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.

 

 

Splinter

For I will show him how much he must suffer for the sake of my name.”
(Acts 9:16)

So to keep me from becoming conceited because of the surpassing greatness of the revelations, a thorn was given me in the flesh, a messenger of Satan to harass me, to keep me from becoming conceited.
(2 Corinthians 12:7)

During my struggle with migraine, I have been blessed by the prayers of many fellow sojourners for healing. Some of them, very well-meaning and wonderful people, have told me emphatically that it is not God’s will that we suffer with such maladies, but that He would have us be free from them in order that our ministry might be effective.

Respectfully and without a trace of acrimony, I very heartily disagree.

You see, more than once when I have prayed to see the end of migraine, God has brought 2 Corinthians 12 to mind, particularly verses 7-10. In this passage, as in the book of Job, God has repeatedly reminded me that sometimes His work in the midst of affliction is what brings Him glory.

And in truth, He does not need me to be particularly efficient or even functional to accomplish His work. To the contrary, my weakness and inability provide a background that prominently displays His glory.

While I have to admit that I would love to be entirely free of migraine and all its myriad accoutrements, I also know that the ability to praise God despite them honors Him for who He is and not merely for what He does.

Do I believe that God is able to remove pain from my life? Yes, absolutely; I have no doubt that He can.

However, I also know that He knows what He is doing, and what He is doing often necessitates putting me in situations that I would avoid if given the chance. In the same way, if someone told me that eating a certain fruit every day would give me the body of a 25-year-old Olympic gymnast, well… Suffice to say that I would buy them by the truckload.

But I tend to learn best from hands-on experience.

Though I may understand the principal of a thing – how it works or how it is done – I never fully grasp it until I have experienced it myself. Just so, experiencing pain helps me to better understand how intensely my Lord suffered for me. Having a weakness of my own gives me a more complete understanding of how little God actually needs me to accomplish His will.

Perhaps this is why Paul wrote that his “thorn” was to keep him from becoming conceited. Personally, I am embarrassingly susceptible to swollen pride if I were allowed any credit for what God has done through me. As it is, I can only marvel because I am keenly aware of what is done by Him despite my weakness.

Pain, though unpleasant, is an excellent tutor.

In the original Greek, the word translated as “thorn” in the ESV is only used this once in the text of the New Covenant. According to Thayer’s Greek Definitions, it could be translated as “a sharp stake or splinter.”

The idea of a splinter resonates well with my experience of chronic migraine; specifically, the maddening type of invisible splinter inflicted by a thistle or nettle. You can’t see it, but you certainly know it’s there. (Perhaps this is on my mind because of a recent gloveless and rather silly attempt to rid my garden of an infestation of these wicked little plants…)

But the thistle is not without purpose. With its habit of propagating in neglected areas, it Goldfinch004can draw attention to fields or fencerows in need of a little TLC. And though its needles are most unpleasant, its flowers do provide nectar for a wide variety of bees, butterflies, and even hummingbirds, and its seeds are a favorite of many species of birds, including the stunning goldfinch.

Even so, my own pain is not purposeless. I fully believe God can and will heal me if it best serves His plan. However, I also know that He will not until He is finished pruning away my pride, my self-reliance, even my lack of faith and providing hope for others in the meantime.

 

I am not advocating that we never pray for healing for self or others, only that we do not allow it destroy our faith if His answer is, “No.”

Instead, while you pray for healing, also ask God to reveal any areas of your heart that may need a little TLC and trust Him to be enough. We can truly rejoice that no experience of our lives lies beyond His power to redeem. Not even our pain.

But he said to me, “My grace is sufficient for you, for my power is made perfect in weakness.” Therefore I will boast all the more gladly of my weaknesses, so that the power of Christ may rest upon me.
2 Corinthians 12:9