23 Tips For Men on Supporting a Partner with Chronic Pain

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Pete Beisner knows a lot about supporting a partner in pain. Here, he shares insights on how to take care of the person you love.

We will be celebrating our 14th wedding anniversary this week, and I can say without a doubt that despite the problems that come with periods of joblessness and raising two kids to maturity, the thing that has had the biggest influence on our marriage has been pain.

So, I have two sets of tips. The first set of tips is for supporting someone you love who has chronic pain. The second set of tips are practical suggestions for how to support a woman in an episode of critical pain, like just after she has had major surgery or a serious injury.

1. I think that it is important to think of pain as your common enemy, not as a part of your wife or baggage that comes with her. It is something outside of both of you that impacts both of you and that can kill your marriage.

2. If your wife is anything like mine, she will try to hide her pain from you. She does it for two reasons: one, she does not want to be a wuss or a whiner. Second, she knows that her in pain is distressing for those that she loves, so she hides it from us.

3. Because women in chronic pain have to be good at ignoring their own pain, their maximum sneaks up on them and on you. Trust me when I say that you do not want to be surprised by your wife’s pain. The wall of pain will hit her hard, and if you are lucky she will end up snapping at your or the kids. If you are unlucky, she will collapse into sobs that will break your heart to hear. Before I learned to read the signs in my wife, it would seem like her breaking point would come out of nowhere. We tried to get her to tell us when she was coming up on her limit, but she only notices about 30 percent of the time, and that is after years of coaching and encouraging.

4. To avoid a pain-storm, be on the look-out for non-verbal clues of increased pain. My wife who is normally a font of cheerful patter gets quieter the further into pain that she goes because she does not want her voice to betray her pain. She holds her body more rigid, trying not to limp and holds her breath, taking one long rasping breath for every three that I take. There is also a look of grim determination that settles in her eyes, even if she is smiling.

5. When you note the non-verbal clues of increased pain, reflect them back to her. Ask that she put her pain on a scale from 1-10, but make note if she tends to tip to one side of the scale. My wife has had a C-section without anesthesia, so that is her 10. She rated a compound broken bone where I could see a jagged bone tip protruding through the skin of her ankle as a five. So know how she rates things. When you determine that she is in rising pain, encourage her to move towards a place where she can rest and take medication. Remind her how much the pain storm will cost her. If it is worth it for her to continue, then so be it. Do what you can to support her.

6. Chronic pain does not mean that the person has the same level of pain every day or even at various times in the day. So encourage her to put the fun stuff first. If she has enough energy and pain relief to do a quick trip out and about, encourage her to go someplace fun rather than the grocery store

7. Don’t let her “should” on herself—beat herself up for what she cannot do. Argue back when she expresses guilt or sets impossible expectations for herself. When my wife tells me that she is a bad mother because she couldn’t stand in the rain beside a soccer field, I remind her of all the other ways that she has been there for our kids. Encourage her to tell significant people in her life such as her boss and co-worker that her life is significantly impacted by pain. Remind her that stating the truth is not the same as complaining and it does not make her a whiner.

8. One of my early ways of dealing with my wife’s chronic pain was to encourage my wife not to do things that caused her pain. Then I realized that if she avoided all activities that caused her pain, she would never do anything. Let her grit her teeth and get through pain for things that are important to her, even if it kills you to watch her do it. And trust your wife if she says that she wants to have sex even while in pain. Sometimes and in some women, arousal can do wonders to offer temporary relief from pain.

9. Women in chronic pain are used to working through pain, distracting themselves, minimizing etc. They play mind games that help them get around it. But this means that they pay less attention to their bodies than other women do. In some cases, this makes it harder for the woman to get aroused. In my wife’s case, it makes her really really clumsy. I used to try to help her by saying things like “Your toes and nose should be pointed in the same direction as the location you are placing an object like a glass.” That really isn’t helpful. We have compromised: for things my wife knows are important to me, like lifting and carrying food, (I love her cooking and when it gets spilled all over the kitchen floor, I am in pain) she agrees as a favor to me to allow me to do those things. And, I keep plenty of Band-aids, ice packs and other things for the rest.

