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-   Reflex Sympathetic Dystrophy (RSD and CRPS) (https://www.neurotalk.org/reflex-sympathetic-dystrophy-rsd-and-crps-/)
-   -   Is there light at the end of this tunnel?? (https://www.neurotalk.org/reflex-sympathetic-dystrophy-rsd-and-crps-/121986-light-tunnel.html)

LIT LOVE 05-12-2010 07:46 PM

Longer Reply
 
Quote:

Originally Posted by gatorsmomma (Post 653949)
:confused:

After another surgery to release trigger thumb, many many stellate ganglion blocks, OT excercises, neurotin, cymbalta, amitriptyline, oxycodone, ketamine cream, tens unit and my glove, I sit here today with little relief! WHY?

Do we get better? Are we able to ever function without pain? Or do we try our best to tolerate the pain for what little time we can? I have all these procedures done and get a little relief for a few days, when does remission happen? Why am I going through all these shots if there is NO CURE? Why do people look at me like OH MY GOSH, you're not beter yet? How do I make people understand when I DON'T???

Did you undergo a stellate ganglion block at the time of your second surgery? Did the second surgery help, make you worse, or change nothing?

Those meds are a small list of the many combos out there. Each of which should only be introduced one at a time, after a reasonable trial period. There is no magic formula.

What does little relief mean? What is your current pain scale on a regular day with your current meds? What was it without any medication?

What glove?

The WHY question. This a complex neurlogical disorder that has no simple fix.
If you and your family haven't accepted that this is a life altering syndrome as severe and disabling as, let's say, cancer, than that is where you need to start.

Some go into remission. That is why we undergo stellate ganglion blocks. There is that hope always early on. It is also a diagnostic tool to confirm RSD. It gives you periods to recharge without pain, or at least less pain.

At some point you'll make a decision that the effort for a certain procedure, or side effects of a medication, isn't worth the relief you receive. We all have to figure out what helps by personal trial and error.

There is no surefire cure as of today.

You can certainly learn strategies to cope with RSD. I'd suggest starting with the Stickies. :)

LIT LOVE 05-12-2010 07:53 PM

Quote:

Originally Posted by Lisa in Ohio (Post 654066)
Hi! I am so happy to meet you but so sad to meet you with RSD. This is really a life-changing disease and it is difficult to explain it to others. There is a good thread going that occurred earlier this year with some really good answers. My family does not understand but I have gotten my adult kids to read some of the posts on this board after I force fed them this link and guilted them into reading some of the posts. I too would urge you to find a good psychologist to work with, mine has really helped me a lot, and no they are not only there for "crazy people", they are there to help people like us who have difficult problems. I have had many therapies, injections and many surgeries on my arm(before the RSD diagnosis). I have atrophy in my left forearm and have to wear a wrist brace constantly- it is my "fashion" accessory. As to if we get better, we get different. I think that maybe God had a different plan for me than what I had for myself. I have learned to appreciate the good days, to cope through the bad days, and sleep through the horrific ones! Meanwhile, since I have been unable to work, I have almost attained my college degree, spent more time with my parents and kids, welcomed God more deeply into my life and become a more compassionate person. I am glad you have found this site, there are many wonderful angels here that will help you through this process. Your friend, Lisa

Just wanted to note, that using a brace on a RSD effected limb is generally considered a bad thing...

gatorsmomma 05-12-2010 08:59 PM

Quote:

Originally Posted by LIT LOVE (Post 654078)
Did you undergo a stellate ganglion block at the time of your second surgery? Did the second surgery help, make you worse, or change nothing?

Those meds are a small list of the many combos out there. Each of which should only be introduced one at a time, after a reasonable trial period. There is no magic formula.

What does little relief mean? What is your current pain scale on a regular day with your current meds? What was it without any medication?

What glove?

The WHY question. This a complex neurlogical disorder that has no simple fix.
If you and your family haven't accepted that this is a life altering syndrome as severe and disabling as, let's say, cancer, than that is where you need to start.

Some go into remission. That is why we undergo stellate ganglion blocks. There is that hope always early on. It is also a diagnostic tool to confirm RSD. It gives you periods to recharge without pain, or at least less pain.

At some point you'll make a decision that the effort for a certain procedure, or side effects of a medication, isn't worth the relief you receive. We all have to figure out what helps by personal trial and error.

There is no surefire cure as of today.

You can certainly learn strategies to cope with RSD. I'd suggest starting with the Stickies. :)

Thanks Lit Love,

1) The trigger thumb was prior to Dx of RSD but after symptoms.

2) I have taken different meds and we have had to narrow it down to what I am currently on due to side effects.

