Living on the Edge of Pain-Free

I feel unbalanced living in a body that looks perfectly capable of holding itself together. When the truth is, it can do nothing of the sort.

I mean this in more ways than one. I am physically unbalanced more often than I am balanced. This is due to my very unstable joints.

And then I look around and see the life I formed to manage this body, that it is in opposition to the rest of the world. Making emotional balance feel next to impossible.

I can walk. I can hike. I can play with my grandchildren.

I can carry things, bend down, climb over things I probably shouldnโ€™t climb over and occasionally convince myself that I am a completely normal person who has this whole body thing figured out.

And then someone leans against me. Or my dog steps on my foot. Or I turn slightly to walk around someone. Or I roll an ankle on a trail.

And suddenly I become a sack of bones doing their best, more than that of a functioning skeleton.

When your body is a little too enthusiastic about movement

I live with hypermobile joints.

Hypermobile Ehlers-Danlos syndrome (hEDS) is one of the conditions that can fall under the hypermobility spectrum. It is a connective tissue disorder associated with generalized joint hypermobility, joint instability, chronic musculoskeletal pain and a collection of other fun features.

There isnโ€™t currently a laboratory test that simply says, Yep. Youโ€™ve got it. Diagnosis is clinical and involves looking at the whole person rather than one isolated symptom. (The Ehlers Danlos Society)

Hypermobility isnโ€™t simply being unusually flexible. It isnโ€™t about being the kid who could put her feet behind her head. Or fold her eyelids inside out. It isnโ€™t a party trick.

(That doesnโ€™t mean I canโ€™t do the tricks)

For some of us, the problem isnโ€™t that our joints can move farther than everyone elseโ€™s. Itโ€™s that sometimes they keep going when weโ€™d really prefer they didnโ€™t. Past what tendons can protect and ligaments can control.

My joints can be remarkably cooperative about leaving their assigned positions.

For example:

My grandson wanted to show me something the other day. He leaned over me, and his little elbow dug into my ribs.

His little elbow. My adult rib. Click!

Three days after my physiotherapist put me back together.

She and I have a standing monthly appointment.

So now I wait. 27 days.

Because correcting too often in a case like mine can make the problem far worse.

This is not the life I expected. But itโ€™s my life.

There are other examples.

Trying to walk around someone and somehow putting bones out in my foot. ๐Ÿฆถ๐Ÿคจ

Playing with my granddaughter when she decided to give me a little shove and those ribs that love to move, eagerly allowed her to rearrange them. ๐Ÿฉป ๐Ÿ˜‘

My dog stepping on my foot and somehow moving everything around. ๐Ÿ• ๐Ÿฆถ

Going hiking and rolling my ankle, spraining various parts and pieces of myself while trying to enjoy the great outdoors. ๐Ÿฅพ ๐Ÿ˜ฃ

These examples are only the tip of the iceberg. They have all happened in the past few months.

I love my family. Most of the time I love my dog. I love hiking.

I do not love constant pain. Therefore, I would like to formally request to be encased in bubble wrap. (Unfortunately my physio says thatโ€™s not a viable option either.)

Antara

(Sanskrit) The space between what you feel and what you show.

The problem with explaining pain nobody can see

One of the hardest things about chronic pain is explaining something that doesnโ€™t have an obvious beginning, middle and end.

There is an injury.

There is pain.

There is a scan.

There is treatment.

There is recovery. Hooray!

But when this isnโ€™t the progression.

There is pain, but the imaging doesnโ€™t explain the pain.

Joints are unstable but this doesnโ€™t show up neatly on a picture.

The answer is essentially, Everything looks normal.

When you get stuck in an endless loop of injury, pain, scan. Nothing. Injury, pain, scan. Nothingโ€ฆ

You begin to wonder if maybe you are the problem.

Maybe youโ€™re exaggerating. ๐Ÿค”

Maybe youโ€™re weak. ๐Ÿ˜”

Maybe youโ€™re just sensitive. ๐Ÿ˜ข

Maybe you should exercise more. ๐Ÿƒโ€โ™€๏ธ

Maybe you should exercise less. ๐Ÿ˜ฃ

Maybe you need to think positively. ๐Ÿ˜ƒ

Maybe you need to stop thinking about it. ๐Ÿง˜โ€โ™€๏ธ

Meanwhile, your body is sitting there like:

I would love to participate in this discussion, but unfortunately my rib muscles are currently screaming so loudly I canโ€™t hear anything else.

A diagnosis doesnโ€™t magically make pain disappear.

But a name can change something.

There is power in having a name

There is something different about being able to say:

I have hypermobile Ehlers-Danlos syndrome.

Instead of:

โ€œWell, Iโ€™ve had pain for years, and my joints move too far, and sometimes things come out of place, and my muscles have to work really hard to stabilize everything, and I have all these other weird things going on, and I know it sounds strange, butโ€ฆโ€

A name is shorter. A name means someone believed you.

A name is understoodโ€ฆ sometimes. Which is better than never.

A name gives your experience a place to stand.

It can feel like a credential for suffering. ๐Ÿชช

Not because suffering needs a certificate. It shouldnโ€™t.

But because there is a difference in saying, This is a recognized condition, instead of feeling as though you have to build a courtroom case every time you describe what your body is doing.

And there is another thing a name gives you:

Other people.

