Eight Things I’ve Learned About Chronic Pain

Religious followers of this blog will know that I’ve experienced chronic pain in my sciatic area for the last five years. I noticed it after a particularly nasty fall in the back garden in 2020 but only became concerned when, six months after the fall, the pain hadn’t subsided. Since then, it’s been a rollercoaster of medical appointments, of being told it was sciatica, muscle spasms, periformis syndrome and many other things. And, of course, one medic had the gall to suggest I was imagining it, that it couldn’t possibly be as bad as I was saying (apparently, I like lying in bed every night, doing stretches at half three in the morning for the craic.)

My birthday was in April, and to celebrate I was gifted an unexpected diagnosis. After years of plaguing her, my doctor, who believed me from day one, ordered a hip x-ray. Now, I wasn’t expecting anything to come of it, but three days later, she phoned me to say that there was significant wear and tear in my right hip, and that the results could pinpoint exactly what’s causing the pain. At first, I was stunned, and a little annoyed with myself. Had I done this to myself? Since then, I’ve spoken to so many people who have arthritis too, and the majority of them struggle to articulate just how debilitating this pain can be.

Having Cerebral Palsy is not a big deal, because I’ve never not had it. However, as I get older, I find that I have aches and niggles I’ve never had before. Adapting to having CP comes naturally, as there’s never been a time when I didn’t have it, but chronic pain, although it’s kind of connected to the CP, has been a bit more of a learning curve. Here’s what I’ve learned about having this new CP (although a Google search told me some of the same things, I’m more into learning the hard way).

  1. Chronic Pain is not your fault:

    Admittedly, I naturally walk with my leg turned in, but despite appearances, I do try to walk as straight as I can. It took me a long time to acknowledge and recognise that chronic pain is not a punishment, and that being hard on myself was not going to change it. Sometimes you can do everything right and still end up in pain. This leads me to my second point…

  2. Physical pain can lead to crappy mental health:

    Being in pain is exhausting. I’ve finally succumbed to taking pain medication at night so that I can sleep, but on days where I’m in pain and tired from a poor night’s sleep, the world becomes a dark place. Even the simplest tasks become laborious and time-consuming. Your brain lies to you, telling you that you are useless, a burden. This can lead to feelings of failure and inadequacy. Therefore –

  3. Pain management must come first in your priorities:

    It doesn’t matter how busy you think you are. If you skip the physio, neglect to slap on the TENS machine or push through without the medication, chances are you won’t be able to do what you need to do anyway. In order to be your best self, you need to take control over your pain management. Eat well, drink your water, and rest when you need to.

  4. Pacing is not a dirty word:

    I continually fight this one. After all, we live in a society where “being busy” is seen as a badge of honour. I tend to get overexcited when I have a pain-free day, and I run around the house like a lunatic, scrubbing bathrooms and hoovering only to be left in agony for days after. I think what you’re supposed to do is prioritise tasks and do them at your own pace, with plenty of rest in between. I’ll keep working on it!

  5. Pain can be lonely:

    Most of us don’t want to be seen to constantly complain. As a result, I often find myself withdrawing from activities and meetings that I once enjoyed. I don’t like telling the same story, over and over. Sometimes, I don’t have the energy to be social, and I end up watching Netflix in binges when I could be meeting people out of the house, and this only heightens my inner shame and sense of failure. However, it’s also important to remember –

  6. You are not alone:

    When I eventually found the courage to talk about the impact that being in pain was having on my physical and mental health, I was surprised to hear that so many of my friends were also wrestling with pain, and as long as I don’t fall into a pit of self-pity, I can support and be supported by those who love me most. Many people experience chronic pain, with diagnoses like fibromyalgia. Sometimes people are not believed, but this experience does not make your pain any less real. Thousands of people are in the same boat – take some comfort in this.

  7. A bad day does not mean a bad life:

    I’m having a bad day today; I cannot shake the tiredness and this is slowing me down. It’s frustrating, especially since, in my mind at least, I have nothing to be tired about; no job to go to (hoping that will change soon), no toddlers, and not nearly as much writing being done as I’d like. However, I must admit that I have good days too, especially those spent with family and friends, and that overall, I’ve achieved a lot. Parenting a teenager is not for the faint hearted!

  8. Wheelchairs and walking aids have no moral value:

    Over the years, I’ve heard people saying that they want to be able to walk without aids. My thing is that I’d like to walk more with my rollator, as I did before my hip started giving me trouble. Some days I manage, and some days I can barely stand. My pain and energy levels vary. What doesn’t vary are my duties as wife, mother, and writer. I do get some invaluable help, but overall, meals still need cooked, laundry done, dogs walked. My wheelchair enables me to carry out these duties. I am not lazy; in fact, I am trying to stay as independent as possible.

    Phew! If you made it this far, thank you. I only hope that it helps someone who needs it, whether you’re experiencing chronic pain yourself, or a loved one is. Now, if you’ll excuse me, I’m going to stretch and pray for a good night’s sleep afterwards.

The H Bomb

Trigger warning: This blog uses the word handicap which may be triggering for some readers.

Having a thirteen-year-old daughter is tricky. She’s constantly pushing for more independence, and her friends are the most important things in her world right now. So, whenever she agrees to spend time with me, I grab it with both hands. Last week, I planned an impromptu trip to Dublin, just for a wander. We were at the Jump Juice counter in the Ilac Centre on Henry Street, and I’d just ordered when, in the corner of my eye, I noticed Alison storming away without me.

“Hey! Where you going?” I grabbed her arm and she swung back around to me.

“That lady called you a smelly handicap.”

“Eh? How do you know that?”