10. The key thing to remember is that pain builds even while you are managing to ignore it. The longer your wife is in pain, the more of it she experiences and the less she can block it out. So what would be an objective level 5 pain your wife can block out to make it a level 2. But when she is no longer able to block it, it will come back as 6-8. Beware of this whiplash phenomenon.

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Post-surgical or other high pain events:

1. If at all possible prepare ahead of time. Nursing a person in pain is more than just sitting beside them; there is a lot to do. If you are organized, it will help a great deal. Here is what you will want at a minimum:

 >>Pre-made shakes that come in individual portions like Slim-fast. The reason is that narcotic pain medication must be taken with food or it will cause severe gastric distress. In the middle of the night, this is the best solution because it is readily available. Also, the fiber in these drinks will help with the constipation caused by narcotic pain medication.

>>A thermometer to look for any fever spikes

>>A notebook to record pain levels, fever and time of pain medication. Don’t be ashamed to tie a pencil to it. You would be surprised how chaotic it can get.

>>A minimum of two ice packs. I prefer to use the old-fashioned round and floppy hot water bottles because they are strong, but you can use Ziploc freezer bags if you wish. The mixture that I like best is two parts water to 1 part rubbing alcohol. I am told that in a pinch you can use 1/3 cup of 80 proof vodka for two cups water, although I have never tried that. You want those frozen in advance.

>>Ask to get her prescriptions for pain medication before the surgery that way you are not having to leave her to run out and get them. I nearly totaled my car trying to get my wife’s pain medication, and that delay meant she went into one of the most frightening pain storms that I have ever seen.

>>A timer or alarm clock. You think you will remember when the next dose will be. But don’t trust that.

2. Advocate for your partner even before she comes home. Do whatever you need to to keep her as pain free as possible while she is hospitalized. Make sure that they don’t send her home in pain, otherwise the trip will be hell. And be sure that you understand the discharge instructions thoroughly. Put the number that she is supposed to call in case she has problems in your cell-phone so there is no mad scramble trying to find the phone number.

3. Your primary job is to help your partner avoid a pain storm. They feel unmanageable and you can do nothing more than watch helplessly as your partner writhes in pain. Two secondary jobs you may want to take on are helping her groom to whatever extent makes her feel better and monitoring medication side-effects. Narcotic pain medication makes many people extremely constipated. During the fuzzy days immediately post-surgery, your wife may not notice and it could end up being a week. You don’t even want to think about how that kind of constipation is resolved. So, keep that on your radar.

4. You have two weapons to help you keep a pain storm at bay: controlling swelling and managing pain.

5. You control swelling through ice and by religious use of whatever anti-inflammatory her doctor prescribes. This will be something like a high dose of ibuprofen and will be prescribed in addition to a narcotic pain reliever. Many people mistakenly think that the only purpose of this anti-inflammatory is so that they have something to wean themselves onto as they get off the narcotic pain medication. It is very important to give this medication on time and every time. For the first three days, every time you are awake, rotate ice twenty minutes on and twenty minutes off. This will make a world of difference.

6. Set an alarm for the middle of the night and give your beloved her pain medication then as well. I had thought that obviously my wife needed her rest and I could just let her sleep until she woke on her own. The problem is that what wakes her is pain, and it usually takes almost two hours to get her pain down to a tolerable level if we deviate from the prescribed schedule.

7. Doctors are not prescribing real pain medication that much anymore, so you may be tempted to skip doses during the early days if she is feeling better. I do not encourage this. It takes twice as pain medication to get a person out of a pain storm as it does to prevent the storm from happening.

8. Here are a few things you should know about post-surgical pain. It is always worse at night than during the day. It peaks the evening of the second day you come home from the hospital. Coincidentally, that is the time when most of us expect to feel better. So this huge disparity between what we think we should feel and what we actually feel can make a person recovering feel that desperate and hopeless. It helps a lot if you can remind her that this is the worst it will ever get.

