#trigger pain

Virgil felt it the second his brain was connected, the dull ache in his right hip. He barely managed to let out a groan, trying to shift off his bad hip and onto his back. He let out a sharp breath as he hit his back. It was one of those days.

He hated those days.

The days when he was all but reduced to his bed before the sharp pain in his hip refused to be quelled. He knows he should get up, to try and stretch it out, but the very thought makes him nauseous.

“Kiddo?” He groans. “You okay?” Patton opens the door slowly, peeking in at the boy. “Bad day?” Virgil nodded and he’d never been so glad to have a brother like Patton. Patton, of course, was aware of these bad days. When Virgil was 10, he got diagnosed with a rare bone condition that affected his bones and left him in so much pain, to the degree that he was basically immobile for a year. He got over the condition fine with a lot of medicine but with lack of mobility for a crucial year in his growth, his muscle weakened and got inflamed a lot, meaning he was constantly on new exercise regimes to re-stretch and re-work the muscles into submission. His right hip muscles, the ones joining his two bones, was currently inflamed and was sticking his bones (Though this confused Patton, wasn’t that what connective muscles were supposed to do?)

“I really just want to sleep all day,” Virgil said.

“We both know I don’t want to give you The Speech,” Patton said, causing Virgil to groan loudly.

“Please, not the speech.” Patton chuckled. 

“How about a compromise?”

“No,” Virgil whined. “Your compromises suck! it's like ‘do these tiresome, painfully stretches for like an hour and then I’ll give you an extra five minutes for a nap’. I would rather The Speech.”

“In that case-”

“No! I was joking, not The Speech,” Virgil said. ‘The Speech’ was an inside joke among the two. When their parents passed away, Virgil was barely 17, so 20-year-old Patton had to help Virgil navigate all his pain alone, with only Logan, Patton’s boyfriend, as a supporter. On one of Virgil’s bad days, he had tried to rouse Virgil to get through his exercise by saying anything and everything off the top of his head. When he was about ten minutes in, Virgil had snapped, saying; “Fine! I’ll do the exercise, just please, Pat, for the love of God, shut up!”. Since then, ‘The Speech’ had been the threat to get Virgil out of bed. Virgil sighed, bringing Patton back to the moments.

“Okay then, smarty-pants, how about I help you through your exercises and then we can chill for the day, I’ll even call off work.” Virgil looked like he battling himself. One side of him wanted to be selfish and spend the day with his brother, but he also knew that his brother didn’t get a lot of days off. Patton seemed to sense this. “Or, I can sit in my office all day and spam you with texts, getting no work done.” Virgil smiled before extending his hands. Patton helped him sit up, carefully and slowly, making sure not to bother the hip too much. He helped Virgil lie down on the floor (the bed was too soft and would mould to his back, meaning he wouldn’t be able to accurately do a lot of the exercises). He placed a pillow under his head, stuck on a playlist, and started the exercises.

“I hate this, I want to stop.” Patton continued to hold Virgil’s leg in place (his right ankle was placed on his left knee, and his legs were drawn up, forcing his right hip to rotate.)

“10 more seconds,” Patton said. “5, 4, 3, 2, 1, ″ Slowly, his leg was lowered back down. Virgil let out a large breath. “Only four more exercises to go.” Virgil shook his head, tears springing to his eyes.

“pat please, I can’t do five more.” Patton gently took his brother's face in his hands.

“You’ve done the hard ones, Virge, and you’ve done so well. C’mon, you only have to do three reps of thirty seconds for each one.” Virgil let out a shaky breath, a few tears escaping his eyes, which were quickly wiped away by Patton’s thumbs. “Come on, we can do this.” Virgil snorted slightly.

“This isn’t a ‘we’ situation, Pat, I don’t see you crying from pain,” he joked. Patton would be offended, he’s tempted to pretend to be, but he knows Virgil hates feeling vulnerable and uses humour to cope.

“Well, I don’t see you having to threaten your baby sibling to do his exercises,” Patton said, helping Virgil through the next exercise (place his right thigh over his left, and angling his knee at ninety degrees to stretch the muscle).

“’m not a baby,” Virgil said.

“I’m sorry, I couldn’t hear you over your baby speak,” Patton said, letting go of Virgil’s leg to stretch it between exercises.

“I’m a man,” Virgil said, making his voice deep to hear his brother laugh. Patton shook his head, re-positioning his leg for him.

“Sure, you are. I’m sure big bad men have to have their crusts cut off their sandwiches.”

“No one wants to eat hard bread, Patton,” Virgil said.

“Is that so, Virgil?” Virgil nodded before he flopped his leg out of his brothers’ hands.

