I've actually found that during really tough painful rides/runs/whatever that singing a little can help. Besides giving something else to focus on, it's not like normal singing, but while breathing both in and out, and can actually help me regulate my breathing. It's not the same as singing along in the car or "real" singing.
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I have found butchering the words to TV sitcoms to be the best avenue.
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hmm... now I'm wondering what sitcoms... because I can think of some that are fun to mess with the words on...