Pain clinics usually have psychologists. That’s not because chronic pain is a mental illness, but because the mind has resources that can help us change the way we look at our pain. Pain psychologists are more like sports psychologists than ordinary psychologists. They are basically interested in getting us to perform better.
There are parallels between elite athletes and people with chronic pain. The most obvious is the necessity for exercise. To manage chronic pain we must be in training always. The type of exercise may vary depending on your level of disability, but I must have significant exercise every day to give the cardio-vascular system a work out.
At the moment, that means I start my walk with the ritual of calling the dog, getting her to sit and attaching her lead. Then we walk for 10-15 minutes. My next goal is to take a slightly different route that will add 5 minutes to my walk and conclude with a significant climb.
When summer comes, I take to the swimming pool and do ‘water-running’ and gradually build up my times and my effort. I’m currently on 4 x 50 metre laps, at just over 4 minutes a lap. My pulse and breathing rates get to near my safe limit, so I will continue doing 4 laps until my vital rates are lower. Then I will add a half-lap, and then another.
To do this properly requires a bit of obsession. I have to be disciplined like an athlete preparing for a big meet. To keep on track, I have to use my brain, and not only for exercise. Like an athlete, I use my brain to reframe and refine my attitudes. For example, the attitude that the world owes me is not a helpful attitude for an athlete or a person with long-term pain. My attitude needs to be not that I am owed anything, but that I have something to give, and I have the capacity to achieve.
Near the town where I live is a walking trail called The Bibbulmun Track. Named after the local aboriginal clan, the trail winds its way through most of the traditional Bibbulman lands. Walkers take up to 6 weeks to trek the length of the trail through jarrah and karri forests and coastland heath. From September to November, the wildflowers fill the bush with colour. The cool mornings of winter bring a crisp mist to the karri forests. I think it is the most beautiful country on earth.
For some time, I have not been able to walk on the Bibbulman track. It’s not that I want to walk from one end to the other. I would just like to be able to drive to a place where the trail intersects the highway and walk for three hours or so.
I am not physically able to manage that walk at present, but I use my brain to motivate my body to heal. I hold it up to myself as a goal. I set myself this goal as a participant in the Pain Understanding and Management Program at our local hospital. Now many months later, I am not much closer to my goal. But having the goal has kept me walking every day. Having the goal has increased my appreciation of our own native garden.
My brain can heal my body, and I like getting the most out of it.