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Old 11-01-2008, 11:46 AM
247pain 247pain is offline
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Join Date: Nov 2008
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15 yr Member
247pain 247pain is offline
New Member
 
Join Date: Nov 2008
Posts: 4
15 yr Member
Default entrapment/inpingement or RSD?

Quote:
Originally Posted by lisashea View Post
I have completely recovered from RSD but I guess the question really is, " did I really have RSD or not?" Let me tell you my story and you can comment on what you think about it.

In 2001 I stood up from my chair at work and my left ankle just collapsed under me. This had happened many times in my life since an initial ankle sprain when I was 14. This time the sprain didn't seem that bad- not much bruising, not a huge amount of swelling. I just figured it would get better like my sprained ankles always did.

This time was different. The pain started to spread up the side of my leg. 1st to half-way up to the knee then further up my leg. Within 6 weeks I was diagnosed with RSD and referred to pain management.

I went for 2nd, 3rd, 4th, 5th opinions while getting lumbar blocks and doing everything a "newly diagnosed" rsd patient was supposed to do. All other doctors agreed with the RSD diagnosis. Clear cut case with all the symptoms except never swelling.

4 yrs passes and I keep trying everything I can. HBOT, accupuncture, week long epidurals, ketamine, more drugs than I care to remember, herbology, cranial sacral, applied kineisiology, I can go on and on with what I tried.

I am also being seen by 1 of the big-wig RSD doctors, Dr. Daniel Carr. I have shrunk from 125 to 101lbs and look like hell. The pain has spread up my entire left side including my face, eyelid, nose and ear, left arm and right foot and leg. I am suicidal at times and find great support from my family of RSD friends who post on a forum just like this one.

Then my doctor informs me that he will no longer be seeing patients and is off to teach the world about RSD. I must then find a new doctor. No small task after seeing so many previously over the past yrs.

I go to a new doctor who is recommended by my chiropractor. He believes that my diagnosis of RSD is not right. Doesn't know what it is but says that this doctor friend of his is like a medical detective. So, I go see her.

She tells me that she has had 8 patients in her medical career who were diagnosed with RSD but who had nerve entrapments in their ankles all due to ankle sprains. She thinks I am her 9th patient. This theory is not news to me because I had been telling doctors for years that I had 2 trapped nerves and could name them!

I had trapped my ulnar nerve in my elbow 20 yrs earlier and my pain felt EXACTLY the same just in my ankle not my elbow! I had 4 operations to fix that problem but back then doctors would do "exploratory surgery" where now malpractice is a much bigger deal.

Anyways, her plan was to do nerve blocks on these particular nerves. The EMG I had didn't test these particular nerves so it was negative. She needed to proove to surgeons that these nerves were trapped and needed to be surgically freed.

While I awaited my next appointment, which wasn't for another month, I went to my chiropractor in tears because her exam of my foot made the pain so much worse. I was back on crutches and could not bear any weight at all. Once I told him that the theory was entrapped nerves he said that he could "traction" my foot(move and spread all the bones) and move the tallus bone on top of the foot and few other things. He did not know if this would help of not but it was worth a try. He works for the NE Patriots football team and does this adjustment to the players on the field when their feet get mangled.

Within 10 days of his 10 minutes of work on my foot, ALL of the RSD symptoms disappeared. I awoke on day 11 with that "feeling" gone.

It has taken 2 full years of rehab and intense pt to gain back all the muscle lost to atrophy but I finally have been discharged from medical care and began working again fulltime just 2 weeks ago. I no longer have any pain anywhere in my body. It was a long, frustrating hard road but I made it.

My medical records state that "It is a miracle" but I'm not sure I beleive that. The medical explaination of my rsd symptoms was that because the nerves were trapped, my nervous system became hyperactive which causes the host of rsd symptoms. In a sense, I had a "curable" type 2 RSD. They had thought that I had nerve damage when I really had nerve entrapment that could be fixed. I knew it all along but no one would listen to a mere mortal without an MD!

So that is my story of recovery. I have been put in contact with another woman in Canada who recently had surgery to un-entrap 4-5 nerves in her foot and she too has awoken with the rsd-type pain gone. She's got a long road ahead of her but when she woke up she said the pain was totally different. That is how I felt after my surgeries on my ulnar nerve over 20 yrs ago. There is also many case studies on rsd and nerve entrapments now in 2006 but in 2001-2004 there was nothing out there published.

