Chronic Pain Partners

As a chronic pain sufferer myself, I am all too aware of how greatly and adversely my pain effects the people around me.  And even though I try hard to minimise those effects, I know that often I fail miserably.  I read this article, written by a man whose wife is a chronic pain sufferer, and so much of this reads just like my life too.  Only I wouldn’t really describe the periods of pain elevation, as a ‘pain storm’… my pain doesn’t really get significantly worse, it’s mostly my ability to cope with the constant 7-8 I live with on a daily basis diminishes considerably with fatigue or when facing the unexpected (that is, if I find myself having to do something that mentally I haven’t ‘budgeted’ for).  It’s an interesting read and I wanted to be able to find it easily in the future so I’ve taken an excerpt from the article and reproduced it here.

Tips For Men on Supporting a Partner with Chronic Pain

Pete Beisner knows a lot about supporting a partner in pain. Here, he shares insights on how to take care of the person you love.

We will be celebrating our 14th wedding anniversary this week, and I can say without a doubt that despite the problems that come with periods of joblessness and raising two kids to maturity, the thing that has had the biggest influence on our marriage has been pain.

So, I have two sets of tips. The first set of tips is for supporting someone you love who has chronic pain. The second set of tips are practical suggestions for how to support a woman in an episode of critical pain, like just after she has had major surgery or a serious injury.

1. I think that it is important to think of pain as your common enemy, not as a part of your wife or baggage that comes with her.
   It is something outside of both of you that impacts both of you and that can kill your marriage.
2. If your wife is anything like mine, she will try to hide her pain from you.
   She does it for two reasons: one, she does not want to be a wuss or a whiner. Second, she knows that her in pain is distressing for those that she loves, so she hides it from us.
3. Because women in chronic pain have to be good at ignoring their own pain, their maximum sneaks up on them and on you.
   Trust me when I say that you do not want to be surprised by your wife’s pain. The wall of pain will hit her hard, and if you are lucky she will end up snapping at your or the kids. If you are unlucky, she will collapse into sobs that will break your heart to hear. Before I learned to read the signs in my wife, it would seem like her breaking point would come out of nowhere. We tried to get her to tell us when she was coming up on her limit, but she only notices about 30 percent of the time, and that is after years of coaching and encouraging.
4. To avoid a pain-storm, be on the look-out for non-verbal clues of increased pain.
   My wife who is normally a font of cheerful patter gets quieter the further into pain that she goes because she does not want her voice to betray her pain. She holds her body more rigid, trying not to limp and holds her breath, taking one long rasping breath for every three that I take. There is also a look of grim determination that settles in her eyes, even if she is smiling.
5. When you note the non-verbal clues of increased pain, reflect them back to her.
   Ask that she put her pain on a scale from 1-10, but make note if she tends to tip to one side of the scale. My wife has had a C-section without anesthesia, so that is her 10. She rated a compound broken bone where I could see a jagged bone tip protruding through the skin of her ankle as a five. So know how she rates things. When you determine that she is in rising pain, encourage her to move towards a place where she can rest and take medication. Remind her how much the pain storm will cost her. If it is worth it for her to continue, then so be it. Do what you can to support her.
6. Chronic pain does not mean that the person has the same level of pain every day or even at various times in the day.
   So encourage her to put the fun stuff first. If she has enough energy and pain relief to do a quick trip out and about, encourage her to go someplace fun rather than the grocery store
7. Don’t let her “should” on herself—beat herself up for what she cannot do.
   Argue back when she expresses guilt or sets impossible expectations for herself. When my wife tells me that she is a bad mother because she couldn’t stand in the rain beside a soccer field, I remind her of all the other ways that she has been there for our kids. Encourage her to tell significant people in her life such as her boss and co-worker that her life is significantly impacted by pain. Remind her that stating the truth is not the same as complaining and it does not make her a whiner.
8. One of my early ways of dealing with my wife’s chronic pain was to encourage my wife not to do things that caused her pain.Then I realized that if she avoided all activities that caused her pain, she would never do anything. Let her grit her teeth and get through pain for things that are important to her, even if it kills you to watch her do it. And trust your wife if she says that she wants to have sex even while in pain. Sometimes and in some women, arousal can do wonders to offer temporary relief from pain.
9. Women in chronic pain are used to working through pain, distracting themselves, minimizing etc.
   They play mind games that help them get around it. But this means that they pay less attention to their bodies than other women do. In some cases, this makes it harder for the woman to get aroused. In my wife’s case, it makes her really really clumsy. I used to try to help her by saying things like “Your toes and nose should be pointed in the same direction as the location you are placing an object like a glass.” That really isn’t helpful. We have compromised: for things my wife knows are important to me, like lifting and carrying food, (I love her cooking and when it gets spilled all over the kitchen floor, I am in pain) she agrees as a favor to me to allow me to do those things. And, I keep plenty of Band-aids, ice packs and other things for the rest.
10. The key thing to remember is that pain builds even while you are managing to ignore it.
    The longer your wife is in pain, the more of it she experiences and the less she can block it out. So what would be an objective level 5 pain your wife can block out to make it a level 2. But when she is no longer able to block it, it will come back as 6-8. Beware of this whiplash phenomenon.

The complete article – hints for dealing with acute pain issues and post operative pain can be found on the NAIDW website.