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LizBlog.jpg
14/Jul/2021

I have been in pain for 60+ years. I started to have severe back pain in my early teens. I remember sitting at my desk propping myself up to relieve the pain by resting my ribs on the desk. The pain affected me academically and sports-wise at school. I found standing and walking difficult and still do. My back pain was not correctly diagnosed until I ruptured a disc some 25 years later and it was then that I was diagnosed with Scheuermann`s disease.

My ruptured disc was removed and the surgeon told me my back was a mess and to go home to bed and stay there. Thankfully, I decided I didn’t want to do that so found a very good physio and did 3 sessions a week with her and aqua exercises every day for 3 years. I was partially paralysed in the right leg but slowly I began to walk again. She said I needed to keep moving and to keep fit which was very good advice! So, I decided to start farming as I had always wanted to do this even though you have to be mad to do it with long hours and very little financial reward! This was the best decision ever.

In 2013, I was diagnosed with arthritis in both hips and had both replaced. It has since appeared in my hands, spine, left shoulder and just recently it has been diagnosed in both knees. It makes moving around difficult, but I know I must keep moving or I will seize up. My hands cause problems due to lack of strength so opening bottles and so forth can be very frustrating. I am still working full time as this gives me the motivation to get out of bed each day and keeps me mobile. I have also been diagnosed with osteomalacia, bursitis, tendonitis, carpal tunnel, Sjogren’s syndrome and neuropathic pain in both feet so my musculoskeletal conditions are wide and varied!

I have put together my top ten tips that I have found useful – I hope you find them so too.

My tips

  1. Keep pain where it is. Don’t let it get into your head.
  2. Don`t catastrophise. Pain is just an indication that something is not quite right. Don`t let pain be number one in your life. There are more aspects to you than your pain.
  3. Don`t ask “Why me?” as the answer is “Why not you?” More than 7 million Australians live with a musculoskeletal condition, so you’re not alone.
  4. Focus on what you can do rather than what you can’t do. Grieve over the loss but don`t dwell on it. Unfortunately, we all naturally lose function as we grow older which can be hard to accept.
  5. Take the responsibility for your health into your own hands. Get informed and be your own advocate. You know your body best as you live with it so speak up when you know something is not right.
  6. Eat well. You only have one body so give it the best care possible.
  7. Keep moving and keep those joints active. Pacing can help you get through the day.
  8. Learn to do things differently, e.g. lifting or getting in and out of cars. Try other ways of doing things to see what works for you.
  9. Each new challenge gives us a choice between being bitter or better. Bitter is soul-destroying and unpleasant for others. I choose better because I want to grow personally and to be my best self.
  10. Be grateful every day for something.

Our guest blogger

Liz got in touch with us after taking part in our 2020 national consumer survey. She kindly shared her story and her tips for living well with pain.


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24/Jun/2021

Tips for preparing meals with less stress

There are some days when the thought of preparing and cooking a meal is so overwhelming. You’re tired, you’re in pain, and it seems like too much effort. Curling up on the couch and ordering a pizza delivery seems like a much better option! However, one of the best things you can do to look after yourself when you have a chronic condition is to eat healthfully. Sadly (for me at least), that means having the local pizza joint ? on speed dial isn’t ideal.

But there are things you can do to make cooking easier and less hassle when you’re not feeling your best. Here are our top tips:

Plan your weekly meals

It’s not a particularly exciting thing to do, but making a plan for your coming week is really helpful. It ensures that you have all the ingredients you need, and it stops you from wasting money on the things you don’t. And if a case of brain fog hits when you’re standing in front of the fridge, your meal plan will sort you out. Check out The Spruce Eats top meal planning apps for 2021.

Shop online

This pandemic has really made online shopping easier and more efficient (hello new shoes ?). But as far as groceries go, it’s never been easier to order online and get exactly what you need delivered to your door. Or you can organise to click and collect, without having to leave your car. Perfect on a chilly winter’s day.

Give yourself a break

Not every meal has to be Masterchef worthy, using exotic ingredients and involving many steps. It just has to be tasty and healthy. Have a few recipes up your sleeve that you know you can cook with minimal effort or fuss and with the ingredients you have at home.

Organise your kitchen

Ensure the things you use regularly are within easy reach – that goes for ingredients and cooking utensils. And move the things you only use occasionally out of your way (e.g. lower cabinets, cupboard in the garage, sideboard). Don’t place heavy items on high shelves – it’s very easy to drop these things – especially if you’re tired. Use a kitchen trolley on wheels to move heavy pots from the bench to the cooktop or move meals from the kitchen to the dining area or lounge.

Take a load off

Keep a stool nearby so you can sit while you prepare your meals.

Clean as you go…or get others to do it for you

There’s nothing worse than cooking a lovely meal, relaxing while you eat it, then looking over to see a stack of dishes taunting you. So clean up the bulk of the mess as you go. Load the dishwasher, soak the stubborn pots and pans, and wipe down the benches. Or better still – rope in your partner/kids/housemates to help you. And it’s the perfect opportunity to catch up with each other.

Frozen fruit and vegies are great time savers, packed with nutrients

You can buy them at the supermarket, or prepare your own. Find out how you can freeze fruit, vegies, bread and herbs in this article by Good Food.

Get prepped!

Food prepping has taken over the internet, and there are endless articles, apps, videos and blogs to help you. You can prep your meals days in advance, then all you need to do is pull the pre-chopped, washed and/or cooked ingredients out of the fridge or freezer to throw together a meal in no time. Frugal and Thriving has a great guide to meal prepping.

Batch cook

When you’re feeling inspired and you have the time and energy, put on some music or a podcast, and cook batches of food to freeze. Then it’s just a matter of reheating and eating. Perfect! Check out My Foodbook for some practical tips to help you when it comes to batch cooking.

One pot wonders

Save yourself lots of mess and dirty dishes by cooking your meal in one pot. There are many books and websites with tasty recipes you can try that only require one pot (or pan). Borrow some cookbooks from your local library or fall down the rabbit hole of Pinterest for lots of inspiration. Here’s Taste’s 21 healthier one pot recipes. They all look delicious and very hearty, but I think I’m going to have to try the pumpkin, silverbeet and mushroom bake this weekend! Yum.

Go, go gadget!

Use kitchen gadgets and other aids to save energy, protect your joints and make things much easier when cooking. Things like electric can openers, jar openers, tap turners and thick-handled knives can be lifesavers. Check out the range of products available from our online shop.

Make it a social occasion

Cooking doesn’t have to be a solitary event if you have other people in the house. So get them involved. It’s an excellent way for kids to learn about cooking and becoming self-sufficient. But it’s also an opportunity to spend time together and share the load.

