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 02-21-2010, 12:34 AM #1
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Unhappy So frusterated... pain is just getting worse

I just need to whine a little in a safe place, and maybe someone may have some feedback or suggestion (or feel like adding a bit 'whine themselves). I've had RSD (now renamed CRPS, which drives me nuts, as "newbie" nurses & docs give me that "I have no idea what RSD is" look until I remember to try and spit out the updated name. For those of us who live with brain fog, that is a LOT to ask!!!) I've been around the block with this lovely condition, being bedridden for several years, finally going through the "chronic pain program" who put me on Oramorph (after years of other meds that made me horribly sick to my tummy), then about 4 years after going ON the meds my RSD spread and I started the nerve blocks, and the docs insisted that I HAD to go off of pain medication, and "learn to live with the pain" if I wanted to continue to receive treatment of the pain blocks (I'd cut the meds DOWN with the blocks, but the pain was on a upwards swing). Needless to say, I became VERY depressed and frustrated, as many here have been to the pain level of a chronic 10 and being told that you need to just get more active, and stop the pain meds really ticked me off. Anyway, I told them to keep their @&*#^ pain blocks, and kept on the pain meds, living in misery.

WAIT! It gets worse!!! I developed Meniere's disease, am inner-ear condition that causes horrid, indescribable bouts of vertigo, where you spend hours to days laying on the floor next to the toilet, vomiting from unbearable nausea. This went on undiagnosed for FOUR years. Anyway, eventually, I was diagnosed, and I made the decision to go COLD TURKEY from the Oramorph, and warned the family then spent a couple of miserable weeks in my room (after RSD and the Meniere's, I was ready for dealing with bit of drug withdrawal). It wasn't fun, but I got through it, and started to use the "mind over body" tuning out the pain signals.

I actually got pretty good at it, and was able to push pain signals out of my mind, (with the help of Lyrica). I have NEVER been pain free, but I was doing pretty good. I even started walking up to 3-3 1/2 miles 3-5 days per week, and lost 75 pounds (down to a size 16 from a 24).

This past summer, the pain started screaming louder and louder, and I'm not sure what to do. I did start back with the spinal block, and the first one helped, but the second one only lasted 1 day. I often don't even realize that I'm in pain until I notice that I've become extremely irritable, and I've been dealing with "mystery" insomnia that I finally realized is that my pain level is so bad that I'm tossing and turning, kicking moaning, (and awake). I realize most people would have noticed their pain creeping up, but I was given a nasty lecture from the Kaiser Chronic Pain group "what else do you want us to do? You're on meds, and there is nothing else available to help" so I learned that tuning pain out was the ONLY way to survive and stay sane.

I've been mostly bedridden for a few months now. The nausea alone from the pain is tough. A few weeks ago, I pulled out an old bottle of Oramorph, only to find that it isn't helping, and I'm now dealing with the chronic pain AND med side effects. I also have degenerative arthritis in the knee, and I'm wondering if the deep aching/throbbing horrid pain when I stand on my leg are the RSD, or the arthritis.

Thanks for anyone who is listening, and any advice/suggestions would be greatly appreciated.
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Old 02-21-2010, 01:36 AM #2
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Ouch.

I know this isn't much help even if it works but you might try cod liver oil for the arthritis.

Best wishes.
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Old 02-21-2010, 06:11 AM #3
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Default Hi Wellovedmom

I too have been awake since two this morning due to the pain. It sounds like you have been through alot and are still going. I have been through alot of what you have, I have the postraumatic arthritis, both knees, both feet, causalgia in right leg and celiac disease. I feel your pain. I also had a two year remission, like you I still had pain, but nothing like the causalgia pain. Then it came back ten folds, I also turned to mindful distraction tasks and they are helpful......meaning helpful.

I think what we are all looking for is a balance, a stable balance that we can live with. It is just this pain is like a rollercoaster, and it is hard to keep our balance when we are being thrown for a loop by our own bodies. You are doing all of the right things, walking, self hypnosis and you even walked off 75 pounds while dealing with RSD. That is wonderful!

