What It Really Means to ‘Overcome’ with Chronic Pain

 Overcome. 

Overcome is a very strong word, and I have tried to live by it for as long as I can remember.

Growing up with cerebral palsy, I learned very quickly that if I didn’t figure out a way to adapt and overcome my circumstances, I would be stuck. I wouldn’t be able to pursue whatever I wanted in my life if I let my cerebral palsy hold me back.  

I also realized that people respond better if there’s a triumph. People expect that there is a way to conquer every obstacle, and for a long time, I thought that, too. I can’t count the number of times I have heard “so-and-so has [insert disability here] but was able to go on to achieve so much in spite of it!” or “he/she got sick or broke a bone, but they’re all better now!”

I see how much people need a success story. That became my self-appointed purpose, to inspire others by conquering every challenge CP threw my way. 

So I became the resilient girl, the girl who overcame. I always told myself that whatever challenge I faced at the time would pass.

For my major surgery, when I had to relearn to walk, I repeated over and over in my head, This pain is temporary. I will be able to walk.

When I was put into casts every week, my parents told me, “This is the mountain you’re facing right now. Eventually, it will get better.”

Every Botox injection I’ve had, when I tried to dissociate even inside my own body, I would promise myself, This is almost over. You’ve done this before and you can do it again.

While I will live the rest of my life with my cerebral palsy, the challenges it presents—surgeries, procedures, casting, etc.—are temporary. I know that I will conquer these challenges, one at a time, and I will overcome them.

And then, eight years ago, I developed chronic pain.

I have built my identity around overcoming whatever obstacle life throws at me. In fact, I derived my worth from overcoming obstacles. Chronic pain was the one thing I couldn’t triumph over. No matter what I did, my chronic pain remained.

I thought that knocking down my obstacles was my purpose. If I couldn’t do that, where was my purpose? I felt that my identity had gradually disappeared and left in its wake a girl who had no idea what to do with herself. Chronic pain had already taken so much from me—sleep, concentration, the ability to do some of the things that I loved—and I desperately didn’t want it to take my identity away from me, too.

The longer I’ve lived with chronic pain, I’ve realized that my identity has to change. Overcoming chronic pain has to look different than overcoming my other challenges. Right now, my chronic pain is indefinite, and there is no amount of grit, determination, or sheer willpower that can conquer it. 

So that begs the question: What do I do with it?

If there is nothing in my power that can help me conquer this, how do I deal with it?

I have to find a different way to overcome.

I have to overcome my chronic pain day by day—I have to learn to live with it.

I’ve wrestled for a while with how to overcome my pain. For so long, I’ve been the girl who is strong. I’ve been the girl who adapts.

I love that girl and I would never want to change her.

But I’ve also been the quiet girl, who constantly apologized and was ashamed of what her body asked for. That identity meant safety for a while, but I don’t have to be that girl anymore. I don’t want to be her anymore.

With that in mind, here are four ways I can overcome chronic pain, even if—especially if—there is no end date.

1. No apologizing for things that are out of my control.

I do this all the time—to my parents: “I’m sorry my pain won’t go away”, “I’m sorry my answer to ‘how are you feeling?’ doesn’t change?”, to my teachers: “I’m sorry I need help,” to my friends: “I’m sorry I can’t stand with you.” I apologize constantly for my body’s limitations, and it is draining. I apologize because I am deeply ashamed and I feel like a burden. 

But my body’s limitations are not my fault.

The people who love me will never view me as a burden.

When I apologize, it reinforces that I need to apologize. I can’t change my body. I can’t change my pain. It’s time to stop apologizing for that. 

I no longer want to be someone who apologizes for things out of her control. 

2. Stop resenting myself for what my body can’t do.

Chronic pain is difficult enough on its own. If I carry around constant resentment of my own body, I will become bitter very quickly. Also, it’s not fair to all the effort I’ve put in and all that my body has been through to resent it. 

3. Do what is best for me, regardless of what other people think.

The things that help my chronic pain are not always as under-the-radar as I would like. I started bringing a heating pad to school because it turns the dial down just a little on my pain. I’m not sure what people think—maybe some of them think I’m dramatic. They might think it’s weird, and a few probably do.

I haven’t stopped caring what people think. But part of overcoming my chronic pain every day is my decision that my health is more important.

4. Don’t allow my pain to take more from me than it already has.

My pain has taken enough—sleep, concentration, the ability to ride in a car for a long period of time, and some of my control. I will not let it take my happiness. 

