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Pain Management of the Arthritis Variety

You too? I’m finding arthritis to be very common among my peers.

Where I’m headed

My father was middle aged when I was born and old when I was in my 20s and 30s. He suffered from very painful arthritis in several parts of his body. I remember thinking, I’m going to take care of myself and that won’t be me. Wrong. . . that is me.

I started running when I was 17 years old, having been told it was a great way to lose baby fat; I had a lot of baby fat. One of my two female roommates struggled with her weight as well and so, we ran together. A combination of running and eating better helped me become a trimmer, happier young man. Running became an addiction. In truth, I ran to survive. Running was one of the only activities that would calm my brain. It provided results and allowed me to eat pretty much anything I loved. I ran almost everyday for thirty years. I ran marathons. I ran when I traveled. A few years ago I had so much pain from inflammation, I had to stop running.

Being a large man, 6 ft., 200 lbs., didn’t pair well with running. That’s a whole lot of weight hitting that hard New York City pavement. Running eventually led to inflammation of my joints, which eventually led to chronic arthritis.

I recall doing laps in my Brooklyn pool (my building had an indoor pool) and feeling cramping in feet, thinking what the heck is this? It was the early stages of arthritis; more than likely from running. That cramping and discomfort has never gone away and now, I live with it in my feet, knees, lower back, shoulders, and just recently my hands. It’s chronic and annoying as hell. I am a fairly physical person; always on the move, always challenging my physical limitations. It’s getting harder and harder to keep that up.

Five Remedies

A few of these remedies are healthier than others. I will list them in order of what I believe to be the healthiest to the potentially dangerous:

  1. Stretching — I’m not sure if stretching actually helps arthritis, but I do know it feels good. Inflammation can make you stiff and stiffness is uncomfortable and painful. Loosening up your joints can give you sweet relief. I stretch at the gym for about 10 minutes before I workout in the morning. I know that I should probably spend more time on my back and legs, but I’m always anxious to start my workout and get it over with.
  2. Devil’s Claw — Native to southern Africa, devil’s claw (Harpagophytum procumbens) gets its name from the tiny hooks that cover its fruit. Historically, devil’s claw has been used to treat pain, liver and kidney problems, fever, and malaria. It has also been used in ointments to heal sores, boils, and other skin problems (Mt. Sinai). I’ve been taking Devil’s Claw in pill form for three months. It took four-to-six weeks to feel the effects. I’m not 100% sold on Devil’s Claw; however, I did notice that when I went from 500 to 1500 mg. three times a day, it did make a difference. You never really know if it’s the placebo effect or it’s truly working. I’m going to keep taking it; it’s inexpensive, has no side effects, and it is recommended by medical doctors throughout Europe.
  3. Cayenne — Inflammation is the body’s natural response to injury or infection, and it often causes redness, swelling, pain, or heat. Cayenne pepper and other hot spices are widely considered powerful anti-inflammatory spices that can help reduce chronic inflammation and pain (HealthifyMe). I take a 1/4 teaspoon in warm water every morning. It’s not easy to swallow, but it’s another thing I believe can only help. And . . . it’s really cheap.
  4. CBD — Research suggests that CBD can ease inflammation, among other potential benefits. Research suggests that CBD’s anti-inflammatory properties may be beneficial for rheumatoid arthritis, as it affects certain cell viability. It may also have a synergetic effect on rheumatoid arthritis medication (Google). I don’t know enough about CBD to tout its benefits. I use it as a topical remedy in cream form. I purchased CBD oil (without THC) and put a few drops in body cream. I rub it into my shoulders and back and hope for the best. I wish I could tell you it works; I’m not sure.
  5. Ibuprofen — a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain, and helps to relieve symptoms of arthritis (osteoarthritis, rheumatoid arthritis, or juvenile arthritis), such as inflammation, swelling, stiffness, and joint pain (Mayo Clinic). The current recommendations for ibuprofen are to limit daily use to no more than 30 days. Dosing can range from 400 mg to 800 mg up to 4 times a day, with a daily maximum of 3200 mg per day. Above this limit, the negative effects of COX inhibition begin to outweigh the desired benefits of decreased discomfort and pain (Mdmercy.com). This last bit is what concerns me. I dated a medical doctor for several years. He repeatedly warned me about the long term side-effects of ibuprofen. I only take ibuprofen if my pain or discomfort is intolerable; not very often.

I’m not going to lie, I fear that the inflammation in my joints willworsen over time. The only hope is there has been tremendous relief in my right knee pain. I suffered with intense discomfort for several years and when I moved to Portugal this pain went away. I’m not sure if less humidity contributed to its disappearance or if no longer running helped it go away; perhaps it’s a combination of the two. Whatever it is, I am grateful. It gives me hope that I might find relief in other parts of my body.

