Confusion mounts but, is it the result of tiredness or of excruciating pain, does it stem from extreme exhaustion or intense nauseating discomfort. The evidence is difficult to decipher, in fact the evidence posits itself as the dilemma! Quite frequently the sundry pain and discomforts, especially those in the limbs, seemed to attack just at the point when a temporary exhaustion sets in but, on closer observation I have realised that the exhaustion, or a sudden loss of stamina, follows from my struggling with both aching discomfort as well as more acute pain.
There seems to be an obvious correlation between pain and tiredness but, it also tends to be a classic chicken or egg type dilemma. Recently, what I seem to have been experiencing is an excruciating (pain of) tiredness which may precede or follow bouts of the following kind. The experience, rather than pain, is as if, feet, legs, arms don’t belong to the torso but produce a kind of nauseating discomfort/dis-ease! For longer than I care to remember, my reaction to a randomly occurring hollow ache in the armpits has been one of nausea.
The armpit discomfort, at times, seemed to ease when I discarded my fleece or cardigan, donning a poncho in their place. At other times, an almost contradictory process brought temporary alleviation of the symptoms, namely donning a shoulder support which seated itself firmly in the armpit. So, a freeing up of pressure or applying additional pressure to the aching area, at different times provided relief from the same symptom.
A sudden onset acute pain, in feet, knees, wrists and/or elbows may occur during the day, immediately diminishing my concentration on whatever minor task I’ve been involved in. These symptoms may also occur as I lie in bed at night although, at those times restless legs become the major problem. A combination of low dose amitriptyline (30mg) with 50 or 100 mg of tramadol seems to prevent the restless legs kicking in but, I have no desire to become reliant on the tramadol dosage. In the case of joint pain, a combination of applying elastic supports to the affected points preceded by a generous smearing with ibuprofen gel, gradually diminishes the more acute discomfort.
By this point, you may well think that I’m a physical wreck and, I’d be tempted to agree with you. I still feel blessed that I have access to lots of good music on vinyl, CDs, and airwaves, and movies on DVD, which enable me to enjoy life, pushing the chronic aches and pains away from their dominance of my mindset. It’s strange how a sudden sharp sound, a pan lid falling, a door slammed shut etc. can produce a chest crushing bodily response, I am still able to take musical climaxes in my stride.