Perhaps the hardest part of having arthritis or a related condition
is the pain that usually accompanies it. Managing and understanding that
pain, and the impact it has on one's life, is a big issue with most
arthritis sufferers. The first step in managing arthritis pain is
knowing which type of arthritis or condition you have, because that will
help determine your treatment. Before learning different management
techniques, however, it's important to understand some concepts about
pain.
No. 1: Not All Pain is Alike
Just as there are
different types of arthritis, there are also different types of pain.
Even your own pain may vary from day to day.
No. 2: The Purpose of Pain
Pain
is your body's way of telling you that something is wrong, or that you
need to act. If you touch a hot stove, pain signals from your brain tell
you to pull your hand away. This type of pain helps protect you.
Chronic, long-lasting pain, like the kind that accompanies arthritis, is
different. While it tells you that something is wrong, it often isn't
as easy to relieve.
No. 3: Causes of Pain
Arthritis pain is
caused by several factors, such as (1) Inflammation, the process that
causes the redness and swelling in your joints; (2) Damage to joint
tissues, which results from the disease process or from stress, injury
or pressure on the joints; (3) Fatigue resulting from the disease
process, which can make pain worse and more difficult to bear; and (4)
Depression or stress, which results from limited movement or no longer
doing activities you enjoy.
No. 4: Pain Factors
Things such
as stress, anxiety, depression or simply "overdoing it" can make pain
worse. This often leads to a decrease in physical activity, causing
further anxiety and depression, resulting in a downward spiral of
ever-increasing pain.
No. 5: Different Reactions to Pain
People
react differently to pain. Mentally, you can get caught in a cycle of
pain, stress and depression, often resulting from the inability to
perform certain functions, which makes managing pain and arthritis seem
more difficult. Physically, pain increases the sensitivity of your
nervous system and the severity of your arthritis. Emotional and social
factors include your fears and anxieties about pain, previous
experiences with pain, energy level, attitude about your condition and
the way people around you react to pain.
No. 6: Managing Your Pain
Arthritis
may limit some of the things you can do, but it doesn't have to control
your life. One way to reduce your pain is to build your life around
wellness, not pain or sickness. This means taking positive action. Your
mind plays an important role in how you feel pain and respond to
illness.
Many people with arthritis have found that by learning
and practicing pain management skills, they can reduce their pain.
Thinking of pain as a signal to take positive action rather than an
ordeal you have to endure can help you learn to manage your pain. You
can counteract the downward spiral of pain by practicing relaxation
techniques, regular massage, hot and cold packs, moderate exercise, and
keeping a positive mental outlook. And humor always has a cathartic
effect.
No. 7: Don't focus on pain.
The amount of time you
spend thinking about pain has a lot to do with how much discomfort you
feel. People who dwell on their pain usually say their pain is worse
than those who don't dwell on it. One way to take your mind off pain is
to distract yourself from pain. Focus on something outside your body,
perhaps a hobby or something of personal interest, to take your mind off
your discomfort.
No. 8: Think positively.
What we say to
ourselves often determines what we do and how we look at life. A
positive outlook will get you feeling better about yourself, and help to
take your mind off your pain. Conversely, a negative outlook sends
messages to yourself that often lead to increased pain, or at least the
feeling that the pain is worse. So, "in with the good, and out with the
bad."
Reinforce your positive attitude by rewarding yourself each
time you think about or do something positive. Take more time for
yourself. Talk to your doctor about additional ways to manage pain.
By
Bruce Bailey
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