Chronic pain is an all-consuming and debilitating condition that affects millions of people worldwide. I’ve been there. In a recent episode of Your Hope-Filled Perspective podcast, Laurie Davies and I chatted about when chronic pain becomes too much. It was a very real and vulnerable episode. If you missed it, you can listen to it here. [When Chronic Pain Becomes Too Much – Episode 224] Chronic pain can be a constant companion, an unwelcome part of everyday life that never truly goes away. For those who bear this burden, the question of whether life is worth living often becomes a haunting contemplation. It is a deeply personal and complex query, encompassing physical, emotional, and spiritual dimensions. While the answer may differ from person to person, examining the various facets of this dilemma can shed light on the challenges, coping mechanisms, and potential avenues of hope for those grappling with chronic pain.

“Whoever dwells in the shelter of the Most High will rest in the shadow of the Almighty” (Psalm 91:1 NIV).

Pain is an essential sensory response that alerts us to potential danger or damage to our bodies. However, when pain persists beyond its usual protective function, it can become a debilitating condition known as chronic pain. Chronic pain affects millions of people worldwide and often significantly impairs their quality of life. Understanding the nature of chronic pain is crucial for effective management and improved outcomes.


“Whoever dwells in the shelter of the Most High will rest in the shadow of the Almighty.” Psalm 91:1 If you're suffering with chronic pain, discover how to find hope and joy in life despite the pain.


Defining Chronic Pain

Chronic pain is commonly defined as pain that persists for longer than three to six months, exceeding the expected healing time of an injury or condition. Unlike acute pain, which is short-term and directly related to tissue damage or injury, chronic pain persists for an extended period, often without any apparent cause or underlying injury. It is considered a multifaceted condition that affects individuals physically, emotionally, and mentally.

Causes of Chronic Pain

Chronic pain can result from various factors, including:

  • Injury: Trauma, fractures, or surgeries can trigger chronic pain by causing nerve damage or altering the body’s pain signaling pathways.
  • Underlying medical conditions: Chronic pain can be a symptom of several medical conditions such as arthritis, fibromyalgia, neuropathy, endometriosis, and migraine.
  • Nerve damage: Certain conditions, such as diabetic neuropathy, shingles, or spinal cord injury, can lead to chronic pain due to damage to the nerves.
  • Inflammation: Chronic inflammatory conditions like rheumatoid arthritis or inflammatory bowel disease can generate persistent pain.
  • Psychological factors: Mental health conditions such as depression, anxiety, or post-traumatic stress disorder (PTSD) can contribute to the development or exacerbation of chronic pain.

Symptoms and Impact of Chronic Pain

Chronic pain can manifest in various ways and may be continuous or intermittent. Common symptoms include:

  • Persistent pain: Individuals with chronic pain often experience constant or recurring pain that can be dull, aching, throbbing, or sharp.
  • Fatigue: Chronic pain can cause extreme tiredness and fatigue, disrupting daily activities and reducing productivity.
  • Sleep disturbances: Pain frequently interferes with sleep patterns, leading to difficulties falling asleep or staying asleep, further exacerbating fatigue.
  • Psychological effects: Chronic pain can take a toll on emotional well-being, leading to increased stress, anxiety, depression, irritability, or mood swings.
  • Impact on physical functioning: Chronic pain can limit an individual’s physical abilities, impairing mobility, endurance, and overall functional capacity.
  • Social and occupational impact: Chronic pain often prevents individuals from engaging in social activities, hobbies, or work, resulting in social isolation and financial difficulties.

The Physical, Emotional, and Mental Impact of Chronic Pain on Individuals

The physical impact of chronic pain can be immense. Pain itself is a distressing sensation that can disrupt daily activities and limit mobility. It can result in fatigue, decreased strength, and poor stamina, making it difficult for individuals to engage in physical exercise or carry out tasks they once found effortless. The constant pain can also lead to sleep disturbances, further exacerbating the physical symptoms and reducing an individual’s overall quality of life.

Chronic pain not only affects the body but also takes a toll on the emotional well-being of those experiencing it. Individuals often find themselves feeling frustrated, anxious, or depressed due to the persistent pain and the limitations it imposes on their lives. The constant battle with pain can chip away at one’s self-esteem and sense of identity. Feelings of helplessness and hopelessness may emerge, creating a vicious cycle that further intensifies the emotional impact of chronic pain.

Moreover, chronic pain can significantly impact an individual’s mental health. Many individuals with chronic pain experience cognitive difficulties, commonly referred to as “brain fog.” This can result in difficulties with memory, concentration, and problem-solving. The mental strain of managing pain can be exhausting, leading to increased stress and a heightened risk of developing conditions such as anxiety disorders or depression. The constant discomfort can also trigger mood swings and irritability, further impacting an individual’s mental state.