Slow it down with a slow cooker

Prepare your evening meal earlier in the day when you have more energy. Pop all your ingredients in a slow cooker and let it do its thing while you work, rest, read a book or put your feet up. Hours later, you’ll have a flavoursome pot of goodness to enjoy. Check out these slow cooker recipes from The Australian Women’s Weekly.

Take breaks

Sometimes we push ourselves just so we can get a task or chore done, but we can end up pushing ourselves past our limits. Sigh – we’ve all been there and paid the price. So whether you’re making the evening meal or you’re prepping for the week ahead, take a break (or two) to stretch, get some air, drink some water, and just move around. Standing in one place for a long period is not conducive to happy, pain-free joints. So take a break.

Drink water

When we’re in the middle of a task and focused, we often forget to drink enough water. Don’t allow yourself to become dehydrated – have a glass of water nearby and drink regularly.

Cleaning up

We’ve already mentioned cleaning as you go and using only one pot, but there are other things you can do to make cleaning easier, such as:

  • use non-stick foil or baking paper to line your trays, as well as roasting bags; they’ll lessen the mess on your trays – which means less scrubbing
  • if you have a dishwasher, load it as you finish with dishes and cooking utensils
  • soak dirty pots and pans before you start scrubbing to loosen any baked-on gunk
  • clean up spills immediately
  • put ingredients away as soon as you’re done with them
  • keep a bowl nearby for scraps and rubbish, or bring the kitchen bin closer to where you’re working.

Call the pizza joint ?

Sometimes take away food is the option that’s best for you. And there’s nothing wrong with that, just as long as it isn’t a regular thing. Takeaway foods are generally high in salt, sugar and/or fats and don’t give us all the nutrients we need in a balanced diet. Read the Dietitians Association of Australia’s takeaway food tips for more info.

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

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24/Jun/2021

Why practising gratitude is good for you

At the start of 2020, I found a jar, a notepad and pen and started a gratitude jar. I’d read about them somewhere and decided to give it a go. Every day I’d write about something – big or small – that I was grateful for. Some days I wrote more than one thing. Then as 2020 rolled along, I wrote less and less. My last entry was just before we came out of hard lockdown in late October. The jar was pushed to the back of the cupboard and I forgot about it.

Until today. I’ve just re-read my notes, and they made me smile. They included things like:

  • Yay! Played with Helen’s tiny new kittens! Kittens!!!🐈🐈🐈
  • Had a wonderful lazy, sunny, Sunday arvo reading by the river with Duncan.
  • The bus driver waited for me!
  • The hairdresser is open again. Thank the lords – I look like Cousin It!

There were lots of others, and as I read them, I was caught up in the moments. And I wondered why I’d let this practice go?

Stupid pandemic, that’s why. The impact it had on my physical and mental health, the lockdowns, the on-again off-again masks, concern for loved ones, too many quarintinis – it all took over my life. Well, to be honest, I let it. I focused on the negatives, so the positives were harder to find.

I know I’m not alone in this. Many of us often focus on the negative, especially when we’re in pain, frightened, worried about the future, or just because it’s Thursday (I never could get the hang of Thursdays).

But if we open ourselves up to the positives in life and become more grateful, we’ll feel happier, more fulfilled, and we may even improve our physical health.

9 ways to become more grateful

There are lots of ways you can become more grateful. We’ve selected a few to help you get started. Then it’s a case of – practise, practise, practise. Because as with any new skill or routine, practise makes perfect.

1. Write it down

Gratitude journaling is one of the most common ways you can practise being grateful. It helps you actively focus on the positive things in your life. All you need to do is choose a method that works for you. For example, write about what you’re grateful for on a piece of paper and pop it in a jar each day, write in your diary, post about it on your socials, or use an app. The physical act of writing it down makes you think about what it is you’re grateful for, reflect on how it made you feel and experience that feeling again.

2. Pay attention and be thankful for the people around you

The pandemic has opened our eyes to how meaningful our connections are. It’s been a wake-up call to savour the moments we have with the people that make up our world, especially those closest to us. So take time to really listen to them. Stop flicking through your phone, turn away from the TV, look up from the pile of laundry you’re folding and listen to your partner/kids/parents/friends. And be thankful that they’re in your life.

3. Be mindful of the things around you

We often rush about with our heads down, not taking note of our surroundings. But there’s so much beauty and wonder for us to enjoy and be grateful for. So next time you head outdoors, keep your phone in your pocket and look around you. Listen to the birds in the trees, notice how the trees sway in the wind, enjoy the dogs playing in the park, be in awe of the mountains or the sea. Take the time to pay attention, and you’ll feel the boost to your mood and a skip in your step in no time.

4. When you wake up or before you go to sleep…

Think of something or someone that you’re grateful for. Or focus on something that happened during the day that made you smile or lifted your spirits.

5. Thank someone…

In person, with a letter, call or DM them. Let them know about something they did that made you happy or really helped you out. Or just to thank them for being in your life. You’ll both feel happier for it 😊. It’s nice to know you’re appreciated and loved.

6. Surround yourself with gratitude cues

You’re probably doing this instinctively anyway. These are the photos, affirmations, quotes and jokes that make you happy, inspire you, remind you of beautiful people and times, and fill you with joy. No surface should be safe from gratitude cues – fridges, bookcases, walls, mirrors, windows, desktops, phones – they’re all fair game. So fill them up! And change them around – remove old ones, add new ones. That way you’ll have a constant array of things that make you grateful, and they won’t start blending into the background.

7. Meditate

It’s a great way to relax and gain some balance in a topsy-turvy world. But it’s also some ‘you time’, when you can take a few moments to shut out the world, breathe deeply and evenly, and focus your mind on positive thoughts.

8. On the job

We all have times when we feel a bit blah and uninspired about work. If that sounds familiar, try this: at the start of each workday, think of one thing about your job that you’re grateful for. It might be the quiz you do at lunchtime with your workmates, or the opportunity to learn new skills and stretch yourself, or the friendships you’ve developed with interesting people. Big or small – think of one thing each day that makes you feel grateful about your job.

9. Wander down memory lane

Check out your memories on socials, crack open your old photo albums or just allow your mind to drift back to past, happy times. There’s a lot of joy in our lives that we forget about when we only think of our current state or upcoming events. Or when we only focus on our anxieties or negative things. We’ve lived through some amazing times and met lots of lovely people. That’s something we can all be grateful for, and our memories and photos can help us relive them. And if you see the faces of those no longer with us, you may feel sad, but you can also feel grateful that you met that wonderful person and had them in your life. And that’s a blessing.

