this post was submitted on 07 Sep 2024
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Relationship Advice

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Been in a relationship for a year, since early in the relationship my partner has been suffering with chronic back pain. This pain is almost always present, this causes breakdowns multiple times a week, especially on weekends.

I've been having a hard time helping her manage her pain and being there for her, it reoccures so much that I'm starting to feel myself becoming apathetic towards her, and sometimes outright cold.

I haven't really been getting a chance to rest from being emotionally available, or even socially available (even though life circumstance already caused me to basically halt all social life). And i haven't really had a weekend this past months that i could use to rest instead of being on call and hearing her cry most of the day.

I feel like I'm pouring from an empty cup and that I don't have any other choice, otherwise I'd be leaving her to deal with it herself.

It feels like it's going to be the end of our relationship, any advice?

p.s. we're a man-woman relationship, young adults, both of us not really experienced in relationships, if that's any help.

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[–] PlasticExistence 33 points 2 months ago* (last edited 2 months ago) (1 children)

I think you've mostly gotten the advice I would give from the other responses with respect to taking care of yourself.

I suffer from back problems and chronic pain. I was unemployed for a long time because of it. I've managed to improve, but it took years. So what I'm going to do for her (through you) is to give you a major shortcut to improving her pain and her ability to manage it: She needs to read the book Back In Control by Dr. David Hanscom. Terrible title, but excellent book.

He's a back surgeon who went through his own chronic pain, losing his job and a fellowship because of it and eventually becoming suicidal. His book can talk you back from the brink of that. It did for me. Even if she's not at that point, the book's advice will help her manage her pain - and her reaction to it - much better.

Here's why I know: after reading the book and practicing his simple mental exercises for just a couple of weeks, I already felt remarkably better. This was partly because if even an accomplished surgeon can go through the experience of not having any help from doctors who don't believe you, then this really isn't just some personal failing. Doctors just aren't equipped to properly address chronic pain (with rare exceptions).

I felt well enough after reading this book that I started looking for a job again. I was still having pain, but the way I experienced it had radically changed. I later discovered that a huge source of my pain was from food intolerances, but this just underscored how badly I had been handling it after suffering through it since I was a child. I had improved without first solving the physical reason for my pain.

The problem with pain of any sort (including emotional) is that the signals all travel over the same neural pathways, reinforcing and amplifying each other. Emotional pain can be felt in the body at the site of an old (but fully healed) injury. It feels like physical pain though, making it really hard to solve.

I am NOT saying "this is in her head." I am saying all pain is actually experienced in the mind, and a mind that's in distress can inadvertently make it worse and worse over time. Mine did.

I hope she takes my advice instead of walking the path I did over the course of about 14 years.

[–] [email protected] 4 points 2 months ago (1 children)

Much appreciated, saving this comment for later. I also have something else to ask of you, you mentioned food intolerances, might they have caused unexplained nausea? That is something my partner is dealing with, i want to know how did you find out about, and also pinpoint the exact intolerances, I've done some reading on it before trying to find a doctor to contact and get advice from.

[–] PlasticExistence 6 points 2 months ago* (last edited 2 months ago) (1 children)

I have autoimmune diseases (thyroid issues and fibromyalgia). Food intolerances go hand-in-hand with autoimmune issues.

Giving up gluten at the recommendation of a GP and a Endocrinologist made a huge difference, but after about a year I still noticed I had a fair amount of chronic pain and inflammation. So the same endocrinologist recommended I get a Mediator Release Test which helped me identify a long list of other foods that my immune system reacts to badly. Corn is a big one.

I never had the more obvious gut issues that others in my situation do, but I suppose her nausea could be from food.

Has she had any traumatic experiences? Anxiety issues? Depression? Things like that are often huge contributors to these problems. Sometimes the problems cause anxiety and depression. I know my pain made me much less healthy mentally, which then made the pain worse.

I don't know where in the world you are located, but in the USA at least you can try to find a Doctor of Osteopathic Medicine (DO). They still go to med school, but they focus their application of medical science differently from an MD.

[–] [email protected] 4 points 2 months ago

Yeah anxiety and similar issues are present for both of us, I'm saving this comment as well, many thanks, friend.