Arthritis in my hands is a big concern. It seems to be isolated to the joints between my thumb and the pointing finger. Stretching and rubbing the area does help.

I hope my own experience and research has been helpful for some of you who suffer as I do. Helping ourselves through life’s challenges, empowers us to work through any obstacle to our happiness and well-being. I’m challenging myself to stay positive.

“It’s better to feel pain, than nothing at all.”

— Anonymous

Upcoming Travel

Provence (south of France) today. I’ll be visiting several wineries and returning to points-of-interest; it’s been awhile since I visited Provence. I will be seeing friends and eating well. My Airbnb has an amazing view of Marseille; a city I’ve never visited. I think this trip will do me a world of good.

Current State-of-Mind

I had a day this week that blew me away and I hope it happens again soon. I woke up on Monday morning feeling like Superman. I knew that I could and would accomplish anything and I did. I ran through my To Do list in record time and I did a lot that wasn’t on my list. My energy level was at an all-time high; I took full advantage of it and reaped the rewards.

I’ve done some redecorating in my apartment and I’m very pleased with the results. My nest has always been important to me, as I get older even more so. Minimal, colorful, and comfortable — that’s what I like. More and more, I trust my instincts and embrace the results.

“Life is a matter of choices, and every choice you make makes you.” —John C. Maxwell

As always please forgive grammatical and/or typographical errors. Especially this time as I am writing on my tablet.

Posted on by CP · 11 Comments

Taking Care of Yourself Matters

“I have come to believe that caring for myself is not self indulgent. Caring for myself is an act of survival.” – Audre Lorde

Mind, Body, Spirit & Self-love

Self-loathing is no picnic and often not easily recognized by the loather. Hiding my sexuality for the first chapter of my life, marrying a woman, being a way too chunky teenager, having a psychologically abusive mother, being bullied by my peers, and failing at every sport I tried; all added up to a boat load of self-hate. Cornered in a world where a perfect appearance and one’s socioeconomic status was everything, I clawed my way into acceptance (with chewed off nails).

Looking back, questioning how I would make it out of my situation alive, hadn’t occurred to me. It was all about survival and a convincing facade. If I could convince people around me that I was someone they wanted me to be, I could fake my way into their approval.

It wasn’t until I failed miserably at marriage, that I learned I couldn’t keep it up forever. It was coming out of the closet, meeting mentors who genuinely cared about me, and having my best years ahead of me, that led me to believe happiness was possible; is possible.

I need to be clear that I do not believe that my life is any better or worse than anyone else’s. I’m fully aware that we all have troubles and worries, that is the essence of life. It’s all about how you navigate the bumps in the road. Sorry, I’ll be using a lot of metaphors.

The Mind — First you have to convince yourself that you can think on your own. You have to believe that thoughtful decisions lead to positive outcomes. You have to stop lying to yourself. You need to occasionally use your brain. Therapy and meditation helped me here.

Your Body — No self-help book will or can teach you how to love your body. The best thing you can do is accept the body you were born into and work like hell to improve it. I workout six days a week and I enjoy it immensely. I love it because I see upbeat and positive people first thing in the morning and because I know how good it is for my well being. I change up my routine so I don’t become bored. If there is no gym wherever I might be travelling, I walk. I do my best thinking while engaged in a rigorous physical activity. I try to stay off of my phone (texting and emails) I and I listen to interesting podcasts and motivating music.

When I believe there may be something wrong internally, I have it checked out by a doctor. Being fearful of a serious illness will not make it go away; if anything, it will only get worse and lead to something even more serious.

Spiritual Growth — I am not a religious person; however, I do consider myself spiritual; spiritual in the I belief that we are all connected in some way or another. When I say all, I mean all. Humans, other animals, fish, insects, trees, the stars, black holes, cosmic matter . . . all. The collective energy called the universe is an energy that is recycled and reintroduced in order to create energy for future use. Yes, negative energy exists — that is the yin & yang of this vast cycle we are a part of. Nature is the great equalizer here on earth. I know that some days are going to be harder; days where more energy is expended than taken in. Accepting this makes everything just a wee bit easier. Tomorrow may be more difficult or it may be harder, however, I rely on the balance of nature to equalize the flow of energy. I am fairly certain that when I have an opportunity to reflect on my life, I will remember continuous highs and lows that all add up to a life lived. I have the choice to create lasting memories which will hopefully make the not-so-great memories fade into the background — life lessons if you will.