Before you get started

It’s important that you don’t get on the gratitude bandwagon to the detriment of your other feelings. Being grateful doesn’t mean that you can’t experience worry, sadness, anxiety or anger. You can be grateful and still experience a range of other emotions. These feelings are valid too, and we need to feel them. As with most things, it’s all about getting the balance right.

Try not to compare yourselves with others. It’s never a healthy thing to do. We all have our set of unique challenges and opportunities, so comparisons just don’t work.

You can be grateful for what you have, even if there are others in the world who you perceive to ‘have it worse’ than you do. If you feel that way, think about what you can do to enrich the lives of others. Do volunteer work, donate to charity, become a mentor; you can give back to the community in so many ways.

Or if you perceive that others ‘have it easier’ than you do, feel grateful for what you do have and the people and things that bring you joy and fulfillment. Focusing on the negative won’t bring you happiness, and won’t magically bestow on you the perceived riches that someone else has, so dump the comparisons and focus on your life.

And finally

We asked some of our consumers and staff what they’re grateful for. Here are some of the responses we received.

I’m grateful:

  • that I live near some beautiful running and walking tracks
  • that I can enjoy the outdoors, the scenery and the sunsets
  • for having the basics – a roof over my head, good food and warm bed on a cold night
  • for strawberry Freddo frogs…and pizza night 🍕
  • that my workplace supports me to work flexibly and put my condition first
  • for my sister sending me lots of pictures and videos of my niece and nephew who live overseas
  • for my partner, without whom I don’t know where I’d be
  • for my son, who is hard work but makes me laugh every day
  • that I can still do the job I love despite restrictions due to arthritis and age
  • that my desk overlooks a tree that’s covered in rainbow lorikeets most afternoons
  • that I have two fluffy indoor cats who deign to let me pat them from time to time.

What are you grateful for?

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

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18/Jun/2021

A young person’s story of scleroderma

Meet Mabel. She’s 13 and has scleroderma, a chronic condition that affects the body’s connective tissue. She shares her story with us here.

How old where you when you were diagnosed with scleroderma?
I was 6, nearly 7 years old when I was diagnosed, and now I’m 13, so I just realised that is half of my lifetime ago!

Scleroderma’s a mouthful! Did it take you long to learn how to say it?
I knew how to say it but I didn’t really understand what it was at first. My little sisters, who were 3 at the time could also say it!

Can you remember how you felt when you were told you had scleroderma?
I was surprised, but at the time it really didn’t feel like that much. Now as a 13 year old, I can see how dangerous and scary it was.

What is the worst thing about having scleroderma?
All the medicine and appointments, because it meant that I missed a lot of school. I didn’t get to go to school as much.

Are there any good things about having scleroderma, or any ‘silver linings’?
The silver linings are that I’m not afraid of needles because I’ve had so many. When my friends and I have to have immunisations at school or a flu shot I’m not scared or worried.

You also meet a lot of kind, random people; people that you’ve never met before who give you gifts and are really nice.

What is one thing you wish someone had said to you, or wish you knew about scleroderma when you were first diagnosed?
That you don’t need to be afraid, as there are doctors and nurses who will be kind and help you, and other kind people who want to help you.

What would you say to someone else who has just been diagnosed with scleroderma?
I would tell them that all the needles are worth it, because they are going to make you healthy and your condition hopefully won’t get worse.

Take the medicine, even if you don’t know if it is going to help, your medicine will give you a better chance of improving.

What do you wish everyone else (teachers, friends, family, the big wide world) knew about scleroderma?
I wish more people knew what scleroderma is, rather than saying “what’s that?” when they either ask about my hands and arms, and I tell them it’s scleroderma and then they have no idea what scleroderma is.

Anything else you’d like to add?
Just because you have a medical condition doesn’t mean you are different, it means you have a different ability.

Appearances don’t matter because the outside is different to the inside.

If you’d like to share your story like Mabel did, about what it’s like to live with a juvenile form of musculoskeletal condition (e.g. arthritis, back pain, Perthes, fibromyalgia), contact us here!


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03/Jun/2021

“One good thing about music, when it hits you, you feel no pain.” ― Bob Marley

This morning I was sitting at my computer in my makeshift home office, looking out at the bleak Melbourne weather and contemplating a week of a whole lot of nothing. Yep, at the time of writing, Victoria was entering a seven-day circuit breaker lockdown.

I could hear the radio in the next room and noticed the station had brought back the Lockdown Countdown. This is a daily uplifting ‘blast from the past’ song to help us get through the latest lockdown. It’s not the bright pop of Tay-tay or Bieber, but ‘OMG, I LOVE THIS SONG, crank the volume and sing at the top of your lungs’ music. A new song is played each day. Today’s song was Smash Mouth’s ‘All Star’. 

And I realised I was smiling as I went through my emails, and I was singing aloud.

Music is a powerful force we often don’t think about – or at least not too deeply. It’s always there, often in the background. But music can improve our mood, help us focus, get motivated and even ease our pain.

So let’s take a closer look at the power of music. And, of course, this is a blatant opportunity to listen to great music and watch videos – all in the interests of research 😉.

Everybody hurts (R.E.M): Music and pain

Numerous research studies have confirmed what many of us have long believed – listening to or creating music can ease our pain. However, we don’t really understand exactly how it works. We do know that listening to music releases dopamine, a chemical made in the brain. It’s often called the ‘feel-good hormone’ and is released when we experience something pleasurable, such as food, exercise, sex and music.

Music also distracts us. It has the power to shift our focus from our pain to something else, such as singing, humming, dancing, or remembering the first time we heard a piece of music. Depending on the level of our pain, music may be enough on its own to help distract us, or used with other pain management strategies such as exercise, medication, heat and cold packs, or massage to get through the worst of our pain.

But at the end of the day, it’s a pleasurable, low/no-cost treatment for pain.

I’m so tired (Kasabian): Music and sleep

Many of us struggle with getting a good night’s sleep – whether it’s falling asleep, staying asleep and/or getting enough quality sleep to wake up refreshed. Anxiety, pain, stress and an overactive mind can all affect how well we sleep.

If this sounds familiar, try listening to some music.

We know it works – we’ve used lullabies for millennia to help put babies to sleep.

Listening to music as you fall asleep can slow your breathing and calm your mind. Adding music to your nightly routine can help you sleep better and reduce the time it takes to fall asleep. It can also distract you from your pain, and counteract any outside noises that may interrupt your sleep, such as traffic or noisy neighbours.

