What is your major malfunction?

This is a ‘remember this’ post. Stream of consciousness shortly after ‘a moment’ is useful to print out and use for pain management. Apologies if it’s a bit garbled.

There’s this wonderful sweet spot after a massive pain flare where everything becomes calm & quiet. Even if it invariably returns, for now it’s like the eye of the storm and I can lay here totally still aside from my hand tapping my phone and feel the multitude of painkillers dulling each of my nerves.

Describing this might sound like I want to be high (quite the opposite! The side effects suck, but these drugs keep me functional as a human), the pleasure gained from this quiet moment is in the polarisation from less than an hour ago when I reached a crescendo which left me literally rocking in pain. No-one seems to know for certain what causes these God-awful headaches aside from craniocervical instability (posh word for wobbly neck & skull) caused as ever by Ehlers Danlos Syndrome, but after sitting up for too long, or being bumped, the flashing lights signal the party is about to start.

I’ve tried to explain this before, but without success so just bear with me on this one…

Once the flashy lights start, one eye feels like it’s bulging & a steady thud starts in my cheek. Over the past few weeks, I’ve been taking sumatriptan at this point to stop it going further – for 6/8 it’s worked. I could kiss the GP that suggested this literal wonder drug. It didn’t work tonight, but the trigger was different – tonight I’d hurt my neck washing my hair (the water weighed it down & something popped), then I knocked out my jaw at dinner.

When it progresses, which it did today, that squishy bit at the base of my skull that was sore before starts to sting, and gradually the pinching in my neck moves down my spine until my pelvis aches. The pinching feels wet – there’s no other way to describe it. Like cold water travelling through my spine to where things hurt and either sending electric, tingling above my waist, or thuddy dull pains into my legs.

With my head pounding & my spine burning, my usual level of hearing dropped. This scares me because having lost my hearing reasonably rapidly I’m always concerned about how much will come back. Usually, I’m down by the dog in the Moderate/ severe range in the graph below (I hear lower sounds better & speech is only audible if there’s no background noise), but when it dips everything becomes like listening to Charlie Brown’s teacher. It’s not that I wouldn’t cope, but I’m still very much functioning in the hearing world.

At this point I panicked. I know it’s the worst thing to do when you’re in pain and it just makes things worse, but reaching my version of an 8 / 10 on the pain scale causes me to hit the ‘make it stop’ button. There is no painkiller on the planet as successful as Mr Geek kneading my shoulders like dough when I’m backing away from my own body – why? Because in order for the actual painkillers to take effect I have to calm the fuck down.

I’m not actually rating my pain for fun here. Although monumentally subjective, pain scales are a useful way to stop, body check, and assess just how bad this is – it’s as objective as pain is going to get. The scale also provides facial images for Mr Geek to get visual cues of where we are. In this case, we’re well into nothing but the pain.

Many people with EDS have pain tolerances that would make a Spartan blush. I’ve been mildly annoyed by a broken bone, asked for paracetamol following an organ rupture, and yet had a full on sobbing fit because I had a cold. Like I said, messed up.

We treat my pain according to a pain management plan – imagine if you will a birth plan that we use daily (eg. him pointing to the plan & reminding me that heat and tea and soothing music will make it easier, and me yelling at him that if he ever wants to have the ability to get laid again he will give me drugs). This means that we work our way up from paracetamol, to codeine, to NSAIDS, to morphine, to hospital. Because of the brainfog, he’s in charge of timings & doses – this is a sensible step back on my part. Yes, it infantalises me, but on the flipside he is spreadsheet levels of anal about dosage meaning I camnot accidentally overdose.

This evening, after my spine was pinching, my arms were tingling with pins & needles, my hearing dropped out, & I was nauseous (but not sick). Despite feeling nauseous I was also really hungry. Mr Geek gave me everything up to morphine and sat behind me rubbing my neck & shoulders for an hour. The rubbing is similar to TENS – it’s distracting and the skin on skin chills me out.