You discover that there are other people who understand why walking across a parking lot can sometimes feel like an athletic event.

People who know what it means to have a joint suddenly become unreliable.

People who have learned the pain in I hurt myself again.

People who donโ€™t need the entire history before they understand the sentence.

There is comfort in that shorthand.

There is camaraderie in saying, Wait, thatโ€™s normal?

Skin that flaps under an automated hand dryer. Feeling like your brain is being jostled when you run. Those are normal in some circles?!?

Even the measuring stick is changing

For years, one of the tools used to assess generalized joint hypermobility has been the Beighton score.

It is a nine-point scale based on whether certain joints, such as little fingers, thumbs, elbows, knees and the spine, move beyond particular ranges. Under the current criteria, the score is used as a screening measure for generalized joint hypermobility. (The Ehlers Danlos Society)

But there is a problem with measuring an entire complicated body by asking a handful of joints to perform five tricks.

What about the hips?

The shoulders?

The feet?

The jaw?

What about joints that used to be hypermobile but have become stiffer because youโ€™ve spent years protecting them?

What about the person whose biggest problems arenโ€™t located in the nine places being measured?

Researchers involved in the international Road to 2026 project have been examining these limitations. An expanded assessment that looks at four additional joints is being studied alongside the Beighton score, and the hEDS/HSD diagnostic framework. Even the way generalized hypermobility is assessed is being reconsidered. (The Ehlers Danlos Society)

The new international classification is expected to be published in December 2026, replacing the 2017 criteria. The Ehlers-Danlos Society has said the classification publication is scheduled for December 2, with best-practice care guidance expected in March 2027. (The Ehlers Danlos Society)

So even the measuring stick is being re-examined.

I find that hopeful.

I am currently diagnosed with generalized joint hypermobility. But that doesnโ€™t tell the whole story.

I look forward to the updated measuring stick. Not because I need a better score.

But because science is admitting that perhaps the way weโ€™ve been measuring this isnโ€™t telling the whole story.

Sometimes the person doesnโ€™t fit the measuring tool.

That doesnโ€™t necessarily mean the person is wrong.

Sometimes the measuring tool needs work.

A diagnosis doesnโ€™t make you more real

This is something I have to remind myself of.

With the diagnostic criteria change, I donโ€™t suddenly become more or less in pain.

If my score changes, my ribs donโ€™t politely and apologetically fall back in line.

If the medical community discovers a better way to describe hypermobility, my body doesnโ€™t suddenly become easier to manage.

A diagnosis can give language to an experience.

It can open doors.

It can help doctors understand.

It can connect you with other people.

It can change treatment.

It can stop some of the exhausting explaining.

But it doesnโ€™t create the suffering.

The suffering was already there.

A label doesnโ€™t make the pain real. It gives the pain somewhere to be understood.

Living on the edge of pain-free

I think this is one of the most striking things about chronic illness.

I donโ€™t necessarily live in constant unbearable pain.

Sometimes I almost feel good. I have gone pain- free for as long as a few days and as short as a few hours after a physiotherapist appointment.

Close enough that I start thinking, Maybe Iโ€™m finally getting somewhere.

Maybe this is the week.

Maybe my body is settling down.

Maybe I can do a little more.

Maybe I can hike a little farther.

Maybe I can play a little longer.

Maybe I can just live normally.

And then something happens.

A foot.

A rib.

An ankle.

A muscle.

A joint.

Something reminds me that normal is still a little outside my reach.

I live on the edge of pain-free.

I can see it.

I can sometimes almost touch it.

But I can never quite get there.

Some days this feels draining.

Some days it is really frustrating.

Because I donโ€™t want to spend my life carefully negotiating with my skeleton.

I want to pick up my grandchildren without calculating angles.

I want to walk around someone without wondering whether my foot is going to object.

I want to hike without wondering which part of me will need time to heal after this.

I want to live. Not perfectly. Just freely.

So what does forest therapy have to do with a body like this?

Forest therapy doesnโ€™t ask my body to perform.

There is no gold star for going farther. ๐ŸŒŸ

No prize for walking fastest.

No requirement to conquer the trail.

And perhaps most importantly, there is no expectation that I have to force my body into being something it isnโ€™t.

One of my favourite practices for hypermobility is sensory noticing while walking slowly.

Not hiking.

Walking.

There is a difference.

I can take a few steps and notice what my feet are telling me.

Not to judge them.

Or correct them.

Just notice.

Where is the ground?

What does the trail feel like beneath my shoes?

Am I gripping with my toes?

Am I locking my knees?

Am I holding my shoulders up around my ears?

Is there a place where I can soften?

Can I take one smaller step?

Can I pause?

Can I let the forest set the pace rather than my ambition?

And if my body says, Thatโ€™s enough, then enough is enough.

Sometimes forest therapy means sitting on a bench while everyone else keeps walking.

Sometimes it means five minutes instead of an hour.

Sometimes it means finding a tree and letting myself simply be near it.

The forest doesnโ€™t seem disappointed in me.

It doesnโ€™t say, You used to walk farther.

It doesnโ€™t say, Try harder. As though I just need a little more motivation.

It doesnโ€™t say, But you look fine. Making me feel like I need to act fine too.

It just keeps being a forest.

