Target Practice

Well, it’s been nearly two weeks since my last update, packed full of goals as it was. What’s occurring?

1. Stairs

These are a lot easier now. I am firmly into the habit, despite having to occasionally leave a colleague or two looking mournfully out past the closing lift doors at me. It’s rare I don’t make it up the stairs in the same time as the lift takes, more or less, which is heartening. I wouldn’t say I’m entirely non-breathless, but (unless I take the stairs two at a time, which I sometimes like to do on the final flight, and even then) I’m a lot less breathless when I reach my desk.

So that’s nice.

2. Lunchtime Walks

This has been going pretty well. I’ve managed to do this (or roughly this) every workday lunchtime, and have even fitted in a couple on non-workdays (walking to Newmarket Road and back on Wednesday - 1.4 miles either way; walking to Milton Country Park on Sunday - 1.5 miles either way). In fact, I definitely seem to have hooked into the “feeling weird if I don’t do it” vibe pretty quickly. In terms of goals, I do seem to have upped my pace for the lunchtime walks, which is groovy, though measuring inconsistencies (the first few times I kept forgetting to switch off the recording device until I had been pottering around in the canteen for a few minutes) mean that it’s hard to say whether I would have recorded a lower completion time in the first few anyway... However, the mean pace is consistently better (though sometimes a little slower than my average if I’m walking with someone else - getting breath to speak and all that). That one feels like a solid win so far (though I’ve had few weather challenges to overcome), even though I do feel like a dapper gent taking a lunchtime constitutional (yes, I do wear my famous hat).

3. Isometrics

Bloody isometrics. Well, I’ve finally hit upon a way to do them at least once a day - tag them on the end of my morning physio. Fuck it. I can always to an end-of-working-day one as an extra, but I’ve had trouble working that in, so I’ll at least have that one. I’ve only done this twice now, though, so no stats yet.

Time for some other goals/ feedback

4. Hydration

I’ve been using the FitBit to monitor my water intake. It’s a bit rubbish, which I knew it was, so I’ve been using various methods to improve that, and (apart from this morning, because Monday morning, amirite?) I’ve been doing pretty well. Not, you know, excellently, but better. And my evidence on the benefits on days with proper hydration in them is fairly bloody empirical, but you don’t want those details.

Advantages: All of them? Good for digestion, skin, metabolism, oh yeah and staying alive.

Disadvantages: Obviously I need to wee more. That’s part of the point though, so hey.

Goal: Get up to drinking about two litres of water a day without having to poke myself in the head to do so.

5. Fitstar

As previously reported, I selected the “Get Strong” program from Fitstar, packed full of strength-building and cardio exercises in three-times-a-week, twenty-minute sets. So far it has not proved onerous to do the three sessions a week (so far Wednesdays, Fridays, and Sundays), though it’s significantly easier to not feel self-conscious when bobbing up and down to some perky fitness expert’s generic instructions when no-one’s in the house. (“Tighten those abs!” “Remember to keep a straight back!” “Keep it light - land on the balls of your feet!”) And the program does seem to keep track of which exercises I label “Too Easy!” and “Brutal!”, pushing me where I’ve indicated I’m up for that and not where I’ve said “Nope”.

Unfortunately, there are a fair number of exercises which require the adherent to put weight on one or both knees. After gingerly trying a couple of these and suffering both math and aftermath, I now instantly skip any with weight-bearing knee forms, label them “Brutal!” and indicate that I’ve done zero. Apart from the “press-ups from knee” which I do from the toes. So.

The exercises get my heart-rate up and many are moves I’d never have considered (read: in some cases didn’t even know they were A Thing). Some are nearly impossible to do properly in my living room, so require improvisation, improved immensely when I realised that I could pause the instructions while I rearranged things to roughly match.

Apart from some tightness and pain in and behind my knees which felt terrifyingly like a return to horrible old symptoms of 2011/12 until I ruthlessly did all the right things to loosen stuff, these exercises appear to be taxing me exactly the right amount.

Goal: Just keep going and ingrain the habit.


6. Weight

Argh. So, the side-effect of being more active? Yep - weight-loss. Which, in my case, is a bugger, and leads to friends advising me to eat more, and put on some weight.

