Monday, January 26, 2015

Boxes of Pain



I have been thinking a lot about pain lately, and giving everything that has happened recently… I suppose that isn’t surprising. I have been wondering what pain is and all the ways it might present itself… or how we, as people, react to it.

After googling the word “pain” I read the following on Wikipedia: 
Pain is an unpleasant feeling often caused by intense or damaging stimuli, such as stubbing a toe, burning a finger, putting alcohol on a cut, and bumping the "funny bone".[1] The International Association for the Study of Pain's widely used definition states: "Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage."[2]
Pain motivates the individual to withdraw from damaging situations, to protect a damaged body part while it heals, and to avoid similar experiences in the future.[3] Most pain resolves promptly once the painful stimulus is removed and the body has healed, but sometimes pain persists despite removal of the stimulus and apparent healing of the body; and sometimes pain arises in the absence of any detectable stimulus, damage or disease.[4]” 

Some of those points really stuck with me. Pain IS unpleasant. And it IS damaging. Pain causes us to go on the defense and PROTECT ourselves… our heart, our injured limb, our mind… whatever may have been hurt by a damaging stimuli. What struck me about this passage is that I felt like it was speaking to my mind/heart AND to my body. It also addresses the point that sometimes we are in pain without knowing or detecting any direct cause or stimuli for that pain. 

I have thought about my reaction to pain, and I assume, many others reaction to it. The common response of protection or defense… we “fight through the pain.” We tell ourselves things like, “What doesn’t kill you makes you stronger” and “No pain, no gain.” This thought process… “To never give up, never give in, and never surrender” may be useful in most cases, but what about those in which pain is ongoing. Those in which pain is a chronic condition. What about the emotional loss of a person that will never return? What about a chronic illness? What about a terminal illness? What about the things that will never get better… What about progressive pain?

In my present life, I have had to change my thinking on pain a little. The truth is I am not beating AS. I will have it forever. There is no cure. And “fighting it” seems to actually get me nowhere. As I believe I have mentioned before on this blog… someone once told me to no longer fight something that is, but to work with it. Accept that it is there and ask myself what there is to be done with it. What do I need right now?
It’s become a concept that I have had to apply to very many aspects of my life in the past year. I have felt so suffocated and lost in pain; I was not sure how I would ever return to myself. I was lost in waves of emotions and uncontrollable anxiety like nothing I had ever felt before. I would cry and wail until I was numb. I would sit and stare. I would lose sleep or have vivid nightmares… and the more I tried to “fight it” the more it seemed to rage on. 

Picture something with me… You lay still on the ground. You completely relax your body and mind to the best of your ability. You notice a humming in your body. The humming increases to a twinge and before you know it, it is full on radiating and shooting pain. This pain may be in your hip, back, shoulder, knee… or it could be in your wondering mind, or broken heart. But it is there. And you notice it. You notice the ache or the panic and it’s all you can think about. You are no longer relaxed or clear minded. You are overtaken by the unpleasant sensation of pain. Now instead of trying to fight that pain or forget about this overwhelming sensation… create a box around it. Recognize that it is there and give it a place. Put it in the box you made. Picture that box and take notice to that area, and do so with purpose…now, address the rest of your body. There are many types of pain we can avoid or “fight,” but the plain and simple fact is that some pain is inevitable. For the pain that you can’t fight; the pain rushes into you and stays with you… What if you let it in? What if you let yourself acknowledge the pain rather than fight it or ignore it? What if you accept that the pain is there and that you may or may not know the cause of that pain? What if you put that pain in a box, you hold that box, and you say, “I see you. I hear you. I will work with you.”

There will be times where the pain is too much to put in a box… It may be spilling everywhere. So, let it out. Scream, cry, shake… let that energy flow out. When it’s too much to contain in the box, let it out. And when the dust settles, try again. What if acknowledgement is the key? What if we let ourselves take notice to the bound up and twisted things inside of us. What if we do our best to isolate them while still acknowledging their presence? 

With AS. I have been given the curse, and ultimately the gift, of learning how to live with pain. To learn how to work with myself to accept pain and keep it isolated, minimal, and as controlled as possible. Sometimes, pain flares…both in AS and any other physical or emotional pain. There are overwhelming moments. But I have begun to try and FEEL all of the things that have happened to me in the last year. I have been carrying so much pain with me… burying it and digging it up. I have rolled in the dirt of it… and now? Now, I am putting it in a box. I know that I can’t get rid of all the pain that has accumulated from my AS, from my divorce, from my aunt dying, and from my father’s cancer diagnosis. I know that I cannot stop missing people or loving people or wishing things had happened a different way. But, I also know that I have to life with what is and that pain has a space. 

Now, when I feel my emotional pain, I try to settle myself long enough to imagine acknowledging the pain and putting it in a box. A box so that it will not spread and take over the happiness and healthiness I have left in my body. I will store that box for when I need it and try to lighten the load of what I carry on a daily basis. But I know that its mine… I still have it and, come to find, it is easily accessed.  Maybe the best way to move on is to fall… to acknowledge the dark places and pain and suffering in you. You can’t rise above something until you have been under it, or at least with it. Maybe this is truly the way to “protect a damaged body part while it heals, and to avoid similar experiences in the future.   To acknowledge pain may protect us in the long run.

Find your pain, build your boxes, and pack up… Come with me, it’s time to move on. 

XOXO
Amanda