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-   Reflex Sympathetic Dystrophy (RSD and CRPS) (https://www.neurotalk.org/reflex-sympathetic-dystrophy-rsd-and-crps-/)
-   -   Need some Guidance (https://www.neurotalk.org/reflex-sympathetic-dystrophy-rsd-and-crps-/127700-guidance.html)

LordWood 08-29-2010 05:40 AM

There is no need to thank I just hope you find somewhere to get help. I believe in sherry's program and his members of his team that preform the treatment. Sherry himself is a great doctor to deal with youth and kids. With that said I do not think the world of him as with many other doctors there egos get to there head as did sherry as if your RSD is not put into remission by his program then his answer is simply you yourself failed to work hard enough as to him his program cannot fail. Sadly it can and I'm not the only one to prove him wrong which doctors hate being proved wrong. While it is true alot of times the patient simply did not push themselves enough there are cases that just simply go beyond the ability of sherrys treatment. I am currently still on the search for treatment as I've seen all the specialists and hospitals and treatments that I can have done within my state that my insurance will cover. Sadly the few left for me to try are outta state and to expensive for me to try to do on my own. I'm also having the fun of fighting for my disability as I go for my appeal soon. The pain is getting alot worse but I remember my other RSD friends out there fighting on and so I do as well. Please let me know how things work out for you and your daughter.



Quote:

Originally Posted by rachel's daugther (Post 675895)
Thank you for your input...I have read some of your resent posts and I do hope you are in a better place. I will look into this clinic, I know you think the would of Dr. Sherry and I am so sorry they couldn't help you the last time you were there. Thank you for your kind and hopeful words for my daughter.


RNcrps2 08-29-2010 10:34 AM

MomofR, Sad to hear your daughter has CRPS. You are right they say the 1st 3-6months is when CRPS can go into remission. I never new who to trust. Ortho was ignorantl, PT/OT continued to treat me as a regular injury. Luckily i found a pmDr. that hasnt had many patients with CRPS but very knowlegeable. His tells me if PT/OT does anything that causes pain to stop! If they do something that doesnt hurt but hurts for a couple of hours later for a short period later-its ok. The reason is with CRPS everytime you cause pain the brain which is overloaded from CRPS will send not just pain signals to normal pathways but begin finding new pathways. It is important to keep joint moving but not to the extent that causes pain then spread. I believed this but i wanted to hear from someone that has treated hundreds of CRPS-(Scwartzman PA, Kirkpatrick Fla, Getson NJ). As for blocks, had 4 in 2months. Maybe its too dangerous for a child although nothing is worse than CRPS spreading. momof4

RNcrps2 08-29-2010 09:22 PM

I did mean to add that kids and young adults heal faster and better than adults. Their brains have a better ability to heal than an adult so hopefully your daughter's CRPS will calm down and go into remission. momof4

yiisd 08-30-2010 06:48 AM

Nerve Blocks
 
Quote:

Originally Posted by rachel's daugther (Post 673920)
Hello Everyone, I am a new member and have learned a lot reading posts these last few months. I would now like to ask for your advise. My daughter has CRPS She was diagnosed in Feb 2010. We have been to the Rehabilitation Institute of Chicago for 10 weeks (twice a week for 1/2 days). When we started she had it in her left knee and while in re-hab for 4 weeks it spread to her lower leg, ankle, and foot. After it spread they suggested we do a Nerve Block, the 1st lasted 11 days and two weeks later the 2nd lasted 9 days. Both times the pain came back full force. RIC will only do 3 N.B in a 6 month period and her PM Doc does not want to do another one. I am surprised because they worked will for her. She now is in PT 3 times a week somewhere else, doing PT (Tens), Hydro and OT. All seem to be making her pain and CRPS symptoms worse, but I keep telling myself she needs this. Her PM Doctor at RIC does not want to do another nerve block or give her different pain meds, suggests she keep doing what she is doing - feels summer/friends are the best meds/biofeedback/PT/suck it up attitude. She can walk for short periods of time and is on Lyrica, Trazadone, Metanx and was taking Tramadol but didn't like the side effects and felt it was not helping, so has wend herself off of it. When we brought this up to the doc, he does not want to give her anything else. Her pain levels are at a 10 sometimes and I wish she would have dif. alternatives. We saw a Neurologist and she put her on clonidine at bedtime, which she hasn't been taking for long but is starting to have sleep problems. The Neurologist just didn't seem to want to get involved. I'm just not sure where to go from here, I need some guidance. Can anyone recommend another doctor who knows RSD that I can get a second opinion in the Chicagoland area. I'm trying to find someone who will listen and maybe try some other treatments. She hasn't had CRPS for long and from what I read now is a critical time. Doc does not agree with me and says I'm to anxious. I am looking into the 3 week program at Children’s Hospital in Boston, MA and thinking of Oxygen Therapy. Also my daughter does not have pain in the back of her knee, her calf or her toes, is this normal for CRPS. If anyone has any suggestions I would greatly appreciate it.

