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 05-30-2012, 04:24 PM #1
Breaker814 Breaker814 is offline
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Confused Discouraged and lost!!

Alright so Ive done 2 lumbar blocks, the first one had helped a little but after a few days it came back, then when I did the second one I swear it made me worse. I think it even spread to the back of my thigh... So I went to the DR today and He Kinda FLuffed me. He told me we can do Spinal Cord stimulator and honestly Im still new to RSD and I really am Afraid to even consider that now. I know theres so many other treatments out there.

I'm just in a lost right now and don't know what to do or where to go from here!! Can someone please give some advice. I am in Long island. Im starting to think maybe I should travel into Manhattan but Im just Lost. Im starting to cry and be upset with this and ask myself why me and feeling sorry for myself. So any support on this would help me. Thank you so much people. you've been great. XOXOXOXO
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Old 05-30-2012, 05:07 PM #2
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I am so sorry to hear that you are going through this.

I personally think that if your current doctor's only two options are blocks and SCS then you need to look into possibly seeing a new one. Especially after getting worse after the second block. Mine spread after a block and that doctor was totally useless after that...too worried about protecting his own butt and all that. I didn't feel like it was his fault that it spread and I didn't blame him for that...but I do blame him for the way he treated me afterwards.

I think you need to try to calm yourself down and assess your options. Getting a second opinion from a doctor with experience with RSD should be at the top of that list. But when you go in to see them you should be prepared to go over the treatments you have gotten so far, what works, what doesn't, what you are interested in trying, etc and then get their feedback. I'm not saying you should tell the doctor what to do, but be prepared to have a conversation and ask questions about the different things you are interested in trying and why.

I don't blame you for not wanted to do the SCS...there are a lot of other options that you should look into first before doing something so drastic and risky in my opinion. Everyone has to evaluate and choose their own course of treatment...but never choose something out of desperation.

Sometimes it helps me when I write things out. I now keep a daily journal of my life with RSD. When I was at my worst I also made sure to write out all my symptoms and take notes on any research I had done. I would make a list of all the things I wanted to go over with the doctor and then make sure to bring the list in with me to the appointments. Just going through this process really helped me organize my thoughts and approach things better...not to mention it gave me a sense of control that I desperately needed. There's so much we cannot control with RSD so it's important to focus on the things you CAN do.

Educate yourself about your options. Ask a lot of questions not just of the doctor but of us here too. There are lots of different treatments out there, many of which you might do at the same time. The key is to find what works best for YOU. I'd start with the least invasive first and work my way up from there.

Take care...I hope you feel better soon.
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Old 05-30-2012, 05:27 PM #3
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Default Sorry

First of all, I think we all have had the pity-pot securely fastened to our tushies from time to time. It isn't fair; you did nothing to deserve it, and it does suck. Having said that, there are ways to take some control. The stimulator worked for me for about 6 months for me. RSD is really case by case and we are all different in our needs. But what I needed the most was support. This disease can make you feel alone. I hope you have good folks around you. Meditation is also key to keep stress and pain down. As for the doctor and him wanting to do more. Follow your gut and do your research. Hope this helps.
Quote:
Originally Posted by Breaker814 View Post
Alright so Ive done 2 lumbar blocks, the first one had helped a little but after a few days it came back, then when I did the second one I swear it made me worse. I think it even spread to the back of my thigh... So I went to the DR today and He Kinda FLuffed me. He told me we can do Spinal Cord stimulator and honestly Im still new to RSD and I really am Afraid to even consider that now. I know theres so many other treatments out there.

I'm just in a lost right now and don't know what to do or where to go from here!! Can someone please give some advice. I am in Long island. Im starting to think maybe I should travel into Manhattan but Im just Lost. Im starting to cry and be upset with this and ask myself why me and feeling sorry for myself. So any support on this would help me. Thank you so much people. you've been great. XOXOXOXO
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Old 05-30-2012, 05:28 PM #4
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Quote:
Originally Posted by Breaker814 View Post
Alright so Ive done 2 lumbar blocks, the first one had helped a little but after a few days it came back, then when I did the second one I swear it made me worse. I think it even spread to the back of my thigh... So I went to the DR today and He Kinda FLuffed me. He told me we can do Spinal Cord stimulator and honestly Im still new to RSD and I really am Afraid to even consider that now. I know theres so many other treatments out there.

