My only expertise is DEALING with this disease 30 years, so my
experience could be different from yours...
When I have pain, back, hands, feet, whatever, a really hot bath
with bath oil such as alpha-keri type, first thing in the morning
helps. It is CALMING. This also is a huge help in staying warm and
avoiding dry skin. I usually follow this with very mild exercise of
whatever hurts. Of course, I start the day with pain meds before
bath to give them a chance to work. I usually plan a few times a day
to nap or break, to deal with the pain and schedule the rest of the
day according to what can be done.
Afraid of needles?? If the pain is not as bad as the needle, why
bother?? If the pain is worse than needle, stop being a big baby. I
remember having trouble swallowing pills. It seems much worse to
choke on a pill than to get a skin wound you can hardly see.
RIB PAIN and "closing in"// "closing in" sounds like psychologic
trouble more than PA. Although I found low O2 blood sats to give
that feeling/ you know , shortness of breath, rapid heartbeat, chest
pain, sweating. Whatever the cause of the symtoms: low cardiac
output, low red blood cells, panic attacks, pneumonia, I have had
all of them. I also had costochodritis with nasty chest pain and
twinges and recurrant chronic pain for several years after CPR. The
cracked sternum didn't help. This pain largely subsided after I
started ENBREL. Strangely, after avoiding exercise for years, I
found my back, chest, and hip pain were more tolerable AFTER
exercise combined with hot baths, pain meds, and SOLOFT. The
exercise benefits are long term and slow to realize. The pain
immediately after exercise only lasts a day or two for me. Years
ago, instead of Soloft, VALIUM worked the same way for me. WORRYING
TOO much about the pain made the PAIN more important. Living and
continuing to move and get stuff done, with breaks to deal with pain
is better. Besides, it makes the remissions more enjoyable, since I
maintain strength and feel in control.
When I have pain from shoveling snow or a long walk, I know the
cause, the course of the pain is predictable and therefore more
tolerable.
For balance, I should mention that my knee, hands, and feet get
worse with exercise but the trade off of FEWER sharp, stop
everything (including breathing) pains from back and hip are worth
the stiffness. Before ENBREL, I was on the path to wrist surgery and
back surgery. Now these are not in the plan and the wrist braces I
wore for years every day are sitting unused, even after I shovel
snow.
We tend to think of the mind and body as separate things, but
Soloft, paxil, prozac, valium and others are a valuable part of
treating chronic pain as well as chronic itching. Chronic itching is
draining and makes the pain less tolerable. I spend an hour a day on
skin lesions during breakouts. It helps your mind to take care of
the skin. If you can live without the FEAR of the next bad pain, the
next big breakout, it frees up a lot of wasted time and energy. It
helps you stay in control.
SIDE EFFECTS--On a standard dose of Soloft, I slow down and stop,
like my feet slowly become heavy. I cut the dosage and found a level
that keeps away the panic and spasms without feeling glued to the
floor. At night, lower than standard doses of temazepam and soma
work for me, but not good enough, so I am still experimenting to
find a regimen that allows sleep AND lets me get up when I want to
get up.
Think of the meds as being like alcohol. The effect and side
effects are DOSAGE related and fairly well understood. I take my
meds at times when I can deal with the side effects which are fairly
predictable in timing. The disease flareups are the unpredictable
part. But the more you deal with, the more you learn to deal.
STAY WARM, even sweaty when you can. Gloves are a big help in my
snowy area. Cold seems to increase finger swelling for me. Get some
sunlight every day.
Are you MISERABLE and no one wants to hear about it? I find holding
a CAT and hearing her purr is almost as good as a hot bath. I was a
dog person for years, but cats are lighter and easier on my hands.
And they don't bark.
HEY// HOW do the rest of you deal with the bad times??
Pete from Baltimore