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 05-14-2008, 12:48 PM #31
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Default I recovered from RSD. Don't lose hope.

Hello

I have only just joined this site. I found it a while back when I was looking for something positive about rsd. I have to say most of what I found on the internet was very negative and didn't offer much hope.

I have recovered from rsd in both knees which spread to most of my legs. I could barely walk. I was in constant pain for 9 months.

I am no longer in pain and haven't been for months. I have continued to improve slowly but steadily and am gradually building the muscle strength in my legs back up. I am walking further and further. I can now walk over half an hour before resting. The most number of steps in one day - 16,000.

So you see, there is hope. It was quite a journey to recovery and I learnt a lot along the way. I am thinking of writing a booklet, detailing how I did it. Would anyone be interested?

Please, don't send any negative, voice of doom and gloom replies.

Ness
In sunny England
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Old 05-15-2008, 01:20 AM #32
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Default Hi Ness,

Welcome to the forum.

I think any of us would like to know how you got to where you are. Any good info is appreciated to help get others to where you are today.

I am pretty much in remission today from the RSD but it sure hasn't been an easy road. Mine started around 2000 when I had TOS surgery. I actually think though I had it in 98 from falls I had but the surgery just multiplied it.

I went into councelling and was encouraged to walk and pray. My Dr. told me to keep saying to myself as I walked, " God give me strength" and I walked and cried from the pain for years and got good medical care. I can't say these last 10 years have been the hardest because I became sick in 87 but after RSD it seemed my world came to an end.

I have gone back to walking. I have found me some good shoes. I bought some curve sandels from Avon that are fantastic and in the winter I wear New Balance. I still walk and cry at times but I think in the end it's worth it. I believe walking is the lesser of the 2 evils. Walking or strenous PT.

It would be great to hear your story of how you got to where you are and in just 9 months. Wow.

Ada
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Old 05-16-2008, 08:58 PM #33
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ADA,
This gal was just a visitor. Who knows when or if she/he will be back to tell us their story.

It was sorta rude to say all that, but to NOT say how she was cured or what they did to become cured in my book. They have to know from all the negative they read on line about RSD how badly people anywhere would love to know how they were cured.

DebbyV
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Old 05-16-2008, 09:10 PM #34
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Default Hi Debby,

Sometimes people leave for emergencies or other issues. She may be back and she may not. At any rate, I answered her. At least she knows if she comes back that people are interested in what she has to say.

I hope you are doing better.

Ada
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Old 05-21-2008, 12:17 PM #35
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Default Sorry

So sorry - didn't mean to be rude by not replying sooner. This is the first forum I've ever been on and I'm a bit new to it all. I went to the seaside for a few days to Dorset and then my parents have been visiting. I have also been finding it hard to summarise and put into words everything that has happened to me over the last year and a half. It is also hard because part of me just wants to forget about how traumatic it all was and just move on and live my life. I think that is maybe why there are not so many recovery stories around ( I could be wrong). However, I really do want to help if I can and so I am putting together a summary of everything I did to get better and everything I read that was useful (I tried a lot of things and a lot of them helped) and will post this as soon as I have finished it, on this site. I am then going to try writing a booklet with a bit more detail as I feel that this is needed. When I was recovering, I did not find a book written by someone who recovered completely or believed that you could, and believe me I could have done with that. That's why I'm going to try to write one. When I was first diagnosed I was terrified I would never recover and that I would never walk again. In my darkest hours I even told my boyfriend I would commit suicide if I could never walk again. As you know, constant pain can break the strongest of people. Going walking in the countyside was my life, my escape, my freedom. When I was diagnosed with RSD, I lost all that and a lot more.
I know I am extremely lucky to have recovered. Nothing I can say will fully convince you that you too can recover and I do not want to be patronising in any way, but I want to give you the most useful information I can, so please bear with me while I put it all together. In the meantime, please, please , please, get Dr Sarno's book - 'The Minbody Prescription' and give it a try. I'm aware not everyone can accept his theories, but please give it a go. It was recommended to me by my NHS GP, who told me a patient of hers with a Chronic Pain Syndrome similar to mine had tried it after years of pain and she was pain free after working with this book. The book was a part of my recovery too.

