Hi everyone my name is Jennelle and I am new to this and a little lost. I go to untold amount of therapy and doctors but have a hard time finding the right kind of doctor that knows enough to help. My pain person actually seems to know the most, the others say they treat RSD but pass the buck to other doctors for treatment. What Dr. do you all see? To make it worse I am at the whim of my L&I people to get treatment. 4 Dr have recommended a sympothectomy... anyone else had this or a spinal nerve stimulator placed? If so please let me know what the experience was like. L&I won't pay for either- I have had 6 nerve blocks and they helped at first but now only for a couple of hours. PT and OT have dropped me until I get the surgery that was denied, I can't get L&I to pay for message so I do home programs...any ideas? Please, please, any help as to find a doctor that knows what to do? I feel like my life is on hold from my wedding (supposed to happen last year) and starting a family (other than my 3 soon to be step-kids). HElP!!!! Thanks so much finding you all has made me feel so less alone!
Jennelle

Hello Jennelle and Welcome to Neurotalk - you will meet many great people here who I am sure will be more than happy to help you if they can!!!

I am SO sorry to hear that you are going through all of this right now and really hope that things start getting better for you real soon!!! Please know that you aren't alone and that I DO understand some of what you are going through!!!!

It is extremely important that you try and find a doctor that understands RSD. It took me about 5 months to finally see a doctor that understood RSD and during that time, I was just getting worse and worse. I see quite a few doctors to treat my RSD however the main doctor that treats me is a Pain Management Doctor. I also see a Neurologist for the Myoclonic spasms and Dystonia's I have, Physical Therapist's, GP, Orthopaedic every now and then and an Orthotics specialist for my splint.

If you aren't happy with your doctor, please try and find another one!!!!! I KNOW it is extremely frustrating trying to find another doctor but it's really important that you get a doctor that you are comfortable with and that can help try and treat you!!! From what I understand, most RSD'ers see a Pain Management Doctor as they are usually the best doctor to treat RSD - a PM Doctor was the doctor that diagnosed me and has been treating me for nearly 2 years now!!

There are quite a few people on the forum that have had a Sympathectamy. From what I understand now they, they are NOT recommended at all as in more cases than not, they just aggrivate the RSD and make it worse and the pain doesn't go away. Also from what someone told me (i'm not sure if this is true or not though), if you have the Sympathetic Nerve cut then there is no chance of finding a permanent cure even if a cure becomes available as the nerve affected isn't there anymore. Please, please ask your doctor lots of questions before you decide to go ahead with any drastic surgery like this and ask people that have the procedure what it is like and if it helped!!! No-one can force you into doing anything - it is YOUR decision and you know your body better than anyone!!!!

Take care and know that you are in my thoughts and prayers. If you need anything, I am here for you!! I hope you feel better soon!!

Alison

Jenelle,

Hi and welcome to our family. That is what we are, family. We are here for you thru all of your ups and downs. I have had 2 scs implanted. The first was in for almost a year, but my PM (pain management) dr put the battery in my butt. It was uncomfortable and it was moving around. The 2nd one was to move the battery to my side, and replace the leads into my spine. Unfortunately,I ran into some problems from surgery and it had to be removed. Before you get the scs you must undergo a trial. I loved mine, although they don't tell you that you will be really sore for the first few days. I loved the trial and I loved the perm. It was just one of those things that caused it to be replaced. My 2nd surgery was done by a neurosurgeon. I'm now seeing another PM dr. and I really like him. He was put me on this wonderful new medicine called OPANA ER. I'm still getting used to it, so I'm still sleeping a bit more, but so far as pain relief goes, it is great. I've been looking for something to work for over 5 years, and this med is great!. You can always ask your dr. if it would be good for you. It is a new med. If you trust your dr. you can follow what he says. If you don't trust him, Please find another. I know that is hard, but you really want someone who cares about you. Any other questions, just ask. I don't mind answering anything I can.

Hugs and welcome again.

Hello Jennelle and welcome.

Here are a few of my thoughts.
I understand completely the feeling of being lost. I sometimes still feel that way after over 20 years. Even in a large city, it is hard to find a doctor who really knows about RSD. My pain management doctor seems to know the most.

When I was first diagnosed, a doctor suggested a sympothectomy, but another doctor said "DONT"T DO IT!" and stated a number of reasons. One of the biggest arguments against was that you lose the ability to detect danger and react to it. (With no feelings, how would you know your leg was on fire?)

I have a spinal cord stimulator. One of the first tests to see if it is appropriate is to do nerve blocks. If they don't help, good chance the SCS will not, either. Then, you get a temporary one for a few days to a week or so to see how it works. Again, if there is not a good result, they will not install a permanent one. It is also very expensive.