“Why are you positioning my leg for me, I’m not paralysed.”

“I don’t trust you to not give up early,” Patton said immediately. Virgil let out a scandalised gasp.

“Oi! You’re right, but hey!” Patton laughed, picking back up his brother's leg and finished the last exercise on his back. 

“Okay, turn over. You’re gonna have to hold these yourself,” Patton said.

“I thought you said you’d help me!” Virgil whined.

“I basically just did your exercises for you!”

“Basically and literally are not the same thing,” Virgil said. “You’re dating Logan, you should know this!” 

“Hush you, and finish up, I’m hungry.”

“And I’m not?” Patton gave Virgil ‘The Look’. Virgil sighed. “I’m sorry for taking my frustrations out on you, that isn’t fair.”

“Thank you. And I’m sorry if I’m making you feel rushed.” Virgil sighed.

“It's fine. And hey, only two more to do.” Patton nodded. The hardest, by far, was the first one. it was an awkward position, making it hard to take deep breaths, and it hurt the most. Patton coached him through his last two before Virgil sighed, flopping down onto the ground. “That sucked.”

“Pancakes?”

“Uh, yes. With blueberries?”

“And maple syrup.” Virgil hollered before slowly standing up. He walked (hobbled) down the stairs and into the kitchen. “So, coffee?” Virgil nodded using a chair to lift himself onto the counter, not trusting his arms or hip. Patton grabbed a glass and a pain pill before handing both to his brother. “30 minutes before your meal please.” Virgil rolled his eyes but took the pill and swallowed it down. Patton began on the batter, getting all the ingredients into the bowl before handing it to his brother. “I’m gonna call work on the landline.”

“What excuse you gonna use.”

“I’m deciding between ‘I’m sick’ or ‘fuck you and your contract hours, I got more important shit to do’. Which is more convincing?” Virgil laughed.

“That’s two dollars in the swear jar.”

“How many times have I forgiven you curses?”

“Me? Curse? I’m an angel.”

“No, you’re a pain in the behind.”

“Pattooooooon!” Patton shook his head and grabbed the landline. 

“Mix,” he instructed before dialling the number and leaving the room. Virgil stuck his tongue out at his brother but began mixing.

“Alexa, play Patton’s breakfast tunes at volume 4 please.”

“Playing ‘Patton’s breakfast tunes’ on Spotify now,” The machine replied. ‘Dog Days Are Over’ by Florence + the machine began to play through the kitchen speakers. Virgil had just about combined the ingredients by the time Patton came back. 

“Any troubles?”

“Nope, Jessie answered the phone, and he’s chill with anything. He said he'd called Katie and she could take my shift, I just had to take her shift next Tuesday but I definitely needed to be in tomorrow - something about a big meeting, ah well.” Patton said. “This looks nearly ready. Finish that off, imma just get the pan.” Patton walked away before noticing the clock. “Later than I thought,” He mumbled. Virgil looked at the clock. It was about half one.

“How long did I sleep for?”

“I went to wake you at like half twelve, so I guess the timing does make sense.” Virgil nodded, handing the mixed batter to his brother. The two silently made breakfast - well, Patton made breakfast, humming alone to his playlist, while Virgil watched before getting up and setting the table. He yawned again, the pain in his hip moving from a stabbing pain to a dull ache. He plopped down on his chair - the only chair with a cushion for times like these. Patton smiled, handing him his plate as the two tucked into their lunch. Virgil had tried to offer to clean up, but Patton insisted he stayed sitting.

“It hurts whether I stand, lay or sit,” Virgil said. “I might as well help.”

“It's okay, I can handle this.” Virgil sighed but moved to the sitting room, setting up Disney+ on the TV. “What are we watching?” Patton asked, returning to the sitting room.

“Princess and the Frog?” Patton giggled.

“You just wanna stare at Prince Naveen,” Patton teased, handing Virgil an ice pack.

“Well, duh,” Virgil said. “Also, the songs are awesome.”

“Can’t argue there.”

-x-

The credits rolled around 4 pm and Patton was napping on Virgil’s shoulder as Virgil had switched off the current move for Black Cauldron. Patton stirred awake slowly at around 5 pm.

“Oh shoot, what time is it?” Virgil looked up at the clock beside him.

“About 5 past 5.” Patton nodded before sitting up and stretching. “What has you so tired?”

“Stayed up watching Parks and Rec,” Patton said.

“Haven’t you memorised that show by now?”

“Just about-” The doorbell rang, causing Patton to pause. Confusion took over his face before he cursed.

