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 03-18-2013, 12:49 AM #1
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Default My experience W/ Nerve blocks etc.

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Originally Posted by Ashley05 View Post
Thank you for the welcome and sugestion re a Pain Management doctor.

I do have a Pain Management doctor who has been giving me shots in my back for 10 months for chronic pain. My hand surgeon wrote him a note asking him to evaluate my hand. He concurred with what my surgeon was doing, and did suggest a lidocaine ointment to help with the pain.
He also said I might consider blocking the nerves somewhere in the neck area. He no longer does that, but another doctor in the practice does. The nerve block could not be done when he mentioned it, as I was having the epidurals in my back at the time, so I would have had to wait awhile. My hand surgeon agreed on the lidocaine, but thought a lidocaine patch would work better than the ointment.

He had me apply it at night as I was waking up in pain during the night. He also prescribed 25 mg of Amitriptyline at bedtime, which works like a charm for me.

I think it's a good idea to see if my hand surgeon will release me to the care of my pain management doctor. Sure makes sense to me.

Janet
Try to find a pain mgt. Dr. who uses ultrasound with flouroscopy (x-ray) to do Nerve blocks. My 1st one using x-ray only failed horribly as he hit ateries twice (x-ray only does not show soft tissue). Is Amitriptyline similar to Nortriptyline?
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Old 03-20-2013, 03:09 PM #2
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Can anyone tell me how to know if I have RSD/CRPS??? I've had pain much of my life but after a minor surgery in April, 2012 my pain became EXTREME. I can barely walk. I've been seeing a PM doctor since November 2012. A lumber MRI showed herniated discs, an EMG showed bad nerve damage/neuropathy. Since then I have arthritis, diabetes, and a few months ago I couldn't breathe through my nose. I assumed this nose issue was due to damage from years ago when I got pregnacy rhinitis. But no! It's a perforated septum and I've never used drugs in my life! Since the surgery I am falling apart! The pain is so extreme and it's constant. Without the prescribed Norco, I can't even get off the sofa and sometimes I can't get off it even when I DO take the Norco. After surgery last year I could no longer can even walk 2 blocks to the swimming pool! The pain is awful!!! I've had injections and nerves cauterized in my back. Even if that is helping my back, I still have pain all over, with swelling, burning, etc. I can not live like this!!! What is wrong with me? Thank you.
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Old 03-20-2013, 09:14 PM #3
Ashley05 Ashley05 is offline
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Hi, AZ-Di,

Amitriptyline is the generic of Elavil; I believe Nortriptyline is very similar.

My pain management doctor does use fluroscopy. He's given me 3 epidurals and 2 injections in the past 10 months, which are not working. He did a diagnostic test on my back last week to see if I would be a good candidate for Radiofrequency Lesioning. Turns out I am. Now I just have to get through the next 6 weeks until that appointment comes up.

Since he did an evaluation on my CRPS at one of my appointments for an epidural, he would be the logical one I should transfer to. More in line with his specialty, unlike my orthopaedic surgeon.

Janet
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