Richmond Stace Profile picture
Mar 9 8 tweets 3 min read
Expectations-Reality

When our expectations don’t match reality we feel bad.

This is a common problem facing people suffering persistent pain.

🧵 1/7 Cont… 👇 #thepaincoach #chronicpain
2/7 Expectations of what you can do, what you feel you should be able to do and what you can actually do often mismatch. This feels bad.
3/7 Either because you cannot complete the task as you wish or you do and pay a painful price.

What can you do?
4/7 Bring your expectations into line with reality.

How?
5/7 By acknowledging your circumstances. This is about acceptance of what is, which can be hard. Because a strong part of you resists.
6/7 But it is not weakness or vulnerability. It is the first step towards getting better.

The questions you can ask yourself to match expectation and reality: what is happening for me right now? What am I working towards? What is my next best decision and action?
7/7 Helpful? Please do share and follow.

richmondstace.com

#thepaincoach

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More from @painphysio

Mar 11
I can🧵1/7

Focus on what you can do, rather than what you can’t.

This is the start. The baseline.

#thepaincoach #chronicpain #pain Image
2/7

Think of something that you have stopped doing or is limited.

Next, clarify what you can do. What is realistic? Considering the circumstances.

Eg/ I want to go for a coffee with a friend.
3/7

If she picks me up and drops me home, I can go to a coffee shop for 1/2 an hour.

That’s the start.
Read 8 tweets
Mar 8
Some people don’t recover from sports injuries as expected.

Their pain persists.

🧵#thepaincoach #thread 👇 Image
Return to training and play is stop-start, feels like a step forward and then two back. Or hasn’t happened at all.

They are stuck.

👇
Why?

There are a number of reasons. Most of which you will not find on a scan, from a test or reducing the pain to a body part or particular tissue. Also, you will not find pain on a brain scan.

👇
Read 11 tweets
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
Mar 3
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.

👇
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

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