Right hip is really hurting, after many months of favoring it. Leaning to the right, not putting full weight on left foot with RSD. It really is discouraging to have the good side hurting this much. When I first started walking with the cane, and then without it, my right hip hurt some, I had hoped it would go away. Some days it is good. We have had snow and have not been able to walk outside like I had been doing. Wondering if that is part of the problem?

I have started to very slowly taper down on gabapentin. Is it possible that the right hip pain was there all along? That the gabapentin was helping that too? I had to find out how much it was helping, really want to get off of it. Wish I would have kept a better journal. Will start now to keep a daily log. I have to sleep in this unnatural position, which I am sure is not helping either.

Thanks for listening, it is helping me to sort through some of it. So many pieces to this RSD puzzle.

zinnia

Hi Zinnia,

Walking funny can really jack up your back and everything else. I struggled with much ancillary pain when my gait was abnormal.

The only way to know if the gabapentin was masking pain that you had in your hip is to go back up for a few days. It can get really frustrating teasing out what's what sometimes. I just did this myself with foot aches, was it yoga? decreasing nortriptyline? time for ketamine? It can drive you nuts trying to figure all this out and honestly I wouldn't expect to be able to sometimes.

What I found helpful with a wonky gait was massage, swimming and strengthening my core and hip placement with the "bird-dog" exercises given by my PT. She specifically had me use a rod balanced across my hips so I couldn't cheat. I had spent so many months not walking that I just wasn't doing it properly and was really out of balance. What a thing to forget!

The important things is for you to be comfortable and using your limb as much as is tolerable. If you need to use the cane sometimes as you strengthen your gait that's okay. It can be very much a gradual process.

Thank you so much Littlepaw, you have encouraged me, with your understanding. I really appreciate it. I will go back up on the gabapentin and get out the cane tomorrow. I know my gait is not good. hmmm so I could see this hip pain as nudge in the right direction to get my walking better. Silver lining? Go to the store tomorrow and walk with the cart. Looking for solutions.
:-)
zinnia

Could you consider a chiropractric adjustment? Just do some research first to make sure you find a really good one with lots of experience and lots of favorable reviews. I have two degenerated discs in my lower spine that can really throw my gait off at times (not CRPS related). Chiropractic adjustments make a huge difference, both in pain and proper gait. It's worth a shot!

Thank you swimtime for your thoughts. You are helping me work through this. I have scoliosis therefore chiropractor told me they could not help me, in the past.

I was talking with my husband earlier about seeing orthopedic doctor that comes to hospitol. hmmm having them maybe make a lift for my shoe, I had one years ago. They also said there is nothing we can do for you. Sent me to physical therapy and made the lift. Guess which shoe the lift goes in? Yup the left one, the foot with the RSD. At this point I can't even lace up the shoe normally, let alone add a lift.

hmmm more pieces of this puzzle. Even though PT had never had a patient with RSD it may be worth a try to go there just to work on my gait. Silver lining.....this is all happening few days before I go back to neurologist. This may all work out for good.
gratefully
zinnia

Zinnia,

There is an external lift I used when I was in a cast boot. It is called an Even-up and they sell for around $20 on Amazon. It attaches to your athletic or lace up shoe and has two different levels so you can adjust. Nothing else to cram in your shoe. I liked it. It kept me from walking so much like Captain Ahab.

If you can't lace normally you might consider going up a half size. I found I needed a special gel insole for a long time that just required extra room. That little bit of Cush made a big difference. I think Swimtime's son had a similar issue. Sometimes those little things really do help.

PT for just a handful of sessions for gait analysis and training sounds like a good idea. Optimize your outcome wherever you can.