Love
Ness
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Old 07-31-2008, 10:13 AM #36
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Default RSD recovery

My son developed RSD after a crush injury to his right hand.He was only 18 yrs. old. He was diagnosed about 3 weeks after the injury by a small town family Dr. Of coarse the Ins. wanted a different diagnosis, so they kept sending him to different Drs. Each one diagnosed him with RSD. His hand would swell so much, he developed stretch marks. It would change color from white to blue to purple to red and back again. He could not use his right hand at all, he was in constant pain. His pain management Dr. kept him on Percocet, Oxycotin, Neurontin, anti-depressants, sleeping pills. He could not use his right hand at all, he became totally left-handed. The Ins. Co. sent him to a Pain Management Clinic almost 1000 miles away. We lived in a hotel for 6 weeks. This Clinic did not accomplish anything. We kept asking his pain dr. about HBOT, but Insurance wouldn't pay. My son ended up paying for treatments on his own, they were expensive, but that was the best therapy he had. ( He had all the typical RSD treatments: stellate ganglion blocks (useless), physical and occupational, and pool therapy, psychological help, etc. etc.) After about 25 HBOT treatments, he had to discontinue because of the cost. But his hand ceased the swelling, the color changes, and the pain dramatically decreased. He was able to decrease his pain medications dramatically. His last treatment was a year and a half ago. While he is not totally pain free, he has been off the Oxycotin for quite some time, and only taking Percocet occasionally. His hand looks normal, and he has regained about 95% use of his hand. He is getting ready to go to college now. I am so thankful for his recovery!!!!!!!!!!! I just want to let other RSD patients know that there is HOPE!!!!!!!!!!!!!
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Old 11-01-2008, 11:46 AM #37
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Default entrapment/inpingement or RSD?

Quote:
Originally Posted by lisashea View Post
I have completely recovered from RSD but I guess the question really is, " did I really have RSD or not?" Let me tell you my story and you can comment on what you think about it.

In 2001 I stood up from my chair at work and my left ankle just collapsed under me. This had happened many times in my life since an initial ankle sprain when I was 14. This time the sprain didn't seem that bad- not much bruising, not a huge amount of swelling. I just figured it would get better like my sprained ankles always did.

This time was different. The pain started to spread up the side of my leg. 1st to half-way up to the knee then further up my leg. Within 6 weeks I was diagnosed with RSD and referred to pain management.

I went for 2nd, 3rd, 4th, 5th opinions while getting lumbar blocks and doing everything a "newly diagnosed" rsd patient was supposed to do. All other doctors agreed with the RSD diagnosis. Clear cut case with all the symptoms except never swelling.

4 yrs passes and I keep trying everything I can. HBOT, accupuncture, week long epidurals, ketamine, more drugs than I care to remember, herbology, cranial sacral, applied kineisiology, I can go on and on with what I tried.

I am also being seen by 1 of the big-wig RSD doctors, Dr. Daniel Carr. I have shrunk from 125 to 101lbs and look like hell. The pain has spread up my entire left side including my face, eyelid, nose and ear, left arm and right foot and leg. I am suicidal at times and find great support from my family of RSD friends who post on a forum just like this one.

Then my doctor informs me that he will no longer be seeing patients and is off to teach the world about RSD. I must then find a new doctor. No small task after seeing so many previously over the past yrs.

I go to a new doctor who is recommended by my chiropractor. He believes that my diagnosis of RSD is not right. Doesn't know what it is but says that this doctor friend of his is like a medical detective. So, I go see her.

She tells me that she has had 8 patients in her medical career who were diagnosed with RSD but who had nerve entrapments in their ankles all due to ankle sprains. She thinks I am her 9th patient. This theory is not news to me because I had been telling doctors for years that I had 2 trapped nerves and could name them!

I had trapped my ulnar nerve in my elbow 20 yrs earlier and my pain felt EXACTLY the same just in my ankle not my elbow! I had 4 operations to fix that problem but back then doctors would do "exploratory surgery" where now malpractice is a much bigger deal.

Anyways, her plan was to do nerve blocks on these particular nerves. The EMG I had didn't test these particular nerves so it was negative. She needed to proove to surgeons that these nerves were trapped and needed to be surgically freed.

While I awaited my next appointment, which wasn't for another month, I went to my chiropractor in tears because her exam of my foot made the pain so much worse. I was back on crutches and could not bear any weight at all. Once I told him that the theory was entrapped nerves he said that he could "traction" my foot(move and spread all the bones) and move the tallus bone on top of the foot and few other things. He did not know if this would help of not but it was worth a try. He works for the NE Patriots football team and does this adjustment to the players on the field when their feet get mangled.

Within 10 days of his 10 minutes of work on my foot, ALL of the RSD symptoms disappeared. I awoke on day 11 with that "feeling" gone.

It has taken 2 full years of rehab and intense pt to gain back all the muscle lost to atrophy but I finally have been discharged from medical care and began working again fulltime just 2 weeks ago. I no longer have any pain anywhere in my body. It was a long, frustrating hard road but I made it.

My medical records state that "It is a miracle" but I'm not sure I beleive that. The medical explaination of my rsd symptoms was that because the nerves were trapped, my nervous system became hyperactive which causes the host of rsd symptoms. In a sense, I had a "curable" type 2 RSD. They had thought that I had nerve damage when I really had nerve entrapment that could be fixed. I knew it all along but no one would listen to a mere mortal without an MD!