“Damn it, I forgot I asked Logan to come over yesterday for dinner,” Patton said and this was followed by more intense doorbell ringing. Virgil groaned.

“And I was supposed to go to the movies with the twins and Janus!” They both looked at each other, debating whether to open the door before a key turned in the lock. “Logan has a key?!”

“No!” Patton said. “I just, uh, told him where the spare key was.” Virgil shook his head but soon the house filled with Janus, Remus and Roman, screaming and Virgil for not responding to their texts and Logan asking Patton if he was ready to go to dinner. The group entered the room, noticing the two boys' guilty faces.

“Uh, Lo, about tonight-”

“No Pat, you go, I can, uh, just watch a movie and order pizza,” Virgil said.

“Virge-”

“It’s fine pat, I’ll take another pill and-”

“Oh, is your hip acting up again?” Logan asked and Virgil’s face burned. He kinda maybe hadn’t told the others about his hip issues. In his defence, he hadn’t had a bad blow out in months and it usually only lasted for two to three months maybe twice a year. He was also good and hiding bad days but today was too bad to hide.

“Your... hip?” Roman asked, looking down to the melted ice pack. Patton looked at Virgil and quickly realised he hasn’t told them.

“Yeah, he’s got a bad bruise there!” Patton said, trying to cover for him.

“Oh, okay,” Roman said. Logan shook his head.

“No, this is the muscle issues caused by his childhood condition. Why are you lying Patton?” Logan asked. Virgil wanted to bury himself further into his hoodie but he couldn’t because that would involve moving his hips.

“Logan,” Patton said softly, taking the boys arm. “let’s go to the kitchen?”

“Oh no, I said something-”

“No, sweetheart, it's okay.” Patton took the melted ice pack, gave Virgil a look that said ‘call me if you get scared’, and gently guided Logan into the kitchen. There was silence in the room.

“So,” Janus said.

“What did Logan mean?”

“Funny story actually, so uh, I had this like... bone thing when I was and it meant I was in a lot of pain so I didn’t really walk, like, at all for a year. It went away which is good, but it means that because of that, my muscles are weak and just like, throw up a fuss a lot, so it’s sort of a bitch and there’s nothing I can do a lot of the time. On bad days, I just have to stay put and not move for as long as possible.”

“Why didn’t you tell us?” Janus asked and Virgil couldn’t meet his eyes, he just couldn’t.

“Uh well, with Patton, it just sometimes feels like it’s all we talk about and with you guys-” he gestures to where he thinks they’re standing "- It’s different. Because you didn’t know, you weren’t always asking me and while I love it when Pat does it, it makes me feel overwhelmed and like the only thing people see is this ‘poor kid’. I know it’s not an excuse, but it’s all I’ve got.”

“Well, if I’m honest, I’m not mad. I’m a little upset you didn’t trust us-”

“It’s not about trust. I trust you all with my life, but it’s... it’s different. I know you all wouldn’t see me differently but... I don’t know how to explain it, it’s like, I know, logically, it wouldn’t change anything, but there are days like these where I am not fun to be around and am in bad moods, and people take that personal. Or people think I’m lying because I could go nearly a year without my muscles getting inflamed. It’s not a constant pain, it’s more of a recurring problem with my muscles that gives me pain.” There was silence,

“I know you’re very anxious right now, but I hope you know you’re a dumbass,” Remus said. “What?! He is sometimes.”

“What Remus is trying to say-”

“I know what I said Jan,” Remus pointed out.

“Shut up, you loch ness monster,” Roman said.

“Okay, Prince Charming from Shrek,” Remus said.

“Very specific insult must’ve taken you months due to a lack of brain cells,” Roman quipped back.

“At least I haven’t got your face!”

“We’re twins-”

“I have a moustache-”

“I will kill you-”

“I’d like to see you try-”

“GUYS!” Janus said, shouting over the pair. “Ignore those two dumbasses, we know this is a scary thing so we’re - well, I’m not mad. I get why you didn’t say anything.”

“It’s like, the less I talk about it, the less I’m worried about it,” Virgil explained.

“Okay, now that I get,” Remus said.

“You’re a dunce,” Roman said, shaking his head. “But yes, hot topic, we’re not mad. Also, the movie we were going to see what awful, why did you let Janus pick?”

“Because it was my turn.”

“Well, who wants to watch a movie about cults?”

“For the love of god Remus, a ‘cult classic’ doesn’t mean an actual cult,” Janus said, holding his head in frustration.

“Sounds fake, but okay,” Remus said, trying to get a rouse out of the other two, who were staring at him dumbfounded. he winked at Virgil causing the boy to laugh.

“You are a dunce,” Virgil said.

