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I am so sorry you have not felt a reaction to TDCS but please keep Trying and keep in mind there are other protocals to try. I don't know what the stats are but unlikely a person responds to every protocal. :hug:Joydee |
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When ever I caught myself saying or thinking "nothing works for me" I knew I had to immediately change my thinking. Changing your thinking can make a big difference in how you manage your illness. For instance, it is wonderful that you can still work. Try to focus on the things you are able to do and add new small challenges each day. The tDCS is currently not providing you relief. That does not mean that it won't eventually work. Additionally, you have the best doc available to treat you with it. Please don't loose hope. I just bet that your doc has some additional tricks up his sleeve if the current course of treatment does not yield improvements. |
How are you doing Mike?
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Hey there Mike. Hope your computer issues are cleared up by now. Please tell us how things are going with your tDCS treatments. Could you share what you did to tame the edema beast? What equipment issues did you have with the tDCS and how did you fix it? Please don't be a stranger. I love hanging out with the ladies but sure would like some feedback from another guy! Hope you are having continued success with your tDCS treatments. |
Need a little clarification on electrode placement
I have assembled all the necessary equipment and have been using the tdcs treatment for about a week. I have read through this thread at least 3 times and am still a tiny bit confused if I am doing the electrode placement correctly.
I want to treat my right foot. From what I can see on the homunculus images, that area is rather high up on my head. So rather than placing the anode (the positive red) electrode just above my ear, I am assuming I should place the electrode towards the top of my head. Is this correct? Also my main confusion is what side of the head to put the anode on if I am trying to treat my right foot. I have been placing it on the right side of my head with the cathode above my left eye but I have a feeling I am doing this backwards. Should I be treating my right foot by placing the anode on the left side of my head? I do plan on trying both hemispheres- 2 weeks with the anode on one side and 2 weeks with the anode on the other side- once I see some results. This is because I have milder symptoms on my left side as well. Any clarification is much appreciated. |
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I am a little confused. How are you determining where on you head you are placing the electrodes, right or left not with standng?
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I know you recommended actually visiting Dr. Fugedy but I'm trying to save what reserve money I have to put towards possible Ketamine infusions. Since I'm relatively new to this disease, I'm trying to hit it as hard and as fast as I can. |
Changing protocol
Spoke to fugedy and we r trying the occipital bone and opposite side of head on the motor corteX. he wants me to wait til Friday ...hope it helps!
Deb |
I will keep my fingers crossed for you Deb...hope this one shows some positive results!
BTW...my first day of work yesterday went REALLY well. I think I really lucked out and got placed with an excellent team of people. I am probably over-prepping with all the stuff I am doing to get ready for work in anticipation of elevated pain levels but I figure it's better to be over prepared than not prepared enough, right? |
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Good luck on the new placement. :hug: |
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Good news to brighten my day. Hope the good days keep on coming for you. :hug: |
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Mike is still having computer issues. I'll let him know you are asking for him. |
So...yesterday was day 2 at work and today I have the day off. Yesterday was a very physical day for me. I was there for 10 hours and on my feet 100% of that time. I was moving shelves around, moving product, putting a lot of product out to the floor from the stockroom, helping customers, etc. The only breaks I took were to use the bathroom and to get something to drink a couple of times. By the last couple of hours I started to feel the pain and by the time I made it home after my 1 hour commute I was definitely in a full blown flare with my ankle and could hardly walk. BUT...I was grinning ear to ear...I was so happy. Today the pain flare is already gone and all I have in addition to me normal pain levels is soreness (which I expect I will have for the first month or two until my body adjusts to these sorts of activity levels).