3) On a regular day using all things I have to control pain, it is 6-7.
on a good day it is a 5-6, without meds prior to blocks a def 10, without meds now range from 8 to 10 ( and I only know this because I couldn't afford to refill my meds, which I only let happen once & will never torture myself like that again!)

4) I have a glove that my OT ordered for me, it is a full length ISOTONER THERAPY GLOVE, it protects me from wind, if my kids breathe on my arm etc.

5) I have NOT accepted what it has done to me mentally and physically, I am starting to accept that it is out of my hands, that there is no cure and remission is what I must pray for daily.

I am grateful for finding this site, it is nice to have people to talk to. I am going to take what I learn and hopefully help my family understand better.

LIT LOVE 05-12-2010 09:12 PM

Regarding the glove, how many hours a day/week do you wear this?

gatorsmomma 05-12-2010 09:20 PM

Quote:

Originally Posted by LIT LOVE (Post 654106)
Regarding the glove, how many hours a day/week do you wear this?


Everytime I go outside. If I am reading to my kids and at night at bedtime in case hubby moves the covers around.

I do desentization daily and it has helped me be able to touch certain things. Water is still bothersome and anything cold is horrendous.

LIT LOVE 05-12-2010 09:33 PM

Quote:

Originally Posted by gatorsmomma (Post 654103)
Thanks Lit Love,

3) On a regular day using all things I have to control pain, it is 6-7.
on a good day it is a 5-6, without meds prior to blocks a def 10, without meds now range from 8 to 10 ( and I only know this because I couldn't afford to refill my meds, which I only let happen once & will never torture myself like that again!)

Things can always be tweaked, but from my experience, this is the kind of range I live with daily. BUT, I try to have a few hours at night in the 2-3 range to recharge. It can make the difference between becoming miserable or content for me. IR opiates can help accomplish this. Not a fan of Oxy though, it made me feel intoxicated...

LIT LOVE 05-12-2010 09:43 PM

Quote:

Originally Posted by gatorsmomma (Post 654110)
Everytime I go outside. If I am reading to my kids and at night at bedtime in case hubby moves the covers around.

I do desentization daily and it has helped me be able to touch certain things. Water is still bothersome and anything cold is horrendous.

That has to be reducing your range of motion. Has your doc approved this? Have you tried Lidoderm patches as well?

At night, experiment with laying on your side (your back to your husband) with your "bad" had resting on a down pillow away from any covers, without the glove.

While water falling on my hand hurts (the shower), still warm water feels great (pool, ocean, tub w/ Epson Salts.)

gatorsmomma 05-12-2010 09:45 PM

Quote:

Originally Posted by LIT LOVE (Post 654117)
Things can always be tweaked, but from my experience, this is the kind of range I live with daily. BUT, I try to have a few hours at night in the 2-3 range to recharge. It can make the difference between becoming miserable or content for me. IR opiates can help accomplish this. Not a fan of Oxy though, it made me feel intoxicated...

Night time seems to be the worse part of the day for me. Early morning is when I have my *easiest* time. I absolutely hate taking oxycodone/ those types of meds, however once the dr. introduced it into my cocktail instead of Lortab, I went from extremely irritable to somewhat mellow. So for now, that is what I take.

My Dr. advised me about the SCS. After a lot of research and discussion with hubby, I just don't know if it's right for me. Plus, I believe surgery to be the reason for my RSD to begin with, I can't imagine having it in my back or full body and feel so sad for those that do.

By the way, thanks for taking so much time on me!:Heart:

Lisa in Ohio 05-12-2010 09:52 PM

Just to clarify, I wear the wrist due to the fact that the original arm fracture was so severe. I had 8 surgeries on it to put it back together, my hand is not on my arm straight and I ended up having to have my wrist fused to support the hand. Like the isotoner glove, which I did try, it protects the skin from being aggravated and it sends a message to other people that there is an injury. It has caused a very noticeable atrophy to that hand and arm, and of course I am left hand dominant. Thanks Lisa

gatorsmomma 05-12-2010 09:54 PM

Quote:

Originally Posted by LIT LOVE (Post 654119)
That has to be reducing your range of motion. Has your doc approved this? Have you tried Lidoderm patches as well?

At night, experiment with laying on your side (your back to your husband) with your "bad" had resting on a down pillow away from any covers, without the glove.

While water falling on my hand hurts (the shower), still warm water feels great (pool, ocean, tub w/ Epson Salts.)

Yes, my Dr. knows about the glove. He agrees with you about the range of motion so that is why I have reduced my time wearing it to what it is now instead of never taking it off.

I will try this suggestion, thanks so much.

I try to not take a shower due to the pain of the shower hitting my arm. I like my bath time, I can gently ease my arm into the warm water and that is where I do most of ROM exercises. The hard part is getting out of the tub and having the cooler air hit it....ugh, it seems like I am paying for that 30 minutes.


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