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 04-23-2007, 10:23 AM #1
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Hi all--the cyanosis thing, at least for me, is "usually" associated with cold weather, or CHANGES is weather. I have recently noticed over the past year or so, however, that HOT weather aggravates the RSD as well...

So, I either have icey-cold, reddish/purple hands and arms, with a "burning pain" (like when you play in the snow, things go numb and start to thaw out), and then bright red, mottled shiney stuff going on in the palms of my hands. Sometimes, my skin feels as though it has a "sunburn".

The REAL difficulty is-- it just "does it"...this can be "problematic" when being examined so BRIEFLY (as seems to be the custom), by INSURANCE docs--THEY DO NOT examine for fingernail changes, differences in skin temperature, etc., and somehow "overlook" the OBJECTIVE DOCUMENTATION of these findings by other treating physicians , as PROPERLY noted in the medical records..

However--if we all could be placed in front of an air-conditioner during one of these "exams" for about five minutes...bet things would be rather "interesting"!

Again, I have often wondered why thermography isn't used as often to aid in the diagnosis of RSD/CRPS, particularly since technetium bone-scans have such a proven rate of unreliability, especially in the early stages of RSD. (50/50). And what about the "reliability" of a bone scan, when the individual has been doing either formal physical therapy or a home exercise program? USING the affected limb is what helps either RESTORE or PREVENT osteopenia from occuring...(and also helps reduce swelling, muscle atrophy).

As stated elsewhere, the "symptoms" of cyanosis/ischemia ARE the skin colour changes and the temperature changes; part of the "diagnostic criteria" for RSD.

Bottom line re cyanosis: Doesn't it seem like the "thermostat" is "broken" in the affected body parts?!

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Old 04-23-2007, 04:53 PM #2
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I noticed today that right after one of my pain episodes that my leg turned a different color, light red then bluish purple, almost grey....
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Old 04-23-2007, 09:10 PM #3
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Jeeze. I had no idea.

I don't get a lot of color change and haven't noticed any cyanosis. I do get the mottling on my palms and several colors on the originally affected hand but it's usually no a dramatic change. It isn't always indicative of pain but there is a lot of correlation.

Oddly enough I get what appear to be copper deposits just under the surface of the skin once in a while. These tend to be on the fingers of the affected hand, especially behind the second joint of the index finger. Wilson's disease has apparently been ruled out.

I've been trying to whip my nails into some kind of shape and the copper is most likely to form after a little soak in hydrogen peroxide to remove dead tissue. This copper appears as bluish threads but if they are dug out and viewed directly they are very distinct and brilliant aquamarine. Most are horseshoe shaped.

I'm still toying with the idea that there are two infections at play with one being a spirochete and the other a quorum sensing bacterium.

From a distance the skin affected by the apparent copper deposits appears blue. This is, no doubt, an entirely different phenonenon than what others are seeing.
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Old 04-23-2007, 09:17 PM #4
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Default PICS of my RSD - Cyanosis

Good evening to all:

I have attached some pics that show severe edema of my rt.foot, where the RSD began. Both feet are deformed slightly and I am working with PT on that. It also shows cyanosis in a few, where my foot looks bluish and has some shininess to it. There are also a couple that show severe redness and inflammation.

These are just a few pics that I thought you might be interested in. My feet used to be very thin, bony, and cute. Not anymore! My RSD is now bilateral and up past my knees on both sides (almost to my mid thigh).

Heather
Attached Images
File Type: jpg Both Feet Edema and Severe redness.jpg (29.2 KB, 946 views)
File Type: jpg Edema.jpg (27.4 KB, 749 views)
File Type: jpg Edema, feet turned inward, and curling of toes on both feet.jpg (36.3 KB, 1056 views)
File Type: jpg Rt.foot RSD.jpg (30.9 KB, 735 views)
File Type: jpg RSD compared to Normal feet.jpg (38.2 KB, 7663 views)
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Old 04-23-2007, 09:22 PM #5
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I know the pics aren't that great, but you can get a general idea about some of the RSD terms like cyanosis, edema, etc.

Heather
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Old 04-23-2007, 09:33 PM #6
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Hi Ima,

I appreciate your posts. For the root of my problem I am certainly keeping a open mind. I am just thankful with the prior eye problem I had they didn't say it was just RSD related.

Here is a link on garlic and bacteria.
http://mic.sgmjournals.org/cgi/reprint/151/12/3873.pdf
Here's a better one.
http://www.garlic-central.com/antibiotic.html
Someone suggested I try to made onion and garlic soup. Of course I am not fond of either. I mean it is really horrid, but I am giving it a go.

I enjoy reading your posts. Hugs, Roz xxxx

Last edited by buckwheat; 04-23-2007 at 09:51 PM.
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Old 04-23-2007, 09:56 PM #7
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Thanks for the links.

I took garlic at first and seemed to get a little benefit. Curiously I never ate garlic before I got sick but now use it in many many dishes.
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Old 04-23-2007, 09:31 PM #8
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Thank you Heather,

Those are very interesting, and also show something else that I have: extremely prominent veins, even more than yours, though I have no edema at present - anyone else have that? (Hey, nice gold nail varnish )
all the best.
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Old 04-24-2007, 03:44 AM #9
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Default Another Pic of the Left Foot w/ Pom. Veins

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Originally Posted by nopainever View Post
Good evening to all:

I have attached some pics that show severe edema of my rt.foot, where the RSD began. Both feet are deformed slightly and I am working with PT on that. It also shows cyanosis in a few, where my foot looks bluish and has some shininess to it. There are also a couple that show severe redness and inflammation.

These are just a few pics that I thought you might be interested in. My feet used to be very thin, bony, and cute. Not anymore! My RSD is now bilateral and up past my knees on both sides (almost to my mid thigh).

Heather
This is a pic of the other foot, you can see a lot more veins. This is how they look during a flare-up...

Heather
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File Type: jpg Lft ft..jpg (30.3 KB, 1236 views)
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