How might I practice grateful living in the presence of pain?

Well, today’s question feels like it was directed squarely at me. I’m guessing too, that a number of others on this site will feel the same way.

As a chronic, and sometimes acute back pain sufferer, I confess that “feeling grateful” during intense pain spikes is the very last thing on my mind. When pain spikes drop to the more manageable and lower chronic pain levels, so that I function more normally, even then, I need to intentionally remind myself to be grateful for all that is good and is very much present in my life.

Hopefully, the person who wrote today’s question is speaking from lived experience beyond the everyday aches and pains of normal living. And if so, my question in return is, how do they do it? How do they do it, beyond prayer, meditation, mindfulness training, injections, happy talk, and pills?