ADHD · health · injury · rest

Christine’s Current Conundrums

Conundrum #1

As I work towards healing the muscles in my back, neck, and shoulders, I need to do a certain amount of movement to keep the circulation up, to create ease, and to maintain mobility but I can’t do too much or I will end up hurting myself and have a setback. 

How can I tell if I am doing enough or doing too much?

It’s a conundrum – there’s actually no way to tell, it’s something that everyone has to kind of figure out for themselves.

I hate that for me because I really have NO IDEA how hard I am working at any given time – even when I am not injured – so I can’t compare how I am moving now to how I moved last time (even if ‘last time’ was 5 minutes ago.)  

I’m sure you can see how that makes it very challenging to take a ‘do what you can, evaluate, then make adjustments next time’ approach for this healing process. 

I know a lot of people with ADHD mention having issues with this sort of thing – a lack of perception regarding our efforts – so it seems to be one of those challenges that everyone has but is often exacerbated by ADHD. 

The whole ‘how much is enough/how much is too much’ is really an unanswerable question loop so I’m really just going to hope for the best. 

Conundrum #2

I woke up on Sunday morning with the sort of panicky thoughts that usually only show up when I am having the sort of migraine that doesn’t involve any actual headache. I thought that was odd until I sat up, my stomach turned and I realized that I *was* having a migraine. 

I took a migraine pill, slept for another few hours, and then felt pretty ok until about 9pm on Sunday night when I suddenly stressed myself out about something and my stomach turned again.  Next thing, I was lying in bed with my migraine hat on , listening to cello music , putting an ice cube in my mouth, holding a hot water bottle to my stomach, and trying to find some ease.

Did I actually have the same migraine all day but the meds in the morning put it in the background? Or did getting stressed out bring on a new migraine? Or did a pre-existing migraine make me more vulnerable to getting suddenly stressed out and the stress just brought the symptoms to the foreground again? 

Is there even any point in asking myself these questions?

Since I haven’t ever been able to reliably predict my migraines there’s probably no point in going through the thought-loop but it would take a lot of energy to stop myself so I might as well travel the loop until it burns itself out.

Conundrum #3

After my Sunday night migraine,  my Monday self felt pretty lousy but I also had a bunch of tasks that I needed to do.

If I had felt any worse, I would have just taken to my bed like a Victorian lady and called it a day but I wasn’t that kind of sick. It was a ‘take it easy’ day, not a ‘grind to a halt’ day so, basically, I was in the same kind of loop as the ‘enough/too much’ question above except with work and rest.

Rest is important, obviously,  but my day wouldn’t be very restful if I couldn’t put those tasks out of my head, especially since I knew people would be checking in with me about them. (I never want to risk getting extra email.)

The best answer would be to identify the most important tasks and work on those but that brings me to a different challenge: 

Prioritization is extremely difficult for me under the best of circumstances and a day in which I am very tired and recovering from a migraine was not the best of circumstances – especially since my ADHD meds are less effective when I haven’t slept well. 

And if my meds are less effective, it not only affects my ability to prioritize, it also affects my ability to concentrate on my work so I am going to be slower and less focused.

So, I basically spent a good chunk of Monday putting a lot of mental effort into my attempts to prioritize/cut back on my work for the day so I could rest. 

Conundrum #4

As I got towards the end of my day, I discovered another conundrum:

Am I too tired/out of sorts to take Khalee for a walk or will taking Khalee for a walk actually make me feel better?

Luckily, I quickly figured out the correct answer for that one:

And about 5 minutes after we got home, it started to hail (just a little, but still!) so I was really glad that my ‘Will a walk help?’ loop was far shorter than the others. 

Conundrum #5

My final loop of the day was ‘Do I feel up to writing a post for the blog? What am I going to write about? Should I write about this loopy day? Will anyone want to read about that? Am I just being self-indulgent and whiny?’

And maybe I am being self-indulgent and whiny but I also know that I often feel better when I read posts like this. When other people write posts like this they always remind me that I am not alone in my frustrations, and thought loops, and in my efforts to make my way out of ordinary, fairly low-stakes conundrums. 

So perhaps today is my turn to do that for you.

It’s ok to get caught in conundrums – thought loops happen to everyone.

It’s ok to struggle to balance things and lots of us find it hard to figure out how to rest. 

There’s nothing wrong with you if it feels like AllOfTheThings are in your way today. 

Please be kind to yourself as you make your way along.

fitness · health · illness · self care

The Latest Weird Thing About a Stiff Neck

Last year, I wrote about how my neck gets stiff when I am anxious and about how I get anxious when my neck gets stiff so it’s hard to parse which came first.

A few weeks ago, I discovered that there is another factor to consider in the whole stiff neck issue.

For almost 30 years, I have been getting semi-regular headaches that start with pain and stiffness in my neck. I haven’t been tracking them per se but my estimate is that I have them at least once every two months but sometimes I will have several in a month.

