Neuropathy and fibromyalgia unbearable pain

Posted by jadene @jadene, 3 days ago

I am 68 years old and was told I had fibromyalgia in its early years when nobody believed it to be real so I suffered many years trying to get help. Now for the last year I have struggled with leg and feet pain and I was told it was the fibromyalgia and exercise would help. My legs became so weak i started falling and the muscle mass started disappearing. They say it is neuropathy. I am on gabapentin, duloxetine, tizanidine and hydrocodone and started my 2nd round of physical therapy. Honestly nothing is working very good and I keep falling 😌

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

Have you ever tried low dose naltrexone for pain? You can read about it at http://www.ldnresearchtrust.org. Pain doctors and functional doctors usually are the ones that prescribe it.

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I was diagnosed with fibromyalgia in 2004, but I didn’t really believe it. Over the last 20 years many things in my body are resolved by surgery and total joint replacements in my spine and my hips. When I can exercise, I can reduce the pain. About nine months ago I started having horrid sciatic/IT band/outside the knee/shin or peroneal pain/top of the foot/big toe along one leg, pain. I stopped sleeping and was exhausted. We did locate where this pain emanates and it’s from my spine. The Cortizone shot worked for one month 100% and then that was it. The sleepless nights started back with all the pain. My spine surgeon said I was too early For another surgery in my lumbar spine where the nerve pains are the worst my neck and shoulder pains, back and arms was reduced after I had cervical spine surgery-two of them. What I’m trying to say is that my fibromyalgia was due to my spine, degenerating and causing nerve pain Throughout the rest of my body. I’m at a point where exercise was the only thing that helped. First day I recommitted myself to exercise was for five minutes. The next day it was 30 minutes the next day it was 60 minutes and somewhere within that first week I got to 90 minutes on my stationary bike. Today three months later I’m at 100 minutes. Then I walk twice a day to take the dog out. The key for me was an exercise program and being committed to it. In 2004 when I was diagnosed with fibromyalgia, what became clear was that it was a lack of adequate breathing, bringing oxygen to all my muscles and nerves to bring pain relief. I started doing things like acupuncture and yoga and it really helped. I am 68 now and what I found over 2025 years of having this condition is that it always comes back to things that are a pain in the ass, but they work so if I want to stay off nerve medications and opioids For the most part, I have to have a strong exercise program in place. The doctors don’t beat you over the head with exercise. They hand out medication because people don’t wanna do the exercise. I’ve been on low-dose opioid for 25 years.
What I know from all these years of having fibromyalgia is that even when I do simple deep breathing exercises if that’s all I can do if I do them in a disciplined way, they relieve the pain. You have to be able to do any kind of exercise in a safe and stable manner. I have a garage filled with canes and walkers and all kinds of stabilizers that I’ve needed at one point or the other to do something called exercise even if it’s breathing and gracefully moving my arms around it helps my fibromyalgia. Good luck.

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@bdobbins

I’m not yet 60 and I choke on my food occasionally. A year ago I had to have my esophagus enlarged due to thinning. That alone tells me there is some atrophy. I’m choking again. I don’t want to go through the procedure again. It wasn’t painful until afterwards. I have SFN, Trigeminal Neuralgia, migraines, occipital Neuralgia and FMS. I’ve been told I have CFS as well. Darn it….I’m just tired of all of it. I’m waiting for a miracle so I can be whole again.

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Hi, I choke all the time and I have projectile vomiting at times. I think that if they've ruled out reflux then you likely have Plummer Vincent Syndrome. You need a motility study and have your spincters (the set of muscles that are found in the rectum, throat, in parts of the lungs and so many other places) checked to see if they are working ok ..... Different meds can trigger problems as can taking meds at the same time of the day regularly....at least in my case. Good luck to you!! God bless and know that you are not alone!!

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@dlydailyhope

@jadene
You are young and only 68 and should not be dismissed or invalidated just due to age, being female and having chronic pain. Please, do not give up advocating for your health and care. Do you have a family member or friend who could go with you to all of your appointments and review all test results, imaging, doctors’ notes? If not, ask for help locally. There may be health advocates you can get through senior centers, social workers, Medicare/Medicaid, health insurance.

