5 Real-Life Tips for Traveling with Chronic Pain

By Crystal Lindell

One of the best things about my job is that after I got sick I got to switch over to a work-from-home arrangement. Honestly, if it wasn’t for this, I probably wouldn’t have a job right now.

However, there is one caveat. I have to travel. A lot. And while normal people probably think of business trips as a glamorous affair involving lots of great Instagram shots, anyone with chronic pain will tell you that they’d pick a day on the couch watching Netflix over a two-day business trip to North Carolina any day of the week.

But all of us have to go places sometimes, whether it’s a vacation to Mexico or a flight to the Mayo Clinic, so dealing with airports and the TSA isn’t always something we can avoid.

There are a few things I’ve learned on all those business trips that help me cope with it all.

So here’s some tips for navigating swollen feet, the medications in your carry-on, and window seats.

1.  Check your bag

This is definitely the most important tip I can give you.

Yes, on most airlines it costs a little more, but that’s why God invented Southwest and it’s free checked-bag policy.

And yes, sometimes you get to your hotel only to discover that the mirror in your $32 Urban Decay Naked Flushed compact somehow broke in transit. But there are other mirrors.

And not having to deal with luggage can be the difference between arriving in Phoenix feeling like you’ve just been involved in a plane crash, and arriving in Phoenix feeling like you just got up from a really great nap.

From a practical standpoint, checking your bag means you don’t have to drag it to your terminal or deal with lifting it up into the overhead bin while desperately looking around for help from the other travelers, hoping one of them has the magical ability to see your invisible illness. 

And it also means that you’re free to be one of those carefree people boarding the plane holding just a purse and a cell phone. Trust me, it’s the only way to fly.

2.  Put all your medications in your carry on.

No, seriously, all of them. Even that one you only take right before bed that you don’t think you’ll possibly need before you arrive. And that other one that you definitely don’t think you’ll need because you only take it on Wednesdays and today is Thursday.  

While regular people with regular health may think it’s a no brainer to carry-on all your pills, that’s not the case for us. People who deal with chronic pain have a legit chance of needing  23 different prescription bottles daily, so downsizing a carry-on bag by putting a couple of them in the checked luggage doesn’t seem so crazy. Unfortunately, there are so many things that can go wrong.

They could lose your luggage. Or you could miss your connecting flight. Or zombies could attack. So it’s just better to have that hydrocodone in your purse just in case.

And if any of the TSA agents try to give you crap about all that morphine you carry around, just show them your name on the prescription bottle and say, “No, yeah, these are mine. Sorry about that. Thanks for asking though. And also you’re doing a really great job here.”

Because you don’t want to be rude to a TSA agent — those guys have power over the terrorist watch list.   

3.  Buy the huge Fiji water bottle and drink all of it

The thing is, if you have chronic pain, all those warnings about drinking water to stay hydrated in the sky are even more pertinent.

Sleeping pills, nerve medications and opioids all have the fun side effect of dehydrating you all by themselves, so when you add in recycled air and cabin pressure suddenly you’re so thirsty even a caffeine-free, diet, generic Coke sounds good.

And, here’s what nobody tells you about that — all that dehydration and sitting on a plane in seats too small to bend your ankles makes your feet swell up. It’s a real thing. And it sucks.

So yeah, water, it’s important — especially if you’re planning to wear flip-flops on your trip.

But, as anyone who’s ever had to go through security at the airport will tell you, it’s impossible to get a bottle of any kind of water through the X-ray machine. So if you want to stay hydrated you have to buy something after the checkpoint. And personally, I like to use it as an excuse to splurge on one of those completely impractical square bottles of Fiji.

Hey, if you have to buy a bottle of water, you may as well buy the one that tastes like it came from the Garden of Eden.

4.  Pack dry shampoo and skip the showers

When you do finally get to L.A., the Mayo Clinic, or your grandma’s house, the very best thing you can do is skip the shower and just spray a crap ton of dry shampoo on your bangs. Seriously, this has been the BIGGEST lifesaver for me when traveling.

Chronic pain has this way of turning simple showers into some sort of extreme marathon mud run through the Amazon. And while normal people might think they should be fresh and clean when they have a business meeting, people with chronic pain know that it’s more important to actually show up to said business meeting.

Skipping the shower can preserve precious energy that will help you endure the trip, or, you know, maybe even have some fun later on — assuming your sleeping pill hasn’t kicked in yet.

5.  Go for the window seat

Even with the pain and the pills and the swollen feet and the missed connections, travel is still travel, and getting to ride on a plane is still pretty cool.

