Migraine Chronicles: A Pragmatic Approach to Pain

Blessed be the God and Father of our Lord Jesus Christ, the Father of mercies and God of all comfort, who comforts us in all our affliction, so that we may be able to comfort those who are in any affliction, with the comfort with which we ourselves are comforted by God.
(2 Corinthians 1:3-4)

A few days ago, I realized it’s been quite a while since I’ve written a migraine post.  If only I could say it’s been quite a while since I’ve had a migraine… Ah, c’est la vie!

But they have been better. And I have medication that works so there is no room for complaint. Even still, I choose not to complain (much) because of one immensely comforting truth: my life is not about me.

Although I do forget this from time to time and need reminders (which is one of the reasons I write these things down!), life isn’t lived for me. I do not exist for my own comfort or convenience. I am a created thing – a literal jar of clay for the sole use and purposes of the One who created me.

But we have this treasure in jars of clay, to show that the surpassing power belongs to God and not to us.
(2 Corinthians 4:7)

So the trick, then, is not to escape pain but to use it for His glory and for encouraging others. That is why today I thought I’d share two of the most useful tips I’ve learned in my 14 or so years of dealing with chronic migraine.

  1. Find a pain scale chart that you can relate to (or make your own), print it out, and refer to it when diagnosing pain levels.
  2. Once you have a chart, stick to it when describing your pain.

That may sound simplistic, but especially considering the cognitive issues associated with migraine, it is a must. This is not just for your benefit but for the benefit of your family, your doctor, and basically anyone who’s afflicted by insane prodromal rages or the memory muddles I call migraine brain… or is that just my poor family?

From what I’ve seen, the two most common pitfalls associated with describing pain levels are a tendency to downplay the pain or a tendency to exaggerate it. It is at precisely this point where honesty and integrity are crucial.

Now my countrymen have a penchant for exaggeration. We don’t want 100% effort, we want 110%. We don’t have pain that’s a 10 on the scale of 1 to 10, we have a an 11. When we need something done, we need it done yesterday.

Or to rephrase: we deal in fictitious scenarios and impossibilities which render all useful terms meaningless. In short, we can be just plain silly.

If I’ve learned nothing else from my life with chronic migraine, I’ve learned to be honest and reasonable about pain.

Admittedly, chronic migraine can make the process dicey because of the cognitive issues involved during the prodromal and attack phases.  Another complication is when there are other types of pain. For me, the pain of arthritis in a joint does not present the same challenges as, say a Level 5 migraine. An additional muddling comes when there are no breaks in the pain and thus an 8 can sneak up on you while you’ve been studiously ignoring a milder level (which I am thankful to say is not currently true for me).

On the flip side, don’t cave into the temptation to exaggerate your pain. If the scale you choose is 1 – 10, stick with those numbers (or a zero for no pain at all). Resist the claim that your pain is a 12 if 10 means pain that renders you unconscious. Even if you could get to a 12, you’d be unconscious and wouldn’t know it!

Here’s where the importance of having a pain scale that helps define each level in a way meaningful to you, even if it means you have to tweak an existing one. With migraine, I’ve had pain which made me lose consciousness and pain which woke me from sleep. And of course, with migraine there are other factors to consider like cognition, nausea and/or vomiting, etc.

In my case, the smiley face pain scale so popular in hospitals does little but make me wonder what on earth that bald little guy is grinning or grimacing at.  Also, I don’t tend to cry because of physical pain; it’s the emotional sort which makes the salt water flow.

There are several others. Some humorous like the one below, others detailed. If you struggle with chronic pain, migraine or otherwise, I encourage you to find one that makes sense to you. Then use it. Your people will be glad.

 

 

4 thoughts on “Migraine Chronicles: A Pragmatic Approach to Pain

  1. This is great!! Having a scale and sticking to it really would be helpful and a powerful indicator for people like you said. I’m going to share this on my Community Headlines on my second blog, Peeking Beneath. It comes out at the end of the month. 🙂

    Liked by 1 person

    1. Thanks! Honestly, I was late in realizing the usefulness of this, but my husband literally thanked me when he saw me tape it up on the back of a cabinet door. It takes the guesswork out for him, and sometimes I would ignore it until I was too sick to move. It keeps me more accountable for taking rescue meds which impacts my whole family.

      Liked by 1 person

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