Choose music you enjoy and find soothing – nothing too fast or upbeat! – and create your own sleep playlist. Or there are many ready-made sleep playlists you can try on streaming apps such as Spotify or Apple Music.

Fake happy (Paramore): Music, stress and anxiety

Anxiety and depression are common in people living with arthritis and musculoskeletal conditions. The good news is that many treatment options can help you reduce their impact on your life. One of these treatments is music.

Listening to music can lower blood pressure and slow down the heart rate – both of which are heightened in times of stress and anxiety. Music can also make us cry – which is sometimes the outlet we need to deal with strong feelings.

To get the most out of the music, take the time to ‘actively listen’ to it. Put away all of your usual distractions (e.g. phone) and focus on the music – the lyrics, the tempo, the instruments and how it makes you feel.

Again, it’s important to choose music that makes you relax and is soothing to you. This is obviously a subjective thing – we all have different tastes in music and what we consider relaxing. Such as Garth on the commercial for health insurance de-stressing to heavy metal – which isn’t everyone’s ‘cup of tea’.

Whatever music you choose, be mindful while listening to it, and it has the power to help you find your calm during stressful and anxious times.

Dance monkey (Tones and I): Music and exercise

It never fails. When you’re out for a stroll and some fast-paced music comes through your earbuds, your steps sync to the tempo of the music, and you start walking faster. For me this morning, it was some Run DMC and Aerosmith action with ‘Walk this way’.

So music can help us increase the intensity of our exercise. It also motivates us to move. Listening to music with a great beat, that lifts our mood is often all we need to encourage us to exercise and be more active. It makes you want to dance around the lounge, walk around the park, do some yoga or head to the gym.

Having a good playlist will also distract you. If you’re finding it hard to get in the exercise zone, uplifting tunes will help you get there by giving you something else to focus on.

Happy working song (Enchanted): Music and everyday activities

As with exercise, music can help make everyday, mundane and sometimes stressful activities easier. Stuck in traffic? Put on some relaxing music. Cleaning the shower? Put on some fun, one-hit wonders. Preparing dinner for the starving hordes? Put on something that makes you feel creative and calm. This is the beauty of music – whatever the genre – there’s something for all tastes, occasions and feelings.

ME! (Taylor Swift): Music and our sense of self

Our musical preferences are a big part of who we are. We’re all unique when it comes to what we listen to and when – what music soothes us, energises us, makes us emotional, transports us back in time. It’s magical. And unique to every person.

Count on me (Bruno Mars): Music connects us with others

Music also connects us with others. Think about the earliest time we encounter music – a parent singing a lullaby to their child. Apart from helping the baby fall asleep, it’s an important bonding time between parent and child.

Now think about attending church, a sporting event, or a concert. The shared moments when everyone sings a hymn, an anthem or a song can unify people from all walks of life, even if for a short period.

Music also provides an opportunity to make new friends over a shared love of a particular band, style of music or artist. And with most of us having access to the internet and social media, these friendships are no longer confined to our own suburbs, states or even countries. Why is this important? Because being connected with others is vital for good physical and mental wellbeing. Social connections can lower anxiety and depression, help us regulate our emotions, lead to higher self-esteem and empathy, and improve our immune systems.

Happy (Pharrell): Music and emotions

Listening to music releases dopamine – one of the happy ‘feel good’ chemicals. This boosts your mood and makes you feel more optimistic. So playing upbeat, happy music first thing in the morning can help set you up for the day. Especially if you’re feeling down or the morning news is too depressing to deal with.

On the flip side, listening to sad music can also be healthy. It can help you process sadness or other ‘negative’ feelings by reflecting on them or crying. By doing so, you can deal with them rather than bottling them up.

Make a playlist for all occasions

Music is a powerful tool we can use in many situations and for many health benefits. So just like making a mixed tape for the person you had a crazy, mad crush on as a teenager, make yourself a bunch of mixed tapes. Well, not literally; those things are impossible to find! But make yourself a series of playlists that you can use to exercise, boost your mood, help you sleep or manage your pain. Have them ready to go, so all you have to do when you need them is to press a button.

Or check out the playlists online and find some that suit your tastes and needs.

And pump up the volume! 

“Music gives a soul to the universe, wings to the mind, flight to the imagination and life to everything.” ― Plato

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

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03/Jun/2021

As people, we’re complex, multi-faceted and messy. And just as exercise, pain management, medications, and eating well are essential for good health, so too are the more nebulous aspects of wellbeing – happiness, satisfaction, comfort, social connections, a sense of purpose. When you’re managing your health, it’s important that we don’t neglect these other aspects of life.

So let’s look at some of the other things you can do to look after yourself when you live with a painful musculoskeletal condition.

Accept your pain

Acknowledging that your condition causes you persistent pain is an important step to managing it more effectively. You’re putting your energy into finding positive and practical ways to deal with it, rather than ignoring it or hoping it’ll just go away.

And research shows that people who worked on accepting pain reported lower pain intensity and better function than others.

Sounds so simple, right? Well, not always. It can be challenging to accept pain may be a constant in your life. It can be frustrating, and it may be a struggle at times. You may also go through periods where your pain does dominate your thinking and makes you anxious or sad.

That’s okay. Accept that this can happen. It’s completely normal when living with persistent pain to have these ups and downs.

Speaking with someone – a friend or family member, your GP, a pain specialist, a mental health therapist – can help you work through this so you can get back on track.

Writing it all down in a journal or pain diary is another option. The important thing is to keep working on it.

Stay connected

Living with persistent pain can be a lonely experience. Fear of aggravating their pain can sometimes stop people from doing the things they’ve always enjoyed – catching up with friends, playing sport and socialising. No longer having these connections can lead to people becoming isolated.

We’re now recognising that loneliness can cause a whole range of health issues – from depression to poorer cardiovascular health. In fact, research suggests it may pose a bigger risk for premature death than smoking or obesity. When it comes to musculoskeletal pain, feeling lonely can make you feel upset and distressed, which can increase pain and muscle tension. Any increased muscle tension has the potential to aggravate existing pain.

So how can you deal with loneliness?

