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 11-02-2008, 07:42 PM #41
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Thanks for the reply Karen,

No we have not noticed any real skin color changes. At first I used to see an area by her ankle change color from Blue to white at times but it did not stay one color or the other. Then I realized that the uneffected limb also had that shade from time to time. Are the color changes perminent or do that change back to normal from time to time?

Her skin is not sensitive to touch or air. Not yet anyway. It just hurts during the exams when the doc "pokes" her as she calls it (applies pressure to the areas that cause her pain). At first the Doc thought there may have been a slight diff in temp from her uneffected limb but then thought it could be due to the lack or use and circulation in the limb.

Thanks so much again for the response I was worried about the emg. Do you think it will show if their is an entrapment. Do you know what nerves should be tested?
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Old 11-03-2008, 01:51 AM #42
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The skin discoloration that comes with rsd is permanent and is always there. It started in my leg/foot and the only time it wasn't a blue/purple color was when I put the leg up. It's been 5 1/2 yrs now and is still the same. My hands and arms are discolored if I let them hang down at my sides.

The emg will show an entrapment or injury to a nerve or nerves. It'll show up as an abnormal reading. I don't know enough about the names of nerves around the ankle or foot to know what to test for or not to test. A thorough emg test will be done at several points in and around the point of pain.

What is her pain like? Like, is she always in bad pain or does the worst pain come only when she tries to use or move her ankle and foot? With rsd the pain is always there. It can vary in intensity depending on the weather, activity level, things like that. But it never lets you forget it! LOL Some days it's a real bad pain day for no reason as well. I hope I'm explaining myself well enough. It's hard sometimes to find the words to explain the pain. Using myself as an example, my pain fluctuates all day long. When I wake up it's pretty bad until my pain med kicks in. It goes up and down all day long too and can stay bad if it's raining or there's a cold front coming through. If I do too much I'll hurt a lot more. It is always sharp, stabbing and shooting. Since almost my whole body is affected it moves around. Sometimes my muscles hurt along with the rest of the pain and at times I can feel the pain in my bones. Taking tylenol or advil doesn't help relieve any of the pain at all. I can't help the pain go down by massaging a certain area or by just not moving it. One minute the pain will be ok, the next second I'll be in tears.

Does any of that sound like what she goes through? I hope I gave enough info so you know what I mean. With rsd it's a matter of doing extensive testing and ruling out everything else it might be. It's just there are some "classic" signs that the majority of us have that makes it clear it's rsd. I'd say the top 3 are the constant pain, skin discoloration and temp change. You can have rsd without swelling, without burning and without sensitivity. I've found those without sensitivity of any sort are a minority and might not be present at first but will usually pop up about 2 months. It usually doesn't take too long though.

Hope this helps you out.

Hugs,

Karen
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Old 11-05-2008, 11:25 AM #43
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Quote:
Originally Posted by GalenaFaolan View Post
The skin discoloration that comes with rsd is permanent and is always there. It started in my leg/foot and the only time it wasn't a blue/purple color was when I put the leg up. It's been 5 1/2 yrs now and is still the same. My hands and arms are discolored if I let them hang down at my sides.

The emg will show an entrapment or injury to a nerve or nerves. It'll show up as an abnormal reading. I don't know enough about the names of nerves around the ankle or foot to know what to test for or not to test. A thorough emg test will be done at several points in and around the point of pain.

What is her pain like? Like, is she always in bad pain or does the worst pain come only when she tries to use or move her ankle and foot? With rsd the pain is always there. It can vary in intensity depending on the weather, activity level, things like that. But it never lets you forget it! LOL Some days it's a real bad pain day for no reason as well. I hope I'm explaining myself well enough. It's hard sometimes to find the words to explain the pain. Using myself as an example, my pain fluctuates all day long. When I wake up it's pretty bad until my pain med kicks in. It goes up and down all day long too and can stay bad if it's raining or there's a cold front coming through. If I do too much I'll hurt a lot more. It is always sharp, stabbing and shooting. Since almost my whole body is affected it moves around. Sometimes my muscles hurt along with the rest of the pain and at times I can feel the pain in my bones. Taking tylenol or advil doesn't help relieve any of the pain at all. I can't help the pain go down by massaging a certain area or by just not moving it. One minute the pain will be ok, the next second I'll be in tears.