It had reduced to tolerable levels & I laid quietly for a bit with my phone in ‘night mode’ & my heated blanket on but I could feel the pinching riding up again so we opted for morphine at the lower dose (this allows me to top up if needed, and keep my general dosage low). Laying in the dark with my hearing out is like sensory deprivation and having a distraction is useful.

A second dose of morphine was enough to create this lull and the potential for some rest and enough clarity to describe the type of pain properly instead of a mumbled “er, sort of stabby” when with my doctor. It’s very difficult with hindsight to describe the stages as it all rolls into one ‘bad headache’, so whilst this may not have been the most exciting read it will be useful for me & my doctor at the next review.

Post pain, I’m left with an ache along my back, a pounding headache, and absolutely knackered – this post was written in between sudden naps (and deleting the random characters from nodding off with my fingers touching the keyboard!)

If you got to the end, erm, hi?

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Escapism

So here’s the thing. I make a lot of jokes about goofing off & not trying too hard – all of these things are basically pure fantasy. I love my job. Teaching is in my bones and I find it nigh on impossible to switch off.

I work “part time” now, by which I mean I am contracted to work 4 days each week, spend my day off marking & prepping, and tutor 4 evenings & Saturday mornings. Part time = 45+ hours each week. When I’m not working, I’m mulling something over about work. So I needed a distraction that wasn’t generalized ranting on Twitter.

I’ve blogged a lot before about the need for pacing and work/life balance, but I just suck at it. Take right now as an example – it’s past midnight & I have a meeting tomorrow (today) with someone who I really want to approve of me as a teacher (fuck. I’m 38 & have been doing this a decade. Why am I still seeking approval like a puppy?!). Ok, I’m mainly awake because my knee dislocated, it’s swollen like a balloon, and liquid morphine keeps me awake.

So yeah, here I am at peak anxiety with pain levels that are piercing through the usual drugs & a top up of 20ml morphine. Anxiety does not help with pain, so I learnt to meditate.

I ought to mention that I’m equally shit at meditating because my brain gets bored. I sit here & do a “body check”. Breathe in……. Breathe out….. Breathe in…… Toes…um… Shit. I can’t feel my toes! …. Calm down dickhead, we haven’t felt our toes in years. Oh yeah…… Breathe out…..

I place myself somewhere calm….. here I am dancing gazelle-like through the fields of my mind… getting to know my new roleplaying character…. Clear your mind…. Nope…. And relaaaax…. Nope.

Because actually where I get to relax is inside my head creating stuff. As a weird only child, I spent ages in my room building home made maps & villages where the stories I told to the people in my head took place. I was generally far happier chatting to made up people than real ones. Mr Geek shares my love of sitting quietly with little plastic figures & watches from his office as I bring my imaginary friends out to play with others.

It’s been decades since I created something more personal than cool learning resources. I’ve sunk all of my creativity into developing CSI style codebreaking resources, Elma the Elephant hexadecimal colouring, Game of Prolog, Revision Twister… But over the past few months the games have crept back in. First came Warhammer, then Bloodbowl (if you suck at meditating, try painting teeny little orcs for weeks on end), then over the past few weeks I’ve been lucky enough to be invited to join some roleplaying games online and have just started a weekly campaign.

Before you back away from the nerd, hear me out.

Today was Game Zero – working out who we are, our back stories, the world around us & how we gel as a team. What I remember from teenage games was us as kids picking the warrior woman with the massive tits and distracting guards with nipples (and frankly nearly killing our shy DM who barely looked at women let alone knew what a real boob looked like). Instead, what we got was a game that lets us test out our psyche.

“What do you want from this character?” Holy crap, that’s a deep question. By this point I was already invested so just went with it.

