Monday, May 18, 2009

Meditation on Pain, Especially Toenails

(Thank you to Lisa at Mommy Mystic for inviting me to guest post. I like Lisa's writing. She's a good thinker and she expresses herself clearly in a subject area where this isn't always easy.)

Overcompensating
One thing leads to another, and the other day I had another toenail pulled out and cauterized. I’ve been housebound for . . . I’m losing track. Think it will be five years in December. Podiatrists are the only specialists who’ll come to your home, so every now and then I have one come over and yank out another toenail to compensate for the sensory deprivation.

This time it hurt quite a bit, but the first time I had this procedure done it hurt a lot more – maybe because it was the big toe or maybe because there was a miscommunication between me and the podiatrist that left her with the unfortunate impression that I wanted the injections done with unusual slowness. They do two injections, each directly into a nerve at the base of the toe. The injections are to numb your toe prior to yanking out your nail. And although the pulling and tugging and scraping make you a little queasy, getting the nail yanked out is sort of a treat because you're so happy not to have needles in your toe nerves.

Alternate Universe
I was surprised the injections were so painful. For several years I was misdiagnosed with Myofascial Pain Syndrome and received hundreds of trigger point injections. Then, for another several years after the doctors clearly saw that they had absolutely no idea what I have, I got pretty much every blood test ever devised. So the human pin cushion thing was no big deal. At most, those injections only pinched. (Btw, acupuncture is nothing – don’t ever hesitate if it seems worth trying. The needles don’t penetrate into the skin enough to hurt.)

But that first toe nail removal was interesting. With her initial slow, deliberate and steady intrusion into my nerve (sorry for the racy language), it was like my mind collapsed into a black hole and I emerged in an alternate universe called My Toe Really Hurts. When the doctor asked if I was ready for the second injection I said OK only because I knew it would be unreasonable to request a few more hours in the Milky Way Galaxy to think it over.

Om vs. Ouch
Anyway, between that first time and this time, I’d wondered about my state of mind once I'd said Yes to the needle. And this time, maybe because it hurt a little less - but I think more because I was wondering and noticing - I saw what my mind does.

Kind of hard to describe, but it’s like just before I say “OK” I make my mind go blank, only in a very alert way. It’s really passive but really alert. Just before the needle goes in, I pretty much succeed in paying a whole lot of attention but thinking about nothing at all - which, in an odd way, reminds me of meditation. I have to say, however, that once I get the needle, my mind is no longer blank and becomes “Owwwww" instead of “Om," making me one with my toe.

What do you do with your mind when you know something is about to hurt a lot? And while it’s actually hurting, can you say Om or just Ouch?

14 Comments:

OpenID mommymystic said...
Fascinating...I am trying to understand this better - do you feel like you are disconnecting from your body, almost like you are leaving it with your mind? Or is it more like you are just moving all your concentration elsewhere so you don't notice the pain as much?
I can kind of relate to either of these. I have definitely had meditations where I 'left my body' (although I don't like that phrase) in the sense of not noticing any physical discomfort (such as feet asleep, leg cramps, etc.) But in martial arts training I had the opposite feeling, of having to hold certain stances as part of training long past the point of what I thought I could endure, and the only way to do that was to go into the pain, merge with the pain, to the point where there was no judgment or aversion to the pain at all. It was just sensation, neither good nor bad.
2:40 AM  

Blogger DESPERADO said...
believe it or not, I had my toenail removed too.
I had a small accident and my toenail got displaced a little.Then I left it for few days thinking it will grow back properly.

Just around my exam day, the pain became unbearable and I had to get it removed.

The anaesthesia hadn't kicked in and the doc started his stuff.Those were the worst few minutes of my life(till now) as far as physical pain goes.

I had to take a test after couple of days.

It was bad.
3:16 PM  

Blogger Paul said...
MOMMYMYSTIC: "Or is it more like you are just moving all your concentration elsewhere so you don't notice the pain as much?"

That's it, or at least that's definitely an aspect of it. But the "elsewhere" is nowhere - I don't find myself putting my attention on something else instead of the pain. It's more like a brief, wide-open attentiveness that's mind-obliterating in its way, if that makes any sense. Or maybe obliterating, or at least evading, of self or the awareness of oneself.

“Bad” has connotations of judgment so it may be the wrong word, but I’d have to say that physical pain, especially when it occurs at a high enough level for long enough, is an inherently difficult experience, even when one is no longer occupied with judging it or reacting to it emotionally.

DESPERADO: Yeah… as Linus in the Peanuts comic strip once said: “Pain hurts.” I guess that’s basically a two-word summary of my preceding paragraph. Glad that's behind you.
6:49 PM  

Blogger SusieQ said...
I have found myself so engrossed in something beyond myself that I am unaware when my body is talking to me. Then it dawns on me that my hips, for instance, have been hurting for the past two hours and I wasn't listening to them. I don't recommend this "disconnect from the body." I think it is better to stay in touch with your body, to pay attention to it and listen when it speaks to you.