Managing chronic pain requires a comprehensive approach that addresses its physical, emotional, mental, and spiritual aspects. Physical therapy, exercise, and medication are common strategies used to alleviate pain and improve physical functioning. Effective pain management techniques, such as relaxation exercises, and deep breathing, can help individuals cope with pain and reduce stress levels.

Emotionally, seeking support from friends, family, or support groups can be highly beneficial. Engaging in activities that bring joy, such as hobbies or creative outlets, helps counteract the emotional impact and foster a sense of purpose. It is also crucial to seek professional help from therapists or counselors who specialize in chronic pain management.

From a mental health perspective, cognitive-behavioral therapy (CBT) has shown promising results in helping individuals reframe their thoughts and develop effective coping mechanisms. CBT can address negative thought patterns, improve problem-solving skills, and teach relaxation techniques to manage stress.

Spiritually, we can be tempted in our chronic pain to believe that God has turned his back on us, that he doesn’t understand, or that he doesn’t care about our pain and suffering. But we have to remember that isn’t truth. Our feelings often lie to us, and we are more susceptible to believing lies when our pain is high. Jesus came to earth fully man. He went through great agony throughout his life, ministry, crucifixion, and death. Because of his suffering, he is well-acquainted with our pain, he bends his ear to listen to our prayers, and he catches all of our tears in his bottle.


Paul experienced much pain in life. Yes, he said, While a life of chronic pain is difficult, it is also an invitation to lean into your relationship with God rather than to withdraw. Read more for coping with pain and finding joy in life.


Finding Purpose and Joy Amidst Chronic Pain

Chronic pain can be a debilitating condition that affects every aspect of a person’s life. It can feel like a never-ending battle that drains one’s energy, leaving them struggling to find any sense of purpose and joy. However, despite the challenges, it is possible to discover a renewed sense of purpose and find joy even in the midst of chronic pain.

  1. One of the key factors in finding purpose and joy amidst chronic pain is shifting one’s mindset. It is important to recognize that the pain does not define who you are as a person. While it may limit certain activities, it does not have to limit your ability to find meaning and happiness in life. Jesus promises joy and peace, but it isn’t in the absence of trials. “I have told you these things, so that in me you may have peace. In this world you will have trouble. But take heart! I have overcome the world” (John 16:33 NIV). Acceptance of the pain, along with a determination to push through it, can be the first step towards rediscovering purpose.
  2. A fundamental aspect of establishing purpose is finding activities or hobbies that bring joy and can be adapted to accommodate the pain. This might mean exploring new interests or rediscovering old ones. Engaging in activities that provide a sense of fulfillment can help alleviate the negative impact of chronic pain on mental well-being. This could involve anything from arts and crafts, writing, gardening, or even learning a musical instrument. The key is to find activities that you enjoy and that can be modified to suit your pain levels and physical capabilities.
  3. Another aspect of finding purpose amidst chronic pain is connecting with others who are experiencing similar challenges. Support groups or online forums can provide a sense of belonging and validation, allowing you to share your struggles, successes, and coping mechanisms with individuals who truly understand what you are going through. Being part of a community of people who have faced similar hurdles can cultivate a sense of purpose in advocating for one another and raising awareness about chronic pain.
  4. Additionally, setting realistic goals and celebrating accomplishments, no matter how small they may seem, can help foster a sense of purpose and joy. Break down larger goals into smaller, manageable steps that are attainable within your pain limits. This way, you can still experience the satisfaction of achievement without overwhelming yourself. Recognizing and appreciating your progress can contribute to a positive mindset and a renewed sense of purpose and joy.
  5. Lastly, finding purpose amidst chronic pain can also involve giving back to others. Acts of kindness and altruism not only benefit those in need but also provide a sense of purpose and fulfillment. “The generous man will be prosperous,

And he who waters will himself be watered” (Proverbs 11:25). Volunteering for causes close to your heart, even if it is in small ways, can give you a renewed sense of purpose and remind you that you can make a positive difference in the world, despite your pain. “Blessed are the merciful, for they shall receive mercy” (Matthew 5:7).

Balancing Acceptance and Hope: Navigating the Emotional Rollercoaster of Chronic Pain

Living with chronic pain can be an uphill battle, both physically and emotionally. Patients often find themselves riding an emotional rollercoaster, constantly navigating the delicate balance between acceptance and hope. The emotional toll of chronic pain is undeniable, as it often leads to a cascade of negative emotions such as frustration, anger, sadness, and even depression. Persistent pain can cause a sense of hopelessness, making it challenging to maintain a positive outlook and envision a pain-free future. However, it is possible to find a delicate balance between acceptance and hope, allowing individuals to better manage their emotional well-being while living with chronic pain.