In a group of just four, one is seeing what it’s like to have real faith, one is living knowing that they will die, one is merging being a young soldier with hidden disabilities, and another a manchild rebelling against caring parents for the greater good of those around him. This is heavy stuff – not your average elven archer skipping through the forest in suggestively shiney tights. I have to hand it to Blood – she unpicked our characters until they were real. We all know at some point a specific character is going to die, and yet we’re going to willingly get attached. Self-preservation mode has pressed the eject button & has shot itself through the ceiling.

So here we are, instead of meditating and clearing my mind to reduce pain, I’ve created Pip (Lady Philippa Billingworth), a genetically modified soldier with the anger issues of an orphaned teenage girl, topped with a mutation causted by the faulty collagen gene already in her body allowing her to bend & break her body seemingly at will. She’s the angry, frustrated internal me, albeit with a 7ft much more functional body and weapons. That can’t be a good idea…

To see what we’re up to & some of the other weird and wonderful activities from the guys, check out these links:

You can find me on Twitter at @I_Am_Spanners

Please do check out the Bloodthirsty puppets at either their website or Twitch (where you’ll get points for watching which you can use to mess with the game play!)

www.bloodthirstypuppets.co.uk

Bloodthirsty Puppets Twitch Channel – Regular games of various fun. Catch me every Monday at 7.30pm GMT, and watch along with me on Friday Night Spiced at 8pm GMT (unsurprisingly on Fridays), plus plenty of others.

And of course, I can’t do an intro to me being allowed to play with tese guys witbout mentioning ‘the hot one’

Skaggeth Twitch Channel – this guy is an absolute dude.

Pleasure & Pain

This is where you see the NSFW disclosure and start to read on sneakily, except this is USFW (utterly safe for work). 

As you do when chronic pain becomes just part of everyday life, I started to Google the medical trials for some of the treatments suggested to deal with my pain levels. One of my go to solutions when it gets too much is my TENS machine. Frankly there are times when I just don’t have enough pads & a full body suit would be a better solution, but as breakthrough methods go, it’s short term effectiveness wins my vote. But why?

There is little evidence to support the use of TENS for chronic pain relief, and yet every physio & pain management professional I have seen starts with this as a non-medical option. I’m generally a skeptic when it comes to things that haven’t been clinically proven to work, but  desperate times…

This is the machine I bought. Thanks to a PIP payment, I was able to upgrade my old 1 setting machine to a duel channel machine with multiple settings & the ability to set my own.This is in no way a recommendation of the device itself, just an image of my own machine for context.

Breakthrough Pain

This can hit me & hit me hard. When my SI slips, or a rib moves, or another spinal disc bulges for no good reason, I get Mr Geek to slap the pads on & I electrocute myself for an hour or so. In these cases I use a TENS setting which in theory uses “gate theory” to block put the pain signals – the idea here is that the electrical stimulation of the nerves blocks the pain signals to the brain. Tbh, it’s similar to massage for me. When any of these areas pop the surrounding muscles often go into spasm and cause more pain, the massaging effect of the tens machine gives the muscles no choice but to contract rhythmically creating a massage sensation & also preventing them from doing their own thing. The pain relief only lasts as long as the machine is on & the intensity feels less over time.

Myofascial Pain (muscle knots)

EDS is bloody evil. Not content with messing up my joints, because my muscles are taking over the job of my tendons & ligaments and because they are constantly overworked holding my skeleton together (or not), my larger muscles are riddled with knots. These are tiny (anything from a grain of rice to a marble) areas of muscle that ate stuck in a contracted state. Strangely, these often bother me more than a joint dislocation as they irritate & cause headaches, or twingy irritating burning pain.  No one really understands why they are there, but they do cause extra pain which refers to the areas around them (eg. A knot in my shoulder may cause pain down my arm). 

There are a number of ideas of how to get rid of these and growing evidence to prove that each method has its merits. The 1st is massage, but rather than Swedish gentle massage, this is pushing on the knot with some considerable force until it releases. Poor Mr Geek has spent hours upon hours attacking the major lumps in my trapezium  (shoulder blades) which bear the brunt of force holding my shoulders together and my head up. A good massage therapist can work out knots, but within 24 hours mine can return so the cost would be prohibitive!