I. Am. Trying. Believe me.

The balance of “types of food that won’t fuck with my now-shitty digestive system”, “quantities of food/ drink that won’t fuck with my now-shitty digestive system”, “time periods of ingestion that won’t fuck with my now-shitty digestive system”, and “oh, yeah, I’m still allergic to loads of stuff” with “go on, eat more and put on weight” is proving... problematic.

I am going to try protein shakes next. Because fuck it. There’s been very little advice online about this, and most of it is: “Hey, ladies, you don’t want to put on loads of fat (urrgh, fat), you probably mean you want to pile on lean muscle; here, have an avocado.” And while a) avocados are nice (especially mashed up with bacon and garlic-infused olive oil on brown toast), and b) more lean muscle would also be nice, c) I am finding it hard to keep warm when stationary and my less-padded arse has difficulty sitting for extended periods of time, especially on hard surfaces, dammit. A significant number of “weight gain diets for women” searches have led to the above advice, or even straight to weight-loss advice because apparently I don’t know what I’m talking about plus Western culture’s obsession with thinness = healthiness which gjjh&*HJ*$%&Jkj, basically.

Any advice on this would be super-gratefully received. In the meantime, I’m due to see the gastroenterologist in October, and I’m going to ask for a referral to a dietician/ nutritionist for this very reason, because at least they won’t advise me to eat more eggs, unlike even the actually vaguely helpful websites do. (I am super-allergic to eggs.)

And how is this all making you feeeeel?

Ah, that one. (How about super fucking hungry all the time?) Well, I’m feeling a bit more confident about my body and its ability to cope with physical challenges. I’m also enjoying the fact that I appear to be (slowly) gaining a measure of discipline over a lot of these things, which in turn makes me feel better about myself, which in turn makes me more likely to Do Things Right, so...

I’m also noticing a (unexpected at this stage) small but significant set of changes to my body shape and, well, the best word I can think of is texture. Specifically:

• there appears to be more intense wall of muscle around my abdomen, especially evident when standing.


• My thighs and calves are definitely more heavily muscled. Again, this is more evident when standing, but the calves, in particular, seem to be changing shape even at rest. Their texture at rest is different. Sorry - I can’t explain it better than that they’re denser? less wobbly? Maybe...


• My forearms also have this change of texture. Not that they were ever particularly wobbly, but... yeah, they feel denser.


• My biceps appear no different, but my triceps appear more defined, especially when my arm’s extended.

I am stiff a lot of the time - sitting still really does cramp me up, but I seem to be recovering quite well each time. And maybe some of that recovery is more psychological - I’m expecting my body to be more in command, so just act as though it’s going to be fine, and it is.

My digestive health is... mixed. I am trying to eat larger meals and that’s causing me pain and bad reflux issues, including impacting on voice and breathing. On the other hand, I know better how to deal with that, so that’s passing faster and I’m panicking less. Mostly.

Spent two weeks saying how great it is to have my voice back. Woke up today with it as scratchy and painful as before. Send hope, please.

— Fay Roberts (@fayroberts) September 17, 2017

Oh well. It still cleared up within a few hours, so that was nice.

I’d like to say I’m sleeping better, but that’s a Whole Other Thing that we’ll have to address in a separate blog post, possibly a couple of months down the line when all this has bedded in properly.

Haha. Bedded in? Bedded... Bed. Coz sleep, coz. Yeah. Ahem. Anyway. See you soon!

Unwelcome Guests (in the body)

This has not been a great week, physical (and therefore mental) health-wise.

Basically, despite being Little Miss Healthy, my joints decided that the thing they really, really wanted to do was suddenly stiffen and hurt. All of them. A lot.

Now, sometimes this happens, e.g. hurting like the Devil after dancing for the first time in years, and more often than not I can point at a cause and work away from/ ignore it accordingly:

1. Dancing like a maniac/ standing for ages - the concomitant muscles/ joints hurt as you'd expect.
   
   Solution: Rest, plenty of water, stretching beforehand, bracing properly throughout standing period to prevent if possible.



2. A long period without daily physio exercises - knees in particular suffer from this one
   
   Solution: Ease back into physio (i.e. lower reps until muscles restabilised).



3. Being dehydrated - general achiness (apparently, according to my browser's spellcheck, this isn't a real word - tough) and "tiredness" of joints.
   
   Solution: The Universal one. Sorry. Well, obviously, I drink more water, and wait for recovery (a day or two).



