{"id":3670,"date":"2026-09-13T23:53:49","date_gmt":"2026-09-13T23:53:49","guid":{"rendered":"https:\/\/drsoniafawad.com\/?p=3670"},"modified":"2026-09-13T23:53:49","modified_gmt":"2026-09-13T23:53:49","slug":"more-than-tired-the-exhaustion-of-living-with-pain","status":"publish","type":"post","link":"https:\/\/drsoniafawad.com\/?p=3670","title":{"rendered":"More Than Tired: The Exhaustion of Living With Pain"},"content":{"rendered":"<p><br \/>\n<\/p>\n<div>\n<h5><em><b>By Nikhil Sadavarte<\/b><\/em><span style=\"font-weight: 400;\"\/><\/h5>\n<p><span style=\"font-weight: 400;\">I fell to the pillow. I was exhausted. It had been a long day and a long shift at work. My eyes had already begun to drift closed, and my mind had pushed my checklist of remaining tasks off to the next morning. I tucked myself into bed and looked at my alarm clock.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><i><span style=\"font-weight: 400;\">8:42 pm.<\/span><\/i><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I had over 10 hours before I had to wake up. For once, when I closed my eyes, I felt nothing across my lower back or leg. No dull ache, no irritating numbness, no flashing pains. I let out a grateful sigh. Maybe tonight was the night I would finally get some rest.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I drifted off within seconds.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><i><span style=\"font-weight: 400;\">10:02 pm.<\/span><\/i><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I felt the familiar droop below my eyelids and knew that I had woken up too soon. Why had I gotten my hopes up? Frustrated, I pushed my face into the pillow, as if the action could force my mind back into a slumber. It had been years since I got a good night\u2019s sleep. What was truly the chance of tonight being any different?<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I lay still, waiting for the all-too-familiar pain to start. Just like it did each night, it started with a dull ache in my lower back. I pushed a pillow under my back\u2014most likely a futile effort, but I had hoped to trick my mind into thinking it was as effective as a magic medicine.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I was exhausted. My eyes operated without my conscious input, sometimes remaining wide open during bouts of pain, then turning back into drooping jelly just a few moments later. I fell back asleep, only to immediately wake up again. I tossed and turned, trying the many positions my physical therapist had taught me. I knew none of them would work, but I tried anyway.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">The pain hadn\u2019t left yet. I could still feel it in my lower back. I closed my eyes. How long had it been since I woke up?<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I looked at the clock.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><i><span style=\"font-weight: 400;\">10:14 pm<\/span><\/i><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I sighed. I shouldn\u2019t have looked. I wanted the night to be over. I wanted to get out of bed and face whatever the day brought. But I also wanted to sleep for just a few hours.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I began to bargain with my body, knowing well that it had no intention of listening to me. My body was the one producing the pain. Could it not turn it off for just a few hours? I had two projects to do, and my Neurology quiz the next day. I hadn\u2019t slept well the night before. Or the night before that. I needed some rest.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><i><span style=\"font-weight: 400;\">10:16 pm.<\/span><\/i><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">The ache began to spread. Frustrated, I threw my pillow at the bedside clock. I lay flat on my back, hoping that if I didn\u2019t move, the pain would retreat back to the small area where it had started. After a few minutes of prayers I didn\u2019t really expect to help, I decided to let the pain run its course. I loosened my body and welcomed it. Maybe if I just gave in to it, then I could get just a few minutes of sleep.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I wasn\u2019t surprised when it didn\u2019t work. Another night wasted.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><i><span style=\"font-weight: 400;\">6:59 a.m.<\/span><\/i><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I silenced my alarm. I didn\u2019t need the beeping sounds; I was already awake. Like most mornings, I watched as sunlight flooded the room. The warm touch of the sun was the sign that I had lost yet another battle against my body.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I had slept four hours in total, if that, and had woken up more times than I could count. I took solace in the fact that I was too tired to remember most of the night.