But on the subject of severe pain, I tend to do like Mommymystic and go with the pain and not fight it. I taught myself how to do this.

My husband had a professor once who claimed he could move his pain around his body. If he had a severe headache, he would move the pain to his lower extremities such as his foot. It seemed to bother him less the further the pain was from his head. Myself, I can tell you that my little piggy toe can hurt like the dickens. I am not sure it would do me any good to move pain to that location of my body.
10:09 PM  

Blogger Tom said...
MEDITATIONBrother mommymystic you have a good experience with this but not martial art or making body is the main purpose of meditation. In old days the meditation was only source from which all heals were filled. Still its hapening in several countries.
Malaysia, India , Indonesia etc.
3:32 AM  

Blogger Paul said...
SUSIEQ: How to handle pain depends so much on what sort of pain it is and its source. You certainly can pay too little attention, especially when you're healthy - like I did when I developed shin splints from overdoing jogging when I first started it in my twenties. In cases of chronic pain, more problems tend to develop from the opposite - that is, from giving the pain too much attention.

For severe short term pain, I don't know what the best answer is - it may be different things for different people. When it's severe enough maybe there is no real answer.

When I was on my way to developing chronic sciatica, I went through a period of about a year and a half where I had sciatica attacks but no sciatica in between the attacks. (Much better than the chronic sciatica...) Two of them were so severe and with such sudden onsets that they literally knocked me off my feet. In one case I cut my head on the edge of a table when I fell. In the other, I involuntarily ejected myself laterally from bed following the shock of the pain after moving a leg slightly during sleep and found myself lying on my side on the floor by the side of the bed.

In both cases it took me maybe half a minute to come to my senses and then all my attention was focused first on getting up without causing another attack and then on walking it off. So I guess I just had to be practical-minded...

TOM, thanks for stopping by with this perspective. I should add that to me it didn’t sound like MM was suggesting that the main purpose of meditation is getting the body to perform better.
8:17 AM  

Blogger Jan said...
Paul,
Wonderful post! I am definitely going to opt for Om next time instead of ouch!

I have heard that being one with the pain changes our whole relationship with it. I am finding that true for me anyway. A few months ago I injured my shoulder. It has limited movement now. (Will be going to PT soon) So when the pain comes I just name it as "pain," and instead of wince or struggle with it, acknowledge it in a neutral sort of way and just float away from it. I've adopted an "oh, well" attitude about it. I hope I can keep this mindset going when I begin PT. Blessings to you!
11:07 AM  

Blogger SusieQ said...
I suppose the best approach to dealing with pain depends on how severe it is, whether it is acute or chronic, and our individual level of pain tolerance.

Have you experienced the release of endorphins by your body whenever you have been in a state of pain? Probably so. How did this affect you emotionally? It puts you on a bit of a high I found out. People who run or jog a lot experience these endorphins. I have heard that the sensation can be addictive.
1:15 PM  

Blogger Paul said...
JAN: With movement-associated pain, a lot must depend on whether we see it as a warning signal that we’re causing further damage or as pain that's connected with recovery and benefits from exercise.

SUSIEQ: Got the “runner’s high” and will miss that forever, but I didn't find it connected with pain...
3:14 PM  

Blogger mistipurple said...
i ask the angels for help.
and ... ommmm..
8:27 AM  

Blogger Paul said...
MISTI: I never thought about trying anything specific like angels. I'd be pretty sure that for me, anything specific would get blown away by the pain

So instead I make my mind a blank that can absorb the pain. Different things must work for different people...
12:34 PM  

Blogger crystal said...
I'm sorry this awful stuff is happening to you.

I think I try to do what you did here when I go to the dentist. It seems to help to be calm/relaxed through the pain instead of fighting it.

I had to have half a thumbnail removed once after a closed a window ion it and it got infected underneath. Don't remember what it felt like.
6:23 PM  

Blogger Paul said...
CRYSTAL: Yeah... it's getting old... And most of it, unlike the nail, people would be totally unfamiliar with. Thanks for your kind thoughts.
9:58 PM  

Blogger firebird said...
After seeing what aftereffects people endure after anesthesia, (nausea, vomiting, dizziness, which for me are worse than death), I have had all my painful procedures awake. (3 colonoscopies, and even more invasive than that!)
I remember a well-meaning nurse at the bedside, doing her best to distract me from what was going on, by talking to me. Unfortunately this prevented me from going into the disconnected state you describe. Bad mistake!
I got the idea for this disconnection many years ago when I was given Darvon for pain, and I noticed that the pain was still there, but my mind was elsewhere and didn't care.
I like to believe that we can reproduce any mental state without drugs, if we have first experienced it with the drug.
Anyone else had the same idea?
11:40 PM  

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