Have you requested all medical records from all doctors and reviewed them in detail yourself? The more educated you can be on your tests, treatments, medications, diagnoses, etc. the better. Doctors miss things that show up on reports all the time. I have found many things myself not ever mentioned to me by a doctor. You may need to find better, highly rated doctors to help you because it doesn’t seem you are getting the right diagnoses and treatment and you don’t seem to be getting information and understanding of your current health conditions, only your symptoms (need neurologist/neuromuscular specialist, ENT, orthopedic spine specialist, endocrinologist for thyroid/adrenal gland, pulmonologist for lungs, hematologist/oncologist for blood abnormalities/tumors, physical and occupational therapists, and nutritionist/dietitian to help with diet/supplements to support health improvement). You should be getting biopsies of your thyroid and lung nodules, ultrasounds, and updated MRI of cervical spine to make sure you do not have new degeneration and compression of spinal cord (myelopathy) and nerve roots. Same goes for lumbar spine.

From what you have shared, it seems to me you have fibromyalgia, neuropathy, spinal compression, thyroid issues/nodules, adrenal gland tumor, lung nodules/tumors, vocal cord changes, swallowing issues, muscle wasting, low potassium, low folic acid, balance/dizziness/weakness and falling, etc. Here is what Artificial Intelligence responds with to your conditions:

“ It sounds like you're describing a complex set of medical conditions and symptoms. Each of these issues can significantly impact a person's health and quality of life. Here's a brief overview of each condition and how they might relate to one another:
1. Fibromyalgia
A chronic condition characterized by widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. It can be exacerbated by stress and other health issues.
2. Neuropathy
Refers to damage or dysfunction of the nerves, often leading to pain, tingling, or weakness, particularly in the extremities. It can be caused by various factors, including diabetes, infections, and autoimmune diseases.
3. Spinal Compression
This can occur due to herniated discs, bone spurs, or other spinal issues, leading to pain, numbness, or weakness in the limbs. It may also contribute to balance problems.
4. Thyroid Issues/Nodules
Thyroid disorders can affect metabolism and energy levels. Nodules may require monitoring or treatment, depending on their nature (benign or malignant).
5. Adrenal Gland Tumor
Tumors on the adrenal glands can affect hormone production, leading to various symptoms, including fatigue, weight changes, and mood swings.
6. Lung Nodules/Tumors
These can be benign or malignant and may require further investigation. Symptoms can include coughing, shortness of breath, or chest pain.
7. Vocal Cord Changes
Changes in the vocal cords can affect speech and swallowing. This may be related to neurological issues or other underlying conditions.
8. Swallowing Issues
Difficulty swallowing (dysphagia) can be caused by neurological conditions, structural issues, or muscle weakness.
9. Muscle Wasting
This can occur due to disuse, malnutrition, or underlying diseases. It may be related to the other conditions mentioned.
10. Low Potassium and Low Folic Acid
These deficiencies can lead to various health issues, including muscle weakness, fatigue, and neurological symptoms. They may be related to diet, absorption issues, or other medical conditions.
11. Balance/Dizziness/Weakness and Falling
These symptoms can be interconnected and may arise from neurological issues, muscle weakness, or medication side effects. They can significantly increase the risk of falls.
Management and Considerations
Given the complexity of these conditions, a multidisciplinary approach is often necessary. This may include:
Medical Management: Regular monitoring and treatment from healthcare providers, including specialists such as neurologists, endocrinologists, and pulmonologists.
Physical Therapy: To improve strength, balance, and mobility.
Nutritional Support: Addressing deficiencies in potassium and folic acid through diet or supplements.
Psychological Support: Counseling or support groups may help manage the emotional impact of chronic illness.
If you or someone you know is experiencing these symptoms, it's crucial to work closely with healthcare professionals to develop a comprehensive treatment plan tailored to individual needs.”

