10 Tips for Surviving the Holidays With Chronic Pain

By Crystal Lindell

The holiday season can be stressful, even if you go into it with full health. If you have chronic pain or any type of chronic illness, it can really wear you down, making it difficult to fully enjoy the season's magic and community. It can even make you start to resent the holidays and your family. 

I’ve been navigating the holidays with chronic pain for more than a decade, and have learned there are ways to make things easier and more joyful. 

Many of them come down to doing less so that you can enjoy more – which is good advice in general if you have chronic pain. But it’s particularly important around the busy holiday season. 

Here are my 10 tips to survive the holidays with chronic pain. Be sure to leave any tips you have in the comment section below! 

1. Check Pharmacy Hours

First things first: Make sure you can get your meds. 

My rural pharmacy is closed on Sundays and every major holiday. That means that if I have a refill due on Christmas Eve, I need to either have my doctor send the prescription the day before or wait until they reopen on Dec. 26 to get my medications. 

God forbid if I forget to ask and have to do Christmas Day without pain medication. At that point, I might as well cancel Christmas. 

Thankfully, my doctor has been pretty good at sending in refills a day early when the pharmacy is set to be closed. But he only does it when I remember to ask him ahead of time. 

So check now if your pharmacy is closed on any of your upcoming refill days, and plan ahead with your doctor. 

2. Consider Skipping Home Decorations

A few years ago, my family had a really rough run of horrible things happen. When we got to the holidays, I didn’t have any energy or spirit left for Christmas decorations. 

That doesn’t mean we didn’t have any cozy holiday spirit at home though. We put YouTube videos of fireplaces crackling on our living room TV, and also played ones that had Christmas decorations around the mantle and holiday music playing in the background (this was one of our favorites).

At a time when I needed the holiday magic, but didn’t have the energy to create it myself, the virtual fireplace videos really helped us enjoy the season. 

Decorating for the holidays is both expensive and energy consuming, so if chronic illness means you don’t have it in you to do it, opt for something virtual instead. After all, sometimes holiday magic means turning to YouTube. 

3. Say No To Events

Decades ago, one of my friends gave me a piece of advice that I still carry with me today: Only do things that you want to do or that you need to do. Skip the stuff that you feel like you “should” do. 

There can be a lot of pressure around the holidays to make sure you go to every family event from every branch of the family tree. It gets even more intense if you have complicating factors like a significant other’s family, divorced parents, or friends who you consider family. 

If you have a chronic illness though, I highly recommend sticking to my friend’s sage advice: Only go to events that you want to go to or that you need to go to. Skip the ones that you feel like you “should” go to. 

Maybe this means seeing just one side of the family this year or skipping tree lighting festivals that you’d gone to in the past, so that you have the energy to actually enjoy Christmas Day celebrations. 

Saying “no” in this case means that you can say an enthusiastic “yes” to other stuff. 

4. Plan Rest Days

Rest days are pretty antithetical to American culture, but when you have a chronic illness you either learn to embrace them, or your body forces them onto you. 

If I have a large holiday event on my calendar, I now know to plan an equally large rest day to complement it. I also never book two things on the same day – even if one is in the morning and the other is in the evening – because I know that my body can’t handle it. 

So if you’re doing two family gatherings this year for Christmas, consider doing Dec. 23 and Dec. 25 so that you can rest on Dec. 24. And if you want to go to a New Year’s Day party, consider skipping the midnight countdown on New Year’s Eve so that you know you’ll get enough sleep. 

5. Give Homemade, Used and Inexpensive Thoughtful Gifts

Being in chronic pain often means being low on money. Don’t let it stress you out though. Having chronic pain also means that you often spend lots of time at home on your phone or computer — which is perfect if you want to track down gifts that are both inexpensive and thoughtful. 

People love thoughtful gifts more than anything expensive. Last year I made my family a homemade cookbook of all our favorite family recipes. Because I have a laser printer at home, the main financial costs were just the binders and the plastic sleeves that I used for the pages. And then I got all the gift bags for $1.25 each at Dollar Tree. 

Of course, compiling all the recipes and laying it all out was time consuming, but time is something that I do have, especially since I was able to do a lot of the cookbook layout literally from my couch. 

Everyone LOVED the cookbooks. In fact, they loved it so much that I’m planning to make a second volume this year. 

Other thoughtful inexpensive gifts include things like homemade baked goods, used books, socks with little sayings on them, and eBay or Facebook Marketplace items that you know they’ll love. 

Stores known for their low prices, like Dollar Tree and Five Below also have great options. Three years ago I got my brother a $5 pet bed for his cat, who still uses it on a regular basis to this day. 

You definitely don’t have to spend a lot to spread holiday cheer. 

6. Wear Compression Socks During Travel

The holiday season usually means long car rides or airplane travel. There’s something about meds related to chronic pain that seem to cause feet swelling in those situations — especially ibuprofen. 

But a good pair of compression socks can really help. They sell inexpensive ones on Amazon, but you can also get them at your local pharmacy. The socks can make such a difference in how your legs feel, can help prevent blood clots, and can even help make sure your shoes aren’t too tight after hours sitting in a car. 

Plus, when compression socks are hidden under a pair of pants, nobody will even know you’re wearing them!

7. Shower the Night Before

Anyone with chronic illness is acutely aware of how much energy taking a shower and getting ready can take. 

If you know you have a long day ahead of you, showering the night before can be an easy way to help you conserve energy for the next day’s events. 

Just add a little dry shampoo to your hair the next morning, if needed, and nobody will know the difference – but you’ll definitely notice how much more energy you have to endure a busy day. 