Does any of that sound like what she goes through? I hope I gave enough info so you know what I mean. With rsd it's a matter of doing extensive testing and ruling out everything else it might be. It's just there are some "classic" signs that the majority of us have that makes it clear it's rsd. I'd say the top 3 are the constant pain, skin discoloration and temp change. You can have rsd without swelling, without burning and without sensitivity. I've found those without sensitivity of any sort are a minority and might not be present at first but will usually pop up about 2 months. It usually doesn't take too long though.

Hope this helps you out.

Hugs,

Karen
Hi Karen,
The pain she feels is constant, pressure ache (7-8 of 10) all the time but intensifies with activity PT walking long days at school even though she uses crutches. Pointing her foot causes more pain and flexing it causes much much more pain. Motrin 600 mg 3 times a day helps take the edge off the pain for 4 of the 6 hour dose. We are trying Lidoderm 5% patches but they don't seem to be helping. May be too soon to tell.

We are taking her to the soft tissue doc today for possible nerve flossing. I'm not sure what that is exactly but feel a need to rule out nerve entrappment before we go back to cleveland clinic in Dec. I'm nervous explaining this to the other Mi docs Thursday. I hope they will still be willing to help do diagnostics like emg to also help rule out entrappment/inpingment.
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Old 11-05-2008, 11:26 AM #44
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247Pain,

I am so very sorry to hear about everything that your daughter is and has been through . Unfortunately I don't have any answers for you but just wanted to say that I wish you all the best and really hope you can get some much needed answers real soon. Please keep us all updated.

I have RSD in my left leg and right arm, I developed it in March 2007 when I was 12 years old, I am now 13. If I can help you in anyway, please just let me know, I am more than happy to help you and your daughter has I know how scary it can be dealing with such an horrible illness, especially at such a young age.

About the colour changes, my leg and arm can go from being the normal colour one minute to being purple, black or red the next. It is pretty scary. Everyone is different and not 2 cases of RSD are the same. I have tried many treatments and not many have worked for me, I have tried so many medications that I have lost count and the only one that has any impact on my pain is Ketamine. It is really scary being on such a strong med at my age. I have been on 2 intense Physical Therapy programs and the first one helped me (I was stuck in a wheelchair for 13 months) but the second one didn't help me at all.

Am keeping you, your daughter and your family in my thoughts and please know I am here for you

Love, Alison
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Old 12-21-2008, 07:11 AM #45
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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

Hello,

Could you please provide me with any information regarding this Dr. My sister has RSD and it pains me to see her in the condition that she is in. My family and I are at our wits end, we do not know how to help her. Her doctor does not seem to know much about RSD. Please provide us with how to reach your Dr. so that they can look at my sister and decide if she is a good candidate for them. Any information is appreciated. God Bless.
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Old 12-24-2008, 12:40 AM #46
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Some people get the "chameleon effect". My hand changes colors without warning from yellow to reds and blues. Usually it's shiny when this happens and sometimes mottled.

It did it most back between about the 4th and 6th years but still does it once in a while. I can't really associate it with much of anything though it seems to be more likely after flares.
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Old 03-18-2009, 03:11 PM #47
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Default hhhmmm, what kind of doc would likely listen to nerve entrapment theory????

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

i have never used this forum, so i hope this part shows up........i don't think i have this either.....i had a terrible injury with compartment syndrome as a complication, but i can't believe i now have RSD/CRPS of any kind.....does anyone have an idea for type of doc who would listen?????
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Old 03-18-2009, 06:22 PM #48
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Hello wyldrose,
I copied your post to a new thread just for you, so more will say Hellos -and add their thoughts.

your new thread here-
http://neurotalk.psychcentral.com/sh...242#post483242
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Old 03-18-2009, 10:04 PM #49
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Hello Sage, and welcome to NeuroTalk!
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Old 03-20-2009, 08:16 AM #50
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Default Not everyone has significant skin color changes

It's important to remember from a diagnostic standpoint that not everyone with CRPS/RSD experiences significant skin discoloration and/or swelling. I am in this group, although I've had CRPS for 4 years, which is now in the entire right side of my body. I don't experience noticeable swelling, and although the skin on many areas of the right side of my body (particularly my hand/arm/feet/thighs/cheek) often turn red when cold, this redness goes away when I warm up.
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