I definitely think all of my "suiting up" for work paid off yesterday. I wore lidoderm patches on both knees and both forearms and I had my TENS unit on my ankle. My arms swelled up pretty bad yesterday (which they didn't do the first day...but that was mostly spent in the office)...but there was no pain flare in my arms last night...just the swelling. My ankle got a lidoderm patch on it after I got home and a heating patch. Definitely experienced a flare there but by the time I woke up this morning that was gone. I still got 8 hours total of sleep...though I did wake up several times during the night in pain...but fell back asleep pretty quickly each time. I was still able to do 2 tdcs treatments each day for my first two days of work and should be able to for the next two days too. I'm off today (definitely a good thing with the soreness) and tomorrow is a meeting so that will give me an extra day to rest up with less physical activity. Friday will probably be another project day but then on the weekend it will be no projects (though I will be on my feet all day probably). This weekend though I don't think I will be able to do two treatments...probably just one each day. But I'm going to keep at it because I honestly think that tDCS is the only reason the pain flares are so minimal given the amount of activity. But today it's all about the soreness...and I cannot express to you my joy despite tha pain. I can still do it...I still got it. I will be able to figure out ways to make it work and more than anything I am just so happy to be working with a great team of people. The more time I spend working with different people and talking with them about the business the more I feel like this is really a place that I will fit in well as part of the team. I feel very very blessed and lucky right now. |
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Great news Catra. You say you felt Joy. Let me say this. you are a "Joy " and in reading your account of yesterday with tne hours and being on your feet 100 percent of the time you even sound a lot like " super girl" . but also please take care of yourself. :hug: |
Joydee
So tell us how the trip went for your dtr. How did she like Doc Fugedy? Did she get a treatment while she was there? Does she understand the treatment and instructions? I hope it wasn't too overwhelming. I'm sure she'll do well and rest assured we're all pulling for her as well as ourselves. We want to put a major whole in the process of this disease and imagine the impact we'd have on the rest of the RSD community if we all had some major improvement.
I did talk to doc and he's changing the protocol this friday. Wants me and Deb to take a few days off of treatment. Guess he thinks we've fried our brains. LOL. We'll hang in there and keep our fingers and toes crossed. Hope your daughter is doing well and you got plenty of rest over the w/e. OOps, forgot you got to take care of the kids. No rest for the weary. Luv Ya:grouphug: |
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Where do I start? Yes both my husband and daughter had a favorable impression of Doc Fugedy. While she was there she was having a migraine headache. Of particular note, I had read somewhere in research, migraine headaches put one at risk for CRPS and indeed prior to her surgery which led to CRPS she was taking Topomax for migrane headaches. Suffice it to say the Doc gave her two treatments. One protocal for the CRPS and one for the migraine headache. Until she speaks with the Doc she is uncertain as to wheather she is supposed to do both protocals or just the one for CRPS. Thus far she is doing only the one, for CRPS. She was treated on Saturday, flew home on Sunday was so exhausted she did not treat on Sunday but started on Monday. She is having some problems, she and the Doc are currently playing phone tag. The problem seems to revolve around burning. From the feedback I have recieved if indeed I have understood the feedback it would appear the treatment would tend to work better without Saline solution. By this I mean only water. Conversley if I am understanding correctly from other souces, most people have burning issues. I consulted with ballerina who shared with me a weak saline solution and did make up a batch for her which is has used. Again she and the Doc are playing phone Tag or more recorrect E-mail tag. At one point she believes he called while she as giving herself a treament but feared to use the telephone while using and electrical devise. She did turn the current down due to the burning but the Doc had covered that. She thinks she will need to use the full strengh saline solution. I suppose that is the question. To Saline or not to Saline, but hopefully over time she will make an adjustment and can at least at one point alternate with saline and not saline. It has only been three days of course and now having to turn down the current this may have an effect when it comes to seeing if she is responding etc. She will know more when she and the Doc touch base. She has adopted a visual aid while she is doing the treatments which in essense is she is visualizing healing energies are passing into her head. Since thoughts are things and have power, I think she instincts are a good thing. Wiill report more to the group when more is known. Luv you all back:hug: |
Joydee, burning from tDCS
So glad she's accomplished this so far. I know about the burning also. But, I can tell you I use both. I dampen the sponges first with water. Then since they are not wet enough I have a saline spray can I then add saline to the sponge to get the right dampness. They of course leak as you place them on with pressure but I keep a small towel around my neck to catch the drops. I also get the burning and tingeling but I assume that's from it not being wet enough. Then if it's too painful, Doc has Debbie doing less power at a 1.0 and run for 40 minutes so you get the same power. So keep that in mind if she can't reach Doc. I had never heard that there was a problem with using saline. I know Doc said he started with saline but has accepted water is just as useful. Also the tightness of the head band she's using may play a part in the burning. Cut it back until she reaches tolerance level. Hope this was helpful. Three cheers for your daughter she's on the right track.