I have found a recipe, and it sounds like you have too that works to the best of its ability when dealing with this type of pain. To me, the arthritis pain and causalgia are totally two different pains, but when you have them combined together, they are mentally and physically destructive.

Maybe you could talk to your pain doctor, about medications. Tell him all of the things that you do complimentary to this disease. I fought medictions for years, but I just could not function any longer. So now, I do meditation, TENS Unit, salt baths, exercise when pain is low, self hypnosis, mind over body techniques and medication. If you are in a flare from the RSD, you need to get your pain under control so you can reason with the supplements that you use. I also use herbal supplements, Omega, flaxseed, hemphearts, Vitamin B,C,D and a few homeopathic stress reducers. Even with all of this, I still had a terrible flare a few weeks ago and just had to ride it out. I am sorry for your pain and I do hope you find a combination that works for you. Try to get the pain under control first and then I am sure you will sleep a bit better also. I will keep you in my thoughts and prayers.

God Bless, Jeanie
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Old 02-21-2010, 09:13 AM #4
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Default Thank you

You just made my week regarding the comment about RSD/CRPS. Doctor's say that to me all the time. I could care less what it is called...just help me!

I am only 2 years into this nasty disease so don't have a lot to offer. Can you try a tricyclic antidepressent for sleep? That might help the insomnia.

Congratulations on the 75 lbs. I too have lost a lot of weight. I was pretty small to begin with but with all this medication I'm now shopping in the jr. section. Yikes!

Good luck. You sound like a very strong individual and you WILL get through this. Keep your chin up!
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Old 02-21-2010, 10:04 AM #5
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Default Hi,

My nurse mentioned Vitamin E to me and I have since read up on it and it says it can help with the arthritis. It has a lot of good benefits so you might want to try it.

You might ask your Dr. for Lidocaine patches also. A lot of us on here use them and they do help a lot.

Have you tried PT. Make sure you have a PTist that knows about RSD. If they do they won't make you lift weights and do therabands. They will do a lot of massages and myofascial release. We tend to tighten up from the pain that we are in. We tend to get in a protective mode so no one will touch us and we tighten up.

When the ones like you come on here that are in such a bad way it reminds me of how I was for so many years. My heart goes out to you.

Others will have some good ideals. I remember going back to my Dr. with ideals I got off of here. You finally find the things that help.

The pain doesn't go away completely but we can get it under some contorl with the right meds, PT, ketamine, Pain pump, SCS's and anything else they finally come up with.

I hope you find what relieves you pain soon.

Ada
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Old 02-21-2010, 10:23 AM #6
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I'm so sorry. You've been sick for a really long time.

There is a list of ketamine docs that Jim Broatch of the RSDSA provides - I just got the latest one from him a week or so ago. I'd be happy to share it with you. The ketamine docs have ketamine, of course, but they also deal with RSDers all the time - they can help you A LOT with your diagnosis, your meds, PT, and in so many other ways.

If you aren't a candidate for ketamine, have you considered a pain pump?

Sounds like you deserve to try to get rid of your pain. The best of luck to you.

XOXOX Sandy
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Old 02-21-2010, 11:35 AM #7
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Hi I am sorry you are in such a bad place. I think it is time to find a new doctor with a different approach. What kind of doctors are you seeing now? I am assuming since you have had this for a long time other conditions on top of rsd have been ruled out? Sometimes like how you have meniers on top of rsd other conditions may get missed when dx with rsd. Since the pain program worked to get you mobile again have you thought of doing it again? I went to one in Cleveland and my pain at the time was too high but you sound like previously it helped you. What about other medications? Other more invasive treatments? I understand how frustrating it is when the docs throw there hands up but I encourage you to find another one. It just takes 1 doc with a different approach to get you back on your feet.
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Old 02-21-2010, 02:31 PM #8
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Quote:
Originally Posted by SandyRI View Post
I'm so sorry. You've been sick for a really long time.

