Originally Posted by RJS58

Hi Everyone: Just started taking Butrans patch and Gebapentin as well as a compound pain cream for Chronic Pain following intra articular fractures of both heels and talar bone. I have not had one day without pain since the injury 10 months ago. Severe numbness, like tight bands around ankles, feels like the skin has been pulled off the backs and sides of both heels, ankles feel impinged and the bones in the front of my feet feel like they will snap apart when I try to walk, heel to toe. I have had six months of physical therapy and I am currently doing hydro therapy for an additional six weeks. I have seen no improvement on anything I have tried. Functionally, I can move my feet, they turn red, blanched, yellowish and at times, sometimes are purplish. They are either ice cold or burning sometimes at the same time. The medicines were started three days ago but I have not had any relief. I don't like the drugged feeling I get from the Gabapentin and feel I need additional tests. The doctors suspect it is a mild form of CRPS because I do not have significant edema. These injuries occurred as a result from a fall off of a loading dock at work and because it is Workers Comp. everything has to be preapproved and a code assigned for a specific condition before tests can be done. My doctor of record is an orthopedic surgeon and I am currently seeing a pain specialist. My worry is that this will get worse - I am feeling numbness in my thigh and also in my shoulder. Any suggestions on what I should ask to be done?