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 06-08-2009, 08:00 PM #1
msellie msellie is offline
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Originally Posted by ali12 View Post
Thank you Daniella and Ada for your input!!

My knee is hurting quite a lot again today. I have been sat with it bent on the bed and have noticed that after about 2 minutes or so, it starts hurting a lot and locks up. When I manage to straighten my leg, I get a deep aching pain that can take a few minutes to go and brings tears to my eyes. I have been told that I need to keep bending my knee for PT but it is getting pretty hard as it is way too painful sometimes! I'm going to ask my mum to rub some of the anti-inflamitary cream into my knee in a bit again to see if that eases the pain any and also take a Tramadol to see if that works. Tramadol doesn't help with my RSD pain but my mum said it might be worth taking one to see if it helps any.

Daniella - I totally know what you mean about it being hard to figure out what is RSD and what isn't! Most of the time, everything turns out to be from the RSD but the first time you don't go and get it checked, it will probably turn out to be something else that can be easily fixed - it's so annoying!!! I'm looking forward to when we split up from school to be able to relax a bit! I'm not sure what we have planned yet but me and my mum are going to see my grandad in Spain in August for a few days so that should be nice as I haven't seen them for a few months! Thanks again for your input!

Ada - So sorry to hear about all the injuries you have had to deal with!! I can't imagine how hard it must have been to deal with all of them for such a long time without getting a diagnosis! It's awful that so many doctors just let us suffer in lots of pain without getting any help! I'm Hypermobile so some of the joint clicking in my knee could be from that however I have never noticed it before. Me and my mum have also been wondering for a long time whether I could have something else going on as well as the RSD and have mentioned it to my PT's and all they say is that it is possible but they really can't tell until we get the RSD and Dystonia under control more which is really stressful!! They have mentioned that I could have some spinal issues as I sit very curved but wont really look into it until the RSD gets a little better. I'm not sure when my next appt is with my PTs but will definitiely speak to them and see if they can have a look at my knee and see if anything else is going on. Thanks for all the info!
Ali, I'm sorry to hear you are having such pain and distress. In addition to RSD I have been diagnosed with chondromalacia patella, essentially a thinning of the cartilage under the kneecap. It can be quite painful and straightening out your leg can cause the pain to increase (this doesn't mean you shouldn't do it though). There are also different stages of CM , i.e. mild to severe, and different things can cause it to flare. I do know that at your age your body is still forming cartilage (adults should be so lucky) so I would imagine that that is in your favor if you do have this. I do have the clicking and crunching sound sometimes when my knee is tracking improperly (it always rights itself. I know that anti-inflamatories and strengthening of muscles especially the quads help tremendously. The CM pain is not ever-present like the RSD. If you have an ortho, PCP, or another PT in the practice, maybe just give a ring and see what they think. Hang in there and try not to stress too much. Easy for me to say I know.
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Old 06-08-2009, 08:45 PM #2
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Default Have/had the clicking too

I know all about the clicking, at least in my case. I found that the more I bent in, in pt or whenever, it seemed like it swelled, and it got much worse. I cannot obviously tell you what to do, but...stop bending it for a few days more than necessary. The more you exercise it, the worse it clicks and then the worse it hurts, right? Give it some rest, the swelling goes down, the clicking lessens, and it hurts less. I also found that using like an ace wrap that went all around the knee cap but not over it kept me from bending it too much as well as I guess keeping it from moving to the side, which I think is what made it worse. I used that tape stuff that sticks to itself and made like a x with it all around my knee, not too tight, and used the pain to tell me how close I could actually get to my knee cap with the tape. A happy thing; the clicking doesn't happen anymore, but for once in a great while when I have lifted too much weight, and then it doesn't hurt and click for long. Good luck, I hope this helped you. Later, Smoke
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Old 06-10-2009, 09:53 AM #3
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Thank you all for the kind words and advice - I really appreciate it!

My mum emailed my PT's yesterday and told them about the pain in my knee and my PT called her back this morning to ask what sort of pain I was getting and where it was etc.