4. Eating too much sugar - as above dehydration.
   
   Solution: again, pretty obviously cutting the sugar down, working out why I'm eating badly (tired? bored? sad? leaving meals too late, so needing a quick fix, etc.?), drinking more water and eating more protein (don't ask me: it seems to work!)

Of course, sometimes I just get the 'flu or something, which again is known and can be accounted for.

Last Thursday I started hurting. And it didn't get better and in fact progressed. It was bits that normally don't hurt this extensively (wrist, knuckles, ankles, hips, jaw) as well as the usual suspects (neck/ shoulder, knees) and some old friends (lower back, upper back). And I've now been through a whole slew of emotions, including the classics of denial, anger, bargaining and depression (with a hearty dose of fear to boot), currently wobbling in and out of acceptance.

Wise people (with much worse versions of this condition than mine) have told me to not stress, and that it's just a flare-up, just a phase; I'll be back to normal in no time. I'm more optimistic in the mornings, when I'm reasonably mobile, but right now, with my hands seizing as I type, my optimism could do with some work.

Other people have told me I should eat this magic leaf, or cut out potatoes, peppers, and tomatoes. Others are counselling NSAIDs. I am honestly struggling to stay focused on anything other than putting one foot in front of the other, and I suspect that I am a massive grump monster in the evenings.

Being me is hard work right now, and with two weeks to go before I drive myself and a big pile of equipment to Edinburgh to start the gruelling marathon of the Fringe, I'm starting to get a little troubled...

The Aftermath

This needs to be made clear - I am very happy right now. Okay, it's my birthday and the sun has been shining its arse off in crisp, blowy weather - exactly how I like it. Okay, I now have an actual window seat in work that overlooks anything other than a grimy roof. Okay, I've helped Sport Relief to raise nearly £1000...

But I'm knackered, and constantly hungry - like persistently starving hungry today. And there is no musculoskeletal part of my lower body that does not ache, that doesn't stiffen into vicious immobility if I sit a bit wrong for longer than a few breaths.

And yet.

And yet I can't stop smiling. And yet I'm not being a total sap either - if people come to me with unnecessarily annoying bullshit, I politely, smilingly, do not take it. And yet everything feels like something either small, or fun, or a challenge I am looking forward to spanking. And, despite feeling pretty fuzzy in the head, at the same time it's like I'm seeing people very clearly.

If I stop, I'll fall over. I'm quite sure of that and am looking forward to it immensely. The six hours' sleep I had this morning were some of the best I've had in a long time.

How did I do? Well, I got all the way around (and around) Milton Country Park just fine, ta. The track turned out to be 1.45 miles long, which made calculating difficult. (It also adds a new perspective to the "struggled 1 mile two years ago" thing, now I come to think of it; it was nearly 50% longer!) I had some company along the way after all (possibly because I'd said before that I probably wouldn't), which was particularly heroic on their part as both of them had done the 5km swim the day before. Ellie ducked out after 3 goes round (fair enough with an undisclosed chipped ankle!) and Emma trudged on with me for another revolution, a swift sit-down, and a sneaky wriggle up the middle of the circuit, so that we ended up doing 6.25 miles (according to Google Tracks) in total. It took just under 2 hours, what with the pausing to take photos, the pausing to let actual runners past (and cheer them on), the toilet break, and the aforementioned swift sit-down (long enough to do me good, not long enough to get stuck).

(And then I had to drive home, via Emma's house, wrestle the car seats back up (buggering my neck/ shoulder again - a shame), tidy and clean the house, pack the car, drive to the venue, take part in a poetry workshop, watch other people insist on setting up the space (:D), run a show, pack up, take crew and features home, chat a lot of interesting stuff about poetry and accents and poets and language and training and poets and accents and women and poets and PhDs and poets and accents and dear God 1am, hi there...

Long day.)

How'm I doing physically? 

Well, my knees are surprisingly buoyant - certainly no worse than they've been in the past due to prolonged standing (which, if you remember, I did a fair amount of on Saturday), and do not appear to be swollen, which is nice. :)  Similarly, the soles of my feet are uncomplaining.  However, my ankles are surprisingly achey (this may well have been to do with the constantly-changing, bumpy, humpy, muddy, potholed terrain) and my lower back is disappointingly sore.  The most surprising set of aches is in my abdominal muscles - kind of interesting... And I want to eat everything. All of it.

