What Type of Doctor Diagnoses CRPS/Resource re: Treatment

Posted by georgescraftjr @georgescraftjr, Nov 30 10:57am

Two Sundays ago, I went to the ER because my right knee, lower right leg, ankle and foot swelled up like a club. I was in so much pain that I was unable to walk. At the ER, the focus was on ruling out a blood clot.

Last night, my left knee and foot swelled up again, and the pain (and my husband's pain) kept me up most of the night. This morning, I read the post by @songfamily2025 about CRPS, which I had never heard or read about. I looked up CRPS and noticed that I have most of the symptoms of that syndrome but have not yet been diagnosed. What specialist do I need to see?

I am so sorry for all of you who have been diagnosed with CRPS and who have been unable to find a solution to make your pain tolerable.
(I elevated my leg all night with pillows and moved an ice pack around to whichever part of my leg and foot was aching the most; and I alternated the use of the ice pack with the application of a heating pad. I also took several CBD capsules, which helped me sleep for short intervals.)

This morning, I found this website and want to share the link with those of you with CRPS:
https://pubmed.ncbi.nlm.nih.gov/
I haven't looked at any of the articles yet. Please let me know if the website is of any help to you. Hope so.

Blessings and best of luck to those of you who susffer from CRPS.

George's Wife

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

George's Wufe: Thank you for post on Xanex. I have CRPS and been on Xanex for a long time. I was always told never to just stop. It is one of those people who will be on it for the restcof my life. Tried to go down on the dose and did not do well!!! I pay a small co-pay and have no plans to go off. I also found THC gummies that work well on pain. I am off all of my pain meds except 3 day Fentanyl patch which I also will continue to use. I live in NJ and happy to have found them. Gentle hugs

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Profile picture for tgbcolorado @tgbcolorado

Hi,
My CRPS was not diagnosed until 14 months after my failed back surgery. 4 Spinal Fusions to cure Siatica. If I had never had surgery, which did nothing to help Sciatica, I would not have CRPS. I saw 15 doctors & PA's over that year and none would listen or acknowledge the CRPS. Finally my surgeon DX over the phone, like you I went on Google to view several different websites and realized I had every symptom including hair loss, sores all over my body, crowns & veneers coming loose, my right foot continues to swell and is always cold. My ankle has some paralysis making driving almost impossible.

I finally found a pain doctor that actually lists the condition on his website. I started PT & Chiropractor immediately 2 X a week for 4 months until UHC cut me off. I have new insurance starting JAN 1st so I hope to get back into the PT & Chiro.

I use a walker always at home because I have fallen several times due to feeling my right leg is shorter than my left so I trip. Last time resulted in a bruised rib on my left side which is very painful. We have removed all our throw rugs and I only wear "barefoot shoes", WateLves sold on Amazon.

Doctor is recommending SCS Spinal Cord Simulator, via Boston Scientific, which I will probably do the trial after the first of the year. I have heard positive things but not to expect 100% relief, 50 to 80%. I do not use pain meds, PT exercises help.

I wish you the best.

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@tgbcolorado Do not go on the SCS!! I know so many that have and works GREAT in the beginning (1 year) and then it stops working 💪. Do research on a web site called "Stuff That Works"!! Great site for support and help. Gentle hugs

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Thanks for the heads-up--and for taking the time to share this tip.

Bear hugs back to you.

An appreciative George's Wife

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Profile picture for rmshackelton @rmshackelton

@tgbcolorado Do not go on the SCS!! I know so many that have and works GREAT in the beginning (1 year) and then it stops working 💪. Do research on a web site called "Stuff That Works"!! Great site for support and help. Gentle hugs

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@rmshackelton Thank you for the response! I appreciate your feedback! tgb

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Profile picture for carol1024 @carol1024

@tgbcolorado it must be awful. I have battled sciatica and severe back issues for over 20 years. I had a salon in a retirement community for 20 years and that only exacerbated the problem. I went out on disability at 63. Took 4 months on the first try with all the MRI'S and scans they had. I REFUSE to have surgery but right now I have mild neuropathy in the same places on both feet and thighs will get numb if I stand in one spot too long. It's hard to know what's back related and what's chemo related so right now I'm just rolling with the punches. I know I could not survive without my pain meds. I've been on hydrocodone for 20+ years. I can tell when I'm overdue for one, every 6 hours unless it's really bad then it's every 4, because the pain will start. I'll check and see that it's been 8 hours since last pill, no wonder. I am amazed you can go through this with no pain relief meds.