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I got up and began my day. I stumbled through my morning routine, grabbing whatever snack required the least energy to make and heading out the door.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">My day went as it usually did: Carefully planned. The closest parking spot. The shortest path between buildings. A place to sit and rest between classes. None of these decisions seemed particularly important on their own. But together, they had become the architecture of my life.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I had learned to think of my energy as something finite. Every extra flight of stairs, every unnecessary walk across campus, every few minutes spent standing when I could have been sitting\u2014they all pulled from a reserve that was already drained. That day, there were two projects and a quiz. The next day, as I worked to complete my biology degree, it would be something else.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">The strange part was how normal it all began to feel. I still went to class. I still managed to study for exams. If someone asked how I felt, they received the same automatic answer I had given countless times before: \u201cGood.\u201d<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">Saying that was easier than describing the exhaustion I felt. It wasn\u2019t just the physical exhaustion, but the exhaustion from plotting each step I took. It was exhaustion from saying no to late-night outings with friends, knowing well that my body wouldn\u2019t last the few hours I wanted it to.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I was exhausted from memorizing how many flights of stairs there were in the Physics building. I was exhausted from debating the likelihood that my legs would make it to class in time for the next quiz. I was exhausted from making decisions that in the past, I\u2019d never once had to consider.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">Tired had once meant something different to me. It meant staying up too late studying for an exam or waking up early for a hike. It was a long day that ended with the promise of crawling underneath the covers and finally getting some rest.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I wanted to be that kind of tired. I wanted that promise of rest.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">Instead, I would eventually finish my projects, take my quiz, make the familiar walk home, and prepare myself for bed. I would be exhausted. I would want nothing more than to sleep. I would have allowed plenty of time to sleep. Yet, as I lowered myself onto the mattress, I would know that being tired would not guarantee my rest.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">Most nights looked the same. Yet, I started to notice something in the mornings\u2014a strange kind of stubbornness in me that urges me to get up, plan the daily route, and walk into the quiz anyway.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">I used to think that meant I was losing. Lately, I think it might mean the opposite. Not that I\u2019m beating the pain, or even surviving it gracefully. Just that I\u2019m still here, still building my life, one day at a time.<\/span><span style=\"font-weight: 400;\"\/><\/p>\n<p><span style=\"font-weight: 400;\">The exhaustion has never left me. But it has never been all of me, either.<\/span><\/p>\n<\/div>\n<p><script type=\"text\/javascript\">\n!function(f,b,e,v,n,t,s){if(f.fbq)return;n=f.fbq=function(){n.callMethod?\nn.callMethod.apply(n,arguments):n.queue.push(arguments)};if(!f._fbq)f._fbq=n;\nn.push=n;n.loaded=!0;n.version='2.0';n.queue=[];t=b.createElement(e);t.async=!0;\nt.src=v;s=b.getElementsByTagName(e)[0];s.parentNode.insertBefore(t,s)}(window,\ndocument,'script','https:\/\/connect.facebook.net\/en_US\/fbevents.js');\n<\/script><br \/>\n<br \/><br \/>\n<br \/><a href=\"https:\/\/uspainfoundation.org\/blog\/chronic-pain-more-than-tired\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Nikhil Sadavarte I fell to the pillow. I was exhausted. It had been a long day and a long shift at work. My eyes had already begun to drift closed, and my mind had pushed my checklist of remaining tasks off to the next morning. I tucked myself into bed and looked at my alarm clock. 8:42 pm. I had over 10 hours before I had to wake up. For once, when I closed my eyes, I felt nothing across my lower back or leg. No dull ache, no irritating numbness, no flashing pains. I let out a grateful sigh. Maybe tonight was the night I would finally get some rest. I drifted off within seconds. 