What went well? 

The time spent on the walk was good - could have been shorter, but maybe it wouldn't have been if I'd pushed faster earlier...  I didn't start to feel the walk badly in my legs until about 4-5 miles in, and then pushed through the remaining distance. I did rest when I really, really needed to. I didn't run out of puff. The distraction of friends helped even more than I would have thought possible. I hydrated well (knowing that I would have somewhere to go if I'd hydrated too well!), and fuelled myself with morning porridge. I did my physio beforehand, but had rested generally, doing no weight-bearing exercise, the whole week before. And I was assertive about not standing throughout the concert the evening before, and tried my best to eat and drink well (lots of (particularly raw) vegetables, high fibre, as little refined sugar as possible, loads of water) during the week.

Oh, and I raised a bundle of cash. If you've not sponsored, you can do so at http://my.sportrelief.com/sponsor/fayroberts :)

What could have been better? 

Well, controversially, I think I could have done with some non-weight-bearing but vigorous exercise in the preceding week. If when I do this kind of thing again, I think I'll benefit from the rush of achievement of vigorous exercise in the run-up to something scary like this, as well as keeping up momentum on happy muscles and good bloodflow.  While I stood up less than I could have done the night before, I still did a lot of standing, and my sleep levels were rubbish that week (another case for more aerobic exercise?!). Also: while I rallied towards the end of the week, my diet wasn't exactly stellar during the preceding few days.

What next? Well, firstly I need to see how the recovery actually goes (update 25-Mar-14 - my knees are actually starting to hurt quite badly now; bugger), and I want to know more about this next-day euphoria and confidence. Have you run a (half-)marathon or 10k? Climbed a massive hill? Cycled to France or something? Is it like this? Or should I be looking at some other factors? Like the sleep deprivation, for example. Because yesterday was brilliant, and I feel like I could do with more of that, if my knees can survive it.  And I need another challenge - another milestone on this path of Being Fitter.  Any suggestions gratefully received, and I'm going to get some instruction from the gym in a few weeks' time, once I'm back in the mode, asking for some extra goals...

So thanks for the props, everyone, and yes: this blog will go on (though perhaps less frequently until I have a new Big Goal) as I continue to chart my relationship with my body, fitness, pain, and recovery...

Bleh

Today is a Bad Joints Day.  Not only the usual suspects: Borked Shoulder, Particularly Bad Knee, Grinchy Neck Section, Dodgy Wrist, and Whingey Lower Back, but pretty much everything else as well.  The knees feel swollen, and everything is particularly clicky, achey, or twisted.

Yay.  No gym for me tonight.  This, combined with general increase in clumsiness and fine motor control near-absence today and yesterday leads me to conclude several things:

1. Sleep deprivation is a major key in pain perception/ management

Sleep has been very absent lately, especially over the last two nights.

2. I need to drink more on busy days

Like way more.

3. I have entered the "secretory" phase of my menstrual cycle

O hai progesterone, come to make a fuss, have you?

4. Standing around lots really does knacker my knees, especially when carrying heavy stuff

Seriously.

5. There may be some other factor that I'm not figuring in that is pulling everything else out of alignment

e.g. diet (sugar? acid? protein? calcium? something else?), the actual weight carried while walking/ standing, emotional stress, etc.


One of the things that worries me about, well, all of the above, is that the weekend of The Walk is a busy one, and that's got some real implications for stamina/ injury/ enjoyment on the day and recovery afterwards.

The day/ evening beforehand is a choir concert.  Judging by last time, this means: lots of standing; not much fluid intake (you don't want to rush to the loo in the middle of the gig); and a late night finish, which includes eating late.  Boo.

On the evening of the the day itself is a poetry gig that I run.  Judging by, well, every time, this means: a fair amount of standing; lots of heavy lifting (including up and down stairs); not much fluid intake (as organiser, you find yourself forgetting); and a really late night finish, which includes eating late. Double-boo.

And both will involve a fair amount of emotional stress, of different types, as well as likely to be taking place during the same less-than-ideal phase of my menstrual cycle.

Oh dear.

The Big Day is five weeks away and I have, as yet, to do any of the long walks necessary to check my ability to walk the increasingly long distances on the graph on the way up to six whole miles.  I just typed the phrase "Things keep getting in the way." and looked at it in disappointment and a measure of horror.

