I was diagnosed 33 years ago, initially CFS then fibro as the pain kicked in. In my case it arrived after a 6 month course of antibiotics to deal with kidney problems and just after my Mum has died very suddenly.
Over the years I’ve tried most things. Unfortunately side effects from strong pain killers make them an impossibility for me. I am prescribed slow release ibuprofen at maximum dose and 8 a day of paracetamol, as has been said previously it takes the edge of.
Pacing, distraction, care with diet and gentle movement all help along with heat when needed. In flare ups my base line for any activity is just ten minutes. I can judge in the day if longer is advisable or possible. So it can be ten minutes, a rest, another ten minutes and repeat. Serious issues with my spine and osteoarthritis add to the pain load. Most of the time I can concentrate on other things and ignore the pain, lack of energy and head fog are harder to combat. It has been very difficult since Christmas when Covid aggravated symptoms, they aren’t settling yet.
Having said all that for the vast majority of the time it is manageable. I ask myself each day ‘what does it want’. If it wants me to stop after ten minutes I do, if it’s happy for an hour or more than I make good use of the time. We do a lot of sitting in coffee shops watching the world go by.
It is harder when younger. I was working with a just teenage family. Eventually I adapted,, kept working part time, employed a cleaner and finally secured a masters degree as a very mature student with a lot of help from the University which enabled me to work professionally in a sector where I could manage my energy. In my case most things can be done, just differently.
A pain clinic is an excellent idea, the acupuncture arranged in the clinic moved me out of a very stuck place. It’s good to share the diagnosis with friends and wider family, awareness has increased now. Early days I was met with blank stares. CBT can help with challenging the negative messages that whizz round the head, mindfulness helps me work out which bits of me don’t hurt. Just as important to know. Help with diet moved me on, I have to be careful with sugar which knocks me out, everyone is different though. Homeopathy was a game changer, I was referred to a homeopathic hospital when the NHS tolerated the approach, still use some remedies.
It’s important to remember something as simple as reading or chatting uses energy. It’s not just physical activity. It’s also important to make time and keep energy for positive, enjoyable things, not just the ‘have to’s’ of life. We’re all different, need different things in our lives, in my experience fibro isn’t a one stop fix, it’s a case of working out what helps, keeping an open mind, trying anything that won’t actually harm us, we all respond to different things, and doing the best we can to keep positive, not always easy for sure.
My best wishes to everyone managing this or other chronic illnesses.