Ohhhh, My Aching (Blank)

I don't know who said it first, but when I was a kid I heard adults quote this line until I was heartily sick of it: "If I'd known I was going to get this old, I'd have taken better care of myself".

Psssssst......hey, you! Could you loan me some Advil till payday?

It never occurs to us when we're young that someday we'll be fifty years old, and that places on our bodies to which we have given little thought will begin to hurt. This is why we do stupid things, like jumping off roofs with an umbrella ("Look, you guys, I'm Mary Poppins!"). We shinny up, then proceed to fall out of, various types of trees (yep, I hit every branch on the way down). And when we're a little bit older, we are apt to experiment with substances that give us the idea that we're Superman, hence such behaviors as attempting to run through a wood fence (you should've SEEN the bruises after that incident) or doing cannonballs off the balcony of a second-floor apartment into the pool (no comment).

But that day comes, and then we have the nerve to act surprised. It starts out as a twinge here, a creak there, maybe a little hitch in one's getalong that becomes more pronounced when we are tired or have done the 'weekend warrior' gig a little too enthusiastically. But eventually, we reach a point where it seems we hurt in places that we didn't even know we had..........and in the case of nurses, many of whom are on their feet for eight, ten, or even 12 hours a day, being sore all the time is a pain in more ways than one!

As a nurse who got started relatively late in life (I graduated at age 38) and who has a habit of carrying her groceries on her hips, I'm no stranger to aches and pains. In fact, I take a certain pride in my ability to soldier on in spite of it all: My left knee, which has a way of collapsing under me at the most inopportune times, is about five years overdue for a replacement. My back hurts every day of my life thanks to injuries I sustained in my teens and 20s, and is getting worse every year. My fingers, wrists, elbows, hips, and ankles have ground glass in them. And as for my poor dogs, I continue to be amazed at what they do for me given the abuses I've heaped upon them: too many pounds, too many pairs of cheap shoes, too many long shifts on hard floors.

Yes, I feel every minute of my age and then some; yet in many ways, I'm better than ever and have much more to offer.......even if it does hurt.

I've noticed that sometimes when I massage my hot, calloused feet, I find myself thinking of patients whose backs I've rubbed, bringing them comfort and sleep in an atmosphere that was far from conducive to either, and I am glad that I've been given the ability to do so. My aching back reminds me that I'm blessed to still be able to move and go and do; many people who have suffered less severe injuries end up in wheelchairs, or worse. The arthritis that sometimes causes me to yelp when I bump an affected joint has, so far, spared me the indignity of needing someone to do such simple tasks for me as buttoning my blouse or zipping my jacket; I am grateful that I can not only do them for myself, but also for others who are farther down that road than I.

I've noticed that I tire more easily and need more time to recuperate from a bad shift than I did when I was 40. So what? No matter how hard a night I've had, I can still leave my patients in the hands of someone equally capable as I, go home, and sleep soundly so I can come back refreshed the next afternoon. Thank God I no longer feel the need to "have it all", for that means doing it all.......and after years of 24/7 responsibility, a career holds absolutely no appeal for me. I'm a much better nurse for having found contentment in a job that doesn't define me, especially not at the expense of family, church, and other interests.

I've also noticed that I can endure a great deal more physical discomfort than I once thought myself capable of handling. This has served me well, particularly during tough shifts when I literally cannot sit down for four to six hours at a time. It has also given me the courage to try to increase that endurance and push myself just a little harder each day. Who knows.......gritting it out and working through the pain today just might keep me out of a nursing home twenty years from now.

Now, in all honesty, this aging business isn't necessarily a lot of fun for someone who earns her daily bread by bending, stooping, walking, lifting, pushing, and pulling for thirty-two hours per week. There are times I dream of winning the lottery and spending the rest of my days pampering every aching muscle and tendon I own. But I made peace long ago with the fact that my life was never intended to be an easy one, and any concessions to my physical discomforts are limited to long soaks in the tub and the occasional 15-minute backrub from my husband. Oh, and aspirin..........the old-timers didn't call it the Wonder Drug for nothing!

Specializes in long term care, alzheimer's, ltc rehab.

viva, your post really spoke to me...

i have cerebral palsy...so i'm no stranger to pain either...however, it doesnt have me ;-) i've been a nurses aide for 13 years...having pain in my knees and my right shoulder sometimes, but as long as i can keep moving i will.

Great post, VIVA! I have also become better acquainted with the aches and pains. I'm only 37 but been diagnosed with fibromyalgia. Always had bad feet. Advil is definitely my drug of choice! I always have a bottle in the house. I don't think the years of basketball and running up and down those hardwood courts have exactly helped either. But I'll keep moving as long as I'm able. I've found that the more time I spend horizontal, the stiffer and achier I get.

Specializes in LTC, assisted living, med-surg, psych.

