You can’t compare your pain to someone else’s and you can’t measure it like you can blood pressure or your shoe size. You can quickly forget exactly what it was like after surgery, an accident, or childbirth. But you know when you feel it.

No one wants it, and most dread it. However, there is no avoiding it, crawling away, or getting out from underneath it without feeling it first. Although people try. Numbing it with drugs, alcohol, food, gambling or any other avoidance strategy means it will snap back at some point like a boomerang on steroids or leak out in ugly and unexpected ways–like anger and bitterness.

Pain refuses to be suppressed and begs to be felt

We humans silo pain into two groups– ’emotional pain’ and ‘physical pain.’

To your brain, however, it’s all cake batter. In other words, there is no distinction. Your brain doesn’t pass judgment but sends signals when there is pain no matter what the source.

Often when someone struggles with pain associated with anxiety or a breakup, for example, it’s labeled as “all in your head” or psychosomatic– implying it’s not real. But no matter where the pain comes from, it is real. The only difference in knowing where it comes from is how you treat it.

The trick is to accept some level of pain and set an expectation

While you can’t make the pain go away, you can manage it. And by doing so, you can lessen your suffering.

I recall when I broke the olecranon in my elbow–the pointy part on the end. I shattered it into 18 little pieces by falling off a ladder onto concrete. It would take two weeks for the swelling to subside enough for them to do surgery and when they did I was not well educated on what to expect in terms of pain.

For hours I was so nauseous and out of breath from the surgical trauma that I could not even stand. And I have a very high pain tolerance.

A month later, they discovered I had two deadly infections. And I had to have that same elbow surgery again to scrape it clean and remove the metal that had attracted the deadly bacteria.

This time, I knew the pain and nausea lasted 6 hours. Simply knowing that the worst of it would only be over in 6 hours really helped. I could set the expectation that it wouldn’t last forever. There was an end.

The acute pain lasted 6 hours, another level of pain for a few days, and then intermittent pain and then none. It was a path to healing. The accident left scars but the elbow healed.

Nine months later I would remember all that when my son, Charles, took his life. What did this matter? When my husband and I collapsed to the floor an hour after getting the devastating news, I told myself, “As bad as it hurts now, and I know it’s brutal, it will never be as bad as getting the news. That part is over and it will never hurt that bad again.”

Just like that surgery, the worst was right after. The rest wasn’t easy but I could tolerate it by telling myself I was through the worst. And if I’d made it through that, I could make it through the rest.

I didn’t know how I would move forward after my son’s death or what grief after the loss of a child was like. The abject fear of not knowing how long that pain would last or what it would be like had my stomach knotted up like a tightly wrung washcloth. I was terrified. But after a broken neck at age 15 and multiple brain surgeries due to a tumor, I knew pain always came in waves. No feeling is ever permanent. And the trick was to let it in but grab the moment when it lifts and then distract from it.

The pain I felt from grief was not fake

I had no idea there was so much physical pain related to loss–the leaded limbs, joint pain, back pain, headaches, and an achy chest. There were far more symptoms but you get the idea. Those of you who have experienced devastating loss know what I mean.

The pain from losing my son lasted years. It ebbed and flowed and at first, it was sharp, jagged, and unbearable. I felt the feelings, and because I did the work, time removed its fangs. It left scars on my heart and an ache I can’t quite name but I can carry it now.

People often don’t want to share their pain, deciding instead to bear it alone. I would say, don’t rob someone else of the profound privilege of supporting you when you are hurting. While you’ll always carry the heaviest pieces, it’s too much to carry alone, and sharing the burden lightens your load.

With grief pain as with other ongoing pain, I integrated it into my life and learned to live with it, move with it, and come to it when it calls which is less often now. The pain from losing my son has softened and evolved and is no longer an enemy. Because that pain represents my love.