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Pacing for Chronic Pain & Fatigue: (How to Stop Flare-Ups Before They Start)

  • Writer: Sarah Clifford
    Sarah Clifford
  • Feb 15, 2025
  • 4 min read

Updated: Feb 1



How to Break the Boom-and-Bust Cycle (Without Breaking Yourself)


You wake up feeling… kind of okay. 

A little energy. A little hope. Maybe even a spark of motivation.


So you do it all.


Clean the kitchen. Answer emails. Run errands. 

Catch up on everything you’ve been “falling behind” on.


And then?


Boom. 

Pain. 

Exhaustion. 

Back in bed, wondering what just happened.


Welcome to the boom-and-bust cycle—chronic pain’s favourite trap. 

And if you’re reading this, I’m guessing you know it way too well.


Here’s the truth: 

It’s not your fault. 

But it is fixable.



Pacing: The Not-So-Sexy, Absolutely Essential Skill


Pacing is how you stop swinging between overdoing it and crashing. 


It’s not about giving up.

It’s not about doing less forever.

It’s about doing what matters—without wiping yourself out in the process.


When you pace with intention, you get:


✅ Fewer flare-ups 

✅ More consistent energy 

✅ Less guilt when you rest (because it’s on purpose

✅ And a whole lot more trust in your body



So What Does Pacing Actually Look Like?


Pacing looks different depending on whether you’re preventing a flare, surviving one, or recovering after.

Let’s break it down—real-life style. 

Not the sugarcoated “just listen to your body” kind. 

The “how do I live my actual life without crashing” kind.


Think of these as guardrails — not rules:


1. The 50% Rule


Whatever you think you can do—cut it in half. 

That’s your sweet spot.


💡 Example: Think you can walk 20 minutes? Start with 10. Still standing after? Great. Bonus round next time.



2. Rest Before You Need It


This one’s counterintuitive. 

You feel okay, so why stop?


Because if you wait until you’re exhausted, it’s already too late. 

Pacing is prevention, not recovery.

💡 Try this: 25 minutes of activity, 5-minute break. Non-negotiable. Even if you feel fine. Especially then.



3. Break It Down


One giant task? Nope. 

Ten tiny ones with pauses in between? That’s pacing.


💡 Example: Don’t clean the whole kitchen. 

Do the dishes now. Counters later. Floors another day.


No medals for overextending.



4. Alternate Energy Zones


Mental drain is real. So is physical. 

Mix and match your tasks so you don’t blow out one system.


💡 Example: Grocery trip → rest → pay bills from the couch.


Smart, not lazy.



5. Track Your Patterns


Your body has a rhythm.

Learn it.

Use it.


💡 Example: If mornings are your magic window, that’s when you do the heavy lifting.

Afternoons? Protect that peace.



But What About Flare-Ups?


Here’s the secret no one talks about: Pacing isn’t static.


The way you pace when you feel okay is not the way you pace when you’re flaring—or recovering from one.

Let’s break it down:



🔹 Before a Flare-Up (Prevention Mode)


You’re feeling decent. 

Which is exactly when you’re most likely to overdo it.


Here’s how to not sabotage yourself:


✔ Follow the 50% Rule 

✔ Schedule breaks before your body demands them 

✔ Use an energy budget like a boss 

✔ Ask: Just because I can… should I?


💡 Real life: You wake up ready to Marie Kondo your entire house. You do one drawer, take a break, and call it a win.



🔹 During a Flare-Up (Survival Mode)


This is not a productivity contest.  This is a healing mission.

Here’s how to pace when everything hurts:


Cancel what can wait 

Actually rest (no doomscrolling in bed) 

Conserve energy like you’re solar-powered and it’s cloudy 

Move gentlyonly if it helps, not because of guilt


💡 Real life: You microwave leftovers. You send an auto-reply. You lie down and do nothing—on purpose.



🔹 After a Flare-Up (Recovery Mode)


This is where most people blow it. 

You’re finally feeling better-ish, so you try to “catch up.”


Don’t.


Here’s how to re-enter life without re-entering another flare:


The 20% Rule → Do even less than you think you can 

Alternate activity and rest like it’s your religion 

Watch for red flags: brain fog, rising fatigue, body tension 

Prioritize essentials. Let the rest wait.


💡 Real life: You want to clean, shop, and organize your closet. Instead, you pick one thing. Then stop. Then rest. And you don’t hate yourself for it.



The Real Truth About Pacing

Pacing isn’t giving up.  It’s giving yourself a fighting chance.

It’s not about shrinking your life. 

It’s about rebuilding it with strategy, care, and no more crashes.


And once you stop trying to prove your worth by pushing through pain?


Everything changes.



🌼 Want support with pacing that actually works?


If you’re dealing with chronic pain or fatigue and want practical, nervous-system–informed tools, the RadWell Newsletter is where I share strategies I actually use — pacing, flare prevention, and energy protection.


And if flare-ups are part of your life, The Flare-Up Formula Mini Course gives you a clear system for what to do before, during, and after flares — so pacing doesn’t turn into another guessing game.





You Don’t Have to Earn Your Rest.


You don’t have to prove your pain. 

You don’t have to keep crashing just to feel like you’re living.

Pacing is power.


 And it’s yours now.

 
 
 

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