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 03-03-2015, 07:27 PM #1
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Default Pain descriptors

Seems obvious to me that the "tingling"/"stabbing"/"shooting" type pain descriptors would commonly fit with RSC/CRPS/Nerve damage. So I've been struggling with identifying some of the pain I have been having and I haven't seen them as descriptors relating to any of those diagnoses.
Background (for those that haven't already read any of my long-winded posts): I have peroneal nerve palsy in my left lower leg from complications following a fractured patella. I was diagnosed with RSD in that leg about a month ago. I am scheduled for an MRI tomorrow on my left knee to rule out any current internal knee issue.
Pain scenarios: The outer side of my left ankle gets to feeling like I have sprained it. Like that swollen, hurts constantly, feels worse than breaking something feeling. I can't identify any swelling and it randomly happens. Sometimes after walking a bit (okay, I guess that's when it occurs most often) but sometimes I will have not been able to do much other than go to the bathroom & back (side note: when I'm having those days, I really don't drink much so I don't make many trips).
The other scenario is this intense crushing feeling on the outside of my foot (nearer the ankle than the toes). It feels like the Jolly Green Giant is standing on that one spot.
Any of this common with RSD/CRPS??? Did I make any sense at all??
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Old 03-03-2015, 08:04 PM #2
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Hey AB,

My pain often starts as a feeling of stinging (obviously nerve) but also sometimes starts like a "reverse crush". It's like there is this sudden internal pressure like something is filling up the tissue. I have a couple hotspot areas for this kind of feeling, similar to a swelling feeling but it starts so acutely! If I have done something to set it off, too hot of a bath, walk too much in warm or even not so warm weather, I can tell you exactly where the nerve track is. It is defintely intense pressure and feels 3 dimensional if you will, not shooting or stabbing. Sometimes I feel like my nerves just can't manage any tissue flux at all without freaking out. On your lateral foot/ankle pain though - do you think it's from compensation from your gait? My foot has had to make a lot of adaptations to the structural changes and I have had different aches and pains come and go till it settled.

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Old 03-03-2015, 08:21 PM #3
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According to the Budapest Criteria you need to be suffering from 3 of the 4 main symptoms here,

http://www.rsdhope.org/crps-symptoms.html
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Old 03-03-2015, 09:20 PM #4
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While you can certainly have those types of pain and have RSD/CRPS, what you describe would not be unusual for other problems as well.
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Old 03-03-2015, 09:26 PM #5
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Quote:
Originally Posted by Littlepaw View Post
Hey AB,

My pain often starts as a feeling of stinging (obviously nerve) but also sometimes starts like a "reverse crush". It's like there is this sudden internal pressure like something is filling up the tissue. I have a couple hotspot areas for this kind of feeling, similar to a swelling feeling but it starts so acutely! If I have done something to set it off, too hot of a bath, walk too much in warm or even not so warm weather, I can tell you exactly where the nerve track is. It is defintely intense pressure and feels 3 dimensional if you will, not shooting or stabbing. Sometimes I feel like my nerves just can't manage any tissue flux at all without freaking out. On your lateral foot/ankle pain though - do you think it's from compensation from your gait? My foot has had to make a lot of adaptations to the structural changes and I have had different aches and pains come and go till it settled.

Littlepaw
YES!!!

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Originally Posted by Kevscar View Post
According to the Budapest Criteria you need to be suffering from 3 of the 4 main symptoms here,

http://www.rsdhope.org/crps-symptoms.html

FOUR Main Symptoms/Criteria for a diagnosis of CRPS:
Chronic burning pain - includes allodynia; extreme sensitivity to touch, sound, vibration, wind, and temperature. Check
Inflammation - this can affect the appearance of the skin; bruising, mottling, shiny appearance, blotchy or pale appearance, and tiny red dots are some examples. Check
Spasms - in blood vessels and muscles of the extremities, called vasoconstriction, I assume this is what causes the 1-3 degree temperature difference between both feet
Insomnia/Emotional Disturbance - (including limbic system changes such as short-term memory problems, concentration difficulties, and irritability). Check
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Old 03-03-2015, 11:09 PM #6
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I have several different types of pain, but they pale in comparison to my burning pain to such a degree they often doesn't feel worth mentioning.

The description of severe burning pain seems to often be one the main alerts to doctors of the possibility of RSD/CRPS.
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Old 03-03-2015, 11:30 PM #7
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Originally Posted by LIT LOVE View Post
While you can certainly have those types of pain and have RSD/CRPS, what you describe would not be unusual for other problems as well.

Must say; this is the first time I looked into CRPS/RSD and "yes" would not be unusual for other problems as well. I felt the spine/fusion/laminectomy; eventually doctor referred to my burning ankles and leg pain; discoloration, edema, etc. as the extenuating pain elsewhere as PN.

So I assumed my burning pain; especially ankles/ feet; but pain extends down groin/ legs; especially the left which ankle has the worse discoloration/edema. Painful wrists/fingers as arthritis, on and on.

Reading the American RSD Hope (also printed it) is really an eyeopener. Memory; oh my gosh. I was just described including the irritability, etc.

Something to think about for sure....


Gerry
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Old 03-04-2015, 12:16 AM #8
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Originally Posted by ger715 View Post
Must say; this is the first time I looked into CRPS/RSD and "yes" would not be unusual for other problems as well. I felt the spine/fusion/laminectomy; eventually doctor referred to my burning ankles and leg pain; discoloration, edema, etc. as the extenuating pain elsewhere as PN.

So I assumed my burning pain; especially ankles/ feet; but pain extends down groin/ legs; especially the left which ankle has the worse discoloration/edema. Painful wrists/fingers as arthritis, on and on.

Reading the American RSD Hope (also printed it) is really an eyeopener. Memory; oh my gosh. I was just described including the irritability, etc.

Something to think about for sure....


Gerry
PN can certainly have burning pain as well. My understanding is that the nerve dysfunction is localized with PN, with RSD/CRPS the limbic system is in play and may or may not have local nerve dysfunction as well.

Neuropathy caused by diabetes is an example of another disorder that is misdiagnosed as RSD/CRPS.

While I was 99% sure that I had been diagnosed correctly, it wasn't until I start experiencing mirroring and spread that I truly accepted it.
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Old 03-04-2015, 01:12 AM #9
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I have described the pain to the doc as a lava flow that starts as a pool at my shoulder and moves down to my hand, depending on how bad I ticked it off. The shoulder and arm always burn, but it turns to lava when angry. The normal burning, funny how the burn is even remotely considered normal, is usually accompanied with a feeling of pressure, like a constant band around the area. The doc kind of looks at me funny when I explain it, but I think it is a fitting description.

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Old 03-04-2015, 07:01 AM #10
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Thank you so much all! To be a little more precise, the ankle & outer foot pain I referenced in my OP comes and goes, it just lasts for hours (sometimes days) when it's present.
I have constant stabbing in my foot/lower leg in addition to a freezing burn that waxes and wanes in severity. Even in the summer I wear a fuzzy sock on that foot because it feels so ice cold. And then there's the spasms. Which most often lead to a cramp that feels like it's traveling from the inside out.
I'm just trying to understand and perhaps I am trying to come up with some other reason for this retched pain. I just want to be normal and do normal things.
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