Question for ambulatory wheelchair users
How do you determine when it is appropriate to use your wheelchair and how often?
The obvious answer would be listening to your body when it tells you, but i have a problem with that.
I have a horrific habit if turning reddit posts into full on essays so im gonna try not to do that but I have a cheap transport chair and following the advice of my old pt "making sure I don't become dependant on it" has resulted in me being significantly less mobile, going with the lightest support options dont work for me anymore after about a year of doing so.
I have me/cfs and elhers danlos and the whole family of things that come with both. Right now i would consider my ME between mild and moderate. However its been a struggle, my "push-crash" pattern has a lot to do with a little something I like to call 🫧cortisol maxxing🫧. It feels terrible but im trying to be positive about it. Basically what happens, is i can see the signs and symptoms on my body of a flare coming up and not sure what it is if its adrenaline or what but I start feeling almost manic like I cant feel whats going on in my body but I know its there and im exhausted but I cant stop or sit still. After a few days I flare and feel really bad and i can feel my body screaming to stop and i just cannot sit with it for long enough to recover and the cycle starts over and then after a few rounds of that I have major crashes that alter my baseline.
Its been really difficult to accurately assess where I am, and all I know is that im not getting any better. So I have been trialing using my wheelchair more often even for things that I could just get up and walk for. But my brain is still filled with heavily internalized stigma around deconditioning and all that. Physically I dont need to use it full time and just transfer to other seats and stuff because I can still technically walk, but my body also cant recover from like anything end every month i havs these monumental crashes because I cant seem to slow down when my body tells me to and even when i tell mtself to.
Is anyone who is ambulatory use their chair full time? What led to the decision? How are we building trust in bodies that cant recover from or sit with pain? I really wanted to try and follow drs orders to a t so that they would take me seriously but there ks a very clear correlation to my decline and how hard i was trying to avoid higher support mobility aids. Whats yalls advice? I do know I am not in a properly fitted or suitable chair, and I am working on figuring out how to get one. I just switched care teams so I think irs gonna be awhile before i can get a referral for that, but i am still looking at various resources.