Oh deary me.

So the next five weeks are going to see:

1. A new sleep strategy (and set of tactics to match)

Don't ask me yet - I need to work this out.

2. A dry run of "drinking more and standing around less" for the next poetry event

Can't hurt...

3. More physio advice

She offered something I was tempted to take her up on.  Now that looks like a Very Good Idea Indeed™

4. Cracking on with the nutritionist advice

Any suggestions for good ones in Cambridge?

5. A new mattress

Mine is completely scuppered; time to spend some money.

6. Actually doing a long walk

No excuses.

7. Reading up more on hypermobility

There must be more I could be doing that I haven't thought of yet...


So watch this space, basically.

Blood, sweat, and tears

So. My knees still hurt. If I sit or stand still too long it’s like the last two years never happened and the poor, puffy things make squeaky noises. (Metaphorical - I can’t get my ears that close these days...)

It’s not all tragedy and the painful consequences of pushing myself too hard too early. I forgot to mention some other bits of progress:

Sooner than I would have anticipated, my heart-rate at top exertion, if the gym bikes are to be believed, is 10 bpm slower. Since this matches symptoms (chest feels less crushed, doesn’t hurt, none of that unilateral jaw ache I associate with a scary level of blood pressure), I’m choosing to trust this assertion.

(It’s now in the 170s rather than 180s. Yes, I know that’s still problematically high.)

My muscles feel... well, actually, they feel quite achey, truth  be told, but also... Look, I don’t want to say that they’re bigger, because I’m not convinced that four weeks will see that much difference, but they do feel more present, somehow. And, of course, I appear to be trusting them more, which is nice.

My waistline appears to be no different whatsoever. This is disappointing but, again, being nigh-on 39, only having done this for four weeks, and, having made little change to my diet in terms of fat and carbs, I don’t think I can expect anything too spectacular in visual terms yet.  Mind you, when I tense them, the wall of abs feels more dense.  Under the spare Fay, that is.

Sensible suggestions for reducing abdominal fat and statistically improving my lifespan odds (apparently) would be gratefully received!  If I see no change in the next month, I’ll talk to a nutritionist.  You know - a proper sciencey one, not a Gillian McKeith-style opinionated random.

Another bit of family history for you: pretty much all my antecedents are Celtic/ Nordic.  My blood family hail from South Wales, Central and Northern Scotland, Ireland (that bit’s all a bit vague), the West Midlands/ North Wales, and Denmark.  Why’s this important?  Well, I’ve already been exploring what it means to be me, in this body, and understanding my genetic inheritances (limits and advantages) could prove useful. Anyway, while my brother looks like a strong mix of the dark Scot and Black Welsh (brown hair, brown eyes, tans at the snap of a finger), I take most strongly after the Northern Scottish/ Danish side, with enough of the Midlands/ North Welsh sprinkled in to keep it interesting (after all, recessive hair and eye colouring has to come from both parents...).  I have blonde hair (though not the white-blonde of my early youth... mind there’s enough silver springing up these days...!), blue-green-grey eyes, and couldn’t tan at gunpoint.

My mother’s cousin was invalided out of the army while serving in India - I’ve seen a small, black-and-white headshot of a blonde man with my chin and cheekbones; have imagined him, hair bleached white, gasping and scarlet, unable to sweat off the heat, stretchered to the sea.

Sharing this interesting genetic weakness (I also picked up the asthma - dad’s side (skipped a generation), eczema - mum’s side, extra-bendy joints - both; mind you, I skipped the short-sightedness and got the curly hair, mimicry, persistently looking-younger-than-your-age, and stubbornness, so it’s not all bad news) makes for funtimes in the gym.  Now I’m getting to a point where I can exert myself more on the cardio apparatus, I’m overheating.  In fact, I seem to feel generally warmer (a blessing while the heating was broken!) the rest of the time.  This feels like a nice return to “who I used to be” - i.e. someone who was always feeling too warm, as opposed to the person who has spent the last few years shivering and trying to find comfort in the fact that she overheats less in summer.  I am starting to become slightly damp (my equivalent of dripping sweat) at the gym after cardio especially, which is something I’ve had to train myself in the past not to automatically treat with alarm (the only experience I’d had of perspiration was during fever).

