@Shanmonster @RickiTarr +1 for cannabis.
I have a pair of ruptured Achilles'. Rest, Ice, and Elevation (RICE) helps a lot, as does compression and ibuprofin for the inflammation. Physical therapy exercise daily.
I get the same amount of relief from a puff or two of a vape. When I add cannabis to the mix I am able to be active enough that the exercises become redundant.
I will just say this:
At my worst point, I used naproxen until its effect started to drop off. By happenstance, I was given declofenac (Voltaren) because they didn't have any naproxen. It worked better. Overall, I think it's better.
Notes:
-declofenac requires a prescription in many countries. I was living somewhere that you can just walk into a pharmacy and get most things (not opioids or strong stuff)
1/2
Acceptance. I hate how trite that sounds, but it's true. Everything avoidant seems to make my fibro harder to endure. The only thing helping me to keep going is my inner peace.
Oh, and sobriety. That's made a huge impact. Coming up on 2 years now. 🩷🩷🩷
@RickiTarr I'm currently writing something on slow hiking that includes stuff about pain. It's not until you write about your own chronic pain you remember how disabling it is. :(
I'm trying to learn to live more slowly and listen to my body more. I know I've made my issues worse by being wilfully ignorant of my own needs and I can't emphasise enough how listening to your body is the key.
I strongly agree. Slowing down and tuning in. 🌸
First and foremost, pain education
Then, in different times and circumstances:
Distraction
Mindfulness - no really!
Warm baths
Resting when I need to
I have had chronic pain for nearly 25 years now
Edit to add: listening to music from before I had chronic pain helps too
Weed
My beloved huge ice pack
A WEARABLE ice pack
A 3" memory foam mattress topper
Water physical therapy
Each person is a little different.
Where it's legal, gummies seem to work the best.
Other than that, non-aspirin like Tylenol or generic. Mobic or Ibuprofen for inflammation.
These only lessen the pain some, not remove it.
Absolute game-changer for me was learning about "position of true rest" and making time to get as close to that as possible for even a few minutes a day. For me it's a soft seat, soft reclined back, feet up, arms supported, head supported and leaning back. I watch TV and read like this now. It helps even if imperfect but it's much better if all the cushions are exactly perfect, so learning how to tell and then adjust is hard.
Trying to really not do things that make it worse unless they're very worth it. eg I go to the office as little as possible now and I let work buy me a fancy chair, in my spare time I try and go to events where I can move around often and where the seating options are supportive, I try and carry an absolute minimum (light shoes, light coat, no bag unless it's really necessary). A metal-framed rucksack with hip straps if I really need to carry something. Stabilising myself is a big difficulty for me so if there's seating for people who need it, like on the train, I admit to myself that I need it and I ask for it. The hardest part of all this is accepting my needs and valuing my wellbeing over what I think I "should" be able to do.
Physio with someone who understands my condition and listens when I say something is too hard even if it sounds easy. Stretches and fascial release and foam rollers.
Qigong and walking and not "working out". Wiggling in ways that probably look weird.
Making sure I'm warm enough.
I went to an osteopath who specialises in difficult cases and she taught me. I think the idea is that your muscles and joints are in as relaxed a position as possible, not working to stay put. It can also be referred to as a neutral position.
I struggled to find anything too but there's this very short piece
https://dorsetpain.org.uk/SiteUploads/45/Uploads/B8.2%20True%20Rest.pdf
Joints/back
1. Yoga/daily spin on the cycle to loosen up that old knee
2. 2gm hyluronic acid
3. Hot bath
4. The distraction of making things (yes, typing hurts my wrists, but only if I'm not lost in the flow of what I'm typing...)
@RickiTarr ⚠️ I Do Not Recommend This ⚠️
but a weird thing happened with my many debilitating chronic pain issues recently. I had a cardiac arrest event while at emergency (for chronic pain) 4 weeks ago.
As the pain of that extreme trauma continues to subside, and my nervous system re-establishes connections and functionality, I notice that my other chronic pain has not returned.
I don't know if it will last, but a system reboot of some sort may be key. ??? 🤔🤷🏼♂️
Otherwise, Distraction helps.
@RickiTarr various strengths of paracetamol, nsaid, nerve blockers and opioids. Apparently, the only other option is anaesthetic one I'm not on and he won't prescribe it for me 😔.
I'm trying to achieve a low enough pain level to be able to add light exercise but currently that's tricky most days.
A friend has been using Dilaudid for a few years and has been getting good results from ketamine for the last few months, though people at the clinic report very varied responses and there are too few clinical studies to isolate the factors that make the difference.
@RickiTarr The only medications that truly worked were the ones I got addicted to. Other than that, indomethacin is a powerful anti-inflammatory that helps if the problem involves joints.
Regular exercise endorphins help with the emotional toll and can take the edge off a bit over time.
Accepting I can't do everything I wanted to do.
Strong painkillers so I can do some things.
Acceptance, finally, by doctors and diagnoses.
Having the courage, finally, to reject graded exercise, ie pushing myself a bit more each day - it's the worst thing for CFS and fibromyalgia.
Knowing I can push through if I really want to do some thing as long as I plan 'bed days' after to recover.
I still get some nurses shocked by the fact that I have prescribed opioids but my doctors are happy to prescribe them. And I'm one of the lucky ones genetically, so I dont get addicted.