So that is my story of recovery. I have been put in contact with another woman in Canada who recently had surgery to un-entrap 4-5 nerves in her foot and she too has awoken with the rsd-type pain gone. She's got a long road ahead of her but when she woke up she said the pain was totally different. That is how I felt after my surgeries on my ulnar nerve over 20 yrs ago. There is also many case studies on rsd and nerve entrapments now in 2006 but in 2001-2004 there was nothing out there published.

Questions that I still have:

- did I have RSD or not?
- was it really the chiropractic adjustment or was it a combination of all the therapies I tried?
- did my use of ketamine play any part?
- would my RSD have resolved itself if my chiropractor didn't make those adjustments?
- why didn't all of Boston's Best Doctors figure this out sooner?

That's it in a nutshell. Unfortunately, the forum that I used to post to(braintalk) crashed and does not have all of the hundreds of posts available for you to search thru and read. I was very active and posted alot about all of my experiences with the different alternatives that I tried.

I would be more than happy to answer any of your questions or help you in any way.

I am hoping that if just 1 person recovers because of my story then maybe, just maybe the suffering I endured for so long will be worth it in some strange karmic sort of way.

Peace and HOPE to you. Never give up trying to find YOUR cure.
Lisa
Hi Lisa,
Your story is very interesting to me. For 10 months my daughter has been in constant pain. x ray and MRI show nothing conclusuive. No bone scan or MRI yet.

She has been to 2 ortho surgeans 3 PT's 2 pediatric orthos and 1 pedatric rehapd doc. She had a previous sprain in 10/06 which she continued to reinjure and irritate until June of 07. It resolved over the summer and all seemed well. In Jan of 08 she was playing in gym landed a little hard on her left foot (not too hard just a little hard) and from that moment on she has been in constant pain.

The constant pain seems to be in the ligaments around her outer ankle bone and in the area of her achilles tendon. It is not burning but it feels like constant pressure and it sometimes sharp. when she points her foot it hurts more and when she flexes it it hurts much much more. She walks slighlty on her toe on that foot, can not plant her heal to the ground without pain and it hurts to bear weight. She gets around on crutches.

Lately she occassionally gets pain high in the inner ankle which is sudden and radiates forward 4 inches. This type on pain, in the inner ankle, she can sometimes, anticipate and "nip it in the bud" by stopping her movement and rubbing the area. This happens when she is trying to put on sock, adjust covers with her feet... He calf is very tight which may complicate the achilles pain.

At first we treated it as a sprained ankle with isolation, ice and pt. Then U of M rehab doc thought is was RSD. But when she didn't respond to one sympotheic nerve block and 400 mg 3 times a day thought it may not be nervey pain. She had botox injections to loosen the calf and help the achilles. She gained a little in flexibility but no pain relief in fact, the pt agrivated the pain to an unbearable level.

The rehab doc wants to consult with the ped ortho doc again. We are scheduled for cortisone injections and an emg in Nov through u of m.

I took her to Cleveland Clinic to another pediatric ortho doc who spent 10 minutes with her and told us she had RSD because her injuries are too global to be structural or soft tissue entrapment. We did not discuss nerve entrapment. He said that the cortisone shots may make the rsd worse. I forgot to ask if the emg could hurt.

My daughter's emg would be on the peroneal and sural nerves. I noticed in your entry that the emg you had did not test the right nerves, you knew which ones they were, and your detective type doctor was planning to do a nerve block on thoses specific nerves. Can you tell me which nerves you suspected were trapped? I want to make sure if she has a painful and exspensive procedure it gives us good info.

We are considering going to Cleveland Clinic for 3 week pain program to treat her for rsd. And we are going to a soft tissue doc next week for an exam and possible nerve flossing. We meet with the U of M pediatric rehap and ortho docs next week as well.

We are so confussed and do not know which way to turn. If it is rsd we have wasted too much time already since chance of remission depends on early treatment and I would hate to put her through the intensive pt at the clinic it her problem is really nerve entrapment that pt won't help ( and could hurt unbearably) until the nerves or soft tissues are released.

For sometime I have suspected nerve entrapment because it was fine one moment and constant pain the next. But, wouldn't that have responded to neurontin and the sympathetic nerve blocks?

I'm hoping Any insight into your experiences may provide clues into hers. I think we also need a "detective Doctor." We are starting to realize that are best info will come from patients that have been through this. Thank you so much for sharing. I'm new to this forum and hope I can figure out how to get your reply.

Thanks again.
One Worried Mom
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Old 11-01-2008, 01:35 PM #38
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247Pain,

I am so sorry to hear about everything that your daughter and yourself are going through . I have RSD in my left leg and right arm, I developed it when I was 12 years old after an ankle sprain, I am now 13.