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Thank you for your response. To date I have not been able to be present during treatment times due to a conflicting schedule but I had mixed a weak saline solution for her at one point then a mixture according to the instructions from the Doc. She said she had a better outcome. She has in fact been able to turn the current up to the orginal setting. She has also changed treatment time since the time she had was her more active time of the day and it was difficult for her to add more tasks. Of particular note, while this may be just meaningful chance. She mentioned the treatment made her sleepy. She feel asleep during the treatment. This may turn out to be a one time event or it could mean the treatment is having an effect on one of her major problems which is insombia. Question? You say you have a saline spay in which you spray onto the pads after you had wetted them with water. Would my understanding be correct to assume the additional saline spray is one which comes from a pharmacy or is it one you have mixed. :hug: |
Saline spray
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I spoke with the pharmacist about this. He told me that in order to get pure saline- the kind used for wound irrigation or the kind used in IVs- I would have to get a prescription. I protested about this knowing that normal saline is just water and salt. He said that was state law. I asked if he, as a pharmacist, could prescribe it for me. He said in the state I live in, pharmacists aren't allowed to prescribe anything. In other states, pharmacists can prescribe. (I'm getting used to frustration.) So my dear husband, quite on his own, found unadulterated saline (the kind I would have needed a prescription for at the pharmacy) on Amazon. I ordered it up without any difficulties. I don't know if all of the preservatives should be a concern but I assume that is one of the reasons the medical field uses the saline that does not have the additional ingredients on patient's open wounds. Don't know if I'm making unreasonable assumptions but I figure if it's my brain I'm working with, I'd better be extra careful. That's also why I don't use my tap water because it comes from the well and I'm not sure what's in it (our area is known for high levels of arsenic). Perhaps I'm being overly cautious... |
Reluctant
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Now that I'm placing the electores on the correct areas (one of my duh moments), I'm not sure if my improvement is related to the tdcs treatment or weather. Overall, I definitely feel better. I'm waiting to draw conclusions until the next major storm or barometer change. That's what I've been having great problems with. I hope you're new protocol and left brain cooperate. |
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Well...I survived my first week of work! Yay!!
I was pretty much too tired and sore after each work day to really DO anything but that seems to be fading a little. When I got home yesterday I actually made dinner...so I had enough energy for that. I'm a little sore this morning but nothing like I was last week after my second day and I was just as active today at work as I was then. So far I have been able to do all the different tasks and work in all of my different departments without any trouble. And...again...the team of people I am working with really are wonderful so I am thrilled at how everything has worked out. The only bad thing at all really is that I have had a terrible cold since Friday. I have today and tomorrow off work so I plan to get some rest and try to recover from this thing so that I'm refreshed and ready to go on Thursday. Also...since the cold started I have noticed some additional swelling in my arms and ankle...but between the TENS on my ankle and the lidoderm patches on my arms I have surprisingly not gone into any really bad pain flares despite the swelling. It's a real pain in the backside to get ready in the morning and "suit up" but clearly it has been working out. Oh...and did I mention I did a couple of customer carry outs over the weekend? Carried a vacuum and a steam cleaner out for a couple of customers out to their cars. By carried I mean I lifted the things, put them on my walker, and ROLLED them out to the car...but hey...it works, right? Go me... |
Catra
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I am currenty using the M1 and S2 protocol: cathode over right eye and anode over left ear. Every other week I switch it so that the cathode is over my left eye and anode over my right ear. I do this because I have RSD on both sides of my upper body and I have noticed improvement on both sides.
