see one of my care providers today. He’s very skilled and I am hopeful that I’ll have a few hours or a couple days of real relief before my fucked up neck recreates the painful circumstances all over again. I’ve grown resigned to accepting that it is simply the byproduct of an old neck injury, combined with progressing degenerative disk disease (C3-C4 mostly and cervical arthritis from C5 on up to C1). It sucks and it’s painful, but, and this is important and real, it could be worse.

I walked down the trail listening to the crunch of boots on pea gravel, and I focused on the external sounds around me; it helps push the tinnitus into the background some. I got to a pleasant spot along the river to sit for a moment. The world is quiet and from here I can’t hear the traffic on the nearby highway at all. Whether this is an atmospheric phenomenon, a lack of traffic, or hearing loss is not clear to me, and maybe not even relevant to this pleasant moment. There’s a strip of color, not quite orange, on the eastern horizon, peeking between hillsides, silhouetting the trees on the far bank where the river bends. I have the trail and the park to myself this morning, alone with my thoughts (and my tinnitus, and my pain). Well… mostly…

I sit quietly as a rather large raccoon waddles past. She gives me a look and hesitates a moment before proceeding. I sit still and watch her discreetly from my peripheral vision hoping not to discourage her and choking back a laugh remembering the desk sign my Traveling Partner made for me (“most likely to be eaten by something she shouldn’t be petting”). As the raccoon continues past she’s followed by 2…3…4…5 chubby fuzzy youngsters, one of whom appears eager to get a closer look at me. Mom looks back and lifts herself on her back legs and makes sounds that clearly manage to communicate “Damn it, leave that human alone, you have no idea where that thing has been! Come on, we don’t have time for this.” It’s super hard not to giggle but I really don’t want to alarm Mama Raccoon – she’s pretty big, and I’m definitely not up for defending myself from an angry or frightened raccoon; they are not to be trifled with.

She walks on with her youngsters following, heading down the river bank. I walk on, too, heading back up the trail toward the parking lot. It’s daybreak. Good time to begin again.

It’s another icy morning. The fog is dense on the highway, and denser still on the trail, where it dips low towards the marsh and the river. Frosty ground is slick beneath my boots and branches and grasses sparkle white as my light passes over them. I’m thinking about hot coffee, grateful for warm gloves.

I won’t sit long at my halfway point. It’s too cold to write comfortably, and the fog obscures the view. It’s a work day, too, and timing matters.

I’m in a bad mood this morning. My Traveling Partner started my day with his annoyance over some small thing, and I didn’t need that on top of my tinnitus screeching in my ear and this fucking headache, and my arthritis. I keep trying to push past it. Move on. Let it go. It wasn’t my annoyance, after all. Pain sucks, though, and I’m cross about dealing with it. I’m hoping for a relaxed routine work day after a lovely holiday weekend.

I yawn in the cold morning air and see my breath mingle with the fog. It’s time to walk on. It’s time to start the day. It’s time to let small shit stay small and not take other people’s bullshit personally. It’s time to begin again.

Daybreak arrives as I get back to the trailhead. I’ll head to the grocery store next, then home to tackle housekeeping chores for another week. I’m tired just thinking about it, and my “background” pain is a not uncommon, distracting, 6/10. My tinnitus is crazy loud, drowning out the sound of traffic on the nearby highway. It’s Sunday though, not much traffic.

A view of a day and a beginning.

A huge flock of Canada geese overhead pulls me out of my irritation over the physical limitations of being a human primate. Loud enough to distract me from my tinnitus for a moment. I watch and listen as the flock fills the sky overhead. The rain that had paused long enough to enjoy my walk along the marsh resumes. Drizzly chilly autumn weather is probably the primary cause of my pain today. I took medication for that. It hasn’t helped. I distract myself by continuing to watch and listen to the geese. I mean, I try. My results vary. I sift through the seemingly endless crap in my apparently bottomless handbag looking for my Capsaicin – it doesn’t “fix” anything, but it might give me a bit of relief. Shit. Looks like I left it home. In my minds eye, I can see it on my bedside table, clearly. In this moment, here, I’m still going through the motions of dumping my purse and double checking every pocket. A very human moment.

I sigh, annoyed with myself and with my pain. The rain falls harder and a dense fog creeps in. Forecast says pain all day, time to accept it and move on. Too much to do to let it take over.

I sit with my thoughts awhile. Meditation helps with pain management, particularly if I resist the temptation to focus on the pain. Sometimes it’s hard. I keep pulling my attention back to my breath. It’s a practice. My results vary. I breathe exhale and relax. I let my mind wander to the painting I’m working on. It needs something, and is unfinished. I think about that, instead of the pain I’m in. I shift uncomfortably, but whether it’s physical discomfort or “artistic energy” isn’t clear, and maybe doesn’t matter. Another breath. I watch a doe tentatively walk by, watching me. She steps slowly, with care, her soft gaze assessing my presence; friend or foe? She appears to decide my still, quiet, form is no threat, and stop to nibble on tasty bits of what remains of the meadow grasses. Still watching me, she walks on. I smile to myself. “Yeah, I get it, girl. It’s time to walk on. It’s time to begin again.”