The power of energy has is not fully understood. Working against that power (force) mostly gets you in trouble. More and more, I am teaching myself to move in the same direction, rather than swim against the current. We can learn so much from the flow of the universe. For me, being a spiritual being means listening to nature and those who understand nature. I am enough because I have play a role in keeping the cycle moving (as do you). If I work against that purpose, I am disrupting the natural flow of things. I am choosing a freestyle stroke in a powerful, turbulent river. I’m also fully aware that Kim Kardashian’s existence is not more important or powerful than my own — this goes for everyone else as well.

Loving Yourself — Well then, it stands to reason that if you spend time nurturing your mind, body and spirit, you will learn to love and appreciate yourself. The rewards that come from nurture are plentiful. Pause often in order to practice gratitude. There is good in most things; that which may be challenging, often leads to something good or better. You are right to think that it all sounds hokey and I am nothing more than a snake charmer; however, it is the simplest things in life that seem to provide the most illuminating answers. Life is complex, but if you proceed one step at a time, with thoughtful intentions, you’re less likely to fuck it up.

A Plan

Lately, I find myself choosing a quieter lifestyle. It’s not that I did all of my partying as a young man; I was always an introvert. I have stopped fighting the urge to go to bed early. I love drifting off on my sofa while a good film is playing. I love a good night’s sleep. I love getting out of bed while it’s still dark. I love the quiet of the early morning. . . coffee by my side. I love getting a headstart on the day. I love walking Paco at 5:00 a.m. without a leash. I love getting a lot of heat about this from nearly everyone I know.

What do I mean by “A Plan.” If you have dreams, you can’t just sit around waiting for them to come to fruition. I think grabbing life by the cojones is the way to go. If you fail, you fail. Get back up and try again. Perseverance, grit, desire, and a little bit of luck, will get you across the finish line. The greatest example of this in my life, is my Ph.D. Trust me, it’s not just smarts that gets you that piece of paper. You have to want it so badly that you know in your heart and soul that you cannot and will not settle for less. Most accomplishments take this kind of commitment; anyone who tells you otherwise, is lying.

Don’t look to others to bolster your pride and self-worth; allow it to come from within and celebrate who you are, every chance you get.

Re-evaluate

Life changes, the world changes, we change. You cannot say to yourself, well I made a big change 10 years ago, so I guess I’m good. Cher is my inspiration, she reinvents herself quite often; it’s the reason she’s still relevant at 76. Jane Fonda and Dr. Fauci are a close second. Role models work for me on many different levels. I hope to re-evaluate my life right up until the day that I die — a death that I do not fear. What I fear is inertia.

Spontaneity

I struggle so much with spontaneity. I know from past experience, that if I change things up spur-of-the-moment, I often have a better time than if I stick with the same ol’. Routine is great most days, but sometimes we need a reboot; spontaneity can do that for us. I’m going to practice what I preach today.

Noted Progress

Parceling life up and looking back at decades, makes reflection easier. You have to be older in order to do this, explaining why youth seldom reflect on the past. When you’ve lived more years than you have looking forward, it’s easier to reflect.

What you see when you look back is up to you. Your collective memories are all a part of one huge pool. Bad memories are powerful and work hard being dominant, but you can push back just as hard. Allow the good memories to come to the surface by acknowledging them and celebrating them. My late night dancing days were extremely pleasant. These memories play a prominent role in my past because for me, they symbolize freedom, growth, and experimentation. In some ways, I believe that my identity was shaped on the dance floor. These memories serve to reinforce the good that can come from giving yourself permission to take risks, live in the moment, and feel — not as easy as it sounds. I work hard to peel off the protective armor I started wearing the moment my mother gave birth to me. It serves a purpose yes, however, it can also prevent us from the self-exposure necessary to feel. The deeper the cut, the harder the loss, the greater the healing, the greater the growth. The key is allowing it to happen. Denial, pushing it down, projecting, glossing it over; it eithers prolongs the pain or stops the healing. My scars are a reminder that I have healed. I wear my scars as badges and I take pride in the healing I allowed; knowing that it isn’t always easy to leave the scab alone.

Blog inspired by Lori Owens Kostiuk (click her name for website). Lori is doing some very significant work on the power of art and healing. Take a look.

Upcoming Travel

Between now and March 2023, I have very little planned. My sister and brother-in-law will be visiting from North Carolina in early November and I’m surprising them with an overnight trip to see the incredible Algarve rock formations (my sister has never read and will never read my blog, so she won’t see this; I love her nonetheless). A food & wine trip to Lyon, France with friends in mid-November and a weekend at the Spanish border in December. That’s it until March when I will be traveling to Florida for a week of curated memories; sharing a house with two of my favorite people in the world. Note: no trips added since my last blog and that’s on purpose.