Secondly is getting the muscle stimulated. Activating the muscles my lifting weights is a good example, but a terrible idea for someone with unstable joints! So along comes the TENS machine with its EMS setting (electrical muscle stimulation). With the pads placed correctly, this makes the muscle twitch in a rather off putting manner, but through contraction & release, somehow confuses some of the knots into relaxing and joining the normal working muscle. If you can get through the weird twitching, this is a simple option that also tones the muscle.

The final solution I’ve yet to try, but am fast edging towards is myofascial release therapy which is rather uncharted territory. The basic premise is to insert a needle into the nodule (knot). Trials have shown that this process somehow forces the muscle area to stop contracting. This is done as either a standard acupuncture needle to just release, a set of acupuncture needles which are then attached to an electric current which adds the TENS element, or more clinically, a standard needle which administers a small dose of botox into the muscle which prevents the muscle from contracting for enough time to stop the knot reforming.

It may sound drastic, but the third option appeals to me from a logical standpoint. If I’m desperate enough to allow someone to stick needles into me (and I am), I don’t want the bloody things coming back within hours!

Have you tried TENS for pain relief? Or even had needles stuck into you in desperation? Did it help?

The Art of More – pacing for control freaks

“Urgh, my back is killing me” mutters a colleague as they stomp across our office rubbing her lower back. The guy I share desk space with visibly cringes and looks at me. Bless him – he’s in his own world of back pain but barely mentions it. He sees quite often first hand me returning from class white faced & pursed lipped as I struggle to maintain the air of someone who’s totally coping with life despite landing in a wheelchair and eating more painkillers than food at lunch.

Today has been a brilliant day. I’ve been a proper mum with the kids, but am suffering for other now by being awake & in more pain than my drugs can attend to. One of my goals this summer is to implement pacing. But do it properly, not just acknowledge I have limited spoons, then throw the whole cutlery drawer at each day. Clear project management is required here.

So what is pacing and why do I need it?

So, imagine you have a baseline which is perhaps laying in bed resting, you can perform an activity within your personal limits then will need some inactive time to follow it. There will be a period of overload because either you’ve tried to do something beyond your energy / physical capabilities or you’ve carried on with a standard activity for too long without a rest. So just like in physics, every action has an equal reaction.

I need to work out how my day at work looks in chart form to see how my pacing is going.

On an average day I’m bouncing above that overload line a lot & also not building in any proper recovery time. I’m also packing in more than an able bodied person could realistically contend with regularly. I’m not giving any leeway to accommodate being in pain. So, I need to attack this the only way I know how, and that’s with a list.  That list will contain all the tasks for tomorrow and then I’m going to prioritise them and build in rest breaks (I’m doing this now as I have control over my day which I don’t at work. That’s a different conversation & one I am going to have to have with OH sooner than I’d like). So tomorrow , or technically today as it’s 2am:

  • Get dressed
  • Get downstairs
  • Teeth / hair
  • Hair cut
  • Dye hair 
  • Wheelchair racing
  • Pre-holiday visit to inlaws
  • Buy physio tape, calpol, blister plasters
  • Lunch
  • Pack for holibobs 
  • Print out letters / tickets for holiday folder
  • Tidy room
  • Eat dinner
  • Get up to bed

Oh holy hell. That’s not a restful day before heading out! Almost everything on that list needs to be ddone due to imminent departure on our road trip on Sunday morning. Wheelchair racing is the only nice to have on there & TBH, it’s my last session for 2 weeks and it does me so much good (physically & mentally).