I’ve been blaming it on ‘sitting funny’ or not stretching my neck properly or any of a myriad of things that make these headaches kind of my own fault* for not paying closer attention to my body.

However, I recently had some interesting information come my way that puts that stiff neck in a whole different context.

My dear friend M, a GP who has gone back to school to specialize in Neurology,  has been preparing for her Royal College Exams and she was practicing for the part of the exam where she essentially demonstrates the results of her years of study by seeing practice patients. A couple of weeks ago, I was at her house for several days in a row to help her study and on the third day, I had one of these neck-based headaches so I decided to let her use me as a practice patient for the headache section of her studies.

She asked me when the headache came on, where it was localized, and so on. Then she connected my headache to my sleepiness from two days before and my lack of focus the previous day.

The author, a middle-aged white woman with shoulder length brown hair, wearing a black shirt and glasses is not looking directly at the camera. She is sitting in a room with green walls and there is a white door behind her.
I just happened to take this photo the day before my conversation with M. I was participating in a web chat about writing and I was having trouble concentrating. I was tired, I knew I was going to have a headache the next day because of the specific way that my neck was aching. I did some stretches and took some ibuprofen in hopes of warding it off but it didn’t work – it never does, actually but I always try it.

I was expecting her to respond with ‘Christine, you have a headache’ but instead, she said, ‘Christine, you’re having migraines.’**

I’ve always thought of migraines as ‘have to lie in a dark room with a cloth over your eyes’ type of headaches. My headaches are bad but I can (mostly) still function so I never considered that they were anything more complex than an elaborate neck ache.

M says that my neck pain is actually a symptom of the migraine, rather than the cause of my headache. (It’s no wonder that no amount of stretching seemed to get rid of it.)

Timeline graph of migraine symptoms. The background is purple and the timeline is orange. The graph illustrates that there are a few hours or days of symptoms that precede a migraine, the migraine itself lasts from 4-72 hours and there there is a 24-48 hour recovery period.
I had no idea that things like concentration and difficulty sleeping could precede a migraine. This graph was found here: https://americanmigrainefoundation.org/resource-library/timeline-migraine-attack/

Learning that I have migraines explained a lot of things, including a certain type of ‘out of phase’ feeling I have beforehand that I recognize as a regular occurrence but hadn’t connected to my headaches. It also explains two feelings I have after my headaches pass. One that I call a ‘headache ghost’ where it kind of haunts me, as if it could return at any second, but it doesn’t hurt any more. And a ‘headache hangover’ where I feel all wrung out, hungry, unsettled and regretful.

This is all interesting to me, of course, but the thing that really sticks is how different I felt about my headache once I called it a migraine.

With rare exceptions, I have always tried to just carry on with my normal tasks when I have a headache. Sometimes it has been awful – intense pain, nausea, disorientation – but I refused to give in to something as ‘small’ as a headache.***

Now that I know these things are migraines, I suddenly found myself giving them the respect they deserve. I’m not saying that I am going to take to my bed at the first twinge of impending migraine but I am planning to take it easier on myself and I may just head to bed instead of fighting through nausea and pain to complete the things on my list for the day.

So, what does all of this have to do with fitness as a Feminist issue?

Fitness, for me, is about learning to take good care of myself and respecting what my body tells me.

Acknowledging that trying to ignore my headaches was dismissing and disrespecting my body’s signals shows me that that is one area in which fitness has eluded me.

I was being hard on myself for not stretching enough (something that helps me feel fit) when that wasn’t the problem at all. I may or may not have been ‘working hard enough’ but I was too quick to decide that I was to blame and I didn’t see the big picture.

And, the fact that I automatically dismissed pain and illness as ‘not bad enough’ because it was ‘just a headache’ tells me a lot about how I have internalized our society’s ideas about rest, laziness, and the notion that you need to earn the right to rest, even when you are sick.

I don’t know if this expression is localized but here in Newfoundland and Labrador when something is awful we’ll say that it’s not ‘fit.’  As in, the weather’s not fit to go out in, or that clothes is not fit to wear to the party, or, that someone is not fit to talk to.

Even though I didn’t know I was having migraines, I knew I was having really bad headaches but because I thought I brought them on myself, I didn’t rest the way I needed to.

And that’s not fit.

For the record, over the next few months I will be doing some tracking to see what my triggers are and to see just how often my migraines actually occur. And I will be going VERY easy on myself every time one happens.

*Is blaming ourselves for our ailments wise or helpful? It hasn’t helped me so far, I tell ya. I mean, I get that recognizing behaviours that lead to issues can identify actions to take but I wish we could all detour past the blame and just get to the action part.

**NOTE: M is able to make this diagnosis, of course, but she is not my doctor so I have also brought this information to my own doctor for follow-up.

***Yes, I hear how ridiculous this is. Heaven forbid I take things down a notch when I am ill in any way. Yes, I get on my own nerves. SIGH.