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-   -   depression (https://www.neurotalk.org/reflex-sympathetic-dystrophy-rsd-and-crps-/21229-depression.html)

jennyk38 06-07-2007 04:41 PM

Quote:

Originally Posted by Sandel (Post 110111)
Hi Jen..
I just want to send you a (((hug))) a great big soft one.

and to share part of an abstract done by Dr Hooshmand on limbic (emotional)envolvement in RSD as it can mabie help us understand why/how we feel and that it is a normal progression in most of us with RSD.

QUOTE:

4. EMOTIONAL ASPECTS OF CRPS:

LIMBIC SYSTEM DYSFUNCTION

The forth and final diagnostic principle is emotional disturbance in CRPS. In contrast to somatic sensory nerves, the sensory neuropathic nerve fibres responsible for the development of CRPS do not end up in the contralateral neocortical parietal sensory cortex. Instead, according to Bennarroch, over 90% of these sensory nerve impulses terminate in the limbic system. More over, positron emission tomography (PET) demonstrates a significant cerebral insular and limbic activation during painful stimulation of neuropathic pain. The vicious circle of chronic neuropathic pain leading to disturbance of plasticity, as well as inflammation, causes further long term potentiation (LTP)of pain impulse and nerve stimulation in higher centers in the limbic system. This leads to insomnia, agitation, depression, poor memory and poor judgment. The above neurophysiological observations explain the fact that practically every patient suffering from CRPS demonstrates some degree of limbic system disturbance. In our study of 824 patients, one or more of the limbic system dysfunctions were present in every case except three. These consisted of insomnia (92%), irritability, agitation, anxiety (78%), (depression (73%), poor memory and concentration (48%), poor judgment (36%), and panic attacks (32%). Understanding the nature of emotional components of RSD spares the patient from misdiagnosis and improper treatment.

END QUOTE:

The full abstract can be found here:

http://www.rsdrx.com/CRPSABSTRACT.htm

get yr lawyer working on it and get your doctor to write out all your symptoms you have reported and signs that he has seen.

an take a spoon please I have extras today.

:wink: an another hug,
Sandra

hey sandra,

thanks for spoon:) i really needed it today. have actually read that abstract and brought it with to dr. still didn't get what i needed. i swear i can't believe the health care system sucks as bad as it does and i am a licensed practical nurse! thank you so much for your reply, appreciate it more than you will ever know.:hug:

Imahotep 06-08-2007 08:53 PM

It sounds like your situation and condition is similar to what mine was years ago. I usually feel sorry for myself for everything I've lost but in many ways I've been lucky. The fear and depression seem a part of the disease to me; they aren't usually experienced except when the whole thing is experienced. They suggested I was exaggerating too, but it seemed to me that, if anything, I was minimizing the symptoms even if my body didn't cooperate. I eventually got SSI back to when I applied and take some more more powerful drugs now for the depression.

I can't really stay on an even keel but if I could this wouldn't be all that bad.

Good luck. I hope it works out for you.


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