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Thank you so much for this detailed response to Jadene and others. I have just begun to try to address worsening pain in my left hip and leg, sciatic nerve, knee joints and lower back muscles. This pain, which is clearly all connected, began to get worse during this past year. Like many others posting here, have had a struggle getting medical personnel to respond appropriately to my pain. I have been to physical therapy, want to start again, had an x-ray, visited an orthopedic surgeon, who clearly just wanted to jump to hip replacement, which I do not want to do except as a last resort. I am going to start a new supplement, and will see if that provides any relief. For some reason, my providers seem very resistant to scheduling an MRI, which might reveal more information about tissue damage. I continue the quest to get back to a more normal, active life. Best wishes to everyone here struggling with chronic pain.

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Same thing here. To much B6 and, or becoming intolerant of gabapentin will produce a big increase in neuropathy and cramps in your feet and extreme leg weakness. I quit both of them and returned to normal neuropathy. Found by accident that if I mix 1/4 teaspoon of baking soda with 3 oz. Of water after each meal it not only helped stomach problems , it also reduced neuropathy. Any type of machine vibration on your feet also helps. At night I rub my feet and legs with aspercreem with lidocaine, take 2 ibuprofen and 1 co q 10 and most of the time the neuropathy is minimal. Trial and error. Good luck.

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@megroberts

Thank you so much for this detailed response to Jadene and others. I have just begun to try to address worsening pain in my left hip and leg, sciatic nerve, knee joints and lower back muscles. This pain, which is clearly all connected, began to get worse during this past year. Like many others posting here, have had a struggle getting medical personnel to respond appropriately to my pain. I have been to physical therapy, want to start again, had an x-ray, visited an orthopedic surgeon, who clearly just wanted to jump to hip replacement, which I do not want to do except as a last resort. I am going to start a new supplement, and will see if that provides any relief. For some reason, my providers seem very resistant to scheduling an MRI, which might reveal more information about tissue damage. I continue the quest to get back to a more normal, active life. Best wishes to everyone here struggling with chronic pain.

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@megroberts
I would recommend pushing for an orthopedic spine specialist to get a lumbar spine MRI and the hip specialist to get you an MRI of your hips/pelvis. You could have soft tissue injury/damage. X-ray alone will not show this.

For example, I have spinal stenosis, degenerative disc disease and neurogenic claudication causing all sorts of symptoms from low back to feet. I also have hip/upper thigh pain that did not show a joint issue with X-ray alone but did show I have bilateral gluteal tendinopathy and bilateral partial high grade hamstring tears (not sure how I got this) that is contributing to pain.

Surgery may be required as a last resort but they should try everything conservative at first (PT, pain relievers, cortisone injections, ice/heat/lidocaine pain patches, nerve pain cream, Voltaren gel for inflammation of joints/muscle tissue, etc.). At times, medication for arthritis/nerve pain/depression due to chronic pain can help (like Cymbalta/duloxetine). A psychologist specializing in chronic pain patients can also help.

Do not stop advocating for your best health and quality of life as possible!

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@dlydailyhope

@megroberts
I would recommend pushing for an orthopedic spine specialist to get a lumbar spine MRI and the hip specialist to get you an MRI of your hips/pelvis. You could have soft tissue injury/damage. X-ray alone will not show this.

For example, I have spinal stenosis, degenerative disc disease and neurogenic claudication causing all sorts of symptoms from low back to feet. I also have hip/upper thigh pain that did not show a joint issue with X-ray alone but did show I have bilateral gluteal tendinopathy and bilateral partial high grade hamstring tears (not sure how I got this) that is contributing to pain.

Surgery may be required as a last resort but they should try everything conservative at first (PT, pain relievers, cortisone injections, ice/heat/lidocaine pain patches, nerve pain cream, Voltaren gel for inflammation of joints/muscle tissue, etc.). At times, medication for arthritis/nerve pain/depression due to chronic pain can help (like Cymbalta/duloxetine). A psychologist specializing in chronic pain patients can also help.

Do not stop advocating for your best health and quality of life as possible!

