No diagnosis chronic pain

Posted by liv1020 @liv1020, May 7, 2020

Hi everyone I'm new here. I would love some advice/comments on what I've been dealing with for around four months. It's a long story thankyou if you read and respond.
Around the end of January I started getting intense burning pain on the top of my legs and middle of abdomen. No rash or Marks on the skin just intense pain. I tried ibuforen, lidocaine gel, advil tylenol nothing helped. Started with primary care doctor she said to use lidocaine gel and ordered blood test. Blood test results all fine except for slightly low vitamin d deficiency. She said to start vitamin d pill I have been for months levels gone up and no relief in pain. Then went to pain clinic they did cortisone injections directly to abdomen. The injections gave me a horrible reaction that I ended up in the er for. Started on predisone and benadryl for 10 days. Once allergic reaction was gone same exact pain. They started me on lyrica made pain worse. I went to a dermatologist who said that it had to be nerve pain bc theres no rash on the skin she said to go to a neurologist. I went to him he did blood test ct scan and everything normal. I'm at a loss šŸ™ I've been on lyrica, gabapentin, tropokendi, cbd cream from neurologist, acupuncture/herbs, chiropractor and laser treatment, muscle relaxer and tramadol. I'm not on any medications right now everything seems to make it worse. And creams I put on my skin break it out horribly. I'm at a loss and so miserable. This is such a mystery and no doctors can help me. I want my life back šŸ™ !!!

Interested in more discussions like this? Go to the Chronic Pain Support Group.

@gingerw

@mrea Welcome to Mayo Connect. We are all patients, family members, caregivers here, and share our journeys with others.

Eleven years is a long time to have to deal with chronic pain! If you haven't already, writing down your pain history and what has been tried, along with success or failure, and when/how the symptoms affect you, will go a long way towards your new team helping you. It also helps you feel part of all the decision-making. It may point out patterns to them.

Which Mayo campus will you be going to? How can we help you today?
Ginger

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Hi Ginger....thank you so very much for your reply! I will be going to the MN location. Itā€™s nice because itā€™s only a 7 hour drive for us. I will definitely write down a brief history and who Iā€™ve seen and whatā€™s been done. Thanks again 😁🙏

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@richman54660

@mrea What you have to realize is doctors look for pain patterns. Stabbing pain in front of hip = hip arthritis, if this other pain, then sciatica, etc. However, if you have an atypical presentation then you won't get diagnosed properly. Also, Dr. Kuttner mentions this in the "life after pain" book - we all have abnormalities in our spines, other parts as we age. Someone else might have worse spinal discs (or other body parts) but no pain, someone with seemingly good discs has more pain. You might not show anything on images, but something is amiss. Pain can really not generally be diagnosed from imaging - perhaps with the exception of extreme bulging of discs - then it's pretty obvious what the source is. Otherwise, quite honestly, they are guessing. If you've noticed, on letters it often says the word "impressions". They are stating their expert opinion. It should be strongly considered but not necessarily chiseled in stone, either (also things change in our bodies with time).
Most of us with chronic pain do have some degree of pain sensitization, too (hence the "life after pain" programs to minimize pain sensitization).
Ponder the nature of your pain - is it nerves or is it muscle pain. That was not described in detail. Nerve pain: healthy fats + some supplements like turmeric, perhaps other vitamins. There is actually a protocol for neuropathy pain called "the protocol works" and there is a new one called "the protocol 525". There is a facebook group and with some hunting around you can find the protocols. He uses ridiculously high levels of fats (hemp seed oil) amongst other things and tends to say if you don't do this exact thing it won't work. I don't believe that and I came up with my own protocol for supplements based on research I did that uses lower levels of vitamins, minerals, healthy fats and supplements like turmeric and flavinoids and higher vitamin C that seem to help me. Be careful, because some things, like some of the B vitamins, if taken at too high a dose can actually cause neuropathy. If you have the Muscle pain - get the muscles to unlock/relax (i.e. loosen "trigger points"' but often microcirulation issues are present; Perhaps see Dr. Fors' book "why we hurt and how we heal"). Either way you might be able to make a lot of headway with the right stretching/exercise/self-massage for trigger points program as well as diet (and supplements).

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Thanks a million, @richman54660....itā€™s great to have support and appreciate you sharing your knowledge and experience with me! Thereā€™s always more I learn and am grateful to have folks like yourself that have also walked in my shoes. Far too many doctors here have basically told me itā€™s all in my head....well, I sure wish they could feel what I feel...then theyā€™d know, itā€™s not in my head. Thanks again!!