10:02 pm. I felt the familiar droop below my eyelids and knew that I had woken up too soon. Why had I gotten my hopes up? Frustrated, I pushed my face into the pillow, as if the action could force my mind back into a slumber. It had been years since I got a good night\u2019s sleep. What was truly the chance of tonight being any different? I lay still, waiting for the all-too-familiar pain to start. Just like it did each night, it started with a dull ache in my lower back. I pushed a pillow under my back\u2014most likely a futile effort, but I had hoped to trick my mind into thinking it was as effective as a magic medicine. I was exhausted. My eyes operated without my conscious input, sometimes remaining wide open during bouts of pain, then turning back into drooping jelly just a few moments later. I fell back asleep, only to immediately wake up again. I tossed and turned, trying the many positions my physical therapist had taught me. I knew none of them would work, but I tried anyway. The pain hadn\u2019t left yet. I could still feel it in my lower back. I closed my eyes. How long had it been since I woke up? I looked at the clock. 10:14 pm I sighed. I shouldn\u2019t have looked. I wanted the night to be over. I wanted to get out of bed and face whatever the day brought. But I also wanted to sleep for just a few hours. I began to bargain with my body, knowing well that it had no intention of listening to me. My body was the one producing the pain. Could it not turn it off for just a few hours? I had two projects to do, and my Neurology quiz the next day. I hadn\u2019t slept well the night before. Or the night before that. I needed some rest. 10:16 pm. The ache began to spread. Frustrated, I threw my pillow at the bedside clock. I lay flat on my back, hoping that if I didn\u2019t move, the pain would retreat back to the small area where it had started. After a few minutes of prayers I didn\u2019t really expect to help, I decided to let the pain run its course. I loosened my body and welcomed it. Maybe if I just gave in to it, then I could get just a few minutes of sleep. I wasn\u2019t surprised when it didn\u2019t work. Another night wasted. 6:59 a.m. I silenced my alarm. I didn\u2019t need the beeping sounds; I was already awake. Like most mornings, I watched as sunlight flooded the room. The warm touch of the sun was the sign that I had lost yet another battle against my body. I had slept four hours in total, if that, and had woken up more times than I could count. I took solace in the fact that I was too tired to remember most of the night. I got up and began my day. I stumbled through my morning routine, grabbing whatever snack required the least energy to make and heading out the door. My day went as it usually did: Carefully planned. The closest parking spot. The shortest path between buildings. A place to sit and rest between classes. None of these decisions seemed particularly important on their own. But together, they had become the architecture of my life. I had learned to think of my energy as something finite. Every extra flight of stairs, every unnecessary walk across campus, every few minutes spent standing when I could have been sitting\u2014they all pulled from a reserve that was already drained. That day, there were two projects and a quiz. The next day, as I worked to complete my biology degree, it would be something else. The strange part was how normal it all began to feel. I still went to class. I still managed to study for exams. If someone asked how I felt, they received the same automatic answer I had given countless times before: \u201cGood.\u201d Saying that was easier than describing the exhaustion I felt. It wasn\u2019t just the physical exhaustion, but the exhaustion from plotting each step I took. It was exhaustion from saying no to late-night outings with friends, knowing well that my body wouldn\u2019t last the few hours I wanted it to. I was exhausted from memorizing how many flights of stairs there were in the Physics building. I was exhausted from debating the likelihood that my legs would make it to class in time for the next quiz. I was exhausted from making decisions that in the past, I\u2019d never once had to consider. Tired had once meant something different to me. It meant staying up too late studying for an exam or waking up early for a hike. It was a long day that ended with the promise of crawling underneath the covers and finally getting some rest. I wanted to be that kind of tired. I wanted that promise of rest. Instead, I would eventually finish my projects, take my quiz, make the familiar walk home, and prepare myself for bed. I would be exhausted. I would want nothing more than to sleep. I would have allowed plenty of<\/p>\n","protected":false},"author":1,"featured_media":3671,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3670","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=\/wp\/v2\/posts\/3670","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3670"}],"version-history":[{"count":0,"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=\/wp\/v2\/posts\/3670\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=\/wp\/v2\/media\/3671"}],"wp:attachment":[{"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3670"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3670"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoniafawad.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3670"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}