Like your daughter, I have tried many treatments to try and get rid of some of this pain but nothing seems to help that much. I have been onto 2 intense Physical Therapy programs, the first program helped with my mobility a bit but didn't take any of the pain away and the second one didn't help at all. I am due to return back onto the program in January to have my leg casted, which you are not supposed to do with RSD. The only med that has helped with my pain is Ketamine, which I am now on. It takes my pain down from an 8 and a half out of 10 on the pain scale to a 6 but I get horrible side effects where I feel and act like I am drunk!!

If you or your daughter would like to talk, I am more than happy to help you and tell you my experiences. I know how scary it can be dealing with this illness.

I hope you get some answers soon and Welcome to Neurotalk!!

Alison
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Old 11-01-2008, 02:03 PM #39
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Hi Lisa,
Your story is very interesting to me. For 10 months my daughter has been in constant pain. x ray and MRI show nothing conclusuive. She has been to 2 ortho surgeans 3 PT's 2 pediatric orthos and 1 pedatric rehapd doc. She had a previous sprain in 10/06 which she continued to reinjure and irritate until June of 07. it resolved over the summer and all seemed well. In Jan of 08 she was playing in gym landed a little hard on her left foot (not too hard just a little hard) and from that moment on she has been in constant pain. The pain seems to be in the ligaments around her outer ankle bone and in the area of her achilles tendon. It is not burning but it feels like constant pressure and it sometimes sharp. when she points her foot it hurts more and when she flexes it it hurts much much more. she walks slighlty on her toe on that foot and it hurts to bear weight. She gets around on crutches. Lately she occassionally gets pain in the inner ankle which is sudden and radiates forward 4 inches. This type on pain, in the inner ankle, she can sometimes, anticipate and "nip it in the bud" by stopping her movement and rubbing the area. This happens when she is trying to put on sock or moving covers with her feet...

At first we treated it as a sprained ankle with isolation and therapy. Then U of M rehab doc thought is was RSD. But when she didn't respond to one sympotheic nerve block and 400 mg 3 times a day thought it may be something structural and wants to consult with the ped ortho doc again. We are scheduled for cortisone injections and an emg.

I took her to Cleveland Clinic to another pediatric ortho doc who spent 10 minutes with her and told us she had RSD because her injuries are too global to be structural or soft tissue entrapment. We did not discuss nerve entrapment. He said that the cortisone shots may make the rsd worse. I forgot to ask if the emg could hurt.

My daughter's emg would be on the peroneal and sural nerves. I noticed in your entry that the emg you had did not test the right nerves, you knew which ones they were, and your detective type doctor was planning to do a nerve block on thoses specific nerves. Can you tell me which nerves you suspected were trapped? I want to make sure if she has a painful and espensive procedure it gives us good info.

We are considering going to Cleveland Clinic for 3 week pain program to treat her for rsd. And we are going to a soft tissue doc next week for an exam and possible nerve flossing. We meet with the U of M pediatric rehap and ortho docs next week as well.

We are so confussed and do not know which way to turn. If it is rsd we have wasted too much time already since chance of remission depends on early treatment and I would hate to put her through the intensive pt at the clinic it her problem is really nerve entrapment that pt won't help ( and could hurt?) until the nerves or soft tissues are released.

For sometime I have suspected nerve entrapment because it was fine one moment and constant pain the next. But, wouldn't that have responded to neurontin and the sympathetic nerve blocks?

I'm hoping Any insight into your experiences may provide clues into hers. I think we also need a "detective Doctor." We are learning that the best info may come from other atients that have gne through similar experiences. Thanks for sharing.

One very worried MOM
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Old 11-01-2008, 09:23 PM #40
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If it's nerve entrapment aka nerve impingement then it wouldn't respond to a block or meds. The only way I know of to relieve the problems from that is to have surgery to release the nerve.

An emg shouldn't hurt. I had one and other than muscle soreness for a couple of days I was ok. The neuro I was seeing did it from lower back to ankles. I see mostly ones that have touch sensitivity find emg's really painful. I'm glad I didn't have it then, just air sensitivity. :-)

If it is something to do with tissues or whatnot then an MRI would show if anything is wrong. A bone scan will show bone changes, if any, but that's the extent of it. Oh it'd also show any healing fractures in the bone. My knee was fractured but had been diagnosed as "only badly bruised". If I'd known it was broken then I sure as heck wouldn't have been walking on it a week and a half later! LOL

Not responding to a sympathetic block doesn't mean you don't have rsd either. From the research I've done not getting relief could mean the pain is independent.

Does your daughter have skin discoloration? Like turning very red or purplish/bluish colors? Does the temp of her skin in the area feel very cold or very hot? Those signs are "usually" at the top of the list with rsd, along with pain, swelling and touch and/or air sensitivity.

I hope the docs can get to the bottom of what's wrong and be able to fix it. Hoping even more she really doesn't have rsd.

Hugs,

Karen
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