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Reading: What does “Pain Self Management” truly involve?
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MindBody Wellness Toolbox > Blog > Chronic Conditions > What does “Pain Self Management” truly involve?
Chronic Conditions

What does “Pain Self Management” truly involve?

Cjaywellness By Cjaywellness June 27, 2024
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In the realm of chronic health conditions, one term that often pops up is ‘self-management.’ But what does it really mean when we talk about ‘pain self-management’? Let’s dive into this complex topic and explore the nuances that come with managing pain on a daily basis.

For me, self-management is all about taking control of my life while living with fibromyalgia or any other long-term health issue I may have. It involves the actions I take to navigate my daily life, making choices that align with my well-being. While self-management can be supported by others, ultimately, it’s up to me to decide what steps to take.

When we add pain into the equation, things become a bit tricky. Pain self-management seems to suggest that I have the power to control my pain, but in reality, pain often has a mind of its own. The intensity of pain can fluctuate based on various factors, some of which are not entirely understood. If I were to focus solely on ‘managing’ my pain, I might end up restricting my life in an attempt to minimize discomfort – a trade-off I’m not willing to make.

Delving deeper into the concept of pain self-management, we encounter a complex web of relationships. While there is some correlation between pain intensity and its impact on daily functioning, the picture is far from black and white. Studies have shown that factors like pain catastrophizing, self-efficacy, and psychological distress can influence how pain interacts with our lives.

So, if pain intensity doesn’t directly dictate how we live our lives, why should we fixate on reducing it as the primary goal? Instead of focusing on pain intensity, I choose to prioritize what truly matters to me. This means engaging in activities I love, even if they may temporarily exacerbate my pain. The joy and fulfillment I get from these experiences far outweigh the brief discomfort they may bring.

My approach to optimizing life in the presence of pain includes:

  • Knowing when to pace myself
  • Making allowances for slower days after physically demanding activities
  • Practicing mindfulness to explore my pain sensations without judgment
  • Savoring the moments of joy and richness in my life
  • Seeking support when needed
  • Consulting with healthcare professionals for proper assessment and management

These strategies feel more like ‘life management’ than pain management. They involve a holistic approach that incorporates social support and meaningful activities to enhance overall well-being.

Comparing this approach to managing a condition like diabetes, where the focus is on maintaining specific health markers, reveals a stark difference. While controlling blood sugar levels is crucial in diabetes management, fixating on pain intensity in the same way would only detract from the richness of life.

Life’s too short to let pain dictate our actions. Despite having a lower pain threshold, I refuse to let pain hold me back. By accepting pain as a companion rather than an adversary, I can pursue activities that bring fulfillment and joy.

By reframing the concept of pain self-management as a means to enrich life rather than restrict it, we can cultivate a more empowering and fulfilling approach to living with chronic pain. It’s about embracing the complexities of our experiences and finding ways to thrive despite the challenges we face.

Cleeland, C., & Ryan, K. (1994). Pain assessment: global use of the Brief Pain Inventory. Annals of the Academy of Medicine, Singapore, 23(2), 129-138.

Gerdle, B., Dragioti, E., Rivano Fischer, M., & Ringqvist, A. (2023). Pain intensity and psychological distress show different associations with interference and lack of life control: A clinical registry-based cohort study of >40,000 chronic pain patients from SQRP. Front Pain Res (Lausanne), 4, 1093002. https://doi.org/10.3389/fpain.2023.1093002

Page, M. G., Gauvin, L., Sylvestre, M. P., Nitulescu, R., Dyachenko, A., & Choiniere, M. (2022). An Ecological Momentary Assessment Study of Pain Intensity Variability: Ascertaining Extent, Predictors, and Associations With Quality of Life, Interference and Health Care Utilization Among Individuals Living With Chronic Low Back Pain. J Pain, 23(7), 1151-1166. https://doi.org/10.1016/j.jpain.2022.01.001

Thomas, J.G., Pavlović, J.M., Lipton, R., Roth, J.L., Rathier, L., O’Leary, K.C., Buse, D.C., Evans, E., & Bond, D. (2016). Ecological momentary assessment of the relationship between headache pain intensity and pain interference in women with migraine and obesity. Cephalalgia, 36, 1228 – 1237.

Cjaywellness June 27, 2024 June 27, 2024
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By Cjaywellness
🧠 CJay Wellness | RN, PMHNP – Founder of MindBodyWellness Toolbox CJay is a compassionate healthcare professional and the voice behind MindBodyWellness Toolbox. As a Registered Nurse (RN) and Psychiatric-Mental Health Nurse Practitioner (PMHNP) with over 20 years of experience, CJay is on a mission to bridge the gap between mental health, physical wellness, and holistic self-care. Through insightful, evidence-based blog posts, CJay shares practical tools and supportive guidance to help readers manage stress, improve sleep, boost mood, and feel more balanced—both mentally and physically. Each post is infused with clinical knowledge and real-world compassion for those navigating life’s challenges. Whether you're exploring wellness for the first time or looking to deepen your journey, CJay Wellness is here to provide resources that empower you from the inside out.
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