As far as saline...I just used what I got at the pharmacy. I might try it with just water given the above discussion but I've never noticed any issues with it. I do make sure the sponges are thoroughly soaked though...so except for the first few times I didn't have any issues with burning or anything either. I feel like once I got the hang of it, it all feels like second nature now. I feel lucky that the second electrode placement worked out so well for me. Also...so far I have still been able to do two treatments a day but Friday, Saturday, and Sunday I will be working the closing shifts (2pm-11pm) so I think I will only be able to do one on those days. I don't expect it will set back treatment at all...but I will let you guys know if I experience any difficulties with the change in treatment schedule. |
I am so blessed. I hope to be back to work in the near future. I have been spending just about eight hours a day conditioning myself.
Now that tDCS has eliminated some of the symptoms that landed me in the wheelchair I have been building up my strength and tolerance for activity. I never would have believed this last January, but now I am tending a vegetable garden!!!!!!!!! Last week I transplanted some sun flowers that I had started in small pots. About 75 of them. I have planted them everywhere I find a space. Sunflowers are so cheerful and tenacious, and start out small but persistently quickly grow despite the heat and scorching sun. They represent my journey from recovering from the devastation cause in my body by the Boston Scientific spinal cord stimulator. Most people do not recover from spinal cord stimulator induced spreads of neuropathic pain and in fact, they become worse over time, losing more function. Although I would not recommend a spinal cord stimulator to anyone who suffers from CRPS due to the high risk of spread tDCS may be an effective treatment for those CRPS folks who have had developed spreads from stimulators. My family thinks I am a little nuts. At a family cookout I was being quizzed about why I didn't just plant four or five sunflowers. Didn't want to go there with the whole family so I just said, "because that is how many seeds were in the packets, pass the potato salad please." Everybody here knows why I did it. Right???????? |
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I'm so happy to hear that things are going so well for you James. I think you are doing the smart thing trying to condition yourself with the activities before jumping right into the working. That's what I tried to do while I was off when they wouldn't let me back at first and I think that things worked out better for me because of it. If I had just gone back right away I don't think things would be going as good as they are right now. I tried my best to simulate the activities I do at work...but of course there's only so much you can do when you aren't actually AT work. Still...thanks to the conditioning and the work I did to build up my endurance I really haven't had any trouble being on my feet for 9-10 hours a day at work with little to no sitting during that time. Well...my feet were a little sore the first couple days but that was bound to happen...they've adjusted already. I am so excited for you though. I'm doing a happy dance for you. Keep up the great work! |
Catra & James
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I would say that it's very possible that it will take longer for you to see the progress. As happy as I am about my improvement...I think it's important to remember that the greatest improvement in the pain was in areas that I had RSD for less than a year and it's only in the sensitivity. I still have the burning constant pain...but that just seems so much more bearable without the extreme sensitivity. Not that I want to minimize the success because I am so thrilled with it...but if you both have had RSD in the same area for a very long time then it may just take a while to see those sorts of results. The sleep is a big thing for me...but that took a couple of months before I saw any improvements. Fewer flares that last less time is another big thing but again...that took a while before I saw it.