Honestly, window seats aren’t actually practical at all. It’s just that much harder to get up and use the bathroom after downing all that Fiji water, and you have nowhere to run when the old dude sitting next to you starts hitting on you hard core 5,000 feet in the air.  

But, window seats are something more important than practical — they’re fun. All you have to do is glance out the window and you’ll get a view most people in human history have never had the chance to experience — whether it’s a blanket of pure white clouds, a bird’s eye look at the people who call this planet home, or just a great play-by-play of the machine you’re riding in gliding toward the heavens.

It’s pretty incredible when you think about it.  

And sometimes, every once in a while, something almost magical happens, and you end up in a window seat, in an exit row, AND nobody sits next to you. It’s not quite first class, but it’s close enough.

And when you finally get to wherever you’re going, you can toss that empty bottle of Fiji into the recycling bin, grab your checked-luggage off the carrousel, throw on some sunglasses, and tackle your trip like the chronic pain warrior you are.

Bon Voyage!

Crystal Lindell is a journalist who lives in Illinois. She loves Taco Bell, watching "Burn Notice" episodes on Netflix and Snicker's Bites. She has had intercostal neuralgia since February 2013.

Crystal writes about it on her blog, “The Only Certainty is Bad Grammar.”

The information in this column should not be considered as professional medical advice, diagnosis or treatment. It is for informational purposes only and represent the author’s opinions alone. It does not inherently express or reflect the views, opinions and/or positions of Pain News Network.

Power of Pain: Avoiding Summer Travel Pain Storms

By Barby Ingle, Columnist

If you’re flying somewhere this summer, chances are you’ll have to contend with overcrowded terminals, flight delays, and security checkpoints. There are ways to make traveling easier and less stressful for chronic pain patients.

My first suggestion is to pack your medications in a carry-on bag. If your luggage gets lost, you won’t have to worry about where or how to get your medications.

Airport terminals are hectic and people are at a frantic pace, so by arriving early you can go at a slower, more relaxed pace and make the hassles of dealing with disabilities more manageable. Your goal is to make it to your destination on time, in a low pain level, and in a good mood.

When you decide to make a trip, it is best to plan ahead. I use the Internet to get destination information. I check out the floor plans of the airports I am coming and going from, and what types of foods are available in the terminals. I also request handicapped services from the airline, bus depot, car rental company, and hotel ahead of time.

If you are on oxygen, let the airline know 30 days prior to travel or as soon as you know that you will be flying. In-flight oxygen needs to be prearranged, and there is typically a charge. Then call 24 to 48 hours before your flight to confirm the oxygen arrangements.

At the airport, if traveling alone, bring tip money. I try to bring one-dollar bills and tip a dollar for each bag that I am assisted with, both when I am departing and at my destination. I also pay the person pushing my wheelchair one to two dollars for their assistance. I also have a scooter, so I do not always have to pay for the wheelchair assistance.

It is not mandatory to pay for help; however, the person pushing you often works for tips only or tips with a low wage.

Be sure to let them know if you want to make any stops to use the restroom or purchase food while they are assisting you. When they bring you to your gate, ask to be “parked” at the door or the start of the line. Make sure that the airline person sees you. If you sit off to the side, they may miss you, and you will not be able to take advantage of pre-boarding.

If you need extra time and assistance, you may have a problem. Typically, the flight attendant or ground crew comes over to me and moves me up in the plane if I have a seat towards the back, and they ask me if I need any assistance walking, or if I need an aisle chair to get to my seat.

Sometimes I board with the first group, when they call for people who need assistance. I do not tip the attendant who brings me down the jet way.

When I pre-board, once on the plane, if I need to take medication or I am nauseated, I ask for a small glass of water. If they do give you a glass of water, they must take it back before the plane takes off, so make sure you drink what you need when they give it to you.

Let them know while in flight if you need assistance in using the restroom or need blankets and pillows for comfort.

When you arrive at your destination, stay in your seat until your wheelchair assistance has arrived. They typically ask you to wait until the other passengers unload so that you do not hold them up or so that they do not bump against you and cause you further injury.

At baggage claim, if you are alone, ask the assistant to get your luggage and to bring you outside to meet your party. Once you are in a place you do not need assistance, give them their tip and thank them, so they may go help other travelers needing assistance.

Barby Ingle suffers from Reflex Sympathetic Dystrophy (RSD) and endometriosis. Barby is a chronic pain educator, patient advocate, and president of the Power of Pain Foundation. She is also a motivational speaker and best-selling author on pain topics.

More information about Barby can be found at her website.

The information in this column should not be considered as professional medical advice, diagnosis or treatment. It is for informational purposes only and represents the author’s opinions alone. It does not inherently express or reflect the views, opinions and/or positions of Pain News Network.