I carry a towel in the gym because we’re told to, but I use mine - when I do - to soak surreptitiously with cold water in order to provide myself with fake sweat on my face and to rub away the strange, stinging stickiness.

So, short version: experiencing body changes (and returns) in some ways and not in others, and have successfully muntered my knees with overdoing stuff (also my shoulders, but we haven’t discussed that yet).

Meet my friend: Pain

Someone I know has the following advice for exercising, especially when you're getting started and don't know your limits: Stop comes before ow.

It's good advice, as it goes, but imprecise.  Ow comes at different points for different people and, in this case, "Ow" is not the beginning of pain, but a tenuously-defined point after the pain starts and before you're ripping yourself to shreds.

I have a high pain threshold, in general.  This is partly because I'm used to it as a constant (q.v. crappy joints), and partly because, when things are bad and I'm whingeing, I have some historical doozies to call back on to say: it's not as painful as [insert horrific incident], just put it away in the pain cupboard.

This management technique is good for pain when you know it'll end at some point, e.g. simple injury, recovering from surgery, headache when the source is known, migraine (although that's only minimally good when your headspace for putting pain is filled with orgulous, rolling, foggy banks of sickening pain).  However, it's a bit less useful for when the pain is scary because its source (and duration) is unknown. Then it becomes as tiring as someone constantly jumping out at random and shouting "Boo!" - you become hyper-vigilant to the point of paranoia, cringing before it even hits...

One of the things that's wrong with my poor knees is, apparently, some kind of hyperalgaesia.  Something went wrong with my ability to work out what's an ignorable amount of pain in that area and it all feels frightening and alien.  When I haven't done my exercises for a while (or eat the wrong food, or do too much standing without preparation), I go back to the place where I can't sleep for the discomfort, which sucks for two reasons, one of which being that sleep deprivation makes you more sensitive to pain.

One of the two useful things the NHS physio gave me (the other being insoles to correct pronation) was advice to touch my knees (and the areas around them) as much as possible with different kinds of pressures and textures, to basically bring up their sensation threshold.  Resting them and avoiding using them was only making them flabby and over-sensitive, basically.  Imagine that puffy rawness of paler skin out from under a plaster and breathing air for the first time in ages.  Like that.

Which brings us on to the key bit - the NHS physios told me to "do [these gentle exercises] and stop when it hurts."  The private physio told me to "do these more difficult exercises and push through the pain - your body has expectations and you need to shift them."  [This last is a contraction and paraphrase.]

Now, that's not to say that she was keen on me running around and breaking myself.  This is the woman who laughed heartily at me coming in with a busted neck, the pain of which had seemed to come on with a sneeze, but had actually been caused, she worked out, by me trying standing on my head the previous evening.  I am too heavy to stand on my head with the current parlous state of my muscles.  In this case, stop should have come way before ow.

Until very recently, I've been neglecting to stretch out properly after exercising.  I'm not entirely sure why this is.  Sometimes I'm rushing for a bus to get home, but... well... maybe I'm not taking it all seriously enough.  (Also, when the endorphins are rushing around, you think you're fine and don't need to stretch, just change, go home, and eat ALL THE PASTA.)  So I've been hurting like a bastard the following day, and that's been my measure of "congratulations: you did exercise". I used to call this "the smug fire of self-induced pain".

Yeah, not so clever.

Last night I achieved a mini-goal: front (as opposed to side-; I'm building up to that) plank held for 60 seconds.  I squeaked in victory and collapsed on the mat, all glowy.  Last night, after upping my sets to 4 instead of 3, I stretched properly, and today: yes, I feel achey, but to the degree that feels like "good workout last night" not the "holy crap, my left shoulder's so tight I've got pins and needles running down my arm" sensation I've been getting that makes me think I should see my physio.

Turns out Pain's one of those friends - you don't seek him out because he can be very draining company but, if he happens to come with the territory, you should neither avoid nor ignore him - he always speaks the truth, even though he sometimes exaggerates. Pain's part of healing, after all, and I need to break my muscles just enough to build them through healing, and pain's part of that.

Conversely, Injury's a wazzock and should be avoided if at all possible.

I guess what I'm saying is: test your limits constantly by artfully nudging beyond the ones you want to change. And have a map for what the steps are between the landmarks.  Pain is part of this - listen to him and he'll be a good friend in unfamiliar territory. And, for goodness' sake, save painkillers for emergencies!