“I heard her. She said ‘oh, I wouldn’t go near that smelly handicap.’ So I thought I’d follow her and punch her lights out.”

A large part of me brimmed with pride. Alison is embarrassed by me, because I am her mum, and cool teenagers are not supposed to admit that they have parents, and certainly not “special” parents. Yet, she was willing to throw herself in front of me to protect me from attack. Little did she know she’d picked up a sword to join so many of us in an ongoing battle to be recognised as equals – God, to merely exist.

I first heard the word “handicap” before I started primary school. Mum spent hours nattering on the phone to her golfing buddies, going on about pars and handicaps. She’d naively hoped that I’d always be oblivious to the negative connotations – the shadow of “cripples” begging during the Middle Ages, “hand in cap”, their survival dependent on the generosity of others. She could have warned me that people would call me names, or that they wouldn’t accept me, but I might not have believed her. I never got any special treatment at home; my favourite expression from my childhood is “No disability will ever excuse you from emptying the dishwasher.” My parents always expected me to do my best at everything I did. But the other side of that was that they taught me that I did not deserve to be treated less favourably. It was not okay to be othered, and to tolerate it was to show people that I deserved this treatment. They encouraged me to speak up for myself.

Granted, having been born a chatterbox, I’m not sure how much encouragement I needed. In first year of secondary school, I was advised that I would not be allowed to partake in PE, or the practical elements of Home Economics. After attempting the basketball drills, I conceded with the PE teachers, Ms Ganly and Ms Healy, that I was probably better off sitting the classes out, but I really wanted to do Home Economics. What I saw was the probability of having to do meal prep in the future; there was little doubt in my mind that I would someday live independently. What my teachers saw, I imagine, was a wobbly girl with shaky hands dancing around boiling pots and sharp knives. In fifth year, I told the teacher, with all the confidence I could muster, that I would be doing Home Economics and partaking in the cooking elements. By this stage, I was already cooking lasagne and pasta dishes at home every week anyway. Impressed (or frightened) by my insistence, she agreed. Soon this smelly handicap was bringing home dinner from school for the family every Thursday evening. The Chinese stir fry was a particular favourite, and now it’s one of Alison’s favourite dinners, too!

But hearing the words “smelly handicap,” thirty-six years after hearing it for the first time, made me feel sad. Like many of my disabled family, I have always fought to dismantle the man-made, societal barriers that block me from accessing my true potential. Yet hearing the word “handicap” the other day brought to mind early Junior Infant days when I, having just learned how to walk, used to meander towards the toilets, and the kids in the older classes would dig each other in the ribs and walk beside me, as if they were trying to trip themselves up. Now, I had no concept of walking any differently, so thankfully the other kids were around to tell me. My friend Peter pointed out to me that, like me, he did not know he had Cerebral Palsy until it was pointed out to him. In fact, he told me, Cerebral Palsy (CP) was initially named “Little’s Disease,” so-called after the doctor who “discovered” it for the first time.  However, Peter pointed out, CP has always existed, alongside many other conditions and impairments, and this fact remains constant throughout the ages. What has evolved (a little) is how we label and consequently perceive and treat disabled people.

For me, hearing the word “handicap” throws me back to a time when I believed there was something wrong with me, and that I had to justify my place in the world. I spent my teen years believing I was not good enough, despite the academic results showing me otherwise. Going to Trinity and seeing how many resources they put in place to enable me to live independently, offered me a valuable perspective I’d never considered before. Learning that I was not a burden lifted a weight of responsibility from me that I hadn’t known that I’d been carrying. 

However, whether we like it or not, our experience of life colours our outlook. And even though, from an outsider’s viewpoint at least, I’ve achieved great things – a university degree, a job, marriage, our child – all of these blessings were underpinned by an inner belief that I didn’t deserve them, that I was just an imposter, waiting to be unmasked.

I’ve written about internalised oppression before, and my stance remains unchanged: I think it is one of the toughest barriers to true equality for disabled people. All our lives, we are constantly told, by a society that purports to know better, what we can and cannot do. We are told that we are a burden. We watch as those who tend to our needs, family members who we crave a relationship with on an equal basis, become burnt out. The dynamic shifts; we cannot possibly ever be equal in that position. People pity family carers, yet the governments still fails to understand that when our human rights are granted, pressure on those who love us also eases.

No parent should ever vocalise a wish to die before their children do. This has been an issue for decades, and the discussion is always the same. In order for the lives of disabled people to improve in a meaningful way, the government must commit to taking a rights-based approach. The government must change how disability is framed in our society. This won’t come naturally to a government that left an eleven year gap between signing up for the United Nations Convention on the Rights of People with Disabilities (UNCRPD) and its ratification. There’s always a great deal of conversation around the provision of disability services, but the government rarely address groups of disabled people themselves (or Disabled Persons Organisations, also known as DPOs) in making these provisions.

And I cannot help but wonder if it’s this lingering culture of seeing us as “other,” as those “smelly handicaps”, that prevents us from being seen as equals. Othering us makes it easier to deny our rights, to keep us separate from the mainstream. If you have not experienced this “othering”, you cannot imagine the effort it takes to try and come across as “normal”. How we sometimes try to hide the “unsavoury” realities of our impairments in the hope it leads to acceptance. How frightening it can be to ask for assistance, personal or technological, for fear that such a request may lead us to be seen as incapable. Kudos where it’s due: many aspects of our towns and cities are becoming more accessible to people with all kinds of impairments. Disability awareness training seems to be more commonplace.

However, until our human rights are truly recognised and met, the legacy of the “smelly handicap” will always be hiding around the corner, ready to take us by surprise.