Ok, so let’s add priority:

  1. M- must
  2. NTH – nice to have
  3. CD – could delegate
  4. OTL – off the list
  • Get dressed – M
  • Get downstairs – M
  • Teeth / hair – M
  • Hair cut – NTH
  • Dye hair – NTH
  • Wheelchair racing – M
  • Pre-holiday visit to inlaws – M
  • Buy physio tape, calpol, blister plasters – CD
  • Lunch – M
  • Pack for holibobs – CD
  • Print out letters / tickets for holiday folder – CD
  • Tidy room – NTH
  • Eat dinner – M
  • Get up to bed – Massive

See how cleaning up hit the bottom of the list there? My mum would flip if she saw that! 

CDC sadly falls on the shoulders of Mr Geek & the kids, but I feel a little less guilty having braced myself and bulldozed my way through a whole week of him commuting to London (or from our perspective, not being there to get me out of the house & not getting back until after 7pm). It’s his first week at New Job which he is absolutely loving, but fuck me that was blindingly hard. I didn’t want to worry him, so slapped my happy work face on. I’m paying for it now though  with bones cracking as I breathe & thudding palpitations waking me each time I doze off.

My plan is to use this priority list tomorrow & see how it goes. If anything gets added to the list, I’ll note it down to see how I’m undermining my own paving without realising. The “oh I’ll just…” moments. 

Wish me luck! 

How would’ve you organised my list? Let me know how you prioritise your to do list. Is there an app for this?

#spoonie #blogs about #chronicillness (hashtag city)

See that? That’s my final spoon flying into the distance. Off it goes along with my ability to appear like I’m coping.

A year ago, I said I’d be happy if I made it to Christmas with my job and life in general in tact. I pushed for medical help & I’m the end paid for it as it was not forthcoming locally.

At Christmas, I was determined to make it to the end of the year (academic, so July. I know, us teachers even mess with the calendar). Since then, the liquid food is almost gone & I’ve gained most of the weight I lost (meh, would’ve preferred not to, but health over flubber). By my own criteria in two weeks I will have won. Made it to the end. Two short weeks currently feels like a lifetime & I’m not wholly sure I’m going to get there.

Let me tell you about EDS fatigue. I’m writing this whilst I clock watch because in 15 minutes I can take more painkillers. I’m exhausted, but every time I lay my head down I’m jolted awake by the pain in my legs & shoulder… & neck. I have a migraine brewing at the base of my neck & pushing against my eyeballs. 13 minutes.

I took on too much this week (normal teaching + new form induction for year 8 + year 5 taster day + parents evening). Tomorrow is Friday, but also sports day #2. I’d sent a concerned email to PE about my ability to trek across the field and through trees in potential rain to the athletics in my powerchair, but was assured that the field was totally accessible and the weather would be “hot and sunny”. Actually, it was chilly and drizzly and whilst the powerchair did make it slowly this was not without having my bones shaken out of place to a point where I took oramorph at school for the first time in several months. I have to do this again tomorrow. The fear of adding to current pain levels combined with zero spoons = no sleep and rising anxiety levels.7 minutes.

The question should be asked at this point, why don’t you just put the blog down and get some sleep?

Well, here’s the thing about fatigue and EDS. Imagine you got up at 4am (bleary & a bit confused). Now stand up holding cans of beans in each  hand – raise your arms & keep them there… how long? Well, all day. Gravity isn’t working in our favour – where connective tissue fails, simple lifting of your own arm can be exhausting and eventually painful.

Now you have another tin strapped to the back of your head – tilt your head back and look at the sky. Same thing – All. Day. Spines are there to keep us upright. Unless the connective tissues are lax meaning that sitting up straight, or holding your head up is akin to doing situps all day. I wobble between focused controlled posture & slumpy withered flower.

Finally, get home and drink three cups of coffee before bed because your autonomic system is wrecked and thinks it is bloody hilarious to release a shit tonne of adrenalin into your system as you try to rest. Couple this with overnight hives due to mast cells chucking out histamine in reaction to the drugs that keep you from becoming one of the zombies from 28 days later through sheer pain levels, and EVERYTHING IS JUST PEACHY.