When my mum explained things to her, she said that she doesn't think it is from the splint as the area where I am getting the pain, isn't where the muscles work overtime when they are in the splint.

We have been adviced to go and see my GP if things don't settle down anytime soon to see what he thinks, especially seeing as though the pain I am getting in my knee isn't like RSD pain. They also suggested getting some really strong anti-inflammitaries to see if they help any.

I have an appt to go and see my PT's on the 23rd I believe (that was the earliest they could get me in as they said it seems as though a lot of children are developing chronic pain conditions at the moment) so they are going to take a look at my knee then to see what they think is wrong.

If the pain continues, I think we will probably go and see my GP as it's making me feel pretty sick and i'm not sleeping well. I think it's worse as I already have RSD in that leg and think I might have something else going on on top of that.

Thanks again for the advice, i'll keep you all posted when I can!!
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Old 06-13-2009, 10:03 PM #4
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Quote:
Originally Posted by ali12 View Post
Thank you Daniella and Ada for your input!!

My knee is hurting quite a lot again today. I have been sat with it bent on the bed and have noticed that after about 2 minutes or so, it starts hurting a lot and locks up. When I manage to straighten my leg, I get a deep aching pain that can take a few minutes to go and brings tears to my eyes. I have been told that I need to keep bending my knee for PT but it is getting pretty hard as it is way too painful sometimes! I'm going to ask my mum to rub some of the anti-inflamitary cream into my knee in a bit again to see if that eases the pain any and also take a Tramadol to see if that works. Tramadol doesn't help with my RSD pain but my mum said it might be worth taking one to see if it helps any.

Daniella - I totally know what you mean about it being hard to figure out what is RSD and what isn't! Most of the time, everything turns out to be from the RSD but the first time you don't go and get it checked, it will probably turn out to be something else that can be easily fixed - it's so annoying!!! I'm looking forward to when we split up from school to be able to relax a bit! I'm not sure what we have planned yet but me and my mum are going to see my grandad in Spain in August for a few days so that should be nice as I haven't seen them for a few months! Thanks again for your input!

