Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)


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Old 01-17-2010, 10:14 PM #1
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Hello!

My 15 year old daughter has RSD/CRPS. She was diagnosed 3 years ago at the age of 12. It is in her left leg. She is in a bad flare up right now. We just moved to Oklahoma from Texas and I am wondering if anyone has a good doc they can recommend in OK. TX is so far to go when she is in such intense pain. She has an amazing pediatric pain management doc at Children's Hospital in Dallas but it is so far to drive when she is in such pain. We are going down tomorrow to try to get her some immediate help but we will need someone in-state soon.

I have also read that some people have had good results with TENS units. I have one that I use for pelvic pain issues that I thought I could try with her if I knew where to put the leads. I don't know if I should put them on her leg where the pain is or on her low back where those nerves begin. Anyone with info or experience on this - your advice would be appreciated. It just worries me to stick those leads on her right where she hurts so bad.

Just hoping to get some support for her and myself as her mom.
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Old 01-17-2010, 10:34 PM #2
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Hi
A TENS unit helps some but aggravates others,,in my case It Aggravates[I have RSD II-Causalgia] if that part matters or not, That I do not know,,You can try the unit and see what happens,,in the case that it does aggravate,it ussually takes a few hrs after its use[after its been shut off] thats when most times that the flares will appear,,good luck to you,and everything is worth a try,,,as for where to put the leads,everyone is different,,my Dr had me put them on boths side surrounding the area where the nerve entrpment was,,,,I dont know of a dr in that area,But when me and my wife travel a great distant to see dr;s,,we use a small_5ft in lenght, air matress that we fold the seats down and it fits in the back of the car,we put a comforter on it witha few pillows for me to maunuver around for comfort and down the road we go,,we get alot of stares,but it eases my pain to lye down instead of being in a seated postion for hours at a time,,I just keep passing up the snacks and drinks to my wife,,,,just an idea,, bobber
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Old 01-18-2010, 12:57 AM #3
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Quote:
Originally Posted by momw/rsdchild View Post
Hello!

My 15 year old daughter has RSD/CRPS. She was diagnosed 3 years ago at the age of 12. It is in her left leg. She is in a bad flare up right now. We just moved to Oklahoma from Texas and I am wondering if anyone has a good doc they can recommend in OK. TX is so far to go when she is in such intense pain. She has an amazing pediatric pain management doc at Children's Hospital in Dallas but it is so far to drive when she is in such pain. We are going down tomorrow to try to get her some immediate help but we will need someone in-state soon.

I have also read that some people have had good results with TENS units. I have one that I use for pelvic pain issues that I thought I could try with her if I knew where to put the leads. I don't know if I should put them on her leg where the pain is or on her low back where those nerves begin. Anyone with info or experience on this - your advice would be appreciated. It just worries me to stick those leads on her right where she hurts so bad.

Just hoping to get some support for her and myself as her mom.
Hi Mom and Daughter, I'm so sorry you are dealing with this. I was misdiagnosed for 4 years and flew a couple states away to a sports injury ortho group. 1 min. later diagnosed as rsd. He ordered a Tens unit and started my on physical therapy.
Since you are seeing the Dr. tomorrow, how about taking your tens unit with you and asking about using it on your daughter, and where to put the leads. Also this good Dr. may have the name of a Doc in Oklahoma.
I have a friend in Oklahoma with RSD and I'll ask her who she is seeing. She is a Workmans's Comp patient, so maybe not the best leads for Dr.
Younger people have the best change of remission. And the sooner from the accident, injury, or surgery the better chance for remission.
I have had this 15 years, I'm 61 years and it's full body. There was a 4 year delay from the surgery that caused the RSD and finding a Dr. who diagnosed me. They often know other rsd drs. Also go to RSDSA it's the national organization for rsd and put in your zip code and it will give you names of local Dr. Jim Broatch also knows names of rsd Drs. Also, you can find out if there is a support group near by. That would be wonderful.
If I can get a hold of my friend in Oklahoma and get a name, I'll private message you the name , town, and phone number.
For me, I also did massage therapy and water therapy and all together they have kept me mobile. I only have one hand partially incapacitated.
I'll get back with you, loretta with soft hugs
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Old 01-18-2010, 01:23 PM #4
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Default TENS Unit

