Ah, what a good question. We tend to shy away from talking about our worst moments, don't we.
For me, it's all about distraction. It starts with a hot bath with Epsom Salts in it (I'm currently using lavender scented salts and they smell heavenly). I'm usually pretty shaky when I'm in severe pain, so hubby helps me get in and settled. I find after a few minutes, I'm able to start focusing on the smells and sensations around me...the lavender scent is especially good and I often use Bergamot as well.
I have Ray turn on my CD player on the counter, and play some meditation music. I start to do some concentrated breathing and generally, I'm able to focus on the pain and "turn it off". It might be by tensing and relaxing my muscles, starting with my toes and working up, or I just let myself really feel the pain, to get right inside it, so I'm in control. When I'm breathing well, I can manage things better, but the key for me is to relax my body completely instead of tensing up harder and harder.
I've been lucky in that I'm on a good combination of drugs right now and my pain as been generally steady at a 3-4 on the scale to 10. I have had some mild flares but right now, it's my hips causing the most pain and only surgery is going to make that pain disappear. Ah well...I'm a tough gal, I can manage!
Conditions: Fibromyalgia, Severe Myofascial Pain, Chronic Pelvic Pain (with permanent muscle damage), Femoroacetabular Impingement (CAM and Pincer), Reynauds, IBS, Surgical Adhesions, Ophthalmic Migraines, Severe Hot Flashes (both Surgical Menopause and medication related), plus physically unable to vomit due to the Nissen, and I have extremely tiny veins with a lot of scar tissue...a joy when it comes to having to give blood or get an IV started
Surgeries: Appendix, Uterus, Nissen Fundoplication for GERD, Left Ovary, Gallbladder, Right Ovary, TVT
Medications: Oxycontin, Cesamet, Tramacet, Cymbalta, Flexeril and Clonidine plus Laxaday, Vitamin D and a Multi-Vitamin daily