9. I hope that you do not reach a place of un-managed pain, but if you do, here are some tricks that I have learned for helping a person get through the worst part of a pain storm. What you want to do is temporarily flood her nerves with other novel sensations that make it harder for her brain to record all of the pain signals. You have to change the sensation at least every twenty seconds for it to have any impact.

10. My wife usually has surgery on her lower legs, and here is the routine that I use if she hits a pain storm: I squeeze spots higher on her leg until I hit the same nerve that is screaming further below. You know you have found the spot when for about five seconds she experiences less pain. On that spot, I alternate between a firm grip, running the tines of a comb or a fork in swirls and light slapping (the latter was at her insistence.) Occasionally, I will mix in a few seconds of ice if one of those has lost its edge. This is rather exhausting, since you must change every 10 to 20 seconds. But it can help bridge the time between the onset of severe pain and pain medication kicking in.

11. Encourage her to make whatever sound she needs to make or approximate that breathing women are supposed to do in childbirth. Anything to keep her from holding her breath. When she holds her breath, her body tightens in on itself and that increases pain over the long run.

12. Above all, don’t be shy about calling her doctor. And be willing to do the talking. Many patients are anxious telling their doctors about their pain and will suffer rather than pick up the phone.

13. Control access to your wife based on your wife’s wishes, and especially her level of introversion or extroversion.My best friend’s wife is a social butterfly. So when she recently had a mastectomy, she wanted everyone there. When my wife is in pain, she doesn’t even want her own mother in the room. She wants me, a firmly closed door and darkened room. My job is to not allow her to guilt herself into allowing visitors when she is not up to it. Here is the tricky thing: If you are new to the relationship or if you haven’t been that close lately, your wife may want someone else’s care. It sucks, but suck it up and be there for her in whatever way she will allow.

There is nothing that makes me feel as helpless as watching my wife suffer. I would far rather just absorb the pain myself.

But I have discovered that while going away physically or emotionally may be less painful for me, it is selfish and actually adds to my wife’s suffering. Being strong for her does not mean hiding my feelings. In fact, my tears of frustration and pain often give her validation or permission to express her own emotions. All that being a husband and a good man requires that I stay by her side in body, mind and heart and that I do what is within my power to ease her pain, offer her comfort and support her.

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About Pete Beisner

Pete Beisner is a father, husband and veteran who works in the field of information technology. He has a bachelor's degree, two master's degrees and hates writing.

Comments

  1. Great piece. As a man who’s had a few herniated cervical discs for over 20 years, I can relate. The support of a partner makes a HUGE difference! Thank you so much for sharing your contribution to the journey.
    Adam

  2. Alyssa Royse says:

    As someone who, like your wife, was in a car accident that left me with chronic pain (and unlike her, a broken neck) I love this piece.

    The part that is most important to me is to let us grit our teeth and do the things that matter to us. Sometimes I accidentally misunderstand my own boundaries and go too far, winding up in bed for a day. But I still need to do it, otherwise I will be nothing but a drugged out heap lying on the couch crying. I am NEVER not in pain. For many of us, this is the new normal, and we have to go out and find power and joy however we can. And when it doesn’t work, it is what it is, we’ll still try again. Protecting us from pain would men insulating us from life.

    Thank you for this.

  3. Thank you for this article!

    As part of my MS experience, I am someone living with chronic pain. You wrote quite eloquently on aspects of my struggles and while my wife is amazingly supportive, I will be showing her your piece.

    Arthur

  4. #⃣2: Yup yup…

    How lucky your wife is to have such a kind and considerate hubby…☺

    Pre-op I had to persuade my S.O. to go to a spousal support group… Even just one session made a huge difference in our relationship…. It clued him in on some important stuff…and I tend to be the tough, stoic , can-do kind of person, like your wife…such a tightrope to walk because I really did not want pity but just some listening and some compassion, which seems like such a scarcity sometimes….