I have suffered from RSD for 8 years in the left wrist and right knee. I agree with your doctor who does not want to perform too many nerve blocks. Unfortunately I had a pain management physician who performed block after block after block. Now they do no good at all and in fact have made matters worse.
I am adamant about seeking out a pain management physician who is Board Certified in Anesthesiology, Physical Medicine and Pain Management. I finally found such a physician and he feels the numerous nerve blocks have put me in a position where nothing seems to work. Started Ketamine topically, but MS Contin is the only thing that really works.
I am 4 months post op for a three level Posterior AND Anterior Cervical Fusion. The neurosurgeon had only performed one other such surgery on a RSD patient....she is not institutionalized in a mental facility. I opted to go ahead with the surgery, though almost everyone on this site said "NO" "NO" "DON"T DO IT"! Well it has been 4 months and though I am not healing as quickly as someone who has no medical condition, I am doing OK. My RSD is NO WORSE and my Neck is MUCH BETTER. Basically I am saying " Don't listen to all of the alarmists ". Though your daughter hasn't had time to really get to know her body.....she will. She will learn when a flare is coming and when she needs to go to bed & rest to try to prevent a bad flare. Ice Packs, Anti-Inflammatory Meds, Physical & Occupational Therapy Help....but it takes time and it is not a miracle cure.
I wish you all the best and tell her to keep her head up. That is the MOST important thing. Take Pain Medicine so that she can remain active. FIND A DOCTOR WHO WILL GIVE THE APPROPRIATE PAIN MEDICINE TO HER. If she hurts frequently, I guarantee she will get worse. Lack of sleep makes it worse, KEEPING PAIN AWAY IS KEY to getting this under control - for now.
Good Luck.

rachel's daugther 09-04-2010 10:33 PM

Quote:

Originally Posted by yiisd (Post 689916)
I have suffered from RSD for 8 years in the left wrist and right knee. I agree with your doctor who does not want to perform too many nerve blocks. Unfortunately I had a pain management physician who performed block after block after block. Now they do no good at all and in fact have made matters worse.
I am adamant about seeking out a pain management physician who is Board Certified in Anesthesiology, Physical Medicine and Pain Management. I finally found such a physician and he feels the numerous nerve blocks have put me in a position where nothing seems to work. Started Ketamine topically, but MS Contin is the only thing that really works.
I am 4 months post op for a three level Posterior AND Anterior Cervical Fusion. The neurosurgeon had only performed one other such surgery on a RSD patient....she is not institutionalized in a mental facility. I opted to go ahead with the surgery, though almost everyone on this site said "NO" "NO" "DON"T DO IT"! Well it has been 4 months and though I am not healing as quickly as someone who has no medical condition, I am doing OK. My RSD is NO WORSE and my Neck is MUCH BETTER. Basically I am saying " Don't listen to all of the alarmists ". Though your daughter hasn't had time to really get to know her body.....she will. She will learn when a flare is coming and when she needs to go to bed & rest to try to prevent a bad flare. Ice Packs, Anti-Inflammatory Meds, Physical & Occupational Therapy Help....but it takes time and it is not a miracle cure.
I wish you all the best and tell her to keep her head up. That is the MOST important thing. Take Pain Medicine so that she can remain active. FIND A DOCTOR WHO WILL GIVE THE APPROPRIATE PAIN MEDICINE TO HER. If she hurts frequently, I guarantee she will get worse. Lack of sleep makes it worse, KEEPING PAIN AWAY IS KEY to getting this under control - for now.
Good Luck.

Thank you for your kind words and advise. Maddy has finished her 5th and last nerve block this week.With a Board Certified in Anesthesiology, Physical Medicine and Pain Management.The last 3 she has received in a month's time. She still gets great relief (2-3 pain scale) but they only last 3 days. She did some great PT/OT during that time but when the pain returns, it's so much worse she is nonfunctional for 2 days. The anesthesiolist wanted us to continue NB but we have decided to take a break and see if she can start going to school. After we said no more NB he said the only thing left is the SCS. We are not ready for that and he bascially sent us on our way.Her pain is high right now and we see the PM doctor on Tuesday, I aggree with you I need to somehow get her pain under control. The Doctor is furstrated just as we are, nothing seems to be working, She is on Lyrica, Conlidine, Trazadone and just started cymbalta. She stopped taking tramadol and norco because she feels they do not work. The PM Doctor does not want to give her anything stronger (opiods), I am affraid of her starting that too, but she needs some kind of relief. We go to the Boston Clinic at the end of Sept to see if she will be accepted into their program. I am also going to ask for a referral for a anesthesiolist to persure Ketamine or other infustions.

