Chronic pain is a very common and often debilitating condition that affects young and old alike. Western medicine struggles with pain management, we encourage modalities like physical therapy, massage, accupuncture, exercise, but often end up turning to opioids and other medications to manage chronic pain. Meditation has made its way into the treatment of pain, but even that has mixed results.
Meditation seems to be touted as a cure-all these days, recommended for everything from treating hypertension, to mental illness, chronic pain, and improving overall well-being. There is a lot of good data supporting the practice of meditation for these purposes, but I think it is important to recognize that meditation is not a cure-all, but rather manages to make everything workable.
This is a rather minor but significant shift. Meditation won't solve all your problems, but it will help make all your problems workable. Problems of all kinds are solved when we see them as workable. When we know that we can experiment, play around with things, try something new in a maybe slightly different way, we can solve problems. Maybe the problem goes away, maybe it just becomes less of a threat.
Most of the power that problems have, and this is especially true of chronic pain, is that they seem inescapable. The pain doesn't go away, and it doesn't seem likely that it is going to go away tomorrow. This persistent experience in our lives is exhausting and drains a lot of our attention and energy. When we fight our pain, it always wins, because it gains power when we resist it. Try to escape its presence by using drugs and alcohol, and we just find it again on the other side of our stupor. Escape seems hopeless, we seem powerless, and it is very easy for depression to set it.
The solution that meditation provides is to find some space with the pain. In meditation, we find that we can experience pain, but not be overwhelmed by the pain. The pain is there, dancing, doing its thing, but it is also a little distant from 'us'. We find that we don't need to identify with the pain, that we can live with the pain, rather than in pain. Pain in this sense becomes like a companion with us on the journey of life. Sure, it is often a nagging companion that we don't really want to hang out with, but alas, here we are. If they are going to join you on this journey, you might as well figure out how this relationship is going to work.
If you are feeling stuck with a chronic problem like pain, start by trying to find a space where you can be present amidst the pain. Set out to discover a sense of peace and calm, a solid ground to stand (or sit), amidst the experience of pain. This ground is the basis of exploring and understanding your relationship with pain. When you start to realize that you can experience pain but not be dominated by its presence, then you have made the problem workable. Gradually, your presence overpowers the presence of pain. Sit with that, your presence overwhelms the presence of pain, rather than the other way around (the old way of our relationship with pain).
Then, like the Buddha said, our pain becomes like a teaspoon for salt in a large body of water, rather than a small cup. The salts still there, but not as distasteful.
My last thought on the use of meditation for working with pain. Often, we are asked by the doctor how much pain we are in, 0-10. If the pain is held as a constant level of experience, what if we change our relationship to that pain. How can we move from a 7 to a 5? Or even a two? That's what meditation can do, I'm confident of that.