    Please continue to write more about your experiences…. I have another procedure coming up in about a month…I think I am okay right now…. But sometimes anxiety and negative thoughts creep up out of the blue and smack me right in the face….so hard to find kind and sympathetic voices…

    Best regards to you and your wife…

  5. As a woman who has experienced chronic pain my whole adult life, through three relationships (including a marriage to an abuser who exploited my limitations) I really appreciate this piece. Every one should have so much compassion towards their partner.
    Something I would like to add: Treatment must be a priority. Sounds kind of obvious, but it’s easy for someone used to ignoring/minimizing their pain to not fully advocate for their need for treatment, so it is incumbent upon the partner to ensure that treatment is always available and used (this goes along with number one in the article, but I think it bears spelling out). For 20 years, I would wait till the pain got so bad that something needed to happen IMMEDIATELY. And I never got enough treatment to effectively heal, either. Most of the time I had to get work (causing more pain) to earn money for treatment, because my partners didn’t think it was a priority, even if they were the “bread winner”. Now after having spent half my life not healing, I am getting PT, covered by state insurance, and there are days when I am almost pain free.

  6. cedelune says:

    Honestly, this article should be published everywhere–it’s so badly needed and the process of caring for a chronic pain sufferer/post-surgical spouse is beautifully articulated here. Lynn is very fortunate to have you in her life (and I’m sure you would say you are fortunate to be in hers–being the sweetheart and amazing spouse that you are!)

  7. Hank Vandenburgh says:

    Excellent article. Thank you!

  8. Yes! Number 8 on the first list is dead on. I know it comes from a place of concern, but sometimes you can’t help but feel utterly defeated when you are met with a well-intentioned “you shouldn’t do this.” Often I’m well aware of what I shouldn’t be doing, but giving up on attempting anything physically challenging makes me feel even more helpless about my chronic pain.

  9. Lynn Beisner says:

    As Pete and I talked about this piece, he asked if I would post this link in the comments: http://www.rolereboot.org/life/details/2013-04-depression-after-surgery-is-a-real-and-dangerous-thi

    It is an article that I wrote about post-surgical depression, and it is information that he felt really should have included in his wonderful article.

    And yes, I know how lucky I am. Pete is far more kind and nurturing than this piece shows.

  10. OldFashioned says:

    Power of Humanity……..nothing to do with gender. This article has re-newed my hope in finding someone to love me……….warts and all.

  11. This is brilliant, it is the only time i have seen such insight by someone who is not actually experiencing the pain themselves. Would you mind if I shared it on my website for others living with chronic pain, RSD/CRPS in this case? http://www.australianrsdcps.webs.com

  12. Solid advice. My wife (and I) have dealt with her fibromylagia for years. I can especially recommend no. 7. She beats herself up over what she used to be able to do vs. what she can do now. Good stuff.

  13. Great article on supporting someone who’s dealing with pain. Very thoughtful and thorough.

    Perhaps, however, it could have been written from a gender-neutral perspective. Men also experience pain, both chronic and acute, and certainly deserve the same typed of consideration. And a pain sufferer’s partner could also be of either gender. So why write the article aimed specifically at men supporting women in pain, as opposed to ANYONE supporting ANYONE ELSE in pain?

    Certainly the perspective offered is applicable to all types and genders of couples in that situation; it seems the author is doing a disservice to the reader by suggesting it only applies in heterosexual relationships where the female partner is the one experiencing the pain.

    • JJ Vincent says:

      Mike, thank you, I had very high hopes for this when I saw the title and the summary. It’s very well done, but I was somewhat disappointed as soon as I saw that it referenced straight and married.

      I understand that this is the “norm”, but there are a lot of unmarried hetero couples and plenty of gay couples of various attachments. I think we were hoping for the same thing – an article that acknowledged more than just “straight married”. The rest of us might like some validation or at the very least inclusion, too.

      I don’t think the usefulness, importance, or meaning would have been diluted by using inclusive language.