  • Get in contact with friends and family. Catch up with them. Call them on the phone. Connect with them via social media. Just reach out and make the connection. Start small and gradually build up the amount of contact you have.
  • Join a walking group. As you know, exercise is an effective way to manage pain. So why not join a local walking group? You’ll meet people, and get some exercise as well. Contact your local neighbourhood house or search online for a group near you.
  • Adopt a pet. Pets are a wonderful comfort. They’re cute, they’re fun, they don’t judge you if you decide to stay in your pajamas all day. Having a pet has many health benefits, including decreasing cholesterol levels and blood pressure, reducing stress, improving your mood and importantly – reduced feelings of loneliness.
  • Join a knitting group/book club/art class/family history short course…whatever takes your fancy. Explore a new hobby or interest, and meet new people at the same time. Visit your local council website for details of what’s on in your area.
  • Join a support group. They bring together people with similar experiences in a supportive environment. Musculoskeletal Australia has many support groups that meet in person and online. Find a group today.
  • Volunteer. There are many opportunities to do volunteer work in Australia. Think of a cause near and dear to your heart – and explore local charities or organisations that need help. You’ll meet other people, make friends and connections, and support a cause that’s important to you. Check out the GoVolunteer website for volunteer opportunities.
  • Get help. If you feel like loneliness has become a big issue for you, and that the thought of doing any of these things is overwhelming, talk to your doctor or a mental health professional for support. And don’t forget there are services that can provide you with support when you need it, no matter the time of day.
    • Lifeline Australia (13 11 14 for 24 hour crisis support and suicide prevention)
    • beyondblue (1300 224 636 for 24 hour support).

Listen to your favourite tunes

There’s plenty of evidence to support the use of music for managing pain. It’s been shown to reduce anxiety, fear, depression, pain-related distress and blood pressure. We also know that when we listen to our preferred style of music, there’s a positive effect on pain tolerance and perception, anxiety and feelings of control over pain. It’s not exactly clear how or why music can have such an effect on pain, but we do know that enjoyable music triggers the release of dopamine, which is a ‘feel-good’ hormone. Or it may be that music distracts your mind from focusing on your pain. Whatever the reason, it’s an easy, cost-effective way to get some relief from your pain. So create a special ‘pain playlist’, and load up your phone or music player of choice with your favourite tunes. And check out our recent blog on the power of music.

Create a care package

Anyone who lives with a musculoskeletal condition knows how unpredictable they can be. You can be managing really well and doing all the right things when suddenly a flare hits. Something you can do to look after yourself at this time is to open a care package.

It’s a simple act of self-care that can provide a much-needed boost to your mood.

When you’re feeling healthy and pain-free, gather together the things that make you happy and give you comfort when you’re feeling down or unwell. Put them together in a box or a basket so that you can access them easily when pain strikes.

While it won’t make pain miraculously go away, it can provide a distraction and give your spirits a lift.

What you put in your care package it entirely up to you. It may be a guilty pleasure magazine that you enjoy reading every now and again, or some of your favourite quality chocolate, your pain playlist, photos from a wonderful holiday, mementos from your childhood…or all/none of the above. Whatever you put in there is purely for you. So get creative!

Remain working as long as you can

Working is good for our health and wellbeing – it gives us confidence, builds self-esteem, makes us happy and shapes our identity.

Working has many other benefits, including financial security, meeting and interacting with other people, learning new skills and challenging yourself. Ensuring you can stay in the workforce for as long as you want/need is vital for many reasons – including managing your health.

However there are times when your condition may interfere with your work.

The good news is there are many things you can do to help you stay at work, such as pain management techniques (e.g. mindfulness), medication, modifying your workspace, using aids and equipment (e.g. modified mouse and keyboard, lumbar supports) and having some flexibility with the hours worked. Talk with your doctor and an occupational therapist for information and advice about staying in the workforce. And consider talking with your employer about potential modifications to your workspace and/or role that may help when your condition flares.

Be in the moment

Mindfulness meditation focuses your mind on the present moment. It trains your mind to be alert and pay attention to the thoughts and the sensations you feel and accept them without judgement.

Regularly practising mindfulness meditation has been shown to improve mood, relieve stress, improve sleep, improve mental health and reduce pain.

The beauty of mindfulness is that you can do it walking, standing, sitting or even lying down. And the more you do it, the more benefits you’ll experience. The practice of mindfulness also translates to being more mindful in your everyday life.

To practise mindfulness meditation you can join a class, listen to a CD, learn a script from a book or play an online video or DVD. There are many different techniques. Here are just a few:

  • body scan – a simple technique to give you a taste of mindfulness meditation is a body scan. It helps you become aware of your body in the present moment.
  • focusing on your breath – pay attention to the way air moves in and out of your nose or mouth, and how it feels.
  • mantra meditation – involves chanting inaudibly or very softly to yourself a word or phrase that resonates with you.
  • sound meditation – focus your attention on a sound. This can be music or your surroundings (e.g. the wind in the trees, the sound of rain on your roof).
  • movement meditation – this is usually done as walking meditation, but you can practise it while moving in any way; for example tai chi and yoga are forms of moving meditation. Try and do this out in nature for maximum effect.

When you start meditating, be realistic. It involves regular practise and patience. Start with five minutes a day and gradually increase to 10 minutes and then more over a period of weeks and months.

Obviously the more often and the longer you do it, the more benefit you’ll get. However, even five minutes a day will be beneficial. You’ll notice changes in your consciousness very quickly as well as reduced pain, improved sleep, acceptance of situations, improved sense of wellbeing and better physical and social functioning.

“To ensure good health: eat lightly, breathe deeply, live moderately, cultivate cheerfulness, and maintain an interest in life.” – William Londen

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

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13/May/2021

22 February 2022 – Note: This article was written in May 2021 when we were still apprehensive about the vaccine rollout. Much has changed since then! The majority of the eligible Australian population have now received two doses of a COVID-19 vaccine, and many have received their booster. For the latest info about the COVID-19 vaccines, visit the Australian Government, Department of Health website.

I was having lunch with friends last week. Two of us have recently turned 50, so of course the discussion turned to our eligibility to get the COVID vaccination (the fun never ends when you hit the big 5-0!).

I was surprised to find I wasn’t the only one starting to feel a little worried about being vaccinated. For months now, most people I know have been gung-ho, and ready to roll up their sleeves for the COVID vaccination.

So what’s changed?

Our confidence.

We all know that in order to reach herd immunity – in Australia and globally – and reduce the spread of COVID, mass vaccination is our best option.

But many of us are losing confidence in the vaccination rollout, and are starting to become anxious about potential risks, especially around the AstraZeneca vaccine.

Our confidence in the Federal and state/territory governments has eroded over the past year. Petty squabbling between our governments, snap borders closures, lockdowns, problems with hotel quarantine, changes to vaccination targets, and the lack of choice when it comes to which vaccine we receive have made us question everything. Even the speed with which vaccines were created has made a lot of people worry.

The issue of rare blood clots associated with the AstraZeneca vaccine, which saw use of this vaccine paused in several countries, and the Australian Technical Advisory Group on Immunisation (ATAGI) recommending Pfizer over AstraZeneca for those under 50, has been just another blow to our confidence.