So yeah, when I grit my teeth and sing song “good morning! Yes I’m fine thank you. Nearly there!” at you in the morning, I’m doing it to hide the rocking quietly whilst I do mental battle of “I can’t do this anymore…” with the “yes we can!” chant missing in action. 

Times up. The cavalry has arrived.

Jersey Duvet – For Sensory Overload.

When Paddington Bear spent his first night with the Browns, he wakes up the next morning and stretches out his legs across clean, cold, white sheets and feels a sense of tremendous calm.

Beanpole & other dear family members have Aspergers, a form of Autism that can leave them with sensory overload from sound, light, or touch. Interestingly, that overload is also common in people with Ehlers Danlos Syndrome. The difference is our self soothing behaviours. My poor Beanpole hasn’t reached the stage where she is aware that things are building and will meltdown when it all gets too much- her triggers are sound, textures, and people, she’s much better with visuals. I become overwhelmed by visual stimulus which causes headaches and a knock on of this is sensory overload from just too much bloody pain. I don’t scream & cry, but boy do I ever get snappy. I’m working on this.

Beanpole needs to be cocooned in bed (we rather unkindly refer to her bed as the rats nest as it’s built up with blankets, toys, & “important things”), I need contoured space; Beanpole loves nothing better than to be hugged tightly, I become overwhelmed by hugs as they cause pain; Beanpole craves coolness, I crave heat (Then complain that I’m potsie). Both of us find soft fabrics soothing.

Enter the Jersey Bedset.

(Note – this does contain a review of the Bedset from Dunelm Mill. I bought these myself without prompting & have received no payment or gift etc.)

The Bedset we bought was the Jersey Marl set from Dunelm Mill (at time of posting, these are 50% off, so £15 for a superking duvet set). As we had recently bought twin electric adjustable beds (now bolted together), we bought the superking duvet set which is the duvet cover & 2 pillowcases, 2 extra pillowcases, and two single fitted sheets. The adjustable bed has been one of the big purchases, but one we didn’t regret. We pretend that we have a mahoosive bed as two 3ft beds bolted together make a superking, but generally stick to our own mattress and my constant thrashing no longer disturbs sleeping beardy. (I considered taking a photo of snoozypants for this section, but thought better of it)

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Buying sheets for an adjustable bed is a pain in the posterior as the mattress length is 200cm instead of the standard 190cm. However, the fabric is stretchy and fitted the mattresses perfectly. Previously, sheets have come from le internet & at a premium because adjustable beds come under “disabled equipment”. I tend to imagine Jafar making the pricing decisions for disability gear.

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Mr Geek looked at them the first time and sighed as they are “a bit beige”. Agreed, there’s no pattern and with everything one colour it’s not the most exciting bedset. The difference is tactile. When you live with chronic pain or sensory overload, the last thing you need at night is something scratchy or starchy and uncomfortable. These are neither. Just like Paddington, I can stretch my feet out & feel soft sheets that never have that sharp coldness of cottom, but also rarely cause me to overheat.

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When you wear a tshirt, it folds and stretches with your body, and similar can be said for these. The down side of this is the duvet having a life of its own with baggy bits of cover appearing at the edges. Mr Geek reliably informs me that this does not affect the ease of putting it on the quilt, although getting it perfectly straight is nigh on impossible. Beanpole and her rats nest see this as a bonus feature.

From a sensory perspective, these are particularly calming as there is a single very soft texture, a single neutral colour, and don’t create extremes of temperature. For Beanpole, this means she can turn herself into a super soft sausage roll, and for me, I can focus on mindfulness allowing a bit more restful sleep which is a blessing in itself.

Personally, just in case they stop selling them (please don’t!), I’m going to buy an extra set of sheets. I guess that’s my vote for these as an excellent purchase.

