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 04-25-2010, 01:48 PM #1
mb3343 mb3343 is offline
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Default Possible RSD

I broke my 3 and 4 metatarsals in my foot about 9 weeks about. In the past two weeks my foot has been turning bright purple and getting really cold randomly and this has never happened before. I visited the doctor today and he diagnosed me with possible Raynaud's phenomenon. He also said there is a good chance i have rheumatoid arthristis (this is the third doctor to suggest this due to chronic ankle and back pain and i am currently waiting for test results) as this is a symptom. Anyone else have this same condition and would offer some advice or experiences??

Thanks,
Marie
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Old 04-25-2010, 03:40 PM #2
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Originally Posted by mb3343 View Post
I broke my 3 and 4 metatarsals in my foot about 9 weeks about. In the past two weeks my foot has been turning bright purple and getting really cold randomly and this has never happened before. I visited the doctor today and he diagnosed me with possible Raynaud's phenomenon. He also said there is a good chance i have rheumatoid arthristis (this is the third doctor to suggest this due to chronic ankle and back pain and i am currently waiting for test results) as this is a symptom. Anyone else have this same condition and would offer some advice or experiences??

Thanks,
Marie
Hello marie~~

I am sorry for your situation.. Worriesome huh?? Do you have pain??? That is very important in the diagnosis of RSD as pain is the hallmark of RSD. We have different symptomes otherwise.. Color, temperature change CAN be part of it but not always.. If you have pain..describe it....seems like your Dr.'s are still trying to decide also.... Please..say more...Again, I am sorry you have to be here with us..I wonder what is going on whether it is RA or RP or RSD??
Keep in touch...

Kathy
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Old 04-25-2010, 03:48 PM #3
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Default hoping you feel better

Hi,

just being aware of the possibility is a good thing because early treatment helps. stress can make our pain worse for some reason, as can too much activity, so be kind and gentle with yourself.

Good luck!
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wishing you peace and relief! Sukadog crps2 right arm/hand since 8-28-08 (direct nerve injury)
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Old 04-25-2010, 07:18 PM #4
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Originally Posted by mb3343 View Post
I broke my 3 and 4 metatarsals in my foot about 9 weeks about. In the past two weeks my foot has been turning bright purple and getting really cold randomly and this has never happened before. I visited the doctor today and he diagnosed me with possible Raynaud's phenomenon. He also said there is a good chance i have rheumatoid arthristis (this is the third doctor to suggest this due to chronic ankle and back pain and i am currently waiting for test results) as this is a symptom. Anyone else have this same condition and would offer some advice or experiences??

Thanks,
Marie
Hi Marie,

Sorry about your broken foot. Rheumatoid arthritis is a fairly straight forward to diagnosis and is easily solved with a few lab tests. Some of the varients (connective tissue disorders, seronegative arthropathies) are a little more obscure. Raynaud's phenomenon involves vasospams of some of the smaller arterioles and short of just keeping your foot warm and at the extreme, barbiturates (unpleasant side effects), not much you can do. No real good definative way to diagnose, either. Normally when present, it looks like you dipped your foot into a can of paint; it can be either red, white or blue. Very weird. Of course CRPS could be on the list of differentials.

You can have your PCP perform some screening labs, usually it is something like a sed rate, RA factor, CBC and CRP. You can throw in ANA or HLAB-27 for some varients but everyone has thier own twist towards what they like to order so your doc will choose. If anything comes back positive, get a referal to a rheumatologist! If CRPS is a reasonable consideration get on it fast with a referal to pain management; the quicker you start on treatment (sympathetic blocks, etc.), the more favorable the outcome.
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Old 04-25-2010, 07:49 PM #5
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Kathy: Yes i do have pain and it has been getting worse in the last week although x-rays were taken to show everything is healed properly. Pain is an ache but then turns into sharp pains randomly, when i step on it too hard, or if i have been walking too long.

Sukadog: I have such a bad back i haven't been doing much lately so over activity is not much of a worry although stress may be.

Dubious: I got seven different blood tests and i believe i got all the ones you mentioned.

Thanks for all the replies
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