I sigh and stretch and fuss a bit with this all too human aching mortal body. Fuck pain, I’ve got shit to do.

I’m sipping the last of my now-mostly-cold coffee, after my morning walk, and before I head to breakfast with a friend I don’t see often. I’m thinking about life and love and things of that sort. I’m thinking over conversations with my Traveling Partner, and our earnest mutual commitment to the life we share and the love we feel for each other.

… I’m thinking about how much actual work it is to create the life we want to enjoy with each other, and how much work it also takes to create a world worth living in…

What are you actually doing to “be the change”? What kind of experience of community and family do you want to enjoy? What are you doing to make that a reality? Yes, you. I sit with these questions myself. They seem worth answering.

When people decry “woke” culture, what are they actually objecting to? Because it’s become some kind of buzzword or verbal shortcut, I think examining the intention behind it sometimes gets overlooked. Isn’t racial equality a good thing? Isn’t gender equality a good thing? Don’t we want everyone to have access to good healthcare regardless of the neighborhood they live in, the color of their skin, their gender, or religion? Of what possible relevance is a person’s sexual preference or marital status when they are seeking healthcare, housing, or a seat in a restaurant? When people shout down “being woke”, are they making a frank admission that they are comfortable with a very non-equal society, of the sort that explicitly disadvantages and “others” some people? Who gets to decide who is “in” and who is “out”?  It’s on my mind. Maybe for obvious reasons (as we all watch the clown car of the new administration fill up, in the background of our lives).

I sigh and bring my thoughts back to matters closer to home. How do I do my own humble best to be a good partner? A good friend? A good community member? I definitely have room to grow. It’s never too late to get a little closer to being the person I most want to be. There’s a lot to consider and probably a few good opportunities to make changes in how I approach conflict resolution, boundary setting, and communication. I’m no saint. I’m often in tremendous pain, more than I’m inclined to complain about. Sometimes I’m just fucking exhausted, with much still left to do that simply has to get done. “Doing my best” is all I can do, and realistically sometimes it doesn’t get everything done – or done in a way that I could celebrate. I’m very human. Prone to temper and moments of irritability. My cPTSD is pretty well-managed, but it’s still lurking in the background. My brain injury is many years (decades) behind me, but I’ve got some brain damage that I still have to work around day-to-day. “My best” has limitations, and my results vary. How do I do more, better?

I sit with my thoughts. Self-reflection is a useful tool. Practicing self-care improves my chances to be the best version of myself. Practicing gratitude, non-attachment, and loving kindness help me create and maintain a resilient and positive mindset. I breathe, exhale, and relax. This human life is quite an interesting journey. So many verbs. So much work to do.

I watch daybreak become a new day. I’m fortunate to have this moment, and so many opportunities to grow toward being the person I most want to be. Feels like a good time to begin again.

What will you do with your moment? Where does your path lead?

Yesterday was… difficult. My Traveling Partner was in pain after PT the previous day and feeling really uncomfortable and cross with the world. Understandable, and honestly, I generally wouldn’t mention it in any specific way, but the results affected me quite directly. The peace of my morning was quickly wrecked, and before midday I was seriously wondering if I’m even cut out for being in a relationship or enduring cohabitation at all. It was that kind of day.

… Caregiving is hard…

I love (adore) my Traveling Partner with an abiding passion that can be described pretty accurately as “ridiculous”. It makes no damned sense that I love him so. Hard days are hard. Bad moods feel…bad. Hurt feelings hurt. Love isn’t some magical effortless fairytale condition that leaps from eye contact to happily ever after. There are verbs involved. Effort. Real work. Personal growth over time. Compromises and changes. Fucking hell, it’s an unreasonable bit of work involved in deepening and maintaining intimacy, especially under trying circumstances. G’damn it’s worth it though, and most of the time that’s obvious.

I breathe, exhale, and relax. The day ended pretty well, though my beloved was still cross and miserable. We talked over the things that mattered. We sorted some stuff out. We called it a night in a good place with each other, in spite of his continued pain and discomfort. It’s a new day, today. A new chance to begin again. Love is worth the effort we make.

I stare into the foggy autumn darkness. It’s awhile yet until daybreak, but the work day begins pretty soon. I lace up my boots and add gloves and a scarf. It’s chilly this morning. I’ve got my cane and my headlamp. I finish my coffee. It’s time to begin again. Again.