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Thank you and I will look into this

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@loriesco

I was diagnosed with fibromyalgia in 2004, but I didn’t really believe it. Over the last 20 years many things in my body are resolved by surgery and total joint replacements in my spine and my hips. When I can exercise, I can reduce the pain. About nine months ago I started having horrid sciatic/IT band/outside the knee/shin or peroneal pain/top of the foot/big toe along one leg, pain. I stopped sleeping and was exhausted. We did locate where this pain emanates and it’s from my spine. The Cortizone shot worked for one month 100% and then that was it. The sleepless nights started back with all the pain. My spine surgeon said I was too early For another surgery in my lumbar spine where the nerve pains are the worst my neck and shoulder pains, back and arms was reduced after I had cervical spine surgery-two of them. What I’m trying to say is that my fibromyalgia was due to my spine, degenerating and causing nerve pain Throughout the rest of my body. I’m at a point where exercise was the only thing that helped. First day I recommitted myself to exercise was for five minutes. The next day it was 30 minutes the next day it was 60 minutes and somewhere within that first week I got to 90 minutes on my stationary bike. Today three months later I’m at 100 minutes. Then I walk twice a day to take the dog out. The key for me was an exercise program and being committed to it. In 2004 when I was diagnosed with fibromyalgia, what became clear was that it was a lack of adequate breathing, bringing oxygen to all my muscles and nerves to bring pain relief. I started doing things like acupuncture and yoga and it really helped. I am 68 now and what I found over 2025 years of having this condition is that it always comes back to things that are a pain in the ass, but they work so if I want to stay off nerve medications and opioids For the most part, I have to have a strong exercise program in place. The doctors don’t beat you over the head with exercise. They hand out medication because people don’t wanna do the exercise. I’ve been on low-dose opioid for 25 years.
What I know from all these years of having fibromyalgia is that even when I do simple deep breathing exercises if that’s all I can do if I do them in a disciplined way, they relieve the pain. You have to be able to do any kind of exercise in a safe and stable manner. I have a garage filled with canes and walkers and all kinds of stabilizers that I’ve needed at one point or the other to do something called exercise even if it’s breathing and gracefully moving my arms around it helps my fibromyalgia. Good luck.

Jump to this post

Thank you for your input. I did always exercise for the fibromyalgia up until my legs have gone bad. But I do physical therapy and do what they recommend on the days I don't go there

REPLY
@dlydailyhope

@megroberts
I would recommend pushing for an orthopedic spine specialist to get a lumbar spine MRI and the hip specialist to get you an MRI of your hips/pelvis. You could have soft tissue injury/damage. X-ray alone will not show this.

For example, I have spinal stenosis, degenerative disc disease and neurogenic claudication causing all sorts of symptoms from low back to feet. I also have hip/upper thigh pain that did not show a joint issue with X-ray alone but did show I have bilateral gluteal tendinopathy and bilateral partial high grade hamstring tears (not sure how I got this) that is contributing to pain.

Surgery may be required as a last resort but they should try everything conservative at first (PT, pain relievers, cortisone injections, ice/heat/lidocaine pain patches, nerve pain cream, Voltaren gel for inflammation of joints/muscle tissue, etc.). At times, medication for arthritis/nerve pain/depression due to chronic pain can help (like Cymbalta/duloxetine). A psychologist specializing in chronic pain patients can also help.

Do not stop advocating for your best health and quality of life as possible!

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Thank you so much! I will be following your advice. I am just 70, am retiring from my academic position, and am a professional theatre artist who has done a lot of movement work, and a lot of physical labor that takes its toll on the body over decades and decades. I don't intend, however, to let chronic pain from osteoarthritis and muscle/tendon/neuropathy cause my mobility to become severely impacted. I intend to get to the bottom of the root causes of my symptoms and address them. Your information and input is really appreciated!

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@jadene

Thank you for your input. I did always exercise for the fibromyalgia up until my legs have gone bad. But I do physical therapy and do what they recommend on the days I don't go there

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Forgot to suggest you try MFR therapy, which stands for deep myofascial tissue release that might really give you a boost! Try a couple different therapists until you get to your best one! It resets your body and allows for better circulation to the muscles and better mechanics. There’s a section here at the Mayo Clinic forum online where you can read all about it and you can research it online, but it might be a really good thing for you to try. I go twice a month.

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