Maybe the goal isnโ€™t to reach pain-free

Maybe the goal is to build a life that still has room for joy while living with a body that requires extra care.

That isnโ€™t giving up. It isnโ€™t settling.

It isnโ€™t saying, Well, I guess this is all my life will ever be.

It is learning a different definition of living.

I can be frustrated and grateful at the same time.

I can wish my joints were more reliable and still love the body that carries me through the woods.

I can be tired of pain without being hopeless.

I can want better treatment without believing my life is on hold until I get it.

And I can laugh with my grandson after he accidentally rearranges my ribs.

Eventually. Not immediately. But eventually.

Because sometimes humour is the little bit of space between this is ridiculous and this is my life.

And I want that space. I want the hikes. The grandchildren. The dog. The trees.

The ordinary moments that donโ€™t require a medical explanation.

I want to keep noticing what my body can do without pretending that what it canโ€™t do doesnโ€™t matter.

Maybe thatโ€™s the hope.

Not that one day my body will become uncomplicated.

Maybe the goal is simply to stop waiting for a pain-free life before recognizing that a meaningful one is also valuable.

My body may keep moving the goalposts. Iโ€™m learning that I can still choose to keep getting up.

And for today, thatโ€™s enough.


Note: This post is about my lived experience and is not medical advice. Hypermobile EDS and other hypermobility conditions are complex, and diagnosis should be made by an appropriately qualified healthcare professional. The international EDS/HSD diagnostic criteria are being updated in 2026, so some of the information and terminology around diagnosis may change when the new classification is published. (The Ehlers Danlos Society)

From Midlife Crisis to Midlife Chrysalis

That, perhaps, is the difference between a crisis and a chrysalis. One keeps us frozen in fear. The other slowly reshapes us.

Technically, Iโ€™m not even fully in my midlife years yet.

And yet my body arrived early to the party.

A complete hysterectomy fast-tracked me into conversations I thought I still had years to prepare for.

Ironically, some circles donโ€™t allow me in to the conversation because Iโ€™m โ€œfar too youngโ€ to know what menopause is.

It seems my reproductive system retired before society was emotionally prepared to handle it. Medically, I pass the test but I always get IDโ€™d at the door.

I was medically launched into menopause with all the glamorous perks.

Hot flashes. Joint pain. An increasingly fragile relationship with sleep. And the deeply humbling realization that apparently your underarms and mid range can become flabby despite hours of working out at the gym.

(Nothing prepares you for sneezing incorrectly in your 40s.)

My body has adopted the classic expired warranty strategy, catastrophic synchronized failure. Iโ€™ve entered the โ€˜everything squeaks, leaks, or spasms unexpectedlyโ€™ chapter of ownership. My body has moved beyond โ€˜minor repairsโ€™ and into โ€˜have you considered replacing the whole unit?โ€™ territory.

Which is why a phrase I recently heard on the podcast Hello Menopause! grabbed my attention.

โ€œMidlife chrysalis.โ€

Not midlife crisis. Midlife chrysalis.

The episode featured Chip Conley talking about reinvention, and I chose to listen to this episode because crisis sounds like collapse. Losing control. Becoming less.

Like panic bangs and plans to live โ€œoff-gridโ€ and taking up emotional support hobbies. Sourdough starter anyone?

But chrysalis?

That sounds like transformation.

Messy. Strange. Hidden. Uncomfortable. Necessary.

A chrysalis says. You are not falling apart. You are simply changing form.

I think many of us who have experienced chronic illness, disability, grief, loss, burnout, etc. arrive at this transformation long before the culture expects us to.

Some of us are forced into reinvention before we even finish becoming who we thought we would be.

The Crisis

Be patient toward all that is unsolved in your heart.

–Rainer Maria Rilke

There absolutely was a crisis season.

Not just medically.

Existentially.

There is something disorienting about realizing your body is not going to cooperate with the original blueprint for your life.

You grieve things.

Energy. Ease. Predictability. The version of yourself who thought she could plan her future in permanent marker.

Iโ€™ve written before about the strange ache of living in a body that refuses to follow the original architectural plans. This season feels deeply connected to that journey. An All-Too-Familiar Tale in Misdiagnosed/ Underdiagnosed Female Chronic Pain: This Is My Story

Now I write my plans lightly in pencil.

Sometimes crayon. When I need a little more whimsy in my days.

There were years where survival became the main objective. Years where my nervous system felt like a shaken vending machine full of stress hormones. Years where I thought resilience meant pushing harder instead of listening deeper.

And then came the hysterectomy.

One of those dividing-line experiences where life becomes Before and After.

Before, I still secretly believed if I tried hard enough I might someday return to the old version of myself.

After, I slowly began realizing there may not be a way back. Emotional landslides and experiential cave-ins had blocked that passage way.

Forward and through became my only options. Through self-realizations. Humbling concessions. Constant negotiations between mind and body.

And maybe that is where the chrysalis begins.

The Chrysalis

And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.

–Anaรฏs Nin

A chrysalis does not look impressive from the outside.

It looks still. Inactive. Even broken down.

But inside? An extraordinary reorganization is happening.

And I think thatโ€™s what midlife (or medically-induced midlife-adjacent existentialism) can become.

Not a crisis to survive. But a transformation to participate in. Whole-heartedly.

Chip Conley talked about how the first half of life is often about accumulation.