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@carol1024
Hi Carol, I am sorry to hear about your pain and I wish I would of held off on surgery. The only way I control my pain is to do nothing but sit and work in a lounger or bed. I am considering the trial SCS because I HAVE to get moving, at least walk a couple of miles a day. I am so used to being active it depresses me. I have a wonderful partner, met him 3 years ago after being single living on my own. That was after a 25 year horrible marriage but two incredible kids who live close by and 3 grandchildren. That is what keep me going. I take 600mg Ibuprofen when I am going someplace, and were a back brace, usually a family function. Could not do it with my partner to hold on to. We all find our coping skills. Happy Holidays! tgb

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Profile picture for tgbcolorado @tgbcolorado

@carol1024
Hi Carol, I am sorry to hear about your pain and I wish I would of held off on surgery. The only way I control my pain is to do nothing but sit and work in a lounger or bed. I am considering the trial SCS because I HAVE to get moving, at least walk a couple of miles a day. I am so used to being active it depresses me. I have a wonderful partner, met him 3 years ago after being single living on my own. That was after a 25 year horrible marriage but two incredible kids who live close by and 3 grandchildren. That is what keep me going. I take 600mg Ibuprofen when I am going someplace, and were a back brace, usually a family function. Could not do it with my partner to hold on to. We all find our coping skills. Happy Holidays! tgb

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@tgbcolorado thanks for reply. I'm sorry for your pain too. Isn't it awful to get older. My bone pain starts today from a shot I get with cancer treatments. Not looking forward to these 4 or 5 days either. It stimulates my bone marrow to produce white blood cells to help immune system fight the cancer. I'll take it if there's a chance to survive though. My grandchildren and great grandchildren, just found out going to have 7th great 😳, live in Georgia 3 hours away. Not too bad of a drive. I've been single for over 20 years now and have 3 cats to keep me company. Lol
Who knows, maybe someone interesting might show up before long. 😉
Have yourself a very Merry Christmas and Happy New Year. God Bless 😇

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Profile picture for rmshackelton @rmshackelton

George's Wufe: Thank you for post on Xanex. I have CRPS and been on Xanex for a long time. I was always told never to just stop. It is one of those people who will be on it for the restcof my life. Tried to go down on the dose and did not do well!!! I pay a small co-pay and have no plans to go off. I also found THC gummies that work well on pain. I am off all of my pain meds except 3 day Fentanyl patch which I also will continue to use. I live in NJ and happy to have found them. Gentle hugs

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@rmshackelton I had same issue with xanax when confusion about script with substitute doctor. I was taking just 1 mg daily but they were 1/2 mg tablets. When I went through withdrawals, which was terrible, I decided to taper down. I started doing the whole tablet in the morning and 1/2 in the evening. I did this for about 2 MONTHS. Then I went to just one tablet daily but I'd take 1/2 in morning and 1/2 in evening. I did this for about 2 or 3 months. I have been on a half tablet, which is 1/4 mg, for over 6 months. I could quit if I wanted but got too much going on. I live in Florida and they really come in handy during a hurricane. I don't like being on stuff that when there's the possibility you must do without, it's really torture. The 1/4 mg daily really takes the edge off. It's enough. Merry Christmas and Happy New Year.

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I have CRPS and have myofascial pain as well as spinal issues from severe injury 26 years ago. I have had a spinal cord stimulator for 13 years. It is very helpful to me pain wise. It allows for me to still walk. I am allergic to many meds including pain meds. I can use pain patches, lidocaine cream, and biofreeze. I also have an incredible pain management doctor who gets rid of pain areas one at a time for as long as a year in some cases. Because of my allergy to anesthesias most surgeries have now been denied. I feel good about not having surgery as I witness both parents and only sibling have more than one back surgery and didn't end up much better than when they started.

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First off, I want you to stop using ice bags on your affected crps limb. As a general rule of thumb heat is good and cold is very bad for CRPS. Ice bags will cause vasoconstriction which already is a predominant feature of crps. I would try to use far infrared heat on your affected limb instead, this will increase blood flow and that again decreases your pain. Second, to answer your question, it typically will be a pain management specialist who will diagnose you. I have also heard stories of physical therapist who know about CRPS and catch the symptoms before a physician sees it. As others here say a neurologist should be able
to see the symptoms of
crps if you have them. I truly hope for your sake you don’t have crps. I’ve have dealt with it since 2020 and it absolute HELL, it has completely destroyed my life. I wish you all the best and I hope you find a sound pain specialist who can help you, early aggressive intervention is always recommended.

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