To prevent an abnormal gait is one of many reasons I use a rollator (4 wheeled walked). I got one made for short people as I am only 5 ft tall and it has been a lifesaver in so many ways but the fact that it allows me to take weight off my left (RSD) leg but still walk normally has saved the rest of my body from a lot of grief which quiite frankly I just can't handle. It takes every ounce of everything I have to deal with the RSD and still maintain a somewhat normal life...I simply cannot handle any additional problems (as I am discovering with how completely incapacitated I am with my shoulder injury...ugh). The rollator keeps me upright, walking normally, and takes a ton of weight off the leg...plus I have a seat wherever I go when I need a rest...no having to push myself to go just a little longer so I can find a place to sit. Plus...it holds things for me so I don't have to try to carry anything. Plus...it keeps people away from me in crowds so I don't get bumped into. Plus...it keeps me from falling when I lose my balance. It's not a solution for everyone...but I always like to throw it out there as an option because even though I have a can and can use it...it is much harder on me and much more limiting than the rollator...which a lot of people are usually surprised to hear. The rollator is bigger and bulkier...but for me the quality of life is so much better with it. But back to my earlier point...an abnormal gait messes your body up big time and it is worth it to do whatever you need to so you can get back a normal gait and take any extra stress off your body. There's only so much a person can take before they hit the breaking point...

Ah, yes the all mighty Walker... I came out of a post office on a snow covered day, walking behind my walker. Walking toward me on other side of the side walk was another person with a walker. Following me was a person in an extreme hurry. The person behind me bumped into me as she darted around me, and almost tossed me into the snow bank. This same person then bumped into the other person with a walker, who was coming from the other direction. And down into the snow bank landed the person who had bumped into both of us. I walked over and stuck out my hand, helped the person out of the snow bank, dusted the snow off the back of their coat, and said, "We who are handicapped are never in too much of a hurry to lend a helping hand to the healthy!"

I thought the other handicapped person was going to die of laughter.

Thank you all for your kind words, and for sharing your experience with me, it means a lot. Thank you Spike for your story, it made me smile.

I will look into the evenup. I did find the lift, which was surprising, I should have never stopped wearing it. I do need bigger shoes, wider shoes, we had been waiting, there is still some fluid on the top of my foot, I read "somewhere" that may always be there.

I do have a wheeled walker with a seat and will use it in the house for a while, it is so much better than the cane for balance. I got in a hurry to just walk. I need to learn how to walk all over again.

The pain in my hip is a little better today, taking it easy. I did go back up on the gabapentin, I will give that some more thought, now that I know how much it is helping. Thank you for sharing your experience with gabapentin with me. I think all that pain caught up with me and I feel crummy. This too shall pass. There are lessons to learn.
It really made me feel good to see all your responses. I appreciate all of you!
May we all feel better.
gratefully,
zinnia

Good news is I figured out why my hip was hurting so bad. I had went up a long ramp, which turned out to be too steep, to visit my dad in the nursing home. Had to do it twice to understand that was the problem. duhhhhh I was anxious to visit my dad for the first time in the nursing home, and my mind was focused on him. Will not go up that ramp again. Meanwhile, I got out the wheeled walker with seat and put it to good use in the house, and the cane outside, and grandmas stool in the kitchen. Hip feels much better now.

All these aids are a positive, not a negative. They are there to help me be functional. To keep me moving. This I need to learn and remember. When we had a little snow in the yard, I took a broomstick with a screw in the bottom of it, in one hand and my cane in the other and I did feel safe. Just being outside, petting the cats in the sun on the porch swing makes me happy.

Simple pleasures are the best.

As for the neurologist visit. I did my best to have no expectations, and I was not disappointed. Found out he will be retiring in April, maybe the next one will take an interest. This one said so it is your back? NO I have RSD in my foot. WOW!
He renewed the meds.

Hubby said later, why did you tell the doctor you gained weight? Did you think it was the medicine? Then he said

"Why worry about your hairdo, when your clothes are on fire."

lol He can see the Gabapentin helping with the pain. He knows what the pain was like without it. He said it is wintertime, and I am not getting outside to walk. He does not see the weight gain as that big of a problem. It took the gabapentin to get me out of bed and walking again. He always says there will be good days and bad days. I can not tell you how much that quote ment to me. That kind of encouragement and compassion.

I will keep on keepin on one day at a time, one baby step at a time. Thanks for listening.
:-)
peace
zinnia