Life’s journey inevitably presents moments of profound pain, both physical and emotional. When faced with discomfort that seems relentless, the immediate question arises: How do we effectively manage and move forward? The answer lies not in avoidance, but in developing adaptive strategies that acknowledge our feelings while fostering resilience. This ultimate guide will explore practical approaches and insights for making through pain, helping you navigate even the most challenging experiences with strength and determination.
Table of Contents
- Understanding the Nature of Pain: Acute vs. Chronic
- The Psychological Impact of Persistent Pain
- Why We Resist Pain and the Primitive Response
- Embracing “No Way Out But Through”: Practical Strategies
- Cultivating Resilience: Everyday Practices for Making Through Pain
- Seeking Professional Support and Modern Interventions
Understanding the Nature of Pain: Acute vs. Chronic
Pain is a universal human experience, but its nature can vary dramatically. Understanding this distinction is crucial for effective management. Acute pain is typically sudden, sharp, and results from a specific injury or illness, like a sprained ankle or a minor cut. It serves as a vital warning signal, prompting us to protect ourselves and seek healing. Crucially, acute pain is generally time-limited; we know it will eventually subside as the body recovers. This predictability often makes it easier to endure, as there’s a clear end in sight.
In contrast, chronic pain persists for extended periods, often beyond the normal healing time, usually defined as lasting more than three to six months. Conditions such as rheumatoid arthritis, fibromyalgia, or persistent back pain fall into this category. Unlike acute pain, chronic pain can become a condition in itself, impacting every aspect of a person’s life. The unpredictability and relentless nature of chronic discomfort make making through pain a much more complex challenge. It demands a different set of coping mechanisms, shifting from temporary relief to long-term management and adaptation (Harvard, 2024).
The author’s sister, Susie, an electrician struggling with rheumatoid arthritis in her hands, perfectly illustrates this. Her pain isn’t a temporary inconvenience; it’s an ongoing battle that affects her livelihood and daily tasks, such as brushing her teeth. This type of persistent discomfort requires a profound shift in mindset and a sustained effort to find ways of making through pain day after day. Recognizing whether your pain is acute or chronic is the first step toward developing tailored strategies for relief and resilience.
The Psychological Impact of Persistent Pain
Beyond the physical sensations, pain, especially when chronic or emotionally devastating, carries a significant psychological burden. Emotional pain, stemming from grief, loss, or depression, can feel just as debilitating as physical agony, if not more so. The loss of a loved one, for instance, can plunge an individual into a profound sadness that feels unending. The author’s personal experience of searing grief and overwhelming depression after losing a partner to breast cancer highlights this vividly, recalling the thought that she would “never know what it felt like to live without emotional pain again.”
This type of profound emotional distress can disrupt sleep, appetite, concentration, and overall well-being. It can make even simple daily tasks feel insurmountable, creating a sense of hopelessness. Similarly, persistent physical pain often leads to secondary psychological issues such as anxiety, depression, and social isolation, creating a vicious cycle where mental distress exacerbates physical symptoms. For instance, a student suffering from chronic migraines might experience intense anxiety about upcoming exams, fearing a flare-up will hinder their performance. This fear, in turn, can contribute to increased stress, potentially triggering more migraines.
The families in Newtown, Connecticut, facing the unimaginable grief of losing children, or a parent dealing with the emotional toll of a child’s long-term illness, exemplify the depths of psychological pain. Their misery, like a new wound, offers no clear timeline for healing. Making through pain in these circumstances requires immense inner strength and often external support to process the trauma and begin the arduous journey toward a “new normal.” Acknowledging the psychological weight of enduring discomfort is critical for seeking holistic support and developing comprehensive coping strategies.
Why We Resist Pain and the Primitive Response
Our inclination to avoid pain is deeply ingrained, a fundamental aspect of our survival instincts. From an evolutionary perspective, pain serves as a crucial alarm system, alerting us to potential dangers and prompting us to withdraw from harmful stimuli. As children, touching a hot stove quickly teaches us a vital lesson: stay away from hot stoves at all costs. This primitive reaction is instantaneous and incredibly effective, designed to keep us safe by minimizing physical harm. It’s an innate mechanism that has allowed our species to thrive by learning from painful experiences.
This same principle extends to emotional pain. When we encounter situations that cause us distress—be it a heartbreak, a failure, or a betrayal—our minds instinctively try to erect barriers. We create mental “rules” about what constitutes an emotional “hot stove” to prevent future encounters. This might manifest as avoiding vulnerability, shutting down emotionally, or withdrawing from social interactions. The immediate impulse is to escape the discomfort, to find an immediate balm for the burn. We often frantically search for solutions, reading self-help books, blog posts, or seeking advice from friends, hoping for a quick fix that will ease our suffering.
Sometimes, these efforts yield positive results, much like finding ibuprofen for a headache or ointment for a scratch. However, for chronic physical pain or deep emotional wounds, simple solutions are often elusive. The pain persists, seemingly immune to conventional methods of healing. This is when the primitive urge to escape clashes with the reality of an inescapable situation, making making through pain an even more daunting task. Understanding this inherent resistance helps us recognize why accepting and processing persistent pain, rather than just fighting it, is often a more effective long-term strategy.