I'm just in a lost right now and don't know what to do or where to go from here!! Can someone please give some advice. I am in Long island. Im starting to think maybe I should travel into Manhattan but Im just Lost. Im starting to cry and be upset with this and ask myself why me and feeling sorry for myself. So any support on this would help me. Thank you so much people. you've been great. XOXOXOXO
So sorry you are so lost and glad that you came here. I agree with Catra but most important is to try to stay as calm as possible-NOT EASY- educate yourself and keep searching for a good DR. that is knowledgable about RSD.
Try Epsom salt warm soaks -this is for the magnesium and also very calming. You will be in my prayers tonite-Fondly-Carol
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Old 05-30-2012, 09:01 PM #5
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Thanks Guys I really appreciate it. I talked to Jim before from RSDSA and he helped me figure some things out too. He almost recommended someone for me So I will call tmw and make an appointment. I just became very overwhelmed with Emotions today and felt Fluffed off. I feel little better. Just hoping this burning will calm down already.
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Old 05-30-2012, 09:26 PM #6
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Quote:
Originally Posted by Breaker814 View Post
Alright so Ive done 2 lumbar blocks, the first one had helped a little but after a few days it came back, then when I did the second one I swear it made me worse. I think it even spread to the back of my thigh... So I went to the DR today and He Kinda FLuffed me. He told me we can do Spinal Cord stimulator and honestly Im still new to RSD and I really am Afraid to even consider that now. I know theres so many other treatments out there.

I'm just in a lost right now and don't know what to do or where to go from here!! Can someone please give some advice. I am in Long island. Im starting to think maybe I should travel into Manhattan but Im just Lost. Im starting to cry and be upset with this and ask myself why me and feeling sorry for myself. So any support on this would help me. Thank you so much people. you've been great. XOXOXOXO
Hello my fellow islander. i know the feeling your speak of . i had three blocks done and and each one seemed to make the beast worse. in response to this my PM offered these alternatives. (amputation, pain pump, and the scs. ) I first responded no I don not feel these are the right decisions for me . so he replied then its just pain killers. not much else I have.so scared and ****** I researched more. first let me explain my decision to decline options he gave. well amputation. the limb(at the time only one) hurt like all hell but it still holds weight. it is mine and I wish to keep it, there has to be other options. ... the pain pump. well surgery and drugs and repeat. the risk of RSD spreading with surgery is significant and I don't wish to be drug dependent, (there has to be better options. and the SCS well it has helped some for a little while and even less for longer than that, the risks are great in my eyes. (of course surgery, possible RSD spread, but then there is leads moving, batteries failing, nerves being burnt , and I'm sure there was more but that wasn't for me, all are scary to me. despite how much pain I'm in. I use I be cause we are all different these were what my reasons were, and I have always had a high threshold for pain. so I see ll of the above as last case scenarios. and I do not believe my dr tried all options. so I researched and I am still seeing options that are new. i.e.. ketamine infusions, hyperbaric therapy, aqua therapy, calmare, and though I hate pills and drugs, he hasn't really played with my drugs all that much, so as I researched I took notes and presented to all my dr,s and my neurologist keeps pushing for his ideas for treatments such as in patient pain psychotherapy and PT. and my PM agreed to try aqua therapy with starts tomorrow, in with I am paying for until i can get ins to pay. all to a point. As they said before me do not decide in desperation , calm down best you can research and you decide what is best for you. after all it is your body and you are the pilot, don't let them drive they do not feel the pain, you do. You know your body better than any one else make a journal go over it with you dr,s along with your research, and make informed decisions. ones you can live with.. many soft hugs go to you , I know you're scared but you aren't as alone as you sometimes feel, you have us!!!
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Old 05-30-2012, 11:28 PM #7
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Default Now to make matters worse

I didnt realize this before but I thought about it.

