A few years ago, when I was still in the throws of recovery, my personal trainer suggested I read a book called “Explain Pain” by David Butler and Lorimer Moseley. I was at a point where I had gained strength, continued physical therapy, but continued to have significant pain that would send me off emotionally and also keep me from doing more of what I loved to do. Everyone had their theories as to what was going on, but the only person in my life that was up front and honest with me was my trainer. She basically told me I couldn’t “fix the pain I was feeling with exercise”. She was saying it was “in my head” which was true, but not (I explain this below). It was REAL alright and she knew it. She also told me I needed to start meditating or “go talk to someone”. Hmmm, she was telling me I needed a different kind of therapy.
No one had spoken to me this way before about my anxiety. She was brutally honest. It was jarring and I was a bit shocked. I sat there in tears. It felt like some sort of emotional breakthrough. I am FOREVER grateful for her for being this honest with me. For seeing that I needed to hear these things in a way that would wake me up. No one in my family would have ever talked to me this way and if they did I probably would have been so angry with them I wouldn’t have listened anyway. The fact that it came from someone on the outside means I could no longer hide that part of myself. It was obvious to her and she did the right thing by making me confront it.
Two things she suggested immediately was a book called Explain Pain and a meditation app (that I now use every day, religiously, starting the day after she suggested it. Upholder quality at work!) As soon as I began reading Explain Pain everything started to become clear. I was reading my story. I couldn’t believe it! Finally, I could see myself on the pages and I started to understand. Right from page two it became clear. “When pain persists and feels like it is ruining your life, it is difficult to see how it can be serving any useful purpose. But even when pain is chronic and nasty, it hurts because the brain has concluded, for some reason or another, that you are threatened and in danger and need protecting – the trick is finding out why the brain has come to this conclusion”.
I also learned that stress can make nerve pain worse and that damaged nerves become sensitive to the chemicals you produce when you are stressed. This made perfect sense to me. I was having unbelievable stress and worry at the time when my pain was spreading and getting worse and no one could tell me why. The authors also explained that “things that used to hurt, now hurt more. And things that didn’t hurt before, now hurt”. There I was, right there on the page. Exactly what I experienced. And for the first time, there was an explanation. I was so relieved to see my story in print. Someone gets it! Other identifying statements I read were “It started off so simply and now it has spread” and “No one seems to believe me”. I basically said those exact words. Something else that really hit home for me was that even the FEAR or ANTICIPATION of pain may be enough to prevent changes from returning to normal. Returning to normal was ALL I wanted! Clearly, I needed to figure out how to get over my fear of pain. It was time to take control and work out the threats or feel like this forever. So, I made a decision right then that I will do whatever is suggested to reverse what had happen to me.
Now I had my goals and was motivated to get started. With the understanding that the pain was coming from my brain, not the tissue/nerve damage, I now knew what I needed to work on to get my life back to as normal as possible. In the next few weeks I’m going to break down each of the goals above into what I did.
Are you dealing with chronic pain? Do you have fears of certain movements, re-injuring or making it worse? Surgery, botched surgery? Or other fears? I want to give you a few Action Steps to apply to you own life if you feel like this speaks to your situation. And then over the next few weeks we will talk about the steps above in more detail and I will share what I did in my personal situation. For this week, you could start by:
- Decide to take control and work out the threats. Just deciding to do this is a HUGE step. Yay!!
- Have a goal. What is it that you want to do more of without pain? Walking, reading, driving, playing with your kids. You decide. But I suggest picking one to start and focusing on that.
- Increase activity with slow exposure.
If you would like more information about the type of training I did, you can find my trainer Carrie’s website here. https://pnxsolutions.com/
That’s it for this week!! Seems simply enough, but honestly it’s a big decision and takes strength to move forward. You can do this. After you pick your goal, come back next week and we will start on the “how to’s” and I will tell you what worked for me, what didn’t and what I’m continuing to work on now :). See you then!