This is mostly intended as a question for people with severe chronic issues of a magnitude that significantly alter their function to the point of relying on others for basic needs. However, anyone is welcome to reply. From personal experience this type of pain is hard to describe and hard for others to understand, especially the psychological side.
So I’m asking because I really don’t understand how cannabis works for anyone as pain relief. I have also been on most available opioids and they largely have no effect. They only impact my focus in such a way that I do not care about doing anything or about the pain. It is like they impact anxiety, but that does not do anything for the underlying physical issue. In some cases like tramadol, I get so disconnected from my typical self awareness that I could spiral into a dumber version of myself like being in a figurative pit I cannot escape.
Seriously, I use a few games and the times it takes me to complete harder levels to gage how pain or meds are impacting my cognitive function. Long term I use the scope, depth, and my project completion capabilities to gage if I am acting like myself long term. This is what has pulled me off of several meds long term; I simply was not myself in capabilities. The meds made me care less about the pain, but I am interested in a more productive life, not caring less about the thing that is ever present. The only drugs that made the pain go away are the kind that require constant monitoring in the Intensive Care Unit in a hospital.
Am I an outlier here; simply more self aware of the way pain treatments alter the mind and only indirectly impact the real issue? Does caring less satisfy your needs? Is anxiety a large part of your functional life?
As you point out, opioids numb the spirit, not the pain itself. We stop caring about pain from its many sources, emotional and physical. Viewed at the level of consciousness pain is conceptual and can be manipulated to be diminished or magnified by the context and expectations. I’ve never consciously used cannabis as pain relief but I can imagine it operates in a similar way, making it easier to interpret the sensation as something other than negative. I know from meditation that removing judgement from my thinking has a similar effect. Pain is bad but we are not obliged to judge every painful event and compound the situation.