Personally, I am rather conservative when it comes to treatment. I want to try the least invasive and treatment with the fewest side-effects first and move from there. I was on dozens of different med combinations at first, before anything else was tried.

Good luck to you. I hope you stay with this group. Not only is it a source of information and opinions, it can be a good place to vent your frustrations and find out you are not alone.

Mike

Ali, Mike, and Mary told you quite a bit there in their post. I agree with all they are saying.

I would definatly do the least invasive at first. The SCS works for a lot of people but I believe you see almost or more that it doesn't. I have met 3 people in my area that had them in. Larry had his taken out, Jenny only had hers on a month and it's turned off but they won't take it out, and the third said she'd had it in for about 10 years and it helped but started causing a spread. I see a lot on the forum that don't do good with it. So definatly seek every other avenue before you do the SCS.

As far as the Sympethectmy, I didn't think they were doing them anymore. I know Diana has had one years ago but not many come on that have had them done.

Physical Therapy with the right Physical Therapist is good. Some people have used Hypeberics treatments.

As far as Drs. I saw 4 Neurologist and about 5 PM's and none of them were worth their weight in salt. My PCP deals with mine and I think that Anesteolgist are good at blocks more so then PM Drs.

I am glad you found the forum. You will get a lot of help here. I made friends on the old forum years ago that actually saved my life by talking to me on the phone all hours of the night so I know you will get the support you need here.

You can't have MRI's with SCS's in I don't think either. I have a different implant and can't have an MRI and let me tell you, my Dr. called all over the state thinking there might be an MRI machine made just for patients with these things in them and there isn't.

These are just my opinions. I know others come on and will have some good ideals for you.

Ada

I agree with everyone else. The people I know who had a sympathectomy done, some docs still do them, have had disastrous results. It resulted in the pain being 10 x's worse and spread all over. My personal opinion on the scs is never get one. I've not met more than a couple of people in 6 yrs now that were glad they got it. Everyone else dealt with various things like whole body spread, infection, multiple surgeries for leads popping out of place and other things, etc. It's not something I recommend at all.

Seeing as the blocks are beginning to stop working, it may be because your pain is starting to become sympathetically independent, instead of sympathetically maintained. Once it's independent, blocks nor scs will have any effect. There is hbot therapy and lidocaine infusions. Hbot is something insurance won't pay for unless it's for a "approved" condition. The infusions is a maybe or maybe not thing. I've met ones who've done the lidocaine and had very good results, as well as the hbot.

Don't give up, keep fighting, find a good doc and ask questions. It's the only way we learn from each other.

Hugs,

Karen

Hi Welcome,
I just wanted to say "hello" and agree with what the pervious members have said. I did have the blocks, they were temporary pain relief for me. I also had the sympathectomy, grant it that was years ago, but I had spread following. I can't say if the spread was from that, the shoulder surgery or just because. But, I really haven't heard of anyone that it may have prevented spread or lessened the pain permenately. Having said that...there may just be that one person. You never know. I, am adovcate for HBOT. That is quite frankly, because it works for me. The benefits are many. I have had CRPS for 20 years in July, and this after all other treatments failed miserably, worked the best. Good luck with finding a treatment that works for you. Keep asking questions. I hope you feel better soon. Di

hi and welcome sorry to have to meet this way but welcome !!!!
i wouldnt do the sympathectomy this really isnt done anymore. i would be careful with the SCS as this isnt for anyone. i have had rsd for 11 yrs and its full body and internal. i had a pump put in 5 yrs ago and this has helped me a great deal. like you blocks dont work very well. but SCS and pumps should be the last option in my opioin .

your question about the right doctors i have found that Pain managment doctors are the best they have the knowledge most of the time but there is a wide range of drs that can treat us. like ada said her PCP treats her


carrie

My husband is awaiting approval from w/c to recieve the scs trial. he drives for a living and will not be able to keep his cdl and drive if he has to stay on the pain meds. The blocks worked for a few hours each time. He's on dilaudid for pain right now. The pain is too bad for PT still. Our lawyer has told us to expect a fight with w/c, if they deny it, we will continue to fight it, but might proceed with our private insurance, For us its a fight against time as his arm is already showing distrophic signs and again, could be the difference of keeping the job he loves or totally turning his life upside down. If it doesn't work we will deal with that, but need to find out if the scs will be the answer.

We have been to many doctors but now he only sees his Psych and Pain managment doctor. The pm dr is wonderful and been the most helpful and informative with regards to crps/rsd.

I wish you the best.

One of my doctors said the effectiveness of sympathectomies and amputations are about the same; 10% get total remission. The rest are rarely helped much and a large number have the RSD come back "angry". Get a second opinion from someone who is well versed in this.

It's said the only pain worse than RSD pain is phantom pain from an amputated limb.