Hello, Mom/Daughter, I too am sorry you are going through a flare up. I have had RSD/Causalgia, five years. I also have the TENS Unit and wouldn’t leave home without it. I have to be careful where I put the leads, I had open fractures and multiple surgeries, so I do stay away from the scar tissue. I usually find comfort on a low pulsating level and I put the leads near the attaching muscles. A warm bath is great comfort for the pain and the tension that it produces. Also, you mentioned that you just moved, I am sure you are both going through some adjustments and unfortunately, for RSDer’s this can provoke our pain. I will keep you both in my prayers, maybe try a warm bath for yourself too and know that you are okay, this will pass. God Bless

Jeanie
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Old 01-18-2010, 01:56 PM #5
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Hi mom,

I am also a mom with a daughter with RSD, she is 16 years old now...She has had RSD for many years but was misdiagnosed for many. Have you tried any of the Childrens pain rehab programs. Like the ones at the Cleveland Clinic, or the Childrens hospital of philadelphia, or the one at Bostons' childrens hospital? They are great programs that teach children how to manage pain in a holistic approach. My daughter went to the Cleveland clinic two times. I highly recommend these programs before you try any surgeries.

Also, I am with Loretta, do not use anything on your child without a doctors recommendation. Take the tens unit with you to your visit. If you do it wrong you could cause her so much more pain. Good luck with your visit and I wish you much luck, my prayers are with you.

Sandy

Quote:
Originally Posted by momw/rsdchild View Post
Hello!

My 15 year old daughter has RSD/CRPS. She was diagnosed 3 years ago at the age of 12. It is in her left leg. She is in a bad flare up right now. We just moved to Oklahoma from Texas and I am wondering if anyone has a good doc they can recommend in OK. TX is so far to go when she is in such intense pain. She has an amazing pediatric pain management doc at Children's Hospital in Dallas but it is so far to drive when she is in such pain. We are going down tomorrow to try to get her some immediate help but we will need someone in-state soon.

I have also read that some people have had good results with TENS units. I have one that I use for pelvic pain issues that I thought I could try with her if I knew where to put the leads. I don't know if I should put them on her leg where the pain is or on her low back where those nerves begin. Anyone with info or experience on this - your advice would be appreciated. It just worries me to stick those leads on her right where she hurts so bad.

Just hoping to get some support for her and myself as her mom.
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Old 01-19-2010, 01:13 AM #6
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Thanks for your kind words. We have been through a pain management program silimar to the others that is in Dallas. They brought in a doc to start the program the month my daughter was injured. She was their first patient. It is a great program and we have done the inpatient aspect 4 times now.
Tomorrow she is geting an IV with ketamine to hopefully dull the pain she is feeling. In the past she has had epidurals with ketamine so it only affects her legs. They require general anesthesia to place and hospitalization whil in so we are trying the IV to see if it will do the same thing. Let's hope so!
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Old 01-19-2010, 12:19 PM #7
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Originally Posted by SandyS View Post
Also, I am with Loretta, do not use anything on your child without a doctors recommendation. Take the tens unit with you to your visit. If you do it wrong you could cause her so much more pain.
This is good advice, Sandy, but I wouldn't apply it to just children or young adults. No one should self-treat whan it comes to this stuff. This is just like "sharing" medications. If it works for me - that doesn't mean it will work for you. Or that you and I will have the same dosage of meds. Or (in the case of the TENS) be applied in the same spot for the same duration at the same intensity, etc.

Mom: By all means, take your TENS unit with you on your next visit. If you already own a perfectly good functioning device, you could save $$ by using it instead of buying one. Most of the time, doctors, clinics and hospitals simply issue new equipment without asking if there is the possibility you already own something. (Makes sense, most people don't have a TENS in their closet, after all.) But we can help keep down costs by volunteering when there is a chance that something we already own will work. when I had foot surgery in 2000, I used some old wooden crutches from the 1960's. They still worked, saving me and my insurance company the cost of new ones.

