Year Long Progression of Neurological Symptoms. Exhausted. Angry.

Posted by sherwood06 @sherwood06, Jan 13, 2022

These last few years have been nothing short of exhausting. I am 42, and for the past 1-2 years I have been running from Dr's offices, lab tests, imaging, etc... If a symptom is neurological, good chance I have had it. It's almost a joke. The most consistent symptoms are burning/sweating feet, right-legged weakness, tinnitus, involuntary finger flexion, and overall muscle twitching. My cognition is now greatly impacted as I have brain fog, memory issues, and dampened processing ability. The symptoms tend to come and go. On average, I would say I have 3-5 days of "relief" followed by two weeks of heightened symptoms. There is no catalyst (at the conscious level). I've kept a detailed diary trying to isolate a trigger...diet..sleep..mood..etc... When my sleep is affected, its hypnogogic hallucinations, hypnic jerks, sleep apnea, tinnitus. Daytime symptoms include limb and finger tremors, random shooting pains, headaches. I've heightened my meditation practice, trying to practice greater acceptance and compassion for my situation, but it doesn't seem to matter. I will be hit with new symptoms that seem like cause for concern. Any one of these symptoms could warrant a trip to the ER. (I have stopped taking that route.) In my search for answers, I have had blood work, MRI's, nerve conduction, sleep studies, eeg's, small fiber biopsy, neck surgery (possible stenosis), etc...Nightmare. All the major players have been ruled out. I was recently diagnosed with FND (MGH BOSTON), which at some level makes sense, but it also leaves a lot of uncertainty. Currently, as I type this, I have significant brain fog and my quads are burning (anything my pant is touching) and twitching. Last night I woke up with hissing in my ears (felt like someone had turned up the volume sensitivity) and my head did some random twitching upon waking.
Anything neurological is fair game it seems. As I said, it feels like a bad joke. I'm curious if anyone else has had such a rotating cast of symptoms, with no pattern to presentation, and no resolute cause. I have had trauma in my life, but even PTSD doesn't present in this fashion. I wish I could say I wasn't in good hands, but I am seen at MGH in Boston. If anyone has any advice or suggestions, I would love to hear them. I am open to thoughts on psychosomatic, spiritual, causes as well... Thanks

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@rwinney

@sherwood06 I do not mean to cast doubt, and am in no way suggesting things can not or will not improve. I am a big proponent of keeping hope alive, and learning all you can while doing so.

CSS and FND, both being neurological disorders, appear to be similar in that each are treated with cognitive behavioral therapy, physical therapy, reduced chemicals and emotional therapy. You might find this article from Mayo helpful:
https://www.mayoclinic.org/diseases-conditions/conversion-disorder/diagnosis-treatment/drc-20355202
I have no medical training, only experience with my personal neurological health journey concluding with CSS and Mayo Clinic's 3 week Pain Rehabilitation Center (PRC). Here is information about PRC:
https://www.mayoclinic.org/departments-centers/pain-rehabilitation-center/sections/overview/ovc-20481691
How are your doctors currently helping you? What is your plan moving forward to manage your present symptoms?

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Thanks for the further info. There are parts of CSS that definitely sound accurate to what I experience. But my guess is that FND, CSS, Fibro, etc...all cross and intersect causing blurred lines. And I'm not sure how important it is to nail down a diagnosis, once the major treatable players are ruled out (MS/Parkinsons etc..). They all seem to be psychosomatic in nature, making treatment plans very similar,( and vague!)
When I look up CSS, it seems to focus a lot on pain...which I do not have a lot of...knock on wood. What are your thoughts on that? I have burning feet, weakness, tremor, and everything else I mentioned...but not pain. Having said this, I do believe my CNS is overreacting to basic stimuli, (foot touching sock, pant touching leg etc... resulting in neuropathy).
My discharge papers after being diagnosed with FND were a follow-up with a psychologist, psychiatrist, and to review 2 websites that had info on FND. Pretty underwhelming I would say considering how hard I worked to get into MGH and their FND specialty department.
I believe my body is in over-protection mode...stuck in some sort of fight/flight. Trauma-based response. For instance, I've lived in hockey rinks my whole life, and suddenly I have a startle response to pucks hitting the glass etc... Never happened before.
And so while I am always managing symptoms, I believe this is my body's way of telling me there is underlying stressors but at the subconscious level, which is what makes the vastness and unpredictable nature of my symptoms so frustrating.

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@sherwood06

Thanks for the further info. There are parts of CSS that definitely sound accurate to what I experience. But my guess is that FND, CSS, Fibro, etc...all cross and intersect causing blurred lines. And I'm not sure how important it is to nail down a diagnosis, once the major treatable players are ruled out (MS/Parkinsons etc..). They all seem to be psychosomatic in nature, making treatment plans very similar,( and vague!)
When I look up CSS, it seems to focus a lot on pain...which I do not have a lot of...knock on wood. What are your thoughts on that? I have burning feet, weakness, tremor, and everything else I mentioned...but not pain. Having said this, I do believe my CNS is overreacting to basic stimuli, (foot touching sock, pant touching leg etc... resulting in neuropathy).
My discharge papers after being diagnosed with FND were a follow-up with a psychologist, psychiatrist, and to review 2 websites that had info on FND. Pretty underwhelming I would say considering how hard I worked to get into MGH and their FND specialty department.
I believe my body is in over-protection mode...stuck in some sort of fight/flight. Trauma-based response. For instance, I've lived in hockey rinks my whole life, and suddenly I have a startle response to pucks hitting the glass etc... Never happened before.
And so while I am always managing symptoms, I believe this is my body's way of telling me there is underlying stressors but at the subconscious level, which is what makes the vastness and unpredictable nature of my symptoms so frustrating.

