“Pain is not wrong. Reacting to pain as wrong initiates the tangle of emotional resistance against what is already happening.” ~Tara Brach
The wooden meditation hall creaked softly as sixty people shifted in their seats, trying to find comfort in the silence. Outside, winter rain tapped against the windows, a gentle metronome marking time. I sat cross-legged on my black cushion, watching sweat trickle down my temple despite the cool air. My legs burned as if I’d been running for hours, though I hadn’t moved in forty-five minutes.
It was day three of my first six-day silent meditation retreat, and I was learning my first profound lesson about physical pain—not from my meditation teacher, but from my protesting body. Little did I know that this experience would become a crucial foundation for navigating a far greater challenge that lay ahead.
The pain started as a whisper in my lower back, a gentle suggestion that perhaps I should adjust my posture. Within minutes it grew to a shout, then a scream. While other practitioners appeared serene, their faces soft and bodies still, I was waging an internal war. Every few minutes, I’d shift my weight slightly, trying to find that elusive comfortable position. The cushion that had felt so perfect during the orientation session now seemed as unyielding as concrete.
The meditation instructions echoed in my mind: “Just sit and observe your breath.” But my body had other plans. Each inhale brought awareness of new discomfort—a sharp knife in my hip, a dull ache in my shoulders, pins and needles racing down my calves. The physical sensations became my entire world, drowning out any hope of focusing on my breath.
I tried everything. Different cushions borrowed from the prop closet. Various positions—Burmese, half-lotus, kneeling. I even snuck to the back of the hall to lean against the wall, feeling like a meditation failure as I watched the straight backs of more experienced practitioners ahead of me.
Then, on day four, something shifted. Perhaps it was exhaustion from fighting my experience, or maybe it was the wisdom of surrender, but I finally heard what my teacher had been saying all along: “Don’t try to change what’s arising; just be with it with kindness.”
For the first time, I stopped trying to fix my discomfort. Instead, I got curious about it. What did the pain actually feel like? Was it constant, or did it pulse? Where exactly did it begin and end? As I explored these questions with genuine interest rather than resistance, something remarkable happened—while the physical sensations remained, my suffering began to decrease.
“In the midst of pain is the whole teaching,” Pema Chödrön’s words would become my lifeline two years later, when a back injury transformed my relationship with pain from a periodic challenge into a constant companion. I would join the ranks of millions living with chronic pain—a silent epidemic that affects more than one in five adults globally.
While medicine can sometimes dull the sharp edges of physical suffering, many of us learn that managing chronic pain requires more than just medication. It demands a complete reimagining of our relationship with our bodies and with pain itself.
The lessons from that meditation hall now played out in vivid detail through every moment of my daily life. Simple tasks became exercises in mindful movement. Getting out of bed required a careful choreography of breath and motion. Picking up a dropped pen became a practice in patience and body awareness. Each movement called for the same careful attention I’d learned to bring to meditation.
The physical pain was just the beginning. In the darkness of sleepless nights, lying on my floor because no other position brought relief, my mind raced with endless worries: Would I ever recover? Could I continue counseling my clients in person? How would I pay the mounting medical bills? These thoughts circled like hungry wolves, testing the limits of my newfound practice of acceptance.
Working as a therapist brought its own unique challenges. I vividly remember sitting across from clients, maintaining my therapeutic presence while searing pain radiated from my tailbone through my entire spine. Each session became a practice in dual awareness—being present for my clients while acknowledging my own experience. Some days, the effort to maintain this balance left me depleted, with barely enough energy to drive home.
There was also the exhausting social dance of chronic pain. The simple question “How are you?” became complicated. Telling people about the constant pain felt burdensome after a while. No one wants to always be the person who’s suffering. So instead, I’d smile and say, “I’m fine,” swallowing the truth along with the discomfort. These small acts of concealment created their own kind of fatigue, a lonely space between the public face and private reality.
I invite you to pause and reflect on your own relationship with pain. When discomfort arises, what stories does your mind create about it?
Notice how your body responds—the subtle tightening, the wish to push away what’s difficult. Consider what it might feel like to create just a little space around your pain, like opening a window in a stuffy room.
Sometimes I think of pain as an unwanted house guest. We didn’t invite it, we don’t want it to stay, but fighting its presence only creates more tension in our home. Instead, we can acknowledge it’s here, set appropriate boundaries, and continue living our lives around it. Some days we might even discover unexpected gifts in its presence—a deeper appreciation for good moments, increased empathy for others’ struggles, or the discovery of our own resilience.
Working with pain mindfully reveals that healing happens on multiple levels. When we respond to physical discomfort with gentle awareness, we start noticing how our thoughts create narratives about the pain, how emotions arise in waves, and how our nervous system responds to kind attention. Through this practice, we can learn to expand our attention beyond the pain, discovering that even in difficult moments, there is also the warmth of sunlight on our face, the sound of birds outside our window, the taste of morning coffee.
Years later, my pain isn’t as severe, but it remains a daily companion. I carry a back pillow everywhere as if it’s an accessory, mindfully choosing which events to attend and for how long. Gardening, once a carefree joy, has become an exercise in presence—each movement an opportunity to listen to my body’s wisdom. Some days still find me lying on the floor, being with whatever my body is expressing in that moment.
But there’s a profound difference now. Where I once pushed through pain with gritted teeth, I’ve learned to respond to my body’s signals with care and compassion.
This shift feels especially valuable as I age, knowing that new physical challenges will likely arise. Each twinge and ache is no longer an enemy to vanquish but a reminder to pay attention, to move more slowly, to tend to myself with kindness.
The clock in that meditation hall taught me about impermanence—how even the most challenging moments eventually pass. My back injury taught me about acceptance and resilience. Together, these experiences showed me that while we can’t always choose what happens to our bodies, we can choose how we meet these experiences with awareness and compassion. In doing so, we discover that peace isn’t found in the absence of pain but in our capacity to be with it skillfully.
About Katie Fleming Thomas
Katie is a trauma-informed psychotherapist, meditation teacher, and guide who helps others cultivate mindfulness and resilience. She is the creator of Freebird Meditations, offering transformative guided practices, and ZenQuit, a mindfulness-based nicotine cessation program. When not guiding others, she finds meditation in everyday life, gardening, baking sourdough, dancing, and hiking with her husband and animals. She believes true transformation happens when we turn inward with curiosity and compassion.