We gather. Relationships. Responsibilities. Possessions. Roles. Expectations. Obligations. Dreams that once fit.

And eventually we become emotionally overstuffed.

He described midlife as โ€œa great midlife edit.โ€

As I listened I considered the fact that chronic illness forces the edit whether you volunteer readily or not.

You simply cannot carry everything forever when your body already feels like itโ€™s carrying a weighted backpack full of loose cutlery.

At some point you must ask important questions.

  • What still fits?
  • What actually matters?
  • What has become lukewarm in my life?

Do you know what a lukewarm life looks like? One of the lines from the podcast,

Pouring out part of your tea allows you to pour some hot new tea into the cup.

Because some things are not meant to last forever. Not every friendship. Not every role. Not every expectation you once had for yourself.

And maybe releasing those things is not failure. Maybe itโ€™s pruning.

The forest understands this better than we do.

The Forest

One of the reasons forest therapy has become so meaningful to me is because the forest never panics about transformation.

Forest therapy has taught me that stillness is not the same thing as stagnation. Sometimes what appears dormant is actually becoming. I wrote more about that in this post, Nourish Your Nervous System: Forest Therapy Insights

Deadfall becomes nourishment. Burned places grow new life. Trees release entire branches to survive harsh seasons. These changes that seem negative are essential to a healthy forest.

Humans also require those experiences that appear negative and are actually essential for a healthy life.

In the forest, decay and renewal, soft and hard, smooth and sharp are all happening simultaneously.

And honestly, that feels like midlife too.

Especially for those of us living in bodies that have known pain.

We have experienced days where tears of pain rolled down the left cheek while tears of joy rolled down the right.

We know how to hold grief and gratitude at the same time.

That depth changes a person.

We know what it is to laugh in waiting rooms. To find beauty in tiny victories. To feel gratitude and grief sharing the same chair.

I have learned that emotional pain cannot simply be numbed away the same way physical pain can. There is no ibuprofen for identity loss. No heating pad for disappointment. No prescription for becoming someone new.

And while suffering itself is not noble, I do think deep experiences deepen people.

My chronic comrades know this.

Pain can also make people bitter, stuck, isolated, hardened.

That, perhaps, is the difference between a crisis and a chrysalis. One keeps us frozen in fear. The other slowly reshapes us.

If we allow ourselves to learn from it. We can become more compassionate. Tender. Wise. Present. Better able to sit beside someone elseโ€™s suffering without looking away.

As they said in the podcast,

Our painful life lessons are the raw material for our future wisdom.

I believe that in my soul.

The Offering

Sometimes our culture subtly teaches that the people worth listening to are the successful ones. The polished ones. The credentialed ones. The endlessly productive ones

What can we do about this imbalance? If you ever deem somebody less than youโ€ฆ ask yourself what they can teach you.

Because some of the wisest people I know have had their lives interrupted.

Some had to abandon dreams they loved. Some never got the education they were capable of and deserved. Some are rebuilding lives with parts and pieces they never would have chosen.

And still. They carry wisdom.

Do not think less of yourself because your life required adaptation. You are not behind because your path bent unexpectedly.

Some of us have earned emotional depth the hard way.

And if you cannot live the exact life you once pictured?

Find something to run toward anyway.

Even if your pace looks different now. Even if you have to limp toward it some days. Even if your dream has changed shape entirely.

A chrysalis does not become what it originally was.

That is the whole point!

A Forest Therapy Invitation: Chrysalis Walk

The next time youโ€™re in a forest, park, or tree-lined path, try this:

Walk slowly and notice signs of transition.

  • What is decomposing?
  • What is emerging?
  • What is shedding?
  • What is adapting?
  • What still carries beauty despite visible damage?

Then ask yourself:

  • What version of myself am I grieving?
  • What no longer fits?
  • What wants to emerge now?
  • What if this season is transformation instead of failure?

You do not need immediate answers.

The forest is always becoming new. Slowly. Over time.

The Question

One question from the podcast we can all ask ourselves,

Ten years from now, what will I regret if I donโ€™t learn or do now?

Conley called anticipated regret a form of wisdom. Chronic illness teaches you that later is not guaranteed. Perfect timing is imaginary. And someday can become never surprisingly fast.

So maybe this chapter is not about trying to reclaim who we once were.

Maybe it is about becoming more fully ourselves.

Hot flashes.
Heating pads.
Existential growth.
And all.

What the caterpillar calls the end of the world, the master calls a butterfly.

–Richard Bach

๐ŸคThe Hidden Struggles of Connective Tissue Disorders๐Ÿค

Back in my day, some kids brought hockey cards and sticker collections to school. I brought an alarming range of ligament-based entertainment.

Sometimes hypermobility first appears as a child who seems unusually bendy or clumsy, often both at once. ๐Ÿ™‹โ€โ™€๏ธ

The child who sits in a W position on the floor because it feels natural.
The one who, without pausing to question it, contorts themselves into strange positions during movie night.

What they may not see is the child constantly running into walls because their body struggles to map itself properly in space. Bruises appearing mysteriously across shins. Ankles rolling on flat ground. Sleeves chewed because pain and overstimulation are difficult to explain at seven years old.

And then there are the โ€œgrowing pains.โ€

Except many children with connective tissue disorders experience pain far beyond the occasional ache adults remember from childhood.