There is a list of ketamine docs that Jim Broatch of the RSDSA provides - I just got the latest one from him a week or so ago. I'd be happy to share it with you. The ketamine docs have ketamine, of course, but they also deal with RSDers all the time - they can help you A LOT with your diagnosis, your meds, PT, and in so many other ways.

If you aren't a candidate for ketamine, have you considered a pain pump?

Sounds like you deserve to try to get rid of your pain. The best of luck to you.

XOXOX Sandy
Hi Sandy

Sorry for just popping up a question, but when are you a candidate for Ketamine?. Just wondering if its a possibility that i have to think of and search in..?

Gitte - Olivers mom
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Old 02-21-2010, 04:59 PM #9
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Hi Gitte,

I know you don't live in the US, but my daughter is 16 and has gone through two rounds of Ketamine Infusions. You will need to see a doctor that will approve Oliver for the infusions. You really need to exhaust all other treatments. My daughter went through a childrens Pain Rehab program and then she went through four sympathetic nerve blocks. Then back through the three week pain program again. She was doing well after the pain program and had a fall...we then went to see Dr. Kirkpatrick at the RSD/CRPS Institute in Tampa Florida. Because we exhausted all other treatment for her and she passed all of the tests, cardiology and other tests, she was a candidate.

I know Oliver is very young, before you look into the Ketamine for him, PLEASE try a pain rehabilitation program. See if you have any programs where you live. You can pm me if you have any other questions about the program.

I am sorry your son has to go through this so young, I know how difficult it is watching your child in so much pain. My Lindsay has been dealing with this for 6 years. She has good days and not so good days, but the good days we relish. My prayers are with you and Oliver.

Sandy



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Originally Posted by gitte74 View Post
Hi Sandy

Sorry for just popping up a question, but when are you a candidate for Ketamine?. Just wondering if its a possibility that i have to think of and search in..?

Gitte - Olivers mom
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Old 02-21-2010, 05:58 PM #10
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Quote:
Originally Posted by WellLovedMom View Post
I just need to whine a little in a safe place, and maybe someone may have some feedback or suggestion (or feel like adding a bit 'whine themselves). I've had RSD (now renamed CRPS, which drives me nuts, as "newbie" nurses & docs give me that "I have no idea what RSD is" look until I remember to try and spit out the updated name. For those of us who live with brain fog, that is a LOT to ask!!!) I've been around the block with this lovely condition, being bedridden for several years, finally going through the "chronic pain program" who put me on Oramorph (after years of other meds that made me horribly sick to my tummy), then about 4 years after going ON the meds my RSD spread and I started the nerve blocks, and the docs insisted that I HAD to go off of pain medication, and "learn to live with the pain" if I wanted to continue to receive treatment of the pain blocks (I'd cut the meds DOWN with the blocks, but the pain was on a upwards swing). Needless to say, I became VERY depressed and frustrated, as many here have been to the pain level of a chronic 10 and being told that you need to just get more active, and stop the pain meds really ticked me off. Anyway, I told them to keep their @&*#^ pain blocks, and kept on the pain meds, living in misery.

WAIT! It gets worse!!! I developed Meniere's disease, am inner-ear condition that causes horrid, indescribable bouts of vertigo, where you spend hours to days laying on the floor next to the toilet, vomiting from unbearable nausea. This went on undiagnosed for FOUR years. Anyway, eventually, I was diagnosed, and I made the decision to go COLD TURKEY from the Oramorph, and warned the family then spent a couple of miserable weeks in my room (after RSD and the Meniere's, I was ready for dealing with bit of drug withdrawal). It wasn't fun, but I got through it, and started to use the "mind over body" tuning out the pain signals.

I actually got pretty good at it, and was able to push pain signals out of my mind, (with the help of Lyrica). I have NEVER been pain free, but I was doing pretty good. I even started walking up to 3-3 1/2 miles 3-5 days per week, and lost 75 pounds (down to a size 16 from a 24).