Acceptance is the first step towards emotional well-being. It involves acknowledging and understanding that chronic pain is part of one’s life and may not go away completely. Acceptance should not be mistaken for resignation or giving up hope. Instead, true acceptance means recognizing the realities of the condition and learning to adapt to these limitations. This mindset shift empowers individuals to take control of their pain and focus on managing it effectively rather than seeking a cure.

While acceptance is essential, maintaining hope is equally crucial for emotional resilience. Hope is the fuel that keeps us going during the darkest of times; it is the belief that things can and will get better. When we recognize that our sovereign God is still in control, we can maintain our hope despite our pain, despite our feelings, and despite our circumstances. In the context of chronic pain, hope might mean remembering that God sees us in our pain and cares about every detail in our lives, finding effective pain management strategies, discovering new treatments or approaches, or even experiencing temporary relief. Hope helps individuals stay motivated, try new therapies, and maintain a positive mindset despite the challenges they face daily.

Finding the right balance between acceptance and hope is a deeply personal journey that varies from person to person. Here are some strategies to help navigate the emotional rollercoaster of chronic pain:

  • Seek support: Join support groups or seek therapy to connect with others who understand and can empathize with your situation. Sharing experiences and learning from others can provide validation, comfort, and helpful coping strategies.
  • Educate yourself: Gain a better understanding of chronic pain, its causes, and available treatment options. Knowledge is power, and understanding your condition allows you to make informed decisions about managing your pain effectively.
  • Practice self-care: Prioritize your physical, emotional, and spiritual well-being. Engage in activities that bring you joy, relaxation, and comfort. This can include hobbies, gentle exercises, Bible study, or any other activities that promote self-care.
  • Set realistic goals: Define achievable goals for yourself that focus on improving your overall quality of life. This may involve adapting your lifestyle, finding pain management techniques that work for you, or pursuing activities that align with your abilities and interests.
  • Develop a positive mindset: Cultivate a positive attitude and focus on gratitude. Focus on what you can do instead of what you can’t. Celebrate small victories and milestones, no matter how minor they may seem. A positive mindset can help counteract negative emotions and contribute to overall emotional well-being.
  • Communicate openly: Let your healthcare providers, friends, and family know about your struggles and needs. Effective communication helps ensure that you receive the support and understanding you require.
  • Acceptance and hope aren’t mutually exclusive: Understand that acceptance and hope can coexist. Accepting your condition doesn’t mean giving up hope for a better future or even hope for God’s healing. Embrace the present while holding onto the belief that things can improve.
  • Seek professional help: If chronic pain affects your mental health significantly, consider consulting a mental health professional. Therapists specializing in pain management can provide tools and strategies to cope better with the emotional impact of chronic pain.

While chronic pain can be a long and challenging journey, understanding and managing its emotional rollercoaster is vital for improved well-being and a better quality of life. Balancing acceptance and hope allows individuals to find meaning, purpose, and happiness beyond their pain, embracing life to the fullest extent possible. Remember, you are not alone, and there are resources and support available to help you through this emotional journey.

The question of whether life is worth living with chronic pain often comes from a place of hopelessness, desperation, and despair. While chronic pain can undoubtedly cause immense suffering and present significant challenges, it does not render life inherently unworthy or devoid of joy. Paul experienced great pain in his life, particularly when he was afflicted with the thorn in his side. We don’t know whether that pain was physical, emotional, or something else, but we know it was bad enough that he asked God three times to remove it, just like we tend to do in our chronic pain. But his response can encourage us: “But he said to me, ‘My grace is sufficient for you, for my power is made perfect in weakness.’ Therefore I will boast all the more gladly about my weaknesses, so that Christ’s power may rest on me” (2 Corinthians 12:9). While a life of chronic pain is difficult, it is also an invitation to lean into your relationship with God rather than to withdraw.

Friend, if you are dealing with chronic pain, or perhaps emotional, relational, or spiritual pain, grief, or loss, can I encourage you to pick up a copy of my book The Hem of His Garment: Reaching Out to God When Pain Overwhelms. I know what it’s like, and I know how lonely the pain journey is. I share authentically and quite vulnerably about my own pain journey, in a desire to lend you my hand so you know you aren’t alone.

What have you learned that helps you cope with chronic pain? We’d love to hear in the comments below.



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We all experience pain from time to time, and not just physical pain, but also emotional pain, relational pain, spiritual pain, grief and loss.

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Living with chronic pain can be exhausting and debilitating. Discover strategies to cope with chronic pain and find hope and joy in life despite the pain.