8. Consider Hosting 

I know this tip could be controversial because hosting itself can come with a lot of physical work, mental stress, and financial costs — I get that. 

But it’s a trade off. What you put in on the front end you might get back ten-fold on the back end: You get to be in your own home for the holiday – and don’t have to travel back home when it’s over. 

Plus, if you have pets, you don’t have to worry about whether you should take them with you, leave them home alone for a long period of time, or even find a pet sitter. You can just be with them at home. 

Yes, you’ll still have to spend time after the party cleaning up, but you can take as long as you want to do that. 

If you find that you’re most comfortable in your own home, consider hosting this year. 

9. Make Holiday Meals a Potluck

Whether or not you host, I always recommend doing potluck meals for the holidays. 

This quite literally spreads the cost and stress of meal preparation out among the group, so that nobody gets overwhelmed. Anyone who doesn’t have the energy to cook can always grab something at the store, even if it’s something inexpensive like Hawaiian Rolls. 

As an added bonus, if you have dietary restrictions, this also means you can make sure that your dishes meet them, so you know you’ll have something to eat.

10. Limit COVID Exposure 

I know it’s not always practical to mask for family gatherings, but just being aware of COVID risk, getting vaccinated, and masking for travel can really help minimize your COVID exposure. 

If you're sick with COVID symptoms or you know someone else at an upcoming event is sick, definitely feel comfortable staying home. After all, the last thing anyone with a chronic health problem needs is another health problem. 

You deserve to have a magical holiday season, especially if you’re also struggling with health issues. But you don’t have to do everything like a healthy person would to enjoy the festivities. With these tips and an open heart, you’re sure to find some holiday joy this season! 

Living with Chronic Pain During the Holiday Season

By Dr. Lynn Webster, PNN Columnist

The holiday season is underway, but that doesn't mean everyone is healthy enough to celebrate. Chronic pain does not take a vacation or even ease up in honor of Christmas, Chanukah, Kwanza or any other holiday.

People who are in unremitting pain will suffer, while others throw themselves into endless rounds of joyous holiday-related activities.

For those in pain, and their caregivers, it may not be possible to participate in shopping, decorating or partying. They may feel disenfranchised, abandoned and hopeless. I have received hundreds of emails from people in pain who feel alone. Their doctors may have abandoned them or been unable to provide medication that can help manage their pain.

Holiday-themed social media posts, movies and television shows make it appear as if everyone is, or should be, happy and productive during the final weeks of the year.

However, the truth is that the holiday season can be stressful for many people, regardless of their health. Financial burdens, overindulging in food and alcohol, and getting too little sleep can take their toll.

Family members and friends may fail to empathize, even when they have fewer distractions and social obligations. During the weeks leading up to the New Year, people in pain may feel even more isolated than usual.

Universal holiday bliss is an illusion for many. Other people may long for the commotion of the season to end, too, so calm and normality can return. If you're finding the season to be something other than a never-ending winter wonderland, you have plenty of company in feeling that it is not.

Ask for What You Need

The holiday season does not require you to pretend that you are not in pain. You do not have to wear a mask of well-being in order to ease the burden of others. It is not your job to fake a positive attitude that you do not feel. Your responsibility is to take care of yourself.

You are not obligated to accept invitations for get-togethers, shop for gifts, or decorate when you are experiencing pain.

While other people may hope that you will put on a brave face, you are not required to fake anything you do not feel. On the contrary, you should be honest about your needs and give others a chance to share part of the holiday season with you.

Do let your loved ones know that you are there, and that you are thinking of them. If mobility is an issue for you, consider inviting a relative or friend to visit you. Be up front about the fact that you could use help with meal preparation and cleanup, sending cards, and the like.  

If there is no opportunity to get together with people you care about, perhaps you can arrange an online chat using Skype or a similar service. Ask the children in your life to participate, too. Even active teenagers and sleepy toddlers may be able to find a few minutes to share quality time with you. 

While you may not be able to participate in all of the holiday season activities, you can experience some of the love and joy you deserve if you prompt others to help. 

Seek Support 

Feeling isolated may be one of the most difficult aspects of living with pain during the holiday season. Consider joining a support group so that you can share your burden with people who understand what you are going through. The U.S. Pain Foundation and the American Chronic Pain Association list support groups online that you might benefit from joining.  

Caregivers fill a role that I have described as everyday saints and unsung heroes. However, even saints and heroes can experience burnout around the holiday season.  

It's especially important at this time of year for caregivers to practice self-care. This may include tapping into a caregiver support group and asking family members and friends to provide a short-term reprieve.  

Empower Yourself 

While you may not be able to invest yourself fully in the holiday season festivities, you still have power to take positive action. Reach out to lawmakers, and ask them to support more humane opioid prescribing policies. Contact your local members of the House of Representatives and Senate. Also, send a letter to the editor of your local newspaper and contact the news departments of your local television and radio stations.  

For many Americans, the holiday season is associated with faith. This is a good opportunity to remember that scientists are working on finding better and safer ways to manage pain. Policymakers are beginning to admit that tapering unwilling patients can cause harm.

There is hope that the New Year will bring us closer to solutions for people with pain. 

Lynn R. Webster, MD, is a vice president of scientific affairs for PRA Health Sciences and consults with the pharmaceutical industry. He is the author of the award-winning book, “The Painful Truth,” and co-producer of the documentary, It Hurts Until You Die.” You can find Lynn on Twitter: @LynnRWebsterMD.

Opinions expressed here are those of the author alone and do not reflect the views or policy of PRA Health Sciences.