Skip to main content

Self Management of Chronic Pain: A Tale of Two Patients

Today I'm going to tell you a short story about two different patients.  They both suffer from severe joint pain/osteoarthritis of the knees.  They are both around the same age.  But that is where the similarities end---



Maria is in her mid 60s and has had arthritis in her knees for several years.  When she was first diagnosed, she was overweight and worked at a desk job five days a week. She did not get much exercise because she was tired and achy when she came home from work. She retired in the last few years and now has more free time. That being the case, she decided to join a weight loss program and has lost 25 pounds in the last year.  She has also taken up exercise, which for her means a daily walk around the neighborhood or a nearby public park.  She was able to take a class in meditation and has used the skills she learned when she experiences increased pain levels.  Maria also a volunteers at the local library weekly.  She enjoys spending time with her young grandchildren and sometimes babysits for her daughter and son in law so they can have some quality time now and again.

RaeAnne is also in her mid 60s, and like Maria, was diagnosed with arthritis several years ago.  She has become fearful of physical activity because it hurts too much and causes shortness of breath. As a result, she is sedentary and has gained a lot of weight since the time of diagnosis.  It is very difficult for RaeAnne to sleep because she is so uncomfortable.  Due to increased pain levels and lack of sleep, RaeAnne feels cranky and irritable much of the time. RaeAnne's family members are uncomfortable around her because they never how she's feeling or if she's going to go off on them. Due to weight gain and the pain of activity, RaeAnne is having difficulty getting around and performing activities of daily living such as shopping, laundry, and even personal care.

Why is it that these two individuals--who have basically the same health issue--have such drastic differences in functionality?

The answer is simple if you think about it.  Maria has a very positive outlook on life. She is doing everything she can to be an active partner in managing her condition, while RaeAnne has allowed her condition to take ownership of her life.  The difference in attitude is what makes all the difference!

Which person would you rather be like?

Source: Living a Healthy Life with Chronic Conditions 4th edition; Pixabay

Comments

Popular posts from this blog

Living with Chronic pain hits the big screen!

Been to the movies lately?  Jennifer Aniston is on the big screen in a recent release titled "Cake." Her character, Claire is a victim of chronic pain...she belongs to a support group, where all of the members are coming to terms with the suicide of one of their members.  Of course, she also takes pain medication and addiction is another of her problems...and of course there's more! I guess I am writing this post just to bring readers' attention to the fact that Hollywood has become aware of the crisis that is chronic pain.  This movie is a testament to that. People that don't have to live with this kind of pain don't fully understand the whole story.  Maybe this movie will shed some light on the issues. Here is the official trailer for the movie: Sources: prweb;NorthJersey.com;YouTube

The Multimodal Approach to Pain Management

OK..so if you've been following this blog you will notice that there are a good number of ideas to help manage chronic pain.  You might ask yourself, "Which one of these ideas is best for me ?" I would suggest that you might try any number of these things, depending on your level of ability/disability, health care team recommendations, and your personal interests.  There are a number of reasons for doing this: 1) The patient is in control..with few exceptions, it is your decision what to try/not try and how many different things you want to experiment with at any time. 2) Non drug pain management ideas do not have any of the drug interactions or side effects that medications have.  You may have to set limits or modify activity according to personal circumstances, but usually it does not hurt to try any of them. 3)You usually do not need a prescription for most of the ideas I have described.  There are a few exceptions, such as physical therapy.  There ...

Beware Of The Tick!

It's tick season, everyone! And while we all know about Lyme Disease and its lingering effects, a new problem has entered the scene. According to the CDC, the Powassan virus is another tick-borne disease that has recently been recognized. The CDC says symptoms become apparent anywhere from one week to one month after infection. Symptoms include vomiting, weakness, confusion, loss of coordination, problems with speech and seizures. Approximately half of those infected by this virus have permanent neurological symptoms, which can include muscle wasting, problems with memory, and recurrent headaches. Many people who have been infected with Powassan virus required hospitalization and sometimes even respiratory support (i.e., a respirator). Treatment is focused on supportive measures. In the meantime, preventive measures are the best way to avoid Lyme disease, Powassan virus , or any other tick-borne virus.  You can read more about preventive measures by clicking here . Sour...