Tackling Travel More Effectively: A Patients Guide

Chronic pain tends to rob us of the things we love—travel, experiences, and time with friends and family. Travel often presents a unique set of challenges—and opportunities. Many people living with chronic pain hesitate to travel, fearing unpredictable symptoms, flare-ups, or just the realities of being away from familiar routines and resources. Yet with forethought, honest communication, and a strategic approach, travel is possible.

Medications and Flare Management

First, let’s address the practicalities—what do you need to take with you?

Always carry enough of your usual medications, factoring in extra for unexpected flares, as you’ll likely need them more on the road. Dan’s go-to flare protocol, if appropriate, is a short course of anti-inflammatories and amitriptyline, but sometimes it’s about temporarily increasing the dose of your regular non-opioid medications. Never try something new for the first time on vacation—that’s a recipe for trouble if unexpected side effects arise.

Many countries have strict drug regulations; check the INCB Country Regulations for Travelers website to know what's allowed prior to departure. Bring documentation for both prescription and non-prescription drugs so you don't end up on the wrong side of customs.

Physical Supports and Small Tools

We always advise patients to pack physical aids: that small inflatable lumbar pillow; your hot pack, cold pack; compression, mobility aids, balls for release exercises before bed. The little things add up—don’t underestimate their value. Before you leave, practice using these tools and knowing when they’ll be particularly helpful so you know how to get relief wherever your journey takes you.

Procedures and the “Holiday Program”

Sometimes we've got to be honest about taking shortcuts. If you’re gearing up for a major trip, there may be cases where a short-term intervention, like a cortisone injection, could make travel possible—even if it’s not a permanent fix. But every procedure comes with risks of flare-ups and infection, so schedule them early enough to recover before departure.

Ask your doctor: “What do I need to do for myself before I leave?” This simple question ensures the conversation is oriented towards your pressing travel needs, as well as your long-term well-being.

Strategic Planning

It’s essential to maintain realistic expectations. Plane rides, loss of routine, new environments—all are inherently stressful and can trigger pain escalation. Approach travel like training for a race: try to build up your stamina and function in the weeks before you go. Consider what new stressors your body will encounter and rehearse them if possible—for instance, practice walking on uneven ground if you’ll be navigating cobblestone streets.

Talk openly with your traveling partners about your vulnerabilities and boundaries, and don’t be afraid to ask for what you need with accommodations. Plan for recovery days after the trip. You’re likely to need extra rest and time to ease back into your routine.

During the Trip

Don’t be shy about using wheelchair services, requesting aisle seats, and stretching often during flights. Explain your needs to staff without apology so they are not confused and you’re not self conscious—it's your health, not a matter of courtesy. Sometimes, the world is surprisingly kind to people travelling with pain; if not, don’t let anyone’s opinions sway you from doing what’s necessary to preserve your health.

Afterwards

Reintegration is key. Don’t book work or social events the moment you get home; allow yourself time to regroup physically and emotionally. If possible, take lighter days or rearrange your schedule to avoid immediate stress. Gentle movement, nutritious food, and familiar routines help you regain ground. Remember, post-trip recovery or a buffer period isn’t indulgence—it’s essential to ongoing progress.

Our Takeaway For You

Above all, progress isn’t always linear. Our patients hear this from me constantly: the goal isn’t just less pain—it’s a bigger life. Sometimes joy goes hand in hand with discomfort. Relentlessly moving forward, even in small steps, builds confidence and expands possibilities. So when pain threatens to steal travel and experience, fight to take some of it back. Prepare, strategize, communicate, and give yourself permission to enjoy what you can.

Coping with pain isn’t just about endurance; it’s about adapting, claiming what matters, and noticing your wins. Travel, even when hard, is worth it as long as the upsides outweigh the downsides. If you plan well and accept the process, the experiences you gain can be richer than anything pain can takes away.

For more insight and practical advice, tune in to episode 26 of It’s Not in Your Head Podcast.