      • He is referencing it as a man to a woman because he is writing these tips from what he has experienced in his own life. Why change his experience to match yours? Take the advice…excellent as it is…and apply it to your situation if you have the need/desire to do so. He doesn’t ever say nor make any type of reference to believing that only women have chronic pain. He is just giving his advice from what has worked in his. Stop making it into something else…geez.

  14. Hi Pete

    This article will be stored in my folder called ” keep for the rest of my life”.

    Thank you.

  15. What a wonderfully supportive and sensitive husband is displayed in this article! God bless him!!

  16. A. Albert says:

    It was a well thought out article. It sounded like it was mostly for post surgical pain. I have had chronic pain since 2003 and surgery in 2006 with multiple complications and then, just as I was beginning to walk again, we were hit from behind which knocked me back to square one. Because of all the complications, I can have no further surgical repair. Therefore, I have varying levels of pain all the time. But I do not take medicine until the pain is severe. Since it will not change in the future, it will not get better for us. Some of the things brought out do apply, but mostly it sounds like the pain will end when the wife recovers. Sometimes it never does end.

  17. Lasara Firefox Allen says:

    Wow, thank you. This piece is insightful. As a chronic pain sufferer, I learned some new things. Also, you are a wonderful person. I’m so glad your wife has you. Bless.

  18. What a wonderful article! I was first diagnosed with Fibromyalgia in 2002, then in 2003 came Multiple Sclerosis-after that the Osteoporosis, Arthritis, COPD, Degenerative Bone (Disc) Disease plus a few other minor syndromes. I had to medically retire so I changed my home business to making healing gemstone jewelry instead of a lot of aromatherapy products. Through all of this, I have had the most amazing man taking care of me. His name is Tom, he is my husband of 30 years. He knows pain as he has scoliosis, but he continues to work hard as a log truck driver to pay for our home and all the bills that go along with a home. My SSID is helpful. He understands everything about my pain issues. He can even translate what I am trying to say when MS has stolen away my cognition abilities for awhile. MS as well as Fibro changes every day-never the same. Yet Tom tirelessly continues to help me understand that I must take care of myself and not feel guilty because the walls are not washed, the carpet is stained, the laundry is not done, the bathtub is dirty. His love surrounds me 24/7, even when he is not home. He is amazing. And he is my love and my world.

  19. Most excellent article. Thanks for taking the time to put the words into print.

  20. This is a great piece, full of truth. Thank you.

  21. Thank you, Pete, for this well-written and relevant article. There are not many people who can understand chronic pain without having it themselves, so you are quite rare. I also have such a husband, but most people’s spouses/partners cannot relate to their pain with the empathy that you do. Not everyone is capable of such mindful compassion, but you are showing the way. You’re a good man, Pete!

  22. Kimberlee Pitts says:

    Mr B. You must be a saint. The way you speak shows how much you love her. She is very lucky to have such an understanding husband.

  23. Thank you for putting this together. As a chronic pain sufferer, even I need to remember some of these points. I definately think my SO could learn quite a bit from reading this. You clearly thought a lot about this and have worked hard on your relationship. As to those saying it shouldn’t be from a straight, married POV, he is speaking from his own experiences, as a straight, married man. Anyone can apply this to their own relationship, but he is speaking his truth.

  24. Great information. I love that you would take her pain. That is real love. My bf of 14 years is always great to me. Recently he had a horrible case of shingles. He said, I can’t even imagine what kind of pain you through. I had no idea.

  25. Thank you for writing this. As a young woman born with severe chronic pain I very much relate to your piece and feel very happy that someone is writing about the strain this puts on your relationship.

  26. Your wife is the luckiest woman in the world (aside from me of course). You seem to be just like my husband in the amount of love, care and devotion that you display towards your wife. I am so impressed by you! Although my husband is already incredible with my pain, I will share this with him in case he feels like there are things he could improve on. Thank you so much for writing this article and thank you on behalf of your wife for being an unbelievable husband!

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