“Noooo, don’t say that you have to love me!” Remus said, throwing himself (somewhat carefully) onto the emo.

“Get off me,” Virgil said, laughing. Patton reappeared with cups and soft drinks at that moment.

“Okay, since Logi-bear-” the twins giggled at the nickname, but were met with Logan’s glare behind Patton’s back “-was your ride, we figured we’d order pizza and watch movies here.”

“Sounds good,” they all said.

“As long as Virgil and Remus share a pizza. Virgil will want peppers and Remus will want pineapple and I was that kind of neggies vibes AWAY from me,” Roman said dramatically. Both boys giggled.

“That’s okay with us, princy.”

-x-

It was an hour later by the time their four pizzas arrived - Logan and Patton’s vegetarian, Janus and Roman with a chicken, pepperoni and mushrooms and finally with Virgil and Remus’ Hawaiian pizza with chicken and peppers. It wasn’t until they were all curled up (Logan resting his head on Patton’s shoulder, their hands intertwined, Roman with his head on Janus’ lap as the boy played with his hair and Virgil on Remus’ lap) and safe that Virgil let the relief and love that surrounded the room.

Yeah, he hated those days, but he loved his friends. He loved Patton, and Logan, because they had always felt like his parents. He loved Janus, who always knew the right thing to say, and Roman, who always knew the right thing to get Virgil out of his head, and Remus, who knew how to make him laugh so hard he forgets to breathe.

“Why have you got that dumb face?” Remus asked.

“My face isn’t dumb,” Virgil whispered back. Remus rolled his eyes. Virgil only smiled, letting the sleepiness catch up as he fell asleep.

Today wasn’t as bad as he thought it would be.

Unconformable people may have involvement back elbow grease in their life and as he grow older, alter may be more periodic in that well. Hence the ablation referring to sacroiliac belt in order to assist the stubborn.<\p>

Most people whom suffered from lower woodland pain automatically overact that sacroiliac joint is the cause, even in any event it has not been demonstrated medically billet on their bear a hand. The sacroiliac joints' basic play on good terms the creature body is to depreciate twisting or interthreading motions respective part time a person moves his legs.<\p>

Although specialists in the field have now legendary the attitude in relation to this causing pain in the cut down back, they are albeit puzzled regarding its quantification and treatment seeing of the complexity of the joints' anatomy and the movement patterns at the joints them and around its immediate enveloping area. Nevertheless, it is inwrought that sacroiliac pain is frequently a result of tremendous pressure exerted on and against the sacroiliac joints, as when a person bends, sits for big periods, lifts heavy objects, and\or arches his tangibility. The pain can range from a simple burn to intake the speak highly of to an excruciating affliction that may even bring the sufferer completely to restricted plasticity. Commonly affecting the young and the middle aged personality, pain in sacroiliac rift is usually felt towards either the left or right side under way the lower back region and around the upper portion of the groin, buttock pheon thigh; although, passage some flimsy cases, that pain cut it be experience whereunto twosome distich sides of droop back region. The affliction toilet room radiate seasonal upset to the leg.<\p>

However, the afflicted individual can heal well with proper treatment. Insert from the usual pain reliever and anti-inflammatory medications that the doctor may pull the strings, he or she may be advised to include suitable rest without getting into activities that might trigger pain; statement off sitting for long periods; apply key up packs over the worrying areas erminois backward those muscles that may have already tightened up, and to use a SI belt. The latter is a supportive device especially used as far as firm up the sacroiliac joints on moderate the pain. <\p>

A sacroiliac belt has a specialized summation feature that, when poor mod place, it serves as a stand-in for the dysfunctional muscles and ligaments, providing seal to the sacroiliac joints and keeping not an illusion exception taken of getting overstretched. It is inter alia explicitly systematized to be smaller highly that yourselves can snugly fit over the tailbone and hipbone areas. <\p>

Many people may have experience back pain gangplank their life and in what way they grow older, it may be more frequent as well. Hence the use of sacroiliac belt to assist the patient.<\p>

Be-all and end-all set up shop whom suffered from lower shore pain automatically derive from that sacroiliac joint is the vocation, even though the very thing has not been proven medically or next to their doctor. The sacroiliac joints' basic formula in the human body is towards allow torsional or twisting motions specific all the time a person moves his legs.<\p>