Yeah, that fibromyalgia thing really stinks.......and a lot of doctors, including mine, still don't really believe it exists.

I've had it for years, but my case isn't too bad. I've never had the chronic fatigue or depression associated with it. You just have to scrape me off the ceiling if you happen to touch one of my many trigger points! I had a patient do that once; she was showing me where her trigger points were---on ME---and I must've jumped four feet in the air when she hit the ones on my lower back. YOWZA!! I'd wondered for years why I couldn't lie on either side (trigger points on both hips) or why I wanted to scream when one of the cats walked on my chest (yep, trigger points near my collarbones).

But then, I've lived with pain since I was fourteen, and it's all just so much a part of life that I wouldn't know what to do if I didn't have it. I'm just happy I can still manage it without narcotics or expensive prescription drugs.:p

Specializes in Trauma.

Hey, for aching feet, I've discovered and purchased the Medi-Rub Massager 2000. It was designed for diabetics and neuropathy. I bought it recently at the San Diego fair and also realized that it helps with the edema in my ankles. It's about $270, but imo...totally worth it:)

This is of course not going to replace the compression stockings, as of yet. I need a week of proof that it's going to help to reduce the swelling and pain; although it has already.

Absolutely agree! I do get depressed and I know exactly what you mean about those trigger points. I use Advil, try to stay with a yoga practice at home, watch what I eat (most of the time), and keep the weight down. I do use a memory foam mattress and I swear by it! It's very soft and cushy. That helps me. But lately I'm thinking about getting on an antidepressant. Always resisted this, but I'm more fatigued lately and not bouncing back. So unfortunately, I'll probably be joining the ranks of those who take an antidepressant soon. Just thankful I don't need prescription pain meds. Staying AWAY from that!

Specializes in LTC, assisted living, med-surg, psych.

I have a Sleep Number bed, and it's perfect for me because I can adjust it to meet each night's particular needs. Back pain? Dial it up a little to provide support. All over soreness? Dial it down to make a soft cradle of comfort. I didn't know how bad our old bed really was until we bought this one; now we don't wake up each morning tangled up together in the middle, our backs screaming in agony.

Another thing I invest in is a good shoe. I don't really care what it costs, I've got to have shock absorbers and plenty of cushioning, because I'm really hard on shoes and ruin the cheaper ones within 3-4 months. In the case of work shoes, you really do get what you pay for---I can ruin a $30 pair in a matter of six weeks, whereas it'll take me as long as six months to render a $100 pair useless.

My back has starting to hurt me, but my feet and legs have been aching for years. LOL.

I've been an ER nurse for about 20 years and constantly being on my feet for 12 hours is getting a little too much for me.

Maybe time for a clinical job? LOL.:lol2:

Specializes in OB, HH, ADMIN, IC, ED, QI.
My back is fine, but the last year or so my feet have been giving me problems. Love being 50....NOT. LOL

I was told by an orthopedic surgeon, that I've walked off the fat pads from the "balls" of my feet! No more high heels for me (at age 70)! We're lucky to be living at a time when good footwear is available. I'm looking forward to the "Sketchers'" rounded "exercising" soles. When I went to the outlet of that manufacturer's products here, I was amazed that other styles of their shoes cost almost $50. Children's itty bitty copies were close to $30.!

When my back "went out" at your age (20 years ago), I saw an acupuncture doctor for 2-3 visits weekly, during the acutely painful time, then once a week for a few years. That wasn't covered by my health insurance. However the "network" chiropractic sessions I had simultaneously, were covered, and my back wasn't jerked into luxation (? from subluxation), the doctor said that when it was ready, it would just slip into place. She hardly touched me, and it did! However there was lots of spontaneous crying...... It's an amazing process wherein a lot of the emotional woes I had "on my back" were relieved. My back adjusts itself painlessly now. I'm so glad that I had all that work done. It was originally treatment, but has also prevented further pain, and my posture is better.

Specializes in OB, HH, ADMIN, IC, ED, QI.

Isn't that just typical of mothers, to work through our pain without stopping to have it treated? I remember those days, and how much I wanted to see my children after work - so much so, that I didn't want to delay getting to them, to have treatment for my ills. Sure, I'd leave work to get them to the doctor when it was necessary, and not consider my own needs!

It's time that we considered ourselves worthy of care! The expense, time, etc. involved stops us, but we do everything we can for others. 25 years ago, I had 3+ pitting edema in my lower legs 25 years ago, and my doctor ordered diuretics. They work as long as I remember to take one each morning (again putting other things first sometimes). They have prevented HTN, too!

I hadn't known about the interior venous structure that has "valves" that help blood return to the heart from the LEs, and how they wear down in later life...... Now that I'm 70 and my children are grown, I appreciate the preventive care I was given, which many women don't get.