Deep bone pain at night.
Legs throbbing so intensely sleep becomes impossible.
Crying after gym class.
Exhaustion after seemingly normal activities.

Many hypermobile children become experts at masking early. They laugh while joints slip. They keep playing while hurting because they assume everyone else feels this too.

Some become the โ€œdramaticโ€ child.
Others become the โ€œtoughโ€ one.

Honestly, I was the child trying to survive in a body I did not yet have language for.

What am I even doing bending my neck like that?

The thumb that bends too far backward.
The knees that point in unusual directions.
The shoulder that clicks when slipping in and out.
Being crazy talented in a yoga class my first day.

What people donโ€™t see is that connective tissue is not merely a few loose ligaments behaving badly.

Connective tissue is infrastructure.

It is the architecture holding the body together. The webbing woven through blood vessels, skin, organs, fascia, tendons, heart valves, lungs, digestive systems, pelvic floor, eyes, nerves, and joints. It is scaffolding. Suspension bridge. Packaging tape. Elastic waistband. Shock absorber.

And when connective tissue is faulty, life can begin to feel like living in a house where every screw has loosened itself by half a turn.

Not enough to collapse all at once.
Enough that everything creaks. And left unchecked, more and more areas become unstable, then require constant repairs. Eventually some rooms just become unusable.

A Sad Commentary: AKA My Brush with Organized Sports

My joints approached organized sports with more enthusiasm than stability. More optimism than skill.

In a small town, everybody played volleyball or there simply wasnโ€™t a volleyball team.

So I played volleyball.

I hated it.

Looking back now, I wonder why I stayed in as long as I did. Every practice left my forearms covered in bruises. Big ones, tiny ones, overlapping ones. I looked part Dalmatian. Nobody else seemed to bruise like that, so naturally the conclusion was that I was doing it wrong.

Turns out my connective tissue was doing it wrong. Not me.

I was terrible at volleyball. Not for lack of trying, either. I could picture exactly what my body was supposed to do, but the execution never matched the image in my head. It always felt like there was a lag between my brain and my limbs, like someone had replaced my coordination with an unreliable Wi-Fi signal.

The only part of volleyball practice I excelled at was stretching.

That should maybe have been a clue.

I could also run forever, but the muscle fatigue before, during, and after was brutal. My legs and ribs constantly felt tight and overworked, like my muscles were trying to compensate for a body that refused to stabilize itself properly.

The solution offered to me was always the same:
โ€œPractice more.โ€
โ€œYou just need to focus, Pam.โ€
โ€œTry harder.โ€
โ€œDonโ€™t give up so easily all the time.โ€

My P.E. teacher, who was also my coach, and I were not exactly compatible personalities. I suspect I ranked fairly high on his โ€œlazy kidโ€ list. My feelings toward him and his teaching style donโ€™t need to be discussed for the purpose of this post. Perhaps he was doing the best he knew how ๐Ÿคทโ€โ™€๏ธ.

What hurt most was that I wasnโ€™t used to being bad at things.

I excelled in music. Dance. Academics. If I tried something, I usually became good at it eventually. But anything involving proprioception. Balance, coordination, spatial awareness, reaction time, exposed a kind of weakness I couldnโ€™t outwork.

No matter how hard I tried, my body never responded the way everyone elseโ€™s seemed to. I felt like I was being asked to build a stable life with elastic bands where other people were given rope.

After enough years of that experience, something in me quietly stopped trying.

Not everywhere. Just there.

I realized I could put in enormous effort and still end up with roughly the same P.E. grade as the kid half-heartedly wandering laps around the gym. So eventually, I became that kid instead. The one at the back of the class who didnโ€™t seem invested. The one teachers assumed didnโ€™t care whether they passed.

Stemming from humiliation in trying my hardest while looking like a fool and as though I wasnโ€™t trying at all.

Itโ€™s an incredibly discouraging place for a young person to live.

Some kids are exhausted.
Discouraged.
In pain.
Disconnected from bodies that refuse to cooperate. In retrospect, my body had all the stability of a shopping cart with one bad wheel.

The whole point of physical education is supposedly to encourage lifelong movement and confidence in your body.

Ironically, I now walk everywhere, go to the gym regularly, and deeply value movement. I suspect that may not be the case for those classmates that achieved gold stars for gym class back in the day.

Children are often graded on visible performance without anyone asking what invisible barriers may exist underneath it. ๐ŸŒ ๐ŸŒ ๐ŸŒ

And maybe that experience is part of why I later felt drawn toward educational support work. Because I remember exactly what it feels like to be misunderstood in a classroom. To be trying harder than anyone realizes while appearing like you are trying the least.

Some kids are not lazy.

Sometimes what looks like apathy is actually years of silent defeat.

So Much More Than Loose Joints

My body has taught me that fragility and resilience are not opposites. Sometimes they exist in the very same tissue.

People often imagine connective tissue disorders as orthopedic inconveniences.

A sore knee.
An ankle sprain.
Being exceptionally bendy.

Playing twister with my now-26-year-old. Not to brag, but I was very good.

But connective tissue does not politely stay in one department.

It influences how blood vessels constrict and relax. Why standing up can feel like gravity suddenly doubled. Why heart rates race while brushing teeth. Why exhaustion arrives not after effort, but before and during it.

