SMART Goals and Chronic Pain: What are your goals?

Posted by Rachel, Volunteer Mentor @rwinney, Nov 19, 2021

How often do you think you can't do something because of pain?

I struggled with this because I set unrealistic expectations. I based my expectations on what I used to be prior to living in chronic pain. That was my A life; overachiever, perfectionist, multitasker. During the onset of chronic pain, and time of instability, denial and confusion, I lived my B life. Presently, I'm doing my best and living my C life which is stable, moderate and flexible. Learning how to use SMART goals helped me attain direction in my C life and gave organization to guide me towards succeeding and appreciating my small wins.

How have you helped to manage chronic pain using SMART goals? What have your small but satisfying wins been?

Interested in more discussions like this? Go to the Chronic Pain Support Group.

@kenc

The biggest challenge w/ pain is overcoming the depression accompanying the pain.

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You're absolutely right @kenc, there is no denying that depression accompanies pain, it's bound to be present. Setting even the simplest of goals can help to start combatting depression. One goal I focused on to begin helping pull myself from depression was to list my abilities. I literally wrote down the simplest of things that I was able to do in my C life, forget about my A life, that was over and never coming back. As chronic pain sufferers, its easy to get down on ourselves and focus on what we've lost or cant do anymore, but what about what we can do?

For me, it took being very real and honest with myself to start appreciating what I was taking for granted that others may not be so lucky to have, or be able to do. For example; tonight I am typing on a computer, reading, and participating in a supportive Connect community. Not everyone has the ability to see, read and type due to various health issues, myself included at times.

I know that focusing on the positive is not always easy and there will be set backs, but sometimes its all we have in the moment. As part of my goal I began keeping a daily gratitude journal and writing things like my small win of the day, which might be helping someone on Connect, or drinking more water and eating less sugar.

Having an optimistic outlook, believing things can be better, and believing you have the power to help yourself is all a part of goal setting. What goals to help combat depression can you think of that might work for you @kenc?

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Your actions are commendable and obviously work for you, but with me the pain get so severe that I have to lay still.

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@rwinney

SMART Goals Are:

SPECIFIC - What do you want to work on?Self-care, exercise, behavior, thoughts? Write each goal plainly. State exactly what you want to achieve, when you want to achieve it and how you will do it.

MEASURABLE- Focus on clear, measurable outcomes. A goal is useless if you cannot measure success. "I want to walk for 5 minutes each day" is clear and measurable.

ATTAINABLE - Be sure this goal is within reasonable reach. Start with goals you can achieve daily or within a week to a month.

REALISTIC - Can I accomplish this or am I setting myself up for failure? Be sure each goal is realistic. While reducing the focus on your symptoms and planning for the future, consider your limitations.

TIME-ATTAINABLE/TRACKABLE- How much time do I need to meet this goal? Will it be short-term or long-term? Decide how to track your progress. Keeping a record of improvements encourages you to keep moving forward.

Keep in mind that trying to attain goals may come with occasional set backs. Accept the set back, review the goal and move on again with positivity.

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I admire the SMART goals concept, but having suffered from chronic pain for almost the same amount of years I have been trying to lose weight, my biggest obstacles have more to do with SMART “obstacles” I always seem to be lacking: Support system, Motivation, Accountability, Results. and Tenacity.

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@athenalee

Thank you Rachel. I do agree with having SMART goals for being as healthy as I can, given my diseases. So, my goals focus on sticking to a very healthy diet and walking 2-3 miles each day, along with some exercises. But as @kenc says, depression and for me, frustration, is challenging and interferes with realizing the benefits of meeting my goals as my pain continues and worsens.

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@athenalee I like your goal of sticking to a healthier diet, walking, and some sort of excercise.

Congratulations on keeping goals in mind no matter the pain and repercussions. You are a fighter.

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@tekkie3

I admire the SMART goals concept, but having suffered from chronic pain for almost the same amount of years I have been trying to lose weight, my biggest obstacles have more to do with SMART “obstacles” I always seem to be lacking: Support system, Motivation, Accountability, Results. and Tenacity.

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@tekkie3 Hello and welcome to Connect. You and I appear to be around the same age. I became permanently disabled at 47 also.