I also think that for me it was easier to see some of the improvements with the pain because I am not taking any pills/meds to help with the pain other than the Lidoderm patches. I think if you are on lots of meds that have been keeping that pain level lower then maybe it would be harder to notice slight improvements. I don't know if this makes a difference or not but it could be another factor that impacts noticeable relief. I would say that my pain level now is normally around a 5-8 except when I get flares and then it's back up to that 9-10 level. If you already have something that is helping to relieve the pain then it might be harder to notice some of the changes because they might not seem as large. As far as placements...I can't really address the questions there. I've been doing this all on my own so I couldn't even tell you if I am technically doing it right. I don't measure each and every time I place the electrodes...I just feel like I know the right spot from doing it for so long. Not very scientific of me but I figure if it's working then it's gotta be alright. I would caution you and everyone else who is trying this to not stress out too much about the small details. Seriously...the more you stress and worry the more you're going to aggravate your RSD and possibly offset any improvements you might be having. We all know what stress can do to our RSD. I approached the whole thing as, "If it works, great. If not, then I'm no worse off than before." I was hopeful and optimistic but I never got myself too worried about whether I was placing the electrodes perfectly or whether I should use saline or something else or whether this protocol was the right one or if I should already be trying the next. I knew there were other protocols and IF it didn't work then I could switch (which I did) but I didn't stress about it. And remember...even though I am back at work and all that...I am not 100% better. I still need to use the walker, I still have to suit up with lidoderm patches and all that before I go to work, I still have pain and balance problems. I still think of tDCS as a miracle and I continue to see improvements...but they're not always the ones that I might wish for. I would love more pain relief...but instead I am mostly seeing more sleep (which is awesome and I'm not complaining) and less flares (also awesome). James is seeing far more improvement in many areas than I am but he's also got a few months of treatment on me, as does ballerina of course. So seriously...try not to stress out about all the small details and seeing improvements in the areas that you are looking for improvement. Give this new protocol a good shot and continue to be focused on your health. I was very involved in all my other treatments (physical therapy, hot baths in epsom salts, TENS, ultrasound, etc) all while I was doing the tDCS treatments. By pushing myself with those I was also able to see improvement. My pain wasn't really noticeably different sitting still on the couch. It was noticeable when I was pushing myself to DO stuff. If you can find other treatments or exercises to focus on instead of obessing over the tDCS details then maybe that will help. Take each day as it comes, track your progress, and hopefully you will start to see improvements in the coming months. And it might very well be months before you see noticeable changes so don't get discouraged if you don't see them right away. Just my thoughts on everything...for what it's worth. I hope that you both see improvements soon but with tDCS it's the long term results that are most important. Okay...time to get ready for work. I didn't get home last night until 2am from work and I'm afraid that it looks like tonight will be much the same. It's gonna be a long one... |
Catra
Thank you sooooo much. You really did make a big difference. I will try to stress less and keep up the hopes of improvement. You really hit the nail on the head in covering all my displeasure. Your suggestion to focus on other activity goes a long way, and it does work because at times I am able to just turn off the pain mode and just push thru. By the way what do you do and where do you work? I don't think I remember you says what it is you do. It sounds exhausting and physically draining, how do you do it????? Again, thank you and I will keep you posted. :hug:
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The good news is that in my 2 weeks now back at work I've been able to work in all of my departments and do projects and it seems to be going okay. I obviously have to do things differently since I need to use the walker but the important thing is that I can still DO them. I actually did a couple of "carry outs" for customers and "carried" their vacuums and steam cleaners to the car...by which I mean I put then on my walker and pushed them out there. I'm making it work. It's still frustrating because I was so much faster and could do things so much easier before...the walker is a real pain. But it is what it is. The more I do things, the more efficient I will get at doing them this new way. I honestly don't really know how I am doing it...i just keep pushing through. I really love my job and what I do so that helps...and when I am working there are so many other things to focus on besides the pain that I really don't feel it until the drive home (it's an hour commute now for me). I'm still playing with the best way to use the various treatments for work. I've been wearing the TENS all day at work but I've still been getting bad flares and swelling at the end of the day. Today I wore a lidoderm patch on my ankle instead and am wearing the TENS now that I amx home. This may be the better way to go. My pain levels are higher at work but with the lidoderm patches on I don't seem to go into those flares. I've been wearing them on my arms every day and they seem to help with the pain there. I don't know...I keep playing with it. Yesterday and today were my first closing shifts since I've been back and both were unfortunately late nights where we didn't get out until 1am and 12:30am. So I'm pretty tired and I think my strategies for closing shifts, weekends, project days, and meeting days will all need to be a little different. Thankfully my body is adjusting to the physical activity well and after two weeks I'm not really feeling any soreness anymore and it's just the RSD that I'm dealing with. Sorry...I tend to babble a bit this late at night... |
Hi everybody,
I hope you are all progressing towards wellness. This is just a brief hello to say that I am back. You have all remained close to my hearts. This is a wonderful forum offering hope to those who thought it once impossible, including myself. I am very grateful for all Ballerina's work and her inspiring spirit which has spread through all of us. It has indeed kept me going through the most difficult times. God bless all and may healing come soon to every single one of you. Warm regards, hope and peace, Nick |
not working
still not working for me...so depressing as I continue to deteriorate. I really need this to work!