On top of all of this has been the poor communication from our governments. Information has been very brief, lacking the detail that many of us want, or too complicated, especially around the issue of blood clots. And so many became hesitant about vaccination. Even though we knew it’s the best way out of this pandemic.

Our concerns are valid. Our choice will have an impact on our health and our lives.

So what can we do to deal with our hesitancy? We need to become better informed so we’re making decisions based on fact, not fear or misinformation.

Things to know about getting vaccinated:

Don’t believe everything you read or hear – on socials, in the media, from your neighbour. There’s been a lot of incorrect, biased and out-of-date information shared. The Australian Government COVID vaccine info, and your state/territory health websites are important places to start for accurate information. Then it’s a matter of discussing this information with your GP or specialist about your specific set of circumstances, and asking the questions that matter most to you.

Getting vaccinated reduces your risk of becoming seriously ill or dying if you do get the virus. Being vaccinated also reduces the risk of passing the virus on to others if you do become infected. Read this article for more info: Mounting evidence suggests COVID vaccines do reduce transmission. How does this work? 

We can’t choose which vaccine we receive. Unfortunately we currently only have the Pfizer and AstraZeneca vaccines available for use in Australia. With the recent side effect of blood clots associated with AstraZeneca, the Australian Technical Advisory Group on Immunisation (ATAGI) has stated that the Pfizer vaccine is preferred for people under the age of 50 who have a higher chance of developing this side effect. For those 50 and over, you will receive the AstraZeneca vaccine.

About those blood clots. We’ve seen media reports of people hospitalised for thrombosis with thrombocytopenia syndrome (TTS) after receiving the AstraZeneca vaccine. And as someone who’s 50 and will receive this vaccine, the news coverage is scary. However it’s important to also be aware that the majority of people who experienced this side effect survived. Some were hospitalised and even spent time in intensive care – which is not nothing. But the weight of the evidence to date supports that your risk of developing severe illness or dying from COVID is greater than the risk of developing TTS.

Although the vaccines appeared quickly, researchers and manufacturers didn’t skip steps. The difference between developing the COVID vaccines, and past vaccines, is that we had so much genetic information about the virus very early on. We also had technologies in place, and government funding around the world, for work to begin as soon as possible.

Out of the large number of potential vaccines on the radar in 2020, only a small number made it through clinical trials. Many of the others fell by the wayside due to safety and efficacy issues.

The ones that did make it through then had to jump through the hoops of the Therapeutic Goods Administration (TGA) in Australia, and similar organisations around the world. Read the TGA info on the vaccine approval process and their safety monitoring system.

The Australian Rheumatology Association recommends that people with rheumatoid arthritis, systemic lupus erythematosus (SLE) and other autoimmune inflammatory rheumatic diseases get vaccinated.

Finally
Although in Australia we’ve been extremely lucky to have very low numbers of people being infected or dying from COVID, this could change, as we’ve seen in other parts of the world. So we can’t afford to become complacent. Whether you choose to be vaccinated or not, we all still need to adhere to the safety precautions we’ve become so familiar with:

  • wash your hands regularly and thoroughly with soap and water
  • use hand sanitiser when you don’t have access to soap and water
  • cough or sneeze into your arm or a tissue; put the tissue in the bin and wash/sanitise your hands
  • avoid touching your face
  • clean surfaces regularly
  • physically distance yourself from others
  • stay home if you’re sick
  • get tested.

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.


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13/May/2021

You can’t pick up a magazine or scroll through socials without seeing a celebrity or influencer touting the latest probiotic, prebiotic, wonder food or tips to enhance your gut microbiome. When did the gut become big business? And what’s it all about?

Let’s take a deep dive into the gut microbiome (sorry – that sounds a little gross ?) and find out.

But first, some definitions:

  • microbes are tiny living things that exist all around us – in the air, soil, water, our food, and our bodies. They’re so small you can’t see them with the naked eye. They include bacteria, fungi, viruses and archaea.
  • microbiota refers to the entire community of microbes that inhabit a specific place. In this article we’re referring to the human microbiota – or the community of microbes that lives in and on your body, with a specific focus on the bacteria in the gut.
  • microbiome is what we call the genetic material of all of the cells in the microbiota. So this is not just the microbes themselves, but all of the genes in all the microbes.

We’re all unique

We’ve known for many years that there are trillions of microbes living inside and on our bodies. But did you know there are almost as many microbial cells as human cells that call our bodies home?! (1)

The majority of these microbes are found along the digestive tract (or gut), especially in the large intestine.

Microbes are extremely important for our health. We exist with them in a mutually beneficial, symbiotic relationship. That means that we both gain benefit from living in such close proximity with each other.

We provide them with a cosy place to live and an abundant supply of food to feed on. They help us digest food, absorb nutrients and fight off harmful bacteria. They also have an effect on our metabolism, weight, mood, and most importantly, they help develop, modify and control our immune system.

We’ve evolved with these microbes over thousands of years, passing them on from generation to generation. However your microbiome is completely unique to you.

It started to develop when you were a newborn and was shaped by your mother’s health, how you were born (vaginally or via caesarean) and how you were fed as an infant (breastmilk, formula or combination). Then a multitude of other factors contributed to your microbiome, including where you live (e.g. rural/urban), your diet, the medications you use, if you’re a smoker, and your stress levels.

The link between our microbiome and disease

Even though we live in a symbiotic relationship with our gut microbiota, that doesn’t mean that all of the bacteria present in our gut are beneficial. It simply means that in a healthy person the gut microbiome is relatively stable, and the ‘good’ bacteria keep in check the numbers of ‘bad’ bacteria that could become harmful to us.

For a healthy gut microbiome, we need sufficient levels and a diverse range of good bacteria. Poor diet, smoking, chronic stress and antibiotics can all affect the quantity and types of bacteria we have in our gut.

Many studies have shown that it’s disturbances or imbalances with the gut microbiota that may contribute to the onset and/or severity of a long list of diseases. And that people who develop these conditions have too little or too much of certain types of bacteria, or lack some types of bacteria completely.

For many autoimmune conditions, the cause is unknown. A genetic predisposition, coupled with an unknown trigger is often the closest we have to a cause.

This has led some researchers investigating whether imbalances in the gut microbiome may be the a potential trigger that could result in some people developing:

  • inflammatory bowel disease (9) (Crohn’s disease and ulcerative colitis)
  • diabetes (8)
  • musculoskeletal conditions such as rheumatoid arthritis (2, 3), ankylosing spondylitis (4), and psoriatic arthritis (5).

