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 10-22-2011, 08:06 PM #1
tonkunst1098 tonkunst1098 is offline
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Confused crps/breast biopsy



Dear Crpsions!

I have upper extremity crps from a head-on car accident 12/07. Huge bruise on right breast inside (seatbelt) and possibly internal bruising on outside of same breast, the place I was hit avoiding getting hit exactly head-on veering to the left, inc. airbags deployed, bladder moved south, pelvis twisted. Neck was whiplashed w/twist on C5-7.

I now have a cyst on the right breast (outside) 6 months ago after I had a routine mammo. It was aspirated but came back. The aspiration stuff looked like dried blood and doc said it does not look malignant. The aspiration procedure HURT me a lot, I screamed. They now want to do a biopsy in the same outpatient office with this "local anesthesia"!!! I don't think I can handle this much pain again and think this is additional trauma. I want conscious sedation. Just a needle in my arm HURT!!! I am discussing this w/my doc. I think a blatant biopsy might trigger more crps in the breast where it is not at this point...although I do have pains there from time to time and mammo and ultrasounds hurt. Anybody have experience in this and can give me an opinion? Thanks! Tonkunst1098

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Old 10-22-2011, 08:33 PM #2
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tonkunst,
Unfortunately, a biopsy is usually only done as a local procedure, to avoid the risk of anesthisia. however, you can request a light sedation with emla cream prior to IV placement, this will numb your arm and make insertion alot better.
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Originally Posted by tonkunst1098 View Post


Dear Crpsions!

I have upper extremity crps from a head-on car accident 12/07. Huge bruise on right breast inside (seatbelt) and possibly internal bruising on outside of same breast, the place I was hit avoiding getting hit exactly head-on veering to the left, inc. airbags deployed, bladder moved south, pelvis twisted. Neck was whiplashed w/twist on C5-7.

I now have a cyst on the right breast (outside) 6 months ago after I had a routine mammo. It was aspirated but came back. The aspiration stuff looked like dried blood and doc said it does not look malignant. The aspiration procedure HURT me a lot, I screamed. They now want to do a biopsy in the same outpatient office with this "local anesthesia"!!! I don't think I can handle this much pain again and think this is additional trauma. I want conscious sedation. Just a needle in my arm HURT!!! I am discussing this w/my doc. I think a blatant biopsy might trigger more crps in the breast where it is not at this point...although I do have pains there from time to time and mammo and ultrasounds hurt. Anybody have experience in this and can give me an opinion? Thanks! Tonkunst1098

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Old 10-24-2011, 02:15 PM #3
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Quote:
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tonkunst,
Unfortunately, a biopsy is usually only done as a local procedure, to avoid the risk of anesthisia. however, you can request a light sedation with emla cream prior to IV placement, this will numb your arm and make insertion alot better.
Thank you, Abby! why is there a "risk of anesthisia"? I had conscious sedation at a recent colonoscopy and that was fine? Apparently the doctor removed some polyps. Why not for breast biopsy? What is anesthisia? (Typo?)Is it similar to anestesia? What is emla? I will ask for it, thank you. I had a numbing in the arm before an epidural but that also hurt. How do you know that breast biopsies are always done only with local? A friend told me she was with an IV for a biopsy. ...??? let me know if you find out more. Thanks anyway!!! Adriana
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Old 10-24-2011, 04:41 PM #4
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Tonkunst,
Anesthisia reduces your breathing and some people have reactions as well as insurance finds it unnecessary. Some biopsies are aspiration. Meaning done with a needle to see what it is made of. If it is a solid nodule they will go in and remove it under sedation. Emla is a topical cream you apply about an hour before your procedure and wrap it in plastic wrap. It numbs the arm, hand or whatever making the insertion of the IV less painful. Ask your Dr. for a prescription several days prior, so you can apply it at home before your procedure. \
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Originally Posted by tonkunst1098 View Post
Thank you, Abby! why is there a "risk of anesthisia"? I had conscious sedation at a recent colonoscopy and that was fine? Apparently the doctor removed some polyps. Why not for breast biopsy? What is anesthisia? (Typo?)Is it similar to anestesia? What is emla? I will ask for it, thank you. I had a numbing in the arm before an epidural but that also hurt. How do you know that breast biopsies are always done only with local? A friend told me she was with an IV for a biopsy. ...??? let me know if you find out more. Thanks anyway!!! Adriana
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