I got terminated from my job on May 2nd. I also received a letter on may 29th stating that the IMC report says I can go back to work but cant walk stand or climb ladders so for me to check with my DR and see what my restrictions are. I dont see my DR till Tuesday. My commute is an hour and a half and it involves me Driving, Taking Train to 2 other trains that involves a lot of stairs and walking. nevermind the job of me walking around to printers and dealing with other floors of companies.

Plus Im still in a lot of pain and need to find other DR's. They arent going to be ok with me taking all these days off to see DR's. HELP!!! what do I do??? I contacted Lawyer just now (its 12am so obviously no one there) im just stressing out.
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Old 05-31-2012, 01:38 AM #8
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One of the most overwhelming factors is coming to terms with how disabling RSD really is. Having a psych doc can make this adjustment a little easier.

If you haven't had a good response to blocks, research block techniques. Do you feel you received the best care available? Did you receive the best meds available during the block? If yes to both, then it might not be the right course of treatment for you.

Regarding your commute, is it safe and/or realistic that you can drive or even deal with public transportation at this point? Could you make a temporary relocation, even staying in a motel, to determine the impact?
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Old 05-31-2012, 07:47 AM #9
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Quote:
Originally Posted by Breaker814 View Post
I didnt realize this before but I thought about it.

I got terminated from my job on May 2nd. I also received a letter on may 29th stating that the IMC report says I can go back to work but cant walk stand or climb ladders so for me to check with my DR and see what my restrictions are. I dont see my DR till Tuesday. My commute is an hour and a half and it involves me Driving, Taking Train to 2 other trains that involves a lot of stairs and walking. nevermind the job of me walking around to printers and dealing with other floors of companies.

Plus Im still in a lot of pain and need to find other DR's. They arent going to be ok with me taking all these days off to see DR's. HELP!!! what do I do??? I contacted Lawyer just now (its 12am so obviously no one there) im just stressing out.
Before your appointment on Tuesday with your doctor to discuss restrictions, really take time to sit down and realistically assess what you would need in terms of restrictions and accommodations. Try not to get emotional about it, just write down what you can't do, what you can do, what you can only do for limited amounts of time, etc. Leave no stone unturned as you go through all these things. Think about every aspect of your job. Think about the commute. As LitLove said...can you SAFELY drive and/or navigate public transportation?

Now after this...you need to think about what things could make this all easier for you. I could not guarantee that these things would be provided to you but if you and your doctor don't ask then you will never know. Some things I have seen provided to employees by work comp (if requested by the doctor) are: car service to/from work, electric scooter/wheelchair, hands free typing software, doing some work from home, etc. So really think about what your restrictions are and if there are any accommodations that could offset those restrictions to make it possible for you to perform your primary job functions.

Have all this written down when you see the doctor and discuss it with him. It usually helps to have a job descriptions with you when you go over this with your doctor so they have a good understanding of what is required from you at work. Work notes tend to need to be very specific...some businesses actually have specific capacity forms they want workers to fill out. Make sure you read the work note/restrictions before you leave the office and check to make sure it has everything you think you need. If it doesn't, get that doctor back in the room and rewrite it. If the doctor doesn't agree with something you think you need in there then take the time to explain to the doctor WHY you need that particular restriction/accommodation. As someone else said...the doctor doesn't FEEL you pain and doesn't live in your body...YOU do. Try to arrange all your thoughts before the visit and stay as calm as possible about it. And again...have it all written down and have that piece of paper with you in the room so you don't forget anything.

I'm sure an attorney will be able to give you more advice based on your specific state laws and requirements...so it is important that you go over everything with them. They usually have experience dealing with different companies and work comp insurance companies so they can give you a good idea of what to expect. Hopefully they can handle the communications with work comp and at least take those worries off your shoulders so YOU can focus on your health and the medical stuff.
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Old 05-31-2012, 08:12 AM #10
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Im still having real difficulty driving. Im lucky I can drive to PT which is 5 mins away. Everything after that is Hell. And to Drive into the city from me would be terrible. Would take me an hr or 2 to get into the city due to traffic etc, then I would have to find parking because I know there isn't a near parking by the job also.

I know in the past that when I had surgeries I have relapsed and very concern to relaspe. But the problem also is Im not even feeling ok as is. Me sitting for hRs drives me Nuts. For me to even sit at my job for 8 hrs would be terrible.
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