When we deal with chronic pain, we can develop a remarkable capacity to cope....to feel less of it....However, the toll usually is taken in energy levels or another area of our lives. You may be letting down your waking coping mechanisms while you sleep.When something unusual happens, another illness to add to the heap, personal loss, tragedy, lack of sleep, big changes in our lives outside of the lyme disease, the change can throw off our coping gifts....leaving us in more pain...
In any situation, it's highly individualized. I know of a man who died of pancreatic cancer who never took narcotic pain meds...he relied on the Lord to take away his pain...Faith as narcotic...It worked for him miraculously. If only my faith were that strong!
We all cope in our own ways with physical and emotional pain. Some of us have higher or lower threshholds for pain. I was considered to have a high tolerance for pain before lyme...I had ruptured ovarian cysts and was applauded for how I handled the pain by the ER staff. It just seemed normal for me then...
Lyme pain can bring me to my knees some days, and not phase me on others. It depends on many factors. Just knowing that I have adequate medication to deal with it if it gets bad leaves me using less medication. It's an assurance factor...
Running low on meds leaves me anxious and hyper aware of pain....If one of my children needs me, my pain gets pushed to the background...they come first.
Many factors play into how we each feel and cope with pain. If you want more concise answers have a chat with a good pain management specialist...One that does not give you stacks of psychological assessments to fill out first. The docs that do that first tend to look for psychological reasons for your pain first, rather than accepting that you feel pain and need help.
The docs that assume that it's ALL in your head really singe my drawers. We all know that lyme pain can be overwhelming....there is no way that it's all in our heads...Many factors combine to determine how and how much we feel our pain. There is no simple response to the question of pain.
I do know that most people who take meds for chronic pain do so to return to normal living, to be able to function more normally. This mindset leads away from the fears of addiction. Yes, physiological dependence may develop, but addiction is not usually the result.
If we take narcotic meds to anesthetize emotional pain, then addiction is a likely outcome. But, if we take them to stop physical pain in order to return to a functional level, dependence rather than addiction is the main concern...
For me, I can deal with dependence...It's a piece of cake compared to living with the deficits that chronic pain offers me. A few days of withdrawls after all of this has passed is well worth the ability to function in the meantime....
I've touched on a few areas of dealing with pain, how we feel it, etc....it's complex, unique to each patient, and there really isn't a simple answer to your question...sorry....
Carol Ann
[This message has been edited by breathwork (edited 29 July 2005).]