I am happy for you that your surgery went well and you are recovering, it may be slow but I'm sure you see the light at the end of the tunnel. You are a brave person to have had that kind of surgery with RSD and I'm happy for you that it did not spread. Yes, we are new to this and it is very, very scary. She is trying so hard to keep her head up, wants to finish her senior year and go on to college. I pray that will happen for her.

gabbycakes 09-05-2010 03:44 AM

Quote:

Originally Posted by RNcrps2 (Post 689648)
MomofR, Sad to hear your daughter has CRPS. You are right they say the 1st 3-6months is when CRPS can go into remission. I never new who to trust. Ortho was ignorantl, PT/OT continued to treat me as a regular injury. Luckily i found a pmDr. that hasnt had many patients with CRPS but very knowlegeable. His tells me if PT/OT does anything that causes pain to stop! If they do something that doesnt hurt but hurts for a couple of hours later for a short period later-its ok. The reason is with CRPS everytime you cause pain the brain which is overloaded from CRPS will send not just pain signals to normal pathways but begin finding new pathways. It is important to keep joint moving but not to the extent that causes pain then spread. I believed this but i wanted to hear from someone that has treated hundreds of CRPS-(Scwartzman PA, Kirkpatrick Fla, Getson NJ). As for blocks, had 4 in 2months. Maybe its too dangerous for a child although nothing is worse than CRPS spreading. momof4

From what you have told us your daughter has RSD from a ortho problem. If you are willing to travel the Hospital for Special Surgery, NYC has a full pain managment dept. with some very smart doctors and the ortho doctors are just the best. I have many years of many expiences in that facility and truly just the best care I have ever received and I have been to many others during my journey. It's hard when you have to travel because RSD is not a quick fix but your daughter is in the beginning which is so key to remission. Someone mentioned a teaching hospital I agree maybe the University of Chicago, I believe you said you are from that area, somewhere that is resonable to return to for follow up etc. It's great to travel to all these big doctors but sometimes it just not practical. I live in NJ but still travel 1 and 1/2 plus sometimes to Manhattan. So it's still a all day event.

The website for HSS is www.hss.edu.It's pretty informative and you can read about the doctors and I here they have a great peds. ortho department. I know how the place works unless it's clearly just the RSD they will want a ortho doctor of there's look at her knee.

Good luck

Gabbycakes

rachel's daugther 09-05-2010 06:34 PM

Thanks Gabbycakes
Yes we live in the Chicagoland area and right now we travel in to Northwestern Hospital in Chicago (a little over an hour trip), that's were they did the NB's. I will be asking her PM Doc at RIC in Chicago for a refferal to see Dr. Lubinow at Rush which is a one of the best teaching hospitals here in Chicago. We are looking into other IV infusion treatments. We are planning a trip to Boston at the end of this month at the childrens pain clinic so if I do decide to travel to NY, it won't be in the near future. Thank you for your suggestions.I have read you pass posts and you have a lot of history and knowledge with this monster and I appreciate your input.

hurting 09-05-2010 07:18 PM

Quote:

Originally Posted by rachel's daugther (Post 692159)
Thanks Gabbycakes
Yes we live in the Chicagoland area and right now we travel in to Northwestern Hospital in Chicago (a little over an hour trip), that's were they did the NB's. I will be asking her PM Doc at RIC in Chicago for a refferal to see Dr. Lubinow at Rush which is a one of the best teaching hospitals here in Chicago. We are looking into other IV infusion treatments. We are planning a trip to Boston at the end of this month at the childrens pain clinic so if I do decide to travel to NY, it won't be in the near future. Thank you for your suggestions.I have read you pass posts and you have a lot of history and knowledge with this monster and I appreciate your input.

You should see about the Mayo Clinic since your about 200 miles away. I am going there for treatment for crpsII for a severed nerve that won't regrow correctly after 2 surgery's. The Mayo clinic is top notch and first rate and should be able to help but your PM Dr. has to send them a referral letter this is the only way to be seen by someone there. This may be your best place to try for right now. Good Luck

klmullican 09-08-2010 06:02 PM

Dr. for RSD/CRPS
 
:)
Quote:

Originally Posted by rachel's daugther (Post 692159)
Thanks Gabbycakes
Yes we live in the Chicagoland area and right now we travel in to Northwestern Hospital in Chicago (a little over an hour trip), that's were they did the NB's. I will be asking her PM Doc at RIC in Chicago for a refferal to see Dr. Lubinow at Rush which is a one of the best teaching hospitals here in Chicago. We are looking into other IV infusion treatments. We are planning a trip to Boston at the end of this month at the childrens pain clinic so if I do decide to travel to NY, it won't be in the near future. Thank you for your suggestions.I have read you pass posts and you have a lot of history and knowledge with this monster and I appreciate your input.

Hi,
I sent you an e-mail today about the Calmare Pain Treatment. I hope you got it. The Journal of Pain and Symptom Management just published a study today on the Calmare Pain treatment's successful treatment of neuropathic cancer pain. It actually works better on RSD/CRPS because there's no underlying physical reason for the pain, so it teaches the nerves how to send a "no-pain" message. I hope you will research this and take it into consideration for helping your daughter. My son is still pain-free, and so is a friend's mom of mine who had it for 11 years! Praise God!

paulapepper 05-25-2012 11:23 AM

you
 
need to go to a sleep dr or pain management dr. Paula


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