I don’t know if my pain will ever stop. I can’t wait until I’m not in pain anymore to be happy, because that day might never come. I am determined to live as fulfilling of a life as possible—if I have to do that with pain, so be it. Not in spite of my pain, because that’s not what overcoming an obstacle is. Overcoming a challenge means that life has dealt you a difficult card, and you live your life with that card anyway. 

I may not be able to control how much pain I’m in on a day-to-day basis. I can’t control what my body is able to do. But I can make the choice to wake up every day and keep going, and that’s what I choose to do.

Overcoming chronic pain isn't necessarily about eliminating the pain. Overcoming chronic pain is about continuity, not triumph. 

The four things above may not seem like a big deal to you. But to me, they make the daily battle of living with chronic pain just a little bit easier. And choosing to fight that daily battle, even if it is never truly “won”, is what I believe overcoming with chronic pain really means.

If I Could Speak Honestly to My Body, I Would Say This

I wrote this open letter to my body because I’ve been struggling with my relationship to my pain. My chronic pain has spread and I have wrestled with anger and continuous grief while trying to reevaluate my identity. I also wanted to honor everything my body has been through and done for me. This letter feels like the most honest thing I’ve written in a long time. 

Dear Body,

I know. I know you’re hurting. I feel you. I’m so sorry. I’m sorry you have to hurt. I honestly feel more compassion for you than I do for myself at the moment, because you seem almost outside of me sometimes. I’m sorry that I felt no choice but to separate from you. One of my biggest fears is that my identity will always be wrapped up in you, and I am so much more than any ability I have. 

I’m sorry for all the things you’ve had to go through. I know you didn’t ask for all of the painful injections, unpredictable procedures, therapy treatments, and numerous medications, and I know it’s not your fault that you needed them. I realize now that you didn’t get the help you needed, and you had to support the left leg all on your own. Considering that, it’s a miracle you could hold the pain off as long as you did, and I thank you for that. 

I resented you for so long. All that you couldn’t do, the fact that you made me different. I didn’t realize how hard you had to work just so I could move with at least some vague sense of normalcy. I didn’t want to work with you because you wouldn’t cooperate with me. All that time I was fighting with you I was really hurting myself.

My frustration with you made me push to the limit at times. Looking back, I’m sorry you had to be on guard. You shouldn’t have to be on guard from me, but I was so determined to prove that you could not hold me back. I chose to push you past your breaking point instead of sacrificing my dignity. 

I miss how you used to be, but I also understand that you can’t hide the effort it takes to move anymore, and you shouldn’t be expected to. I know that my chronic pain is simply an alarm you can’t turn off. You’re trying to protect me because you can’t predict what will hurt next, and you want to brace for impact. 

As I’ve gotten older, I’ve realized that most things come with a price, especially in a body like mine. 

The price you had to pay to protect me was pain. 

And now the pain signals won’t shut off, but it’s not because we did anything wrong.

The alarm is still there because you did what you had to so I could function. 

But you don’t have to protect me anymore. I am no longer the nine-year-old girl I was. I am no longer the stubborn child who resented and pushed every way I could. (Well, maybe I am a little bit.) You can let go now. I’m stronger than I was, and I’m definitely strong enough to know how to protect our physical limits. 

I am so innately connected to you that I couldn’t ignore you even if I wanted to (and believe me, sometimes I really want to). I know every scar, every nerve and muscle (even if I don’t know all the names yet) of you and how you react. I am so tuned to your every impulse that it’s like I’ve lived with you for 80 years instead of just 17. 

And that’s the key, I guess. I’ve lived with you. You are not my enemy and I am not yours. We’re stuck together on this journey called life, whether I like it or not. 

And to be fully transparent, I don’t always like it. This body comes with terms and conditions that I did not agree to. I have lost so much because of the way you are. I have lost the ability to sleep, concentrate, sit for a long period of time, and just to be a carefree teenager. Other people’s bodies do not protect them in ways that sometimes feel more harmful than helpful. Other people do not live in severe pain every day just because of the wiring of their nervous systems. I know it’s not easy to be my body. But I need you to let me go. I need you to trust me.

It’s okay to grieve what you had to do to protect me. I’m sorry for that sacrifice. But you don’t have to hold that burden anymore.

I promise I’m trying to do what’s best for us. You’ve tried to take care of me the only way you know how, and now it’s my turn to take care of you.

I got this. I’m our biggest advocate, and I can’t afford to let you down anymore. More importantly, I am not going to let myself down.

Ainsley