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Electric Dreams

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I’m an 80s baby, and as such will always sing these words with a muffled hum for the rest of the lyrics and an image of the film playing in my head. But why the bog title? Well, Sunday night is brought to you courtesy of the TENS machine (again). Despite all attempts to have a restful day today after yesterday’s escapades, my left shoulder took offense and tried to leave home. It’s usually my right one that pops out, but there’s nothing like a surprise sublux to end your weekend. EDS likes to keep us on our toes. As is usual for recent weeks, dihydrocodeine has little to no effect above standard baseline pain, & oramorph is barely touching it. We tried massage to help bring down the muscle spasms that are creating almighty knots & the end effect of that was Mr Geek hurting his fingers. Ice would reduce the swelling, but make the muscle knots worse, & heat vice versa, so TENS is the next option in the toolkit.

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One pad on a bicep, one on tricep from the grey channel, then one along the shoulder tendon & one just inside the shoulder blade (where the knots are) for the white channel. The pain Management team have suggested a bespoke setting of 100hz frequency & 200uS pulse width for 90 minutes at a time. As a general rule, the following settings are worth having programmed into your machine (all using 170 – 200uS depending on what feels right for you):

80 to 120Hz-acute pain

35-50Hz-muscle stimulation

2 to 10Hz – chronic pain

I’m using the acute pain setting because I’m using it for breakthrough pain where I’ve reached a decent 8 on my pain scale. This is also known as the ‘Fuck me that hurts. Hand over the drugs.” pain stage. On a scale of 1-10 this renders me incapable of doing much else than asking Mr Geek to rub my [insert body part] and clock watching for dosage times. With a decent TENS session and break through drugs, I can usually bring the pain down by 2 levels. This means I’m currently sat at “Not sleeping, but at least I’m not screaming.” level. Don’t look for pain scale facial expressions here – 9 & 10 get scrunchy faces & farmyard noises. That’s it. I’m a bloody zen master at breathing away pain facially.

This is all very irritating after having such a positive day yesterday. To help strengthen my upper body, I’ve been training (and I use that word as loosely as my joints) with a local wheelchair racing club for a few weeks. I’m fully aware that my lower half is past the point of no return. I have little feeling left in my feet & the lady areas are steadily going numb (That’s a whole other post) – and yes, I’ve flagged this up with more doctors than you can shake a referral at, but the regular limb detachment has been prioritised. So, I’m determined not to allow my arms the same option of defeat as my legs, and as such am building up the muscles to do the work of the crapped out tendons & ligaments.
Cue me being lifted into a paralympic style racing chair twice per week, strapped in and pretending that this doesn’t hurt in the slightest.
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The coach is lovely & works on the basis that we know our bodies, so you go to your own comfort level & adapt the chair, pushing style, & seating position to however your body works. As it turns out, mine needs to lean forward to take the pressure off my back & put less pressure on my shoulders, so we’re tweaking the club’s chair that they’re letting me use each session to get it right. For me, pushing down on a flat surface with no inclines or cambers, means that I can self propel. My lower spine still shifts every session, my SI pops as I get out, my elbows still give out if I get pushing wrong & my shoulders will not accept arms lifting up or out, but I’m finding my style. It’s slow, it’s slightly wonky, but physio isn’t meant to be easy.

Pros:
– I’m building muscle on my arms & core
– I’m outside twice a week
– It’s social
– I have a whole hour where I don’t need help
– feeling of freedom. Like running.
– Massive aerobic high
– Long term – possibly improving POTS

Cons
– Extra bruising from wheel guards
– Pulled shoulders from pushing too hard too soon
– Pulled elbows as biceps get tighter
– skin worn off on fingers (forgot EDS skin & friction doesn’t mix well. Cure: cohesive bandage wrapped over gloves)
– Getting cold outside (Then cramp!)

Ultimately, if it allows me to maintain where I am right now without any more spirals down, I’ll be happy. This is the first on land exercise that hasn’t injured me substantially more! And Mrs Physio will be super impressed at my efforts to get off my arse… or at least get my arse moving.

So here’s to my favourite two pain relievers right now: adapted exercise & TENS.

Here’s another table of possible settings with some handy explanations for use from NaturesGate

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