Embracing “No Way Out But Through”: Practical Strategies
When pain becomes a constant companion, the realization often dawns that there is “no way out but just to go through it.” This profound insight, shared by a minister after the 2011 Oslo tragedy, resonates deeply with anyone facing relentless suffering. It’s an acknowledgement that some experiences demand our full presence and endurance, rather than evasion. This doesn’t mean passively accepting misery; rather, it implies actively engaging with the process of making through pain, one moment at a time.
My sister’s analogy of an athlete training for an extreme event captures this perfectly. She describes her daily battle with arthritis as a test of tolerance, where “there’s pain every day that you train and it depends on how much you can tolerate that day. But you just keep training.” This perspective transforms pain from a barrier into a challenge to be met with discipline and perseverance. It’s about building mental and emotional stamina, much like an athlete builds physical strength, to continue moving forward despite the discomfort.
Another powerful example comes from Becky Phillips, who lost her entire immediate family in a train crash. Her initial despair eventually gave way to a crucial understanding: “What I discovered, after I had spent some time on this path, is that sometimes, life hands you a new normal and expects you to deal with it. Sometimes, you just have to keep moving.” This concept of a “new normal” is vital for enduring chronic pain or profound grief. It acknowledges that life may never return to its pre-pain state, but a meaningful existence is still possible within the new parameters. For an entrepreneur facing repeated business failures, the emotional pain might feel like a constant setback, but making through pain means adapting, learning, and finding new strategies for success, rather than giving up entirely. These narratives underscore the active, resilient posture required to navigate prolonged periods of suffering.
Cultivating Resilience: Everyday Practices for Making Through Pain
Cultivating resilience is key to making through pain that seems endless. This doesn’t imply a magical cure, but rather a collection of adaptive practices that support endurance and emotional well-being. The core principle is to do “whatever works without hurting yourself.” This highly individualized approach recognizes that coping mechanisms vary greatly from person to person and even from day to day. For some, crying freely offers catharsis, while for others, laughter provides a much-needed emotional release. Connecting with friends, engaging in meaningful conversations, or simply taking time for self-reflection can be invaluable.
Physical outlets like screaming into a pillow or shedding quiet tears in a private space allow for the release of pent-up emotions. For those with spiritual beliefs, prayer or even expressing anger towards a higher power can be a valid part of the processing. Sometimes, the body needs deep rest, making sleep a powerful restorative tool. Conversely, creative pursuits like writing poetry can transform pain into art, offering a different form of expression. Distraction, whether through “stupid movies” or getting lost in a captivating book, provides temporary respite, allowing the mind a break from the intensity of suffering.
In 2025, digital tools further enhance these practices. Mindfulness apps can guide meditation for pain management, while online support communities offer connection and shared experiences. Helping another person, even in a small way, can shift focus outward and provide a sense of purpose. Crucially, on the hardest days, the goal might simply be to “get through the next five minutes.” This micro-approach breaks overwhelming pain into manageable intervals, fostering a sense of accomplishment with each small victory. By embracing a diverse toolkit of strategies, individuals can incrementally build their capacity for making through pain and discover their unique path to resilience (University of California, Berkeley, 2024).
Seeking Professional Support and Modern Interventions
While personal resilience is paramount, there are times when making through pain necessitates professional guidance and modern interventions. Recognizing when to seek help is a sign of strength, not weakness. For chronic physical pain, a multidisciplinary approach is often most effective. This can involve working with pain management specialists who can offer a range of treatments, from medication management and physical therapy to nerve blocks and alternative therapies like acupuncture. Advances in neuroscience and pain research continue to provide new insights into managing complex pain conditions, often focusing on holistic approaches that address both the physical and psychological components.
For persistent emotional pain, grief, or depression, therapy plays a crucial role. Psychologists and counselors can provide a safe space to process trauma, develop coping skills, and challenge negative thought patterns. Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) are two evidence-based approaches that have proven effective in helping individuals manage intense emotions and develop healthier responses to distress. In 2025, telemedicine and digital mental health platforms have made these services more accessible, allowing individuals to receive support from the comfort of their homes.
Moreover, support groups, both online and in-person, offer a powerful sense of community and understanding. Sharing experiences with others who are also making through pain can reduce feelings of isolation and provide invaluable peer support. For severe depression or anxiety, psychiatric evaluation for medication may also be a necessary component of treatment. Combining self-care practices with expert medical and psychological support creates the most robust framework for enduring and eventually thriving despite enduring pain. Never hesitate to reach out to professionals who are equipped to guide you through your most challenging moments.
Pain, whether a fleeting scratch or an enduring emotional abyss, is an undeniable part of the human condition. While our instinct is to flee discomfort, true strength often lies in accepting its presence and actively engaging in the process of making through pain. This journey is rarely linear or easy; it demands patience, self-compassion, and a willingness to explore various coping mechanisms. From understanding the nature of your pain to embracing the “no way out but through” mindset, and from cultivating daily resilience practices to seeking professional support, every step contributes to building your capacity to endure. Remember, you are not alone in this struggle, and with persistence, you too will make it through.



