Pain

     I started Physical Therapy (PT) on Monday for chronic neck and back pain that hasn't gone away since I stopped wearing my backpack. As I explained to my mother how excited I was to feel better, she reminded me to thoroughly answer the questions that the Physical Therapist asked. I thought to myself about how easy that was and that it couldn't be too difficult. When I finally met with PT, I realized just how hard those questions were to answer and just how subjective pain is.
     During my time in OT school, the therapists that shadowed would always ask their patients what their level of pain was on a scale of 1-10. A lot of the time patients would say that their pain was somewhere between 7-9. I truly couldn't imagine how much paint these individuals were in. It scared me to age. I also couldn't ever understand how they could even gauge that.
      Fast forward to Monday where I was asked similar questions. The first questions was, "where is your pain"? Well of course the paint is in my neck, shoulder, and back. If I had to give a rough estimate, I would say the upper left quadrant of my back. That question was easy.
      Then came the questions about my pain level. "On a scale of 1-10, how bad is your pain?" I thought to myself and shared with my therapist that it was probably about a 1 or 2. I thought the questions were done. Then she asked, "On a scale of 1-10, how bad has the pain been at its worst"? I took a minute to think again and then I told her it was probably a 3-4, maybe 2-3. To be perfectly honest, I was scared was scared to answer too low for fear of her thinking that nothing was wrong and I was scared to answer too high for fear that I was being too dramatic. The pain is chronic and bothersome, but it doesn't effect my ability to function. Isn't that enough? She assured me these questions purely for insurance purposes and I totally understood the need to answer them, but what came next through me for a loop.
      After asking various questions about my pain level, then she started to go more in depth. How long have I had this pain? I don't know. It started when I was in college. Well, was it a year ago? 5 years ago? I settled with somewhere around 3 years ago; it wasn't like there was an exact day where I woke up and was in excruciating pain. Then the toughest question of all came. Is the pain a sharp pain? Is the pain an ache? I had no idea how to even begin to answer this question. Isn't pain, just pain? "Well, it sure isn't some dull ache like a pulled muscle, but it sure isn't sharp like someone just stabbed me either" Can't my body just hurt? Then I told her how certain things feel like they were following asleep such as my pinky finger. I also expressed a "burning sensation on my back. She proceeded with he questions, "well is your finger numb?" I told her that it was. Then she asked, "Or is it tingling"? Wait, don't numbness and tingling go hand in hand? What does tingling even mean?
      I never thought their could be so many questions about something I thought was so simple. Answering questions and rating something have never been something that I have been good at. From past experience, breaking a finger rates as a 10 on a scale from 1-10, yet people say that child birth is like breaking 20 bones. What's the difference between numbness and tingling? If you push on something, I'm sure you'll be able to tell if your causing me great pain, purely by the amount of sound that is coming out of my mouth. What do you mean a sharp pain? I mean, I get migraines regularly that start out as a headACHE and then the pain eventually gets sharpER. All I could say is that I was sore. Pain in not a concrete thing and this Aspie doesn't understand things that are not concrete. You may be able to use words asking whether something is this or that, but what if it is neither? What if it just is?