This past summer, the pain started screaming louder and louder, and I'm not sure what to do. I did start back with the spinal block, and the first one helped, but the second one only lasted 1 day. I often don't even realize that I'm in pain until I notice that I've become extremely irritable, and I've been dealing with "mystery" insomnia that I finally realized is that my pain level is so bad that I'm tossing and turning, kicking moaning, (and awake). I realize most people would have noticed their pain creeping up, but I was given a nasty lecture from the Kaiser Chronic Pain group "what else do you want us to do? You're on meds, and there is nothing else available to help" so I learned that tuning pain out was the ONLY way to survive and stay sane.

I've been mostly bedridden for a few months now. The nausea alone from the pain is tough. A few weeks ago, I pulled out an old bottle of Oramorph, only to find that it isn't helping, and I'm now dealing with the chronic pain AND med side effects. I also have degenerative arthritis in the knee, and I'm wondering if the deep aching/throbbing horrid pain when I stand on my leg are the RSD, or the arthritis.

Thanks for anyone who is listening, and any advice/suggestions would be greatly appreciated.
Hi WellLovedMom,
You have reason to share your pain. We understand and are here for you. I was just thinking maybe the Oramorph was 'out of date' Some meds loose their strength when they are 'out of date' Just thought you might check the bottle.
I've had RSD for 15 years, along with fibro. Trigeminal Neuralgia & PTSD
Besides full body for the last 6 years, it is internal and now I'm in the process of having sleep apnea checked out. I, personally, find so much comfort and kindess here on Neurotalk. Please stay with us and we will do our best to support you. There are so many knowledgable friend here, and they are so willing to share their knowledge with us.
I used to be involved in sports, so I enjoy watching the major tennis matches, the olympics, both summer and winter. I've never ice skated, but that is my favorite. My daughter and I used to play tennis about 5 days a week and enjoyed going to some tournaments, so watching brings back some good memories. I always feel good watching sports rather than sorry for my condition of RSD. I do feel bad about my weight gain so it motivates me to keep and reach my goal.
Music is also something that lifts me up. When I get out of the house, its
such a good feeling. I do have a window of time in the afternoon that I'm able to drive. My Dr. gave me the number of hours I need to wait after taking certain meds.
I also have a home based business of marketing dark healthy chocolate-with a cold pressed patent. I enjoy that with no pressure of appointments etc. I have a laptop and printer by my bed.
Scented candles and natural essence oils I enjoy. A friend bought me a machine that dispenses natural oils in the air. Lavender is my favorite- a calming effect. Another friend bought me a wax machine to brush on my hands and feet. It's theraputic and easy to use.
Epsom Salt Bathes are something many on here enjoy. I enjoy reading, and have done a lot of personal growth work. After my parents died, i did over 2 years of counseling, which has helped me when I got RSD following surgery. The last 6 years I've been seeing a psychiatrist once a month. He is also a neurologist familiar with RSD and a pharmacologist. A few months ago he put me on a 200 person trial study for a med for fibro that also had a side effect of a sleeping pill. I was having a terrible time at night sleeping, but am now sleeping 10 hours at night. The restorative sleep has lessened my pain. Was able to go down on pain meds.
I've been in a rollercoaster of up and down pain. It seems like we are going to have that with weather changes and personal stresses. It sounds like you have had this for a long time. May I ask how you got RSD? Like I mentioned, mine followed surgery with a frozen shoulder, but didn't get diagnosed for 4 years. Our only child, a daughter, was 15 at the time. I did have 2 remissions--of course I didn't know they were remissions-I just thought all the pt and massage therapy fixed my shoulder. It took 100 of each. And then the therapist told me it might go to the other shoulder. And after a year of good health, it did move to the other shoulder.
Hope something we all have said can be of some physical and emotional comfort!!!!! One of your new friends, loretta with big soft hugs
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