It influences the skin. Fragile, stretchy, slow to heal, easily bruised.

It influences digestion. Because the digestive tract also depends on connective tissue and smooth coordination. Meals become negotiations instead of nourishment.

It influences breathing. Because the rib cage, diaphragm, and tiny structures supporting the lungs are all part of the same interconnected story.

It influences pain. Not only through injuries, but through a nervous system constantly adapting to instability. Muscles tighten to compensate. Fascia braces. The body learns vigilance.

Even sleep can become difficult when the body spends the entire night trying to hold itself together. Some people wake up refreshed. My body wakes up looking like Iโ€™ve been assembled with spare parts in low lighting. Like sleep happened near me but not directly to me.

There is loneliness in illness that hides in plain sight.

You may look healthy while internally calculating:

Can my hips handle this chair?
Will my spine tolerate the drive?
How long before the fatigue crashes in?
Is today the day I sustain an injury that sets me back a year?

People see the smile at the gatherings.
They do not see the cost afterward.

The Forest Never Demands Symmetry

One of the reasons forest therapy can feel so healing for those with any type of disorders is because the forest does not care about perfection.

Trees twist toward light.
Branches split and regrow.
Moss softens fallen things instead of condemning them.

In the forest, support is collaborative.

Roots intertwine underground. Fungi trade nutrients between struggling trees. Fallen logs become nourishment for future life. Nothing survives entirely alone.

For people living in bodies that require adaptation, slowness, pacing, and care, the forest offers a radically compassionate model of existence.

Nature does not measure worth.

Walking Practice: โ€œBorrowing Stabilityโ€

This forest therapy practice can be done slowly while walking a trail, sidewalk, park path, or even your backyard.

As you walk, notice what in the landscape appears stable.

Perhaps it is:

  • the rootedness of a tree
  • the reliability of stone
  • the rhythm of wind
  • the resolution of moss growing over rough surfaces

Without forcing positivity, simply observe.

Now begin walking more slowly.

As each foot touches the ground, imagine you are borrowing steadiness from the earth beneath you.

Not fixing yourself.
Not overcoming your body.
Borrowing support.

You may silently repeat:

Supported.
Held.
Connected.

If your body hurts while walking, let the practice include that truth instead of resisting it.

Forest therapy is not about pretending discomfort away. It is about allowing yourself to belong exactly as you are.

Pause occasionally and place a hand on a tree trunk, railing, stone wall, or your own chest.

Notice:

  • What supports you physically?
  • What supports you emotionally?
  • What support have you been refusing because you are used to surviving alone?

Continue walking without rushing toward insight.

Sometimes healing begins the moment we stop arguing with our pace.

The Grief No One Talks About

There is grief in becoming intimate with limitation.

Grief when your mind has cheques your connective tissue cannot cash.

Grief when symptoms multiply like unwanted groupies:
fatigue, dysautonomia, chronic pain, migraines, digestive problems, instability, inflammation, sensory overwhelm.

Many connective tissue disorders do not travel alone. They tend to arrive in flocks.

Even a wounded world is feeding us.

–Robin Wall Kimmerer

Hold fast. There is still beauty here.

Not the polished beauty of wellness culture that insists healing should look photogenic and triumphant. Complete. Universal.

But a quieter beauty.

The beauty of learning to listen deeply to others.
The beauty of noticing small joys because large ones became inaccessible.
The beauty of becoming tender toward bodies. Your own and othersโ€™.
The beauty of discovering that a meaningful life was never dependent on being free from pain.

The forest teaches this continually.

Decay feeds growth.
Broken branches house birds.
Burned landscapes bloom again.

I spent years believing my bodyโ€™s limitations were character flaws. Turns out that limiting belief was false. Those limitations have helped me become the person I am.

To be rooted is perhaps the most important and least recognized need of the human soul.

–Simone Weil

Why Forest Therapy Helps

Forest therapy is not merely getting outside.

Research continues to show time in forests can help regulate the nervous system, reduce stress hormones, lower heart rate, and support emotional well-being. But for those living with connective tissue disorders, the benefits often go deeper than measurable metrics.

Forest therapy gives permission to:

  • move slowly
  • rest without guilt
  • reconnect with sensory pleasure
  • soften hypervigilance
  • leave productivity behind temporarily
  • remember you are more than symptoms

When the nervous system lives in a constant state of adaptation, gentle sensory experiences matter.

The sound of leaves moving overhead.
The coolness of shade on inflamed skin.
Birdsong interrupting anxious thoughts.
The visual softness of green.

None of these cure a connective tissue disorder.

But they can create moments where the body feels less at war with itself.

And moments matter.

Especially when stitched together over time.

A Beautiful Life Can Still Grow Here

Instructions for living a life: Pay attention. Be astonished. Tell about it.
โ€” Mary Oliver

Living with a connective tissue disorder may mean your life unfolds differently than expected.

More pauses.
More recalculating.
More adaptation.

But different is not lesser.

Some of the most compassionate people are those whose bodies taught them interdependence.

Some of the most observant souls are those forced to slow down enough to notice life carefully.

The forest reminds us that resilience is not hardness.

Resilience is flexibility.
Relationship.
Return.

And perhaps that is fitting for people made of connective tissue. Those who understand, more than most, that life is ultimately about connection.

Not perfect strength.
Not endless endurance.