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@mrea

Hi Ginger....thank you so very much for your reply! I will be going to the MN location. Itā€™s nice because itā€™s only a 7 hour drive for us. I will definitely write down a brief history and who Iā€™ve seen and whatā€™s been done. Thanks again 😁🙏

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@mrea Forgive me if I missed this but, have you ever been seen by a neurologist or will Mayo MN be your first experience seeing one? I'm real happy for you finally going!

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@rwinney

@mrea Forgive me if I missed this but, have you ever been seen by a neurologist or will Mayo MN be your first experience seeing one? I'm real happy for you finally going!

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@rwinney Iā€™ve had a neurologist for many years. Itā€™s funny, but even with just a brief conversation with Mayo, they immediately scheduled me for their Department of Neurology....Iā€™m really impressed!

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@mrea

@rwinney Iā€™ve had a neurologist for many years. Itā€™s funny, but even with just a brief conversation with Mayo, they immediately scheduled me for their Department of Neurology....Iā€™m really impressed!

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Super! Every Neurologist is not built the same, as you may have heard already through this forum. They each have different levels of expertise and knowledge. Did your current neurologist offer you a skin punch biopsy?

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@richman54660

@mrea and @lioness Well said. A short summary is best. Remember, those of us with significant histories often overwhelm our Dr. and the visit may not go as well as expected. A short 1 page summary is better than 3 pages (which might overwhelm). Be sure to mention current chief complaint(s)/major (and minor symptoms), major impressions from past doctors and tests results from others and current and past meds. This might be a case where less is more. If you give him 50 pages of docs he might not really look them over (sad to say).

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@richman54660 I had to smile! When I moved up here, my hematologist oncologist sent on her records to my new oncologist, who I had picked out before the move. He is Mayo Clinic trained. They received 99 pages by fax, before I had even made the appt!

@mrea I have a bag that goes along with me. I admit to OCD tendencies, fair warning. In this bag are copies of all lab work for last 5 years, sorted by provider, plus chart notes. A separate folder has all biopsy results, scans, reports, etc. sequenced chronologically and indexed on first page. While it sounds to be overload, because I have a rare mix of issues, things can be and have been pulled from my bag during a dr visit, without having to go request/lookup.

@mrea Wishing you a safe drive to your appointment. I hope you let us know how your experience goes.
Ginger

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@gingerw

@richman54660 I had to smile! When I moved up here, my hematologist oncologist sent on her records to my new oncologist, who I had picked out before the move. He is Mayo Clinic trained. They received 99 pages by fax, before I had even made the appt!

@mrea I have a bag that goes along with me. I admit to OCD tendencies, fair warning. In this bag are copies of all lab work for last 5 years, sorted by provider, plus chart notes. A separate folder has all biopsy results, scans, reports, etc. sequenced chronologically and indexed on first page. While it sounds to be overload, because I have a rare mix of issues, things can be and have been pulled from my bag during a dr visit, without having to go request/lookup.

@mrea Wishing you a safe drive to your appointment. I hope you let us know how your experience goes.
Ginger

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@gingerriley I will absolutely let you all know how it goes 😁. Iā€™m kinda getting excited....who ever thought weā€™d get excited about seeing doctors 😂

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@gingerw

@richman54660 I had to smile! When I moved up here, my hematologist oncologist sent on her records to my new oncologist, who I had picked out before the move. He is Mayo Clinic trained. They received 99 pages by fax, before I had even made the appt!

@mrea I have a bag that goes along with me. I admit to OCD tendencies, fair warning. In this bag are copies of all lab work for last 5 years, sorted by provider, plus chart notes. A separate folder has all biopsy results, scans, reports, etc. sequenced chronologically and indexed on first page. While it sounds to be overload, because I have a rare mix of issues, things can be and have been pulled from my bag during a dr visit, without having to go request/lookup.

@mrea Wishing you a safe drive to your appointment. I hope you let us know how your experience goes.
Ginger

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@gingerw Now, I have to smile! You are my kind of girl. I too have a little OCD and have an accordion storage file system that can travel (if not too heavy for me to carry -haha).

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@rwinney

@gingerw Now, I have to smile! You are my kind of girl. I too have a little OCD and have an accordion storage file system that can travel (if not too heavy for me to carry -haha).

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me too back several years worth

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@lioness

me too back several years worth

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👍🏼

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