Scientists are researching whether improving the diversity and health of gut microbiota in people with these diseases will also decrease their symptoms.

Probiotics and prebiotics

Some of the treatments being researched include probiotics and prebiotics.

Probiotics are live bacteria and yeast that are similar to those living in our digestive tract. They’re found in cultured and fermented foods including yoghurt, miso, sauerkraut, kimchi and kombucha tea.

Probiotics help to maintain healthy levels of good bacteria in the gut and support our immune defences. They also help to break down foods we find difficult to digest, or foods that aren’t broken down by stomach acids.

One meta-analysis investigated whether probiotic supplements provided any benefits for people with rheumatoid arthritis (RA). Researchers concluded that there’s a potential role for probiotics in relieving inflammation for people with RA; however more research is needed before we can know if probiotics can relieve the disease progression (6).

Safety note – if you have a weakened immune system due to your condition and/or medications, you should talk with your doctor before taking a probiotic, as they contain live bacteria, and may not be safe for you to take.

Prebiotics are a form of dietary fibre that we can’t digest. But our good bacteria love them, and they’re a great food source to help them grow and multiply in your gut. They’re found in foods such as beans, asparagus, garlic, brown rice, bananas and sweet potatoes.

Scientists are investigating whether prebiotics can be used to treat or manage a range of health issues.

Looking after your gut microbiome

While there’s a lot of research being carried out investigating how our gut microbiome affects our health, we still have a long way to go before we have any definitive answers, especially when it comes to our musculoskeletal health. Our microbiomes are all so diverse and unique, which makes this research complex. And this research is also still quite new. So ‘watch this space’! We’ll bring you more information, especially as it relates to musculoskeletal conditions, as it emerges.

In the meantime, there are things you can do to look after, and even improve your gut microbiome. And the good news is that these things are also good for managing your musculoskeletal condition/s and health in general.

  • Eat a well-balanced diet with a wide range of foods. The microbes in our gut are attracted to different nutrients. So providing a diverse range of healthy foods – fruit, vegetables, nuts, grains, seeds, fermented foods – means that you’ll be making a diverse group of microbes happy and healthy.
  • Eat a wide variety of fibre. The CSIRO says we can “feed our gut bacteria or microbiome by eating foods rich in resistant starch; for example, lentils, peas and beans, cooked and cooled potato, cold pasta salad, firm bananas, and certain wholegrain products” (7).
  • Avoid foods high in saturated fat and sugar as they have a negative impact on your microbiome.
  • Exercise – you didn’t think I’d get through an article without promoting exercise did you ?? Apart from all the amazing things regular exercise can do to help us manage our musculoskeletal conditions, our weight, mood, and sleep…studies have shown that exercise can improve the quantity and quality of the microbes in our gut. To find out more, check out this article from The Conversation.
  • Manage your stress. Studies have shown that stress – including psychological and emotional stress, lack of sleep, and stress caused by our environment such as noise, or extremes in temperature – can negatively affect the microbes in our gut. To manage stress, you can try to manage any environmental causes, get good, quality sleep, and use stress management techniques such as distraction, guided imagery, mindfulness meditation and deep breathing.
  • Avoid antibiotics when they’re not needed, They should only be used to treat bacterial infections. Antibiotics can’t kill viruses, so they shouldn’t be used for illnesses like the common cold. But they do kill bacteria – including the good ones we need in our gut. So discuss the risks and benefits of using antibiotics with your doctor. Read this information from the National Prescribing Service about antibiotics.
  • Get outdoors and interact with your environment. Whether it’s a walk in the park or digging in your garden, exposing yourself to external microbes is good for your microbiome.
  • Stop smoking – it affects your overall health, including the microbes that call you home. Quitting is hard, but there are people and organisations who can help you.
  • Talk with your doctor and/or dietitian about how you can improve your diet, for better gut health.

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

More to explore

References

  1. Sender R, et al. 2016. Revised estimates for the number of human and bacteria cells in the body. PLoS Biology.
  2. Wells, P. M., et al. 2020. Associations between gut microbiota and genetic risk for rheumatoid arthritis in the absence of disease: a cross-sectional study. The Lancet. Rheumatology.
  3. Taneja, V. 2014, Arthritis susceptibility and the gut microbiome. FEBS Letters.
  4. Fletcher, J. 2021.Expert perspectives: Ankylosing spondylitis and the gut microbiome. Medical News Today.
  5. Fletcher, J. 2020. Psoriatic arthritis and the microbiome: Is there a link? Medical News Today.
  6. Mohammed, A.T, et al. 2017. The therapeutic effect of probiotics on rheumatoid arthritis: a systematic review and meta-analysis of randomized control trials. Clinical Rheumatology.
  7. CSIRO, 2021, Resistant starch.
  8. Branca, M (2021). Plant-based diet may feed key gut microbes. The Harvard Gazette.
  9. Knights, D.et al (2014). Complex host genetics influence the microbiome in inflammatory bowel disease. Genome Med 6, 107 (2014).

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13/May/2021

Often when we go through times of enormous challenge and change we start to re-evaluate and prioritise what’s important to us: quality time with family and friends, taking care of our physical and mental wellbeing, and our feelings and goals when it comes to work.

Many Australians experienced, or are still experiencing, personal and financial stress due to loss of work because of COVID-19.

When you add a chronic musculoskeletal condition (or conditions) to the mix, the situation becomes more complicated. Living with a chronic condition is expensive, so if you’re no longer able to work – because of your condition, the pandemic or both – financial strain is almost inevitable. If you’re in this position at the moment, read our information on financial support – there are a lot of options to help you through this tough period.

Reconsidering work

When we conducted our 2020 national consumer survey, we asked people how their musculoskeletal condition/s had affected their ability to work. Seventeen percent of respondents said they had to change their job or profession to accommodate their condition/s.

If this sounds familiar, or you’ve lost work due to the pandemic, this may be the perfect time to reflect on what you value when it comes to your job. Ask yourself – ‘is my job still working for me’?.

If you answered no, there are many options to help you move forward and find a new job or career that satisfies you, provides you with an income and gives you a sense of fulfillment.

Job Outlook
This is a great website and a good place to start when contemplating your next career move. It has a range of very helpful tools including:

  • skills match – this tool helps you find new jobs that use your existing skills. You simply add your previous jobs, including unpaid or volunteer work, and it’ll give you alternative jobs that use your skills.
  • career quiz – this simple quiz gives you a range of work scenarios. You choose the ones that appeal to you the most. Based on your answers, the quiz provides a range of career paths that may interest you.
  • explore careers – provides all the relevant information about different occupations including tasks associated with the job, salary, future growth, skills and knowledge required, and the work environment (including physical demands of the job).
  • links to training courses, job vacancies and other useful resources.

