Richmond Stace Profile picture
Mar 3 7 tweets 3 min read
How do you manage painful moments?

What are your existing ways of coping? Reacting?

What do they do for you?

Which ones work and which don’t?

Cont… #thepaincoach #pain

👇
The ones that work you can build upon—they are skills. And then add more choices.

For example, some people find that breathing awareness is a way to apply the brakes when pain and emotions are becoming overwhelming.

👇
This is one way to self-soothe: bring calm and clarity to make the next best decision towards feeling better.

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There is also a learning opportunity: what happened for me? What are my needs? Am I meeting them?

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Other ways we self-soothe include being present, use visualisation, language and voice tone to ourselves. Practicing these skills outside of the difficult moments helps us to use them more effectively when we need them. This allows us to navigate the inevitable ups & downs.

👇
This is an important part of the Pain Coach Programme.

richmondstace.com

#thepaincoach #pain

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More from @painphysio

Mar 3
What is pacing, really?

A thread.

Pacing is a strategy that is often recommended to help people suffering persistent pain.

There are different ways of doing it.

Here is the way I do it with the people I see.

#thepaincoach #pain
👇
The important principles:

* Plan your day
* Prioritise what matters
* Periodise your time like an athlete/peak performer

👇
Then,

•Flexibility: there are always circumstances that need to be considered; how am I? What is my best choice now? What will I definitely be able to do within my window of tolerance?

👇
Read 7 tweets
Feb 28
Pain is a lived experience that needs a person to live that experience.

A person is made on non-person.

Just as a car is made of non-car.

#thepaincoach #pain

👇 Image
A person emerges from many cells, atoms, molecules, processes that are not that person and don’t have person-ness.

A car has wheels, doors, engine bits, seats, none of which have the properties of a car. They are just those things.

👇
Of course we are much more than a car because we have an aliveness and consciousness—something it is like to be you. A stream of contents that forms that experience.

It is always a whole. Not a part.

👇
Read 5 tweets
Feb 28
How do I understand your story?

How do I understand your world?

How do I stay in the room with you?

And see what you need behind what you say?

Are questions I ask myself.

#thepaincoach #pain

👇
How does my chatter go quiet? By being present. By using mindful breathing, and coming back to the present by breathing.

Then I can sit with the person, you, and be here to listen deeply.

👇
And outside of this time, living mindfully and by being present as often as I can strengthens this very presence.

#thepaincoach #pain #mindful

richmondstace.com
Read 4 tweets
Feb 28
Can you tell the difference between what is happening right now rather than your interpretation of what is happening right now?

This is what happens when you practice contemplation.

#thepaincoach #pain

👇
There are commonly differences between the actual experience and the story we tell ourselves.

👇
This can cause problems. Particularly with persistent pain where people are often doing better than they think.

👇
Read 6 tweets
Feb 27
We have beliefs about pain.

Most people have experienced pain (a rare few can’t) and have been told things about it.

The one thing the person knows is that it hurts and has a particular quality—the actual experience.

#thepaincoach #pain

👇
Then there’s the story. What we tell ourselves: What has happened? What it means? What’s the cause? The future? All are highly convincing yet often wrong.

👇
The misunderstanding of pain could be the most important reason why persistent pain has become a leading global health burden & why treatment outcomes are so poor.

👇
Read 14 tweets
Feb 26
With chronic conditions such as persistent pain, fibromyalgia, CFS, ME and more recently Long Covid, people are still dismissed when their tests show nothing of note.

Cont… 👇 #LongCovid #MECFS #Fibromyalgia #pain #thepaincoach
The idea that a negative test (or tests) means that there is nothing wrong is ignoring the plain fact that there is something wrong.

👇
The person has just explained how they are feeling. Have they been heard? Many haven’t and that is unacceptable. Even some doctors have not been believed by other doctors!

👇
Read 7 tweets

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