I'm sorry for your health struggles and hear you, and your desire for help with goals, living with chronic pain and obesity. Have you considered a pain management program?

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@misspeach

To add another element to the conversation; distraction, like listening to your favorite music, or even writing posts or poems, stories are effective if you create a healing tale- even better! Of course funny films are notorious for pain relief, and I use therapuetic baths every evening, which relaxes the muscles we tend to hold tight all day in coping. I'm joining a group experience soon, to reflect on and explore the psychosomatic aspects of the pain, which has been roving for nine years. Yes, I have severe depression also- enjoying even a few minutes of comfort is so, so wonderful! That alone helps me get through.

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@misspeach Hello and welcome! You are a breath of fresh air, Miss Peach. Thank you for joining the conversation. You offer great ideas and suggestions for self-help and goal setting.

Scheduling a daily dose of humor to distract from pain is a helpful goal to me and I faithfully do it.. Whether it's watching a movie, calling a funny friend, or listening to a podcast, take the time to be distracted in a good way.

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@sueinmn

My biggest impediment, on bad days, is getting started! My friend i& neighbor s an amazingly productive artist, who lives with RA and OA pain.

She told another friend and me "Here is how I cope" -
1) I make a list of 2 things to accomplish each morning - sometimes as small as "clear off the kitchen counter" or "get groceries". If I finish those, I had a successful day. But usually, this gets me moving and I go on to accomplish more.
2) Every day, I do something related to art. If I can't paint, I sketch. If I can't sketch, I go through my (on-line) photos looking for inspiration. If I feel too lousy to even do that, I watch art-related videos.

Then you posted about "SMART" and I was amazed at how her goals aligned so perfectly, while still respecting her body, emotions and ability. She inspired me, and I have been trying this fall to emulate her. It has really helped!

Thank you Rachel for the reminder that I need to make goals I can accomplish with the body and energy I have, not what I used to be able to do!
Sue

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@sueinmn You are very welcome Sue. We all can use reminders and reinforcement sometimes (including myself), and to know that we are not alone in the daily grind of chronic pain.

I started the SMART Goals conversation to inspire and motivate. It's easy to feel sorry for ourselves and give up, but that can be a dead end street.

"You get out of it, what you put into it"
I taught my kids this lesson at an early age. When I became permanently disabled, I took my own advice because I knew if roles were reversed, and my kids, or a family member or friend suffered from what I have, I'd encourage them in the same way.

The thing about it is often we are good at inspiring others with great advice but we don't always adhere to our own.

Small steps and staying the course. Keep up the good work Sue!

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@rwinney

@misspeach Hello and welcome! You are a breath of fresh air, Miss Peach. Thank you for joining the conversation. You offer great ideas and suggestions for self-help and goal setting.

Scheduling a daily dose of humor to distract from pain is a helpful goal to me and I faithfully do it.. Whether it's watching a movie, calling a funny friend, or listening to a podcast, take the time to be distracted in a good way.

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Thank you! My dogs, Spot & Tosh are a huge lifesaver for me as well. Everyday, they humor me in so many ways- even when they are naughty! Animals can be as nurturing as people, even more so!!!

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@rwinney

@tekkie3 Hello and welcome to Connect. You and I appear to be around the same age. I became permanently disabled at 47 also.

I'm sorry for your health struggles and hear you, and your desire for help with goals, living with chronic pain and obesity. Have you considered a pain management program?

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I had a bi-lateral laminotomy at L4-5 at age 50, and have been getting a combo of epidural injections & RF ablations every 4-6 months since age 48 Rx pain meds as needed. This still helps to manage my pain fairly well and affords me the ability of limited exercise. My biggest 2 issues are lacking a support system and an aversion to exercise.

I was active in sports my entire life until age 44 (the onset of my back issues & arthritis). Was also never overweight until a new medication I was prescribed from ages 44-46 caused me to gain 60 pounds over a 2-year period. Now at 75+ pounds over my desired weight and every diet and exercise program under the sun, I feel powerless re: my weight. 😥

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@tekkie3 Have you visited the weight loss conversations on Connect? By typing in "weight loss" in the search bar you will find various to select from. Here is one:

https://connect.mayoclinic.org/event/video-qa-why-is-it-so-difficult-to-lose-weight/
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