Avail yourselves of preventive measures, now, fellow nurses! Your bodies will thank you later.......oh, and keep your feet higher than your hearts, whenever you can. Have you heard that "nurses never stand when they can sit, and never sit when they can lie down"?

Specializes in Trauma.

Lois,

I'm already having a tough time being on my feet for 12 hours and some days more. I get awful swelling that hurts my ankles. What's your advice? I can't do diuretics b/c I'm pregnant. I was using these weak compression stockings, but they're not really working. Maybe a bit more compression?

Specializes in OB, HH, ADMIN, IC, ED, QI.
Lois,

I'm already having a tough time being on my feet for 12 hours and some days more. I get awful swelling that hurts my ankles. What's your advice? I can't do diuretics b/c I'm pregnant. I was using these weak compression stockings, but they're not really working. Maybe a bit more compression?

Several things cause leg and foot swelling, especially when you're pregnant. The first and most obvioius thing, is the expanding abdomen, which puts pressure on your LEs' blood vessels. It's harder to get the return flow of blood (more volume of plasma, not blood cells) when you're pregnant)back to the heart for oxygenation, yet it must. So it does this magic act of returning the blood cells along with some fluid, but leave a lot of fluid (plasma) behind. That's called "stasis". The very worst thing for that would be to further block the return flow of blood, by using stronger "support" hose that bunches at the groin and/or ankles. If your weight gain and/or prepregnancy weight was abnormally high, that could add to your problem.

As you know, you can check on just how much fluid stayed in your legs, by pressing (gently), from top of your feet, to below your knees. If there's an imprint of your finger when you take it away each time, that "pitting" edema requires action. Unfortunately, that action is more inaction time (although you do need to move your legs around to help circulation). You'll have to inform your doctor if its 2+ or more. When that problem becomes sever, you may need a "leave", or working 5, 4 hour days (a drag if you work 3, 12 hour shifts, weekly). It beats bedrest and no work, however........

So when you're charting, find a chair that has a springy back, and adjust the knob so it will slightly recline (that relieves groin pressure). When you sit in that chair, you can exercise your abdominal muscles by leaning forward to write in the chart (rounding your back like cats arch theirs), then slowly go back to rest your upper body on the back of the chair while you think about what else you need to write. When you do that, it's best to have a few thick 'phone books or one of those step things that short patients use to get back into their beds, under your feet, so your knees are separated and are above your hips.

Any exercise needs to be done very slowly, to protract the time you contract and then release muscles, WHILE BREATHING IN SLOWLY AND DEEPLY, as the back rises (just a little)THEN EXHALING AS SLOWLY as it returns to usual flat position). Quick motions are useless, and can do damage to them. As you become more familiar with doing that, it will be easier, and not take as long. Ordinarily the one above is done on the floor, "on all fours", with arching to contract the abdominal muscles, and then making your back flat (not sunken, with your rear high, which can do great harm to the lumbar/sacral vertebrae). Your labor coach/friend needs to watch you do it, with their hand lightly on your back, and if their hand goes below your hips, he/she should say, "STOP!"

By placing your lower bed legs slightly higher than the upper ones (on bricks), while you sleep, will drain the fluid that has accumulated during the day. You should not feel like your food is coming up, or your head gets congested.

Now, last but certainly most important, is to curtail your salt intake, without using salt substitutes that have K. That means eating fresh foods, as canned and frozen food has extra salt. Get used to reading labels to add thye NA content and maintain it at less than 1200 mgm. Cut the amount of salt in recipes by half to 3/4 less than that recommended in the cook book. NEVER ADD SALT TO YOUR FOOD!!!! Precooked food purchased at markets, has a ton of salt, as does restaurant food. All cheese is particularly high in salt, as is seafood that comes from oceans - salt water. That's where most people faulter, as a lot of less expensive dishes require cheese. Seafood can be washed to get some of the salt off it, but not so cheese. As you've probably known, all fish is suspected of having mercury, and must be eaten seldom, while you're pregnant. For some reason, pink salmon (the cheaper kind), has less mercury. ;)

Removing salt from men and women's diets prevents HTN and HD, so it's a good idea to keep it low all your lives.

Drinking more water than usual (at least 8 - 10, 8 OZ. glasses of fluid daily, including juices and tea (not coffee), is also a way of removing salt from your body. Keep a glass full of something, by your bed, desk, favorite chair for watching TV or reading......... along with an ottoman for raising your legs (keep them up, as much as possible).

Specializes in Trauma.

Lois,

Thank you so much for taking the time to write down all of that information:) I'm actually printing it out to keep with me at work as a reminder since I forget nearly everything these days. I do think it has been 3+ pitting edema and upon my next visit to the doctor, I am going to tell them. Hopefully the techniques you gave me will help keep the swelling down a bit more!

Katrina