Connection.

To the earth.
To one another.
To moments of beauty that still arrive, even here.

What is to give light must endure burning.

-Viktor Frankl

Minor Injury and Connective Tissue Disorder: Cue My Prison Sentence

To tell me I cannot run is to hold my body in contempt.

-Friedrich Nietzsche

This past weekend I was out boating with friends. The sun was shining, laughter was everywhere, and the water was perfect. My absolute favorite kind of day. Until it wasnโ€™t.

The beach is so amazing. We all lay around in our undies with complete strangers eating sandy sandwiches and chips. What a world!

But this trip was too eventful for me. I slipped off the back of the boat. A simple misstepโ€”my foot chose the slippy part before the ladder instead of the grippy part. My skin slid down the metal and scraped in a couple of places. For most people, it would be a painful annoyance. Maybe a couple of Band-Aids and an โ€œouchโ€ when the rubbing alcohol stings.

But for me, with a connective tissue disorder, a โ€œminorโ€ injury isnโ€™t minor. Itโ€™s my own prison sentence.

Day 3 post slip

The moment my leg hit and the skin tore, my body responded like a toddler throwing a tantrum. Two points, swelling to the size of small eggs appeared instantly. My vision swam, nausea hit, and I nearly fainted. I had to be rushed off the beach. Reluctantly, I might add. I just wanted to stay and play. ๐Ÿคทโ€โ™€๏ธ

And yet, as I moved it around, the swelling went down. After a few ginger steps, walking proved feasible. So, I stayed on the beach. Carefully. Pretending things were fine. Until the next day, when I accidentally touched one of the angry spots and nearly fainted again from the pain. Cue swelling, round two.

This bruise on the back of my leg also happened in the fall.

Nothing feels broken. This isnโ€™t a cast-and-crutches type of injury. This is a – my tissue is angry and having a meltdown kind of injury. The kind that will ripple through every layer of healing, slowly, stubbornly, piece by piece.

The Cascading Consequence

Hereโ€™s what happens with mobile joints and connective tissue disorders:

  • Immediate tantrum. Tissue swells, pain spikes, body goes into shock.
  • Muscle aftermath. Even if the muscle wasnโ€™t directly injured, itโ€™s recruited in the act of catching yourself, and now itโ€™s tight, inflamed, and waiting its turn to protest.
  • The balancing act. I need to keep running to maintain the strength that keeps my joints in place, but I also canโ€™t overwork whatโ€™s injured.
  • Scar tissue sneak attack. When scar tissue forms, it doesnโ€™t just โ€œheal.โ€ It tugs on joints already prone to slipping, pulling them out of place.

This ๐Ÿ‘†is why what looks minor to you becomes a long-term balancing act โš–๏ธ for me.

There is no test, no monitor, no scan that can tell us exactly whatโ€™s happening.

Itโ€™s me, listening to my body.

And my physiotherapist J, patiently piecing me back together one session at a time.

Photo by Mohamad Salam on Pexels.com

๐Ÿ‘†๐Ÿผ Me as Humpty Dumpty right before needing to be put back together again. ๐Ÿ‘†๐Ÿผ

What most people heal from in days, I will heal from in months. ๐Ÿ—“

K๏ธoekentroost

Dutch. “the emotional support cookie you eat after a mildly inconvenient day. (in my case it will be pretzels dipped in nutella)

The Weight of Waiting

The hardest part isnโ€™t the pain. Itโ€™s the waiting.

Waiting to run.

Waiting to trust my joints again.

Waiting to see what the scar tissue will do this time to wreak havoc.

It feels like all the work Iโ€™ve put in at the gymโ€”months of biking, running, strengtheningโ€”could slip away in the span of a single misstep.

Thatโ€™s the prison. The confinement. The pause button โธ๏ธ on a life Iโ€™ve fought so hard to keep moving โ–ถ๏ธ .

Forest as Healer

But hereโ€™s where I return to what always saves me: the forest.

When I step (or hobble) into the trees, I remember that healing doesnโ€™t always look like forward motion. Sometimes it looks like stillness. A dense canopy could be covering spectacular growth. The riverโ€™s gentle flow might be a glimpse of the heavy current below. The trees stand, patient and unwavering, reminding me that growth and repair take the time they take.

Forest therapy gives me what no physiotherapy session can: the intuition to hear what my body is really saying.

My blessing in life is to have a physiotherapist that encourages me to spend time there. And to follow my bodyโ€™s intuitive pace and direction. J pursues us and provides support along the way.

Itโ€™s in the quiet green spaces ๐ŸŒฒ where I learn when to push ๐Ÿ˜– and when to rest ๐Ÿ’ค . Where I can breathe out the frustration ๐Ÿ˜ฎโ€๐Ÿ’จ and breathe in the steadiness of the earth ๐ŸŒ beneath me.

It is in the forest where I believe that healing isnโ€™t just possibleโ€”itโ€™s already happening.

When you read the list of benefits, do you see the connection? Grounding will be one of my greatest therapies in each phase of mending.

Words to Carry Me

โ€œAdopt the pace of nature: her secret is patience.โ€ โ€” Ralph Waldo Emerson

โ€œAnd let us not be weary in well doing; for in due season we shall reap, if we faint not.” – Galatians 6:9ย 

“The trees that are slow to grow bear the best fruit.” – Moliere

“Even the strongest storms don’t last forever. The sun always returns to the forest.” – Unknown

And she will keep coming back to life, over and over again, because beneath the skin of this gentle human lives a warrior unstoppable.