Good luck to you and your daughter and welcome to our forum. Do not hesitate to bring up any subject at all.

Mike
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Old 01-19-2010, 03:44 PM #8
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Try looking at this one link and the name of a treatment center. I recall reading somewhere a well known RSD doctor working in Oklahoma but can not recall the doctors name.

http://www.tulsapain.com/

Pain Evaluation and Treatment Center in Tulsa, Oklahoma
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Old 01-20-2010, 03:48 PM #9
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Dear Mom/Daughter,

I hope that your daughter's treatment went well and she has gotten some relief. I cannot imagine being a child and trying to understand and manage this illness, I am so sorry she is inflicted with this pain.

I too have a daughter who broke her left hip and pelvic, as we were in the same auto accident. She does suffer from post traumatic arthritis and pelvic pain (nothing compared to RSD) and I had bilateral fractures that resulted in RSD/Causalgia. Over the years, I have learned and taught my daughter many holistic and natural resources to help manage pain. Heat, relaxation tapes, relaxation techniques, hot baths, exercise, TENS unit, meditation, (not medication), therapeutic massage, water therapy (we joined together), and many more. She was fifteen at the time, she is now twenty three and she still uses some of these techniques and they are helpful. As a mother, I feel your pain, I spent two years in a wheelchair my daughter was in one for six months, I spent every waking moment trying to find ways to comfort my daughter through her pain. I had many of sleepless nights due to the medication that the doctor prescribed that she violently vomited, finally, I turned to old fashion remedies and new holistic natural therapies and they began to work, I never stopped any medical attention. Please look into the holistic approach for your daughter, it is only a supplement to the medical treatment that you are trying now, but I promise you will find a resource that will be helpful for her and ease the pain through the flare ups.

I apologize if I offended you or anyone else about the use of the TENS Unit. You asked if anyone had any experience with RSD and the Tens Unit, I simply answered the question: I do have RSD/Causalgia, and I have had a positive response to the TENS Unit. I simply shared my experience and how it works for "me". Sharing what works for you should NEVER be mistaken for "self medicating,” and I would hope no one would ever take the advice or suggestion of another person and apply it to their situation without consulting a doctor. That should just be a given and Loretta already addressed that. If we can't share our experiences, worries and victories then I am terribly confused.

I hope that you and your daughter find peace, balance and coping skills that will ease you both through this difficult time.

P.S. I listen to healing tapes at night to help ease my pain, when my parents stay with me over the holidays, my Father always wakes up and says that is the best nights sleep he has had in a long time. Maybe it’s the tape, maybe it’s just being with family and finding comfort, either way, it’s all about love and the comfort of another human being.

God Bless
Jeanie
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Old 01-20-2010, 07:58 PM #10
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Hi My daughter has also done Ketamine Infusions with Dr Kirkpatrick in Tampa...I have seen some changes, unfortunately, she has bad days still. I was in hopes that this would be the answer, but like everyone else here, we know that this horrible disease doesn't go away. They are wonderful here, so listen to them. They know what they are talking about and have helped me through some really tough times. And have also rejoiced with me during good times. I have been on here for over a year now. Life isn't much better, but it sure helps to have all of these absolutely WONDERFUL, loving people, help me through my day and that I am proud to call family.


Sandy

Quote:
Originally Posted by momw/rsdchild View Post
Thanks for your kind words. We have been through a pain management program silimar to the others that is in Dallas. They brought in a doc to start the program the month my daughter was injured. She was their first patient. It is a great program and we have done the inpatient aspect 4 times now.
Tomorrow she is geting an IV with ketamine to hopefully dull the pain she is feeling. In the past she has had epidurals with ketamine so it only affects her legs. They require general anesthesia to place and hospitalization whil in so we are trying the IV to see if it will do the same thing. Let's hope so!
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