JobAccess 
This is the Australian Government’s one-stop-shop for information and resources for people with disability, employers and service providers.

The section for people with a disability has a wealth of resources, especially on the Available Support page including:

Australian Job Search
This is Australia’s largest free online jobs website. Lots of useful info and resources for job seekers.

Job Jumpstart 
Provides articles and tools to help you find jobs that suit your interests. Information is tailored to where you’re at in life:

Department of Education, Skills and Employment – Australian Government
Provides services and support to help you overcome barriers and develop required skills to gain employment. including:

My Skills 
My Skills is the national directory of vocational education and training (VET) organisations and courses. It provides info on:

Careers counsellors
You can also get professional help making decisions about your career choice by talking to a careers counsellor. Careers counsellors provide information, advice and guidance to help you make realistic choices about work, including further training or upskilling. They can help you identify jobs that match your skills and interests, create a resume, provide info on where to look for jobs and more.

Visit Career Development Association of Australia (CDAA) to find a private career counsellor who can help you work out your best career options. Note – these services aren’t free. The CDAA advises that ‘all members are in business, they charge a fee for the services they provide. You are encouraged to contact 2-3 members and discuss your needs to make an informed decision about who could help you best.’

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.


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22/Apr/2021

Sex, intimacy and musculoskeletal conditions

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Note: This article was written from my perspective as a heterosexual woman in a long-term relationship. If you’d like to share your tips and advice about intimacy when you live with a musculoskeletal condition from a differing perspective, that we could share in another blog, we’d love to hear from you. Contact lisa@msk.org.au 

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Living with a musculoskeletal condition/s can sometimes interfere with your sex life. Pain, fatigue, body image issues and side effects from medications can really interfere with this aspect of your life. Added to the physical and emotional impact of your condition, the everyday pressures of work/study, family, finances and COVID, can also affect your desire to be intimate.

If this sounds familiar, you’re not alone. In our report Making the Invisible Visible, we revealed that 32% of people said their condition had affected their ability to be intimate with their partner.

The good news is there are many things you can do to overcome many of these issues and enjoy a satisfying and fulfilling sex life.

Tips for happy sexy times

Be open and honest with your partner about how you feel. Only you know what hurts – both physically and emotionally. Show them the positions that cause you the least pain. If you’re feeling sad or depressed about how your body has changed, tell them this. Not letting them in and not telling them what’s going on can strain your relationship.

Be kind to yourself. When our bodies change, it’s understandable to feel sad or a sense of loss about the things we used to be able to do or the way we used to look.

But it’s important not to get in the habit of describing yourself in a negative way – both to yourself and your partner – such as ‘I’m fat’ or ‘I’m ugly’. It’s not constructive, and it just makes you feel worse. It certainly doesn’t make you feel sexy! I know this is hard – we really are our own worst critics. Instead, focus on what you like or love about your body. Take time to really look at your body and be proud of it. Over time look at the parts of your body you haven’t been so happy with, and look at them without the super-critical lens. Admire it…our bodies are amazing! And they’ll continue to change as our health changes, and we grow older. So we need to become comfortable in our own skin.

Be kind to your partner. They may be worried about hurting you, self-conscious about their body, or changes to their health and wellbeing. If you haven’t been communicating well recently, they may be worried that they’ve done (or not done) something. Communication is key.

Talk with your doctor. This may be a little embarrassing or uncomfortable, but your doctor can give you practical advice about pain relief strategies, as well as sexual positions you can try that won’t aggravate your condition. You can also discuss your medications in case they’re causing loss of libido or issues such as vaginal dryness. You can then explore the potential of alternative treatments.

Have a massage. Book an appointment with your favourite massage therapist and have a relaxation massage to soothe any muscle tension away. Or, better still, ask your partner for a massage. A little oil, some light strokes along your arms, and some gentle back rubs, and the next thing you know, things have taken a lovely, sensual turn 💜. Read this article for tips: How to give your partner a super hot erotic massage.

Plan things. It doesn’t sound terribly romantic or sexy, but putting some thought and planning into sexy times can make things so much easier. Consider taking a warm shower or bath to loosen up your muscles, take a pain reliever, do some stretches, use your heat pack, have a massage, or take a nap. Basically, do all the things you know relieve your pain.

By planning, you can choose a time when you’re feeling your best, the kids have been shipped to the grandparents, the phones are off, and there are no other distractions.

Planning also involves setting the mood, so light some candles, wear something that makes you feel desirable and self-confident, dim the lights and put on some music.

Get adventurous! Try new positions – you know your body and what makes it hurt – so avoid those positions and find new ones. Versus Arthritis (formerly Arthritis UK) has a great booklet that provides a range of positions for you to try.

Use pillows to provide some support if you need it.

Try sex aids and toys – there’s a huge range available including, vibrators, lubricants, feathers, rings, and sexy wear – so pop down to the adult store together and find things that excite you both. Or go online and order them if you don’t feel comfortable going into a store.

Read erotica or watch porn together – whatever excites you and gets you in the mood.

Don’t forget the romance. If you’ve been with your partner for some time, cast your mind back to the giddy days when you were getting to know each other. When every look, every slight touch was electric, and you went out of your way to do romantic things together. Now think about your life today and how you can add some romance or spice things up. Whether it’s a date night, with dinner somewhere special, followed by dancing in your lounge or cuddling on your couch; sending your partner flowers or other love tokens; leaving little notes for them to find; or just surprising them with a good old fashion, toe-curling pash (sigh 🧡). Put in the effort – it’s well worth it, as it will make you both feel special and loved.

Keep a sense of humour. Inevitably things will go pear-shaped. Your back spasms, your hips fail you, someone falls asleep, or the children/cat/dog make an appearance. All you can do is roll with it. It’s no one’s fault, so laughing about it and moving on is your best option.

It’s not all about penetration. Cuddling, touching, oral sex, lying skin-to-skin, masturbation, and staying in bed sharing your deepest hopes/dreams/thoughts are also so important when it comes to intimacy with your partner. While sex is great, these things add a layer of richness and depth of feeling that sex alone cannot give. So don’t forget to do the things that strengthen these intimate bonds with your partner.

And have fun 😉.

Contact our free national Help Line

If you have questions about managing your pain, your musculoskeletal condition, treatment options, mental health issues, COVID-19, telehealth, or accessing services be sure to call our nurses. They’re available weekdays between 9am-5pm on 1800 263 265; email (helpline@msk.org.au) or via Messenger.

More to explore


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