-Annabelle M Ramos

Healing with mobile joints is a marathon made of tiny sprints and long pauses. Itโ€™s the art of balancing strength with surrender. And when the world feels like itโ€™s closing inโ€”when a scraped leg feels like a prison sentenceโ€”the forest opens its arms and says, you are safe here. Take your time. Heal.

My veins are filled with stories of survival.

– Mitali P.

The Inconvenient Truth About My Connectivity Disorder: and what forest therapy has done to help

And sometimes I have kept my feelings to myself because I could find no language to describe them in. – Jane Austen

I had a cousin at a family reunion ask me what it is like to have a connective tissue disorder. For anyone that is familiar, I have something close to Ehler’s Danlos Syndrome. Essentially what that means is that I have extremely mobile joints.

My cousin inquired how such a thing affects my day to day life. The question was so kind and thoughtful but I was thrown off guard.

Trying to sum up my medical history and symptoms and how it has affected me in the past and how it affects me now is like trying to perform open heart surgery with a Degree in Finance and the tweezers from the game of Operation.

My mind was starting to poke at a few entry points but it’s so all encompassing. I couldn’t find a place to start.

I was saved by the commencement of a presentation that we both wanted to watch. I didn’t end up answering her question.

But it is a query to which I’d like to be able to respond. I am going to attempt to do so here.

MY main issue with hypermobile joints is that, as the song goes, Every Now and Then I Fall Apart. Except every now and then should actually be all the time. I am lucky enough to have some ligament strength. There are those who suffer much worse than I do.

Collagen is the glue that holds our bodies together and gives our tissues their strength. It affects our skin, bone, muscles, cartilage and organs. So when we are asked what part hurts… it’s just easier to ask what doesn’t hurt.

My connective tissue disorder is nothing compared to what others go through. As with so many disorders there is a spectrum to illustrate the severity. While there are others who suffer more than I do there are also those who suffer less. To clarify, I am not talking here about occasional aches and pains. That pain is also valid. But we can all agree it does not grant understanding of chronic pain/ illness.

Mercifully, I don’t suffer from dislocations. Only from tiny subluxations all over my body. They are sometimes referred to as tiny traumas. That makes them sound so cute.

Your joints are supposed to slide around in their sockets. But with a connective tissue disorder, your ligaments and tendons don’t have the strength they need to hold you from sliding out too far. Once it goes past a certain point, the bone will get stuck. This is called a subluxation and will need manipulation or massage to get it back in place.

I’m not sure how this manifests in the lives of other sufferers. But for myself, due to the length of time this has been happening and the traumas that have weakened joints, there has not been a time in over a decade that all my joints were in at the same time for more than a day.

This means my body is always “upset”. There is no rest. It is always working to stay on top of the pain. My muscles have to take over for the injured or weak joints which is also tiring.

I’ve read that people with EDS have high adrenaline, making it hard to fall asleep. I can relate. Adrenaline is great! Until it’s not. It has helped me get through more than one function or event despite my limitations. Keeping me going until the work is done or the party is over.

The danger in using up those adrenaline reserves is that I do not recognize when I’m in that mode. I still think I am awake and in tolerable pain. When with no warning I am suddenly exhausted and past the point of pain relief. I know others with chronic pain who do more than their fair share of this a well.

If you suffer from chronic pain, be aware of your adrenaline reserves and don’t run them empty.

I mentioned I don’t have Ehler’s Danlos Syndrome (EDS) but something similar. I use their images because they apply to me.

I heard a fellow sufferer say once that their joints go out more than they do! I concur. My body does not like the evening, or the cold, or anything too loud or stimulating. It is a picky body. Staying in is the best plans for this lady!

But I can sing along with the song, I’m Flexy and I Know It. That’s the words, right?

Sometimes a picture can say it all.

If you can do this you may have a connective tissue disorder. Who knew? I thought it was just a fun party trick to be able to contort my body for the amusement of friends.

The reason I do some explaining about my disorder is to hopefully connect with those who are suffering from some of the same issues. It can be difficult for generally healthy people to understand. With the best of intentions they will give you all the medical advice you never wanted. In most cases it won’t apply. General health advice will often not help those with chronic illness.

I am still healing. I have a ways to go. But to use the idea of Stephanie Spark, I want to walk through the flames of this hell with buckets of water ready to turn around and pour it on those still consumed by the fire.

To my fellow sufferers, do not doubt yourself. You are a warrior.

Our bodies are not made to deal with the level of toxins in our world. Add to that high levels of stress, lack of sleep, medications, surgeries, etc. So what can we do?

I have an answer for the healthiest to the most toxic ridden among us.

Forest therapy.

Going into any natural space is so beneficial. Ground. Meditate. Pay attention to your surroundings. Wrap up warm and breathe in the fresh, crisp air of fall.

When you are ready to practice forest therapy with a guide to get the greatest benefits, reach out and contact me. I can help you maximize the benefits you experience in the forest.

Live in each season as it passes; breathe the air, drink the drink, taste the fruit and resign yourself to the influence of the earth. – Henry David Thoreau