Ada - So sorry to hear about all the injuries you have had to deal with!! I can't imagine how hard it must have been to deal with all of them for such a long time without getting a diagnosis! It's awful that so many doctors just let us suffer in lots of pain without getting any help! I'm Hypermobile so some of the joint clicking in my knee could be from that however I have never noticed it before. Me and my mum have also been wondering for a long time whether I could have something else going on as well as the RSD and have mentioned it to my PT's and all they say is that it is possible but they really can't tell until we get the RSD and Dystonia under control more which is really stressful!! They have mentioned that I could have some spinal issues as I sit very curved but wont really look into it until the RSD gets a little better. I'm not sure when my next appt is with my PTs but will dHiefinitiely speak to them and see if they can have a look at my knee and see if anything else is going on. Thanks for all the info!
Hi Ali,
I'm so sorry about your knee pain. I sounds like you definetly need to have a x-ray, MRI to see what's going on inside. I went to an orthopedic knee specialist before rsd for clicking sound and knee pain. That was about 15 years ago, two years before rsd. he said the tests showed osteoarthritis. I had been real active all my life, track, water skiing, snow skiing, running, 40 miles a week. He just had me do adjustment on my aerobics class so as not to impact the knee. It wasn't the kind of pain you are having by any means. But now I have RSD in my knees too. full body. If you were to push your fingers on your knees or back of your knees , is there an indent that stays a while. That shows water retention. And there in water retention when there is inflammation. Inflammation goes along with RSD, and fibromyalgia. Someone posted about anti-inflammatory diet last week and I've been on it since. about a week now and noticed a big decrease in fluid at my elbows and less bone pain. I'm going to stay on it. There are definite foods that build up your immune system and foods that heighten inflammation. I've been doing additional research. One site by a rsd specialist from Florida that is now retired, but has his website up is www.rsdrx.com There is a part about diet called the 4 F's and also the part called puzzles is really good. Puzzles is a list of about 140 questions by his patients and his answers.
Hope they do the right tests to see inside your knee. I want to tell you how much i enjoy your writings and how encouraging you are to all of us. I'm 61 and my daughter is 30 so you feel like a granddaughter to me. Take care and say hi to your mum for me. Your friend, loretta
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Old 06-14-2009, 03:35 PM #5
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Quote:
Originally Posted by loretta View Post
Hi Ali,
I'm so sorry about your knee pain. I sounds like you definetly need to have a x-ray, MRI to see what's going on inside. I went to an orthopedic knee specialist before rsd for clicking sound and knee pain. That was about 15 years ago, two years before rsd. he said the tests showed osteoarthritis. I had been real active all my life, track, water skiing, snow skiing, running, 40 miles a week. He just had me do adjustment on my aerobics class so as not to impact the knee. It wasn't the kind of pain you are having by any means. But now I have RSD in my knees too. full body. If you were to push your fingers on your knees or back of your knees , is there an indent that stays a while. That shows water retention. And there in water retention when there is inflammation. Inflammation goes along with RSD, and fibromyalgia. Someone posted about anti-inflammatory diet last week and I've been on it since. about a week now and noticed a big decrease in fluid at my elbows and less bone pain. I'm going to stay on it. There are definite foods that build up your immune system and foods that heighten inflammation. I've been doing additional research. One site by a rsd specialist from Florida that is now retired, but has his website up is www.rsdrx.com There is a part about diet called the 4 F's and also the part called puzzles is really good. Puzzles is a list of about 140 questions by his patients and his answers.
Hope they do the right tests to see inside your knee. I want to tell you how much i enjoy your writings and how encouraging you are to all of us. I'm 61 and my daughter is 30 so you feel like a granddaughter to me. Take care and say hi to your mum for me. Your friend, loretta
Thank you Loretta for your advice and kind words - I really appreciate it!!

I am still dealing with a lot of the knee pain. Me and my mum went out for a bit today and my knee gave way about 6 times so it seems as though it is unstable sometimes and whenever I am walking, I get a sharp pain in it, especially if I bend or twist my knee. I never know when my knee is going to give way, it just happens and I have to grab onto the nearest thing or I fall.

I have been diagnosed with Rheumatoid Athritis so will look into that also as some of the pain I am getting does feel like a bone pain. I don't think that the pain in my knee is RSD, I know what RSD pain is like and it isn't like that at all - it is more of a muscle / bone pain.

My mums trying to make an appointment for me to see my GP but it usually takes a few weeks to get into see him as he is always so busy (we really need to find another but he is supposed to be the best in the area). I have an appt with my PTs on Wedneday next week but know we probably wont get any joy from them as they are always quick to put everything down to being RSD without ruling out anything else.

I had my knee bent slightly yesterday and after about 2 minutes, I got a lot of fluid build up in it and whenever I pressed down on it, it felt like it was really swollen so I definitiely think there is some swelling there, though it tends to come and go.

I just want some relief from the pain as it is really painful at times and brings tears to my eyes. It is making it worse also as my dad is being really awkward and saying that I am faking it or it can't be that bad - even though my leg is really swollen, blue and spasms all the time!!! My mum is constantly trying to tell him about RSD but he never seems to listen. I wish he would come to hospital appointments with me but he wont - he has been about 2 times in the last 2 years I have had RSD!!!!

Thanks again for the info. I will keep you all updated as to what we find out - hopefully I will get some answers soon!!
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Old 06-17-2009, 11:12 PM #6
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hey ali
ive had 3 knee surgerys in 04,,,useually clicking is a torn meniscus[ thelining bewteen the bones that seperates them,,very common surgery to repair,,,see your favorite orthepedic dr,, its not life threatning but its a pain,,,braces for temp releif are ok,,but its worth getting fixed right,,ive had it done 3 times with the contact sports i played,,,my o nly concern for you id the spread of rsd,,,,,keep us posted,,,yourm in our prayers,bobber
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