Debbie |
Please keep trying
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Do not give up. We may not all be built exactly the same but we're all from the same factory, we're all human. Our individuality and the time course we've endured our conditions necessarily have a bearing on variables such as electrode positions, current density, length and frequency of treatment, etc. I hope to apply tDCS for tinnitus. In the studies there are many individual factors why some respond and others don't. Maybe given the correct protocol, we are ALL responders, all healers. So maybe it is our task to try out different protocols until we hit the right one. There lies hope. It would be interesting to learn what works for whom and for someone to tabulate the data as a cross-reference guide. My own experience has become more severe and gives me no choice but to give it a big try. How long have you been using tDCS, with what equipment and what protocols? Please don't despair, the science is solid and I think we can all be responders, no matter how resilient the condition appears to be. |
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I agree with what Nick Allen said. As can be seen by fellow board members who may have expected to hear how my daughter is coming with her trial using TDCS nothing has been posted. This is due to Murphy. Everyone knows Murphy, he or she is that hidden element which seems to make things go wrong even when we humans try to make them go right. It has been sixteen days since beginnig first protocal but Murphy and his law has seen to it than nothing runs smooth. First of all at consultation time my daughter suffered a migrane so Doc Fugedy gave her two treatments, one designed for the headache and she was to proceed with one protocal for her CRPS. Then she had some problems with burning since the Doc first advised just water so she started using Saline. However as treatments proceeded she kept having headache,s. She E-mailed the Doc but both played E-mail tag or phone tag, unsure if both. In addition, I suppose despite the pain involved there is still humor. I certainly got a chuckle out of my daughters account of what happened during one E-mail to the Doc. She had typed out his name but was using auto correct. She meant to say hello Doctor Fugedy but the auto correct changed what she typed to "digest" so the E-mail said Hello Dr. Digest. My daugther quicky sent anorher E-mail explaining the error to the Doc but when my daugter shared with me the event I could not help but wonder if when the good Doc first looked and the E-maill if he thought to himself. I am not a Gastro Doc, rather a PM Doc. Of course due to the continued headaches the Doc then reasoned in light of the problems it might be a good Idea for now to use the migrane protocal if I am understanding correctly but over one week end my daughter and the rest of the family went to a family reunion in the park and since she was out in the sun for hours had a sun burn on her head so took a couple days off. She has resummed with the new protocal but with all the delays and dealing with Murphy it is much to soon to tell anything at this point in time. I however continue to have faith in the possibilites presnted with TDCS and complety agree with Nick Allen. My prayer is that everyone will be responders to TCDS at some future point in time. :hug:to all. |
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At work yesterday I had the oddest thing cause my hand to flare and freeze up on me (I literally had to pull my fingers apart with the other hand)...dusting. It was "dusty thursday" and everyone in the store is supposed to dust while they are working. I was the opening manager so I had a swiffer duster and was dusting all the fixtures at the front of the store...guess it was too much for me. Lifting vacuums...fine. Dusting...not so much. RSD is so odd...
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