Questions that I still have:

- did I have RSD or not?
- was it really the chiropractic adjustment or was it a combination of all the therapies I tried?
- did my use of ketamine play any part?
- would my RSD have resolved itself if my chiropractor didn't make those adjustments?
- why didn't all of Boston's Best Doctors figure this out sooner?

That's it in a nutshell. Unfortunately, the forum that I used to post to(braintalk) crashed and does not have all of the hundreds of posts available for you to search thru and read. I was very active and posted alot about all of my experiences with the different alternatives that I tried.

I would be more than happy to answer any of your questions or help you in any way.

I am hoping that if just 1 person recovers because of my story then maybe, just maybe the suffering I endured for so long will be worth it in some strange karmic sort of way.

Peace and HOPE to you. Never give up trying to find YOUR cure.
Lisa
Hi Lisa,
Your story is very interesting to me. For 10 months my daughter has been in constant pain. x ray and MRI show nothing conclusuive. No bone scan or MRI yet.

She has been to 2 ortho surgeans 3 PT's 2 pediatric orthos and 1 pedatric rehapd doc. She had a previous sprain in 10/06 which she continued to reinjure and irritate until June of 07. It resolved over the summer and all seemed well. In Jan of 08 she was playing in gym landed a little hard on her left foot (not too hard just a little hard) and from that moment on she has been in constant pain.

The constant pain seems to be in the ligaments around her outer ankle bone and in the area of her achilles tendon. It is not burning but it feels like constant pressure and it sometimes sharp. when she points her foot it hurts more and when she flexes it it hurts much much more. She walks slighlty on her toe on that foot, can not plant her heal to the ground without pain and it hurts to bear weight. She gets around on crutches.

Lately she occassionally gets pain high in the inner ankle which is sudden and radiates forward 4 inches. This type on pain, in the inner ankle, she can sometimes, anticipate and "nip it in the bud" by stopping her movement and rubbing the area. This happens when she is trying to put on sock, adjust covers with her feet... He calf is very tight which may complicate the achilles pain.

At first we treated it as a sprained ankle with isolation, ice and pt. Then U of M rehab doc thought is was RSD. But when she didn't respond to one sympotheic nerve block and 400 mg 3 times a day thought it may not be nervey pain. She had botox injections to loosen the calf and help the achilles. She gained a little in flexibility but no pain relief in fact, the pt agrivated the pain to an unbearable level.

The rehab doc wants to consult with the ped ortho doc again. We are scheduled for cortisone injections and an emg in Nov through u of m.

I took her to Cleveland Clinic to another pediatric ortho doc who spent 10 minutes with her and told us she had RSD because her injuries are too global to be structural or soft tissue entrapment. We did not discuss nerve entrapment. He said that the cortisone shots may make the rsd worse. I forgot to ask if the emg could hurt.

My daughter's emg would be on the peroneal and sural nerves. I noticed in your entry that the emg you had did not test the right nerves, you knew which ones they were, and your detective type doctor was planning to do a nerve block on thoses specific nerves. Can you tell me which nerves you suspected were trapped? I want to make sure if she has a painful and exspensive procedure it gives us good info.

We are considering going to Cleveland Clinic for 3 week pain program to treat her for rsd. And we are going to a soft tissue doc next week for an exam and possible nerve flossing. We meet with the U of M pediatric rehap and ortho docs next week as well.

We are so confussed and do not know which way to turn. If it is rsd we have wasted too much time already since chance of remission depends on early treatment and I would hate to put her through the intensive pt at the clinic it her problem is really nerve entrapment that pt won't help ( and could hurt unbearably) until the nerves or soft tissues are released.

For sometime I have suspected nerve entrapment because it was fine one moment and constant pain the next. But, wouldn't that have responded to neurontin and the sympathetic nerve blocks?

I'm hoping Any insight into your experiences may provide clues into hers. I think we also need a "detective Doctor." We are starting to realize that are best info will come from patients that have been through this. Thank you so much for sharing. I'm new to this forum and hope I can figure out how to get your reply.

Thanks again.
One Worried Mom
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