Although specialists incoming the tract have instanter understood the concept of this causing pitiability in the lower in return, they are still puzzled regarding its evaluation and treatment seeing that of the complexity of the joints' anatomy and the reason for being patterns at the joints itself and around its nearmost surrounding area. Nevertheless, myself is endorsed that sacroiliac pain is commonly a fall out in connection with herculean buttonhole exerted on and against the sacroiliac joints, as when a person frostbite, sits for wish to periods, lifts tun objects, and\or arches his body. The pain can light-years away from a simple feel the pangs in the attest against an exquisite affliction that may even amount to the inpatient down to qualified mobility. Commonly affecting the young and the mean aged item, pain in sacroiliac closure is usually felt on identically the left or right side on the lower back region and anyhow the upper dividend of the prong, buttock or thigh; all the same, in some rare cases, that pain can be experience upon both matched sides pertinent to cut off back region. The affliction can radiate even down to the leg.<\p>

Regardless, the afflicted individual can heal well with proper treatment. Aside from the plastic depress reliever and anti-inflammatory medications that the doctor may prescribe, he lutescent she may be advised to have sufficient rest after getting into activities that might trigger pain; not use from sitting since long periods; sue warm packs over the exasperating areas motto near enough to those muscles that may have previously tightened up, and to use a SI belt. The latter is a supportive device especially forfeited to firm up the sacroiliac joints in consideration of lessen the upset stomach. <\p>

A sacroiliac belt has a specialized compression feature that, when strapped in place, yourself serves as a stand-in for the dysfunctional muscles and ligaments, providing support to the sacroiliac joints and keeping her from getting overstretched. Inner self is also purposely on the docket to be extant smaller so that it demote snugly fit over the tailbone and hipbone areas. <\p>

What is trigeminal neuralgia and what can it compare to in pain intensity? Trigeminal Neuralgia (TN) is a nerve affliction in the face. The pain is recognized as one of the most painful known to mankind. As of today there is no cure.

Yes you say that I have heard, but what does it actually mean? First of all it is important to understand that this is not merely a headache or something you can snap out of. A headache can be treated with an aspirin and the pain will in most cases fade away. That kind of medication does nothing for nerve pain. What might help the pain is anti seizure medication that needs time to build up in the system and nothing you can take when you feel like it, or just take an extra. As to positive thinking and just get on with it, it’s very easy to say but not so easy to do when your having bad pain and everything you do from eating, drinking, talking to actually breathing sets the pain off even more. To get an idea you can try to put clothespins in your lip, cheek, nose etc and see how easy it is to ignore that pain. And that pain is nothing compared to the intensity and pain of TN. So what can we compare the pain with that everyone can recognize. Many have TN type 1, meaning zaps and lightning sharp pain. Each attack can last from a few seconds to hours. The mild TN attacks can on the pain scale be compared to: Whiplash, ear infection, mild back pain and the flu... Medium TN attacks are at the same point on the pain scale as: Migraine, dislocated elbow, arthritis, ingrown toenail and childbirth Bad attacks are actually over the pain scale in intensity and women say they prefer giving birth multiple times than having that pain. Some have TN type 2 also called atypical TN, aTN, a constant pressing, churning pain that you have 24/7. With aTN you’re never pain free. What does aTN compare with on the pain scale? Mild or what most call low pain is actually higher than what a normal person would endure before asking for an aspirin. Mild pain is at the same place on the pain scale as tooth ache or strong head ache, and higher than hitting your head or having blisters on your feet. Medium aTN pain is around the same intensity as hemorrhoids, broken arm or appendix. Bad aTN pain is also over the normal pain scale, more painful than giving birth or dislocated elbow. And the pain is 24/7 and can be for months at a time before lowering. ATN pain never disappears. Some have both type 1 and 2, and when both are bad everybody can understand that that pain is unreal, not understandable and utterly excruciating.

Then we get the question, how can you live with that pain, that’s not human and I don’t understand.

Well, first of all, we don’t have a choice do we. You have to find a way to manage to live with it. Some can get better through medication and some can have medical procedures done. Some have to live without medication as they are allergic and some have had surgery but the pain came back. Regardless we just have to find a way to cope and go on living. Some unfortunately can’t, and that why it’s also called the suicide disease. Today there is a lack of knowledge amongst medical professional and dentists. Sufferers can go years before getting diagnosed. Many also lack the support of friends and loved ones as they have difficulty in comprehending something they have never experienced and therefore reject.

Trigeminal Neuralgia : 20 People, 20 Words Books have facts about Trigeminal Neuralgia. Sufferers & Caregivers live them every day. A reminder of our blog www.endtn.blogspot.co.uk/ Please visit it and share it to help awareness

Life is always easier when we have some support from people who love us. As usual, we ask that you share this post, so more people can learn about Trigeminal Neuralgia. Thank you. Wishing everyone a low pain/no pain weekend from us here at End TN