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I think the idea of helping her pain is a good idea, massage, bean bag to heat up, they even do things that you can reheat in water, suggest you go to a website for pain suffers and look at what they suggest. Also some flowers or a plant, don't make it all about her pain. As a chronic pain suffer I know that things to help are appreciated but sometimes you can help that your pain takes over your life so something nice as well even if small would also be appreciated. Another idea is that you learn to speak some of her language, at least happy birthday, how are you today etc, that would show real effort and I am sure would make her happy.
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