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@sherwood06 You really nail so much on the head with your analysis of ruling out major treatable players like auto immunes. Although my symptoms mildly began as a child it wasn't until age 41 that major changes began. I had every test under the sun because process of elimination is important, but I put myself through misery in doing so, because I was damned if I was not going to find answers in hope of a "fix". I look back and see how the fear and panic induced stress, worry, and catastrophizing thoughts which upregulated my CNS even more. Fight/flight mode is exactly it. Underlying stressors is exactly it. Intersecting blurred lines is exactly it. You've got your finger on it.

Do you feel your doctors have ruled out diseases or conditions? Do you want a second opinion? It's very important to make sure you feel confident before you are ready to move on and learn how you are going to manage and calm your neurological condition.

Whether someone has chronic back pain, migraines, Fibro, CSS, FND, etc...the end result remains the same, there has been a neurological upregulation in the CNS and the body has not healed normal, responded or moved on, resulting in getting stuck in chronic conditions. The good news is there is a comprehensive game plan of calming the system, re-teaching/training (neuroplasticity), strengthening and behavioral changes are going to help. Whether you chose Mayo PRC, another rehab, or tackle it yourself (which I think you can do), you've got this!

I'm very glad you are not experiencing pain. Your other symptoms however can not only be annoying, but disruptive, I get that more than know and am willing to help in any way I can by sharing my experience and tools.

What is your next step?

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Sorry you are having such challenges. Have you considered Mast Cell Activation Syndrome?

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@jenniferhunter

Hello Sherwood06 and welcome to Connect. I wasn't sure what FND "Functional Neurological Disorder" was, so I looked that up and in doing that, I found a couple links that may be of interest. I looked at the FND Hope site and they have a lot about coping and support. It mentions physiotherapy as a way to "reboot" the operating system in the brain. As I read this, it sounds like your symptoms do match the description of FND. The rare diseases site also mentions another support site and places to look for information about clinical trials. I can imagine how frustrating and upsetting this must be. My first thoughts were about spine issues since I am a spine surgery patient. I did have cervical stenosis and had surgery to free my spinal cord. Spine issues could change in time since the neck surgery that you had, and it does sound like your doctors may haveconsidered those possibilities.
https://rarediseases.org/rare-diseases/fnd/
https://fndhope.org/
Did your doctors at MGH suggest any therapies for FND?

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You had surgery to free your spinal cord which sounds like the surgery they want to do to me as a last resort. They called the surgery a Laminectomy or Decompression. The surgeon said sometimes by cleaning up the spinal cord area, will take away the numbness that I have. Since then, I have developed incredible nerve pain in my right foot, ankle and achilles area.

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@emf21

You had surgery to free your spinal cord which sounds like the surgery they want to do to me as a last resort. They called the surgery a Laminectomy or Decompression. The surgeon said sometimes by cleaning up the spinal cord area, will take away the numbness that I have. Since then, I have developed incredible nerve pain in my right foot, ankle and achilles area.

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@emf21 There are different ways that the spinal cord can get compressed. In my case, the cord compression was caused by a disc that collapsed and spilled the contents into the spinal canal, and then bone spurs grew there next to it. To decompress this, the damaged disc is removed leaving a space that needs to be filled by something like a donor bone spacer or a surgical implant that takes its place. My surgery was an ACDF for Anterior Cervical Discectomy and Fusion.

Compression can also happen because of an enlarged ligament that runs the length of the spine when nothing is wrong with any of the discs. In that case, surgeons can enlarge the space inside the spinal canal by cutting through some of the bone covering and lifting it up. That is what a laminectomy does. Here is a link tat describes it.
https://www.mayoclinic.org/tests-procedures/laminectomy/about/pac-20394533
You're right, surgery is a last resort. When the compression is bad enough, and nothing else helps, it is the only way to improve the situation. The best results in spine surgery also happen before permanent damage has occurred, so that time table is something to discuss with your surgeon. I understand the pain because I was there too, and my surgery did take away all my pain.

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Have you every heard of stem cell therapy? I’d send you a link if your interested.

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@262mpeaches

Have you every heard of stem cell therapy? I’d send you a link if your interested.

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Good morning, @262mpeaches. Are you referring to stem cell therapy-regenerative medicine for repairing discs in spinal diseases?
Is this a procedure you’ve experienced? How has it worked for you?

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@rwinney

Hello @sherwood06, I'm Rachel, it's nice to meet you. I'm very happy you came to Connect looking for answers, that's how I started out too. Thanks to @hopeful33250 for suggesting I may be of some help.

In reading your posts, I am pleased to learn that you are in tune with physical activity, given your past hockey life, and that you embrace meditation/spirituality. You are in the right direction!

It's unfortunate that you suffer from chronic pain and symptoms, I'm right there with you. It appears FND throws a lot your way, plus your spinal fusions, sleep disturbances, flares, etc...The "vastness of your symptoms", as you mention, brings me to a very familiar place which is Central Sensitization Syndrome (CSS).

I, like you, spun my wheels trying to get a handle on all my "stuff". Yes, a lot of it had diagnoses like Small Fiber Neuropathy, migraine, insomnia, herniated discs, Fuchs Dystrophy....blah, blah, blah, but I discovered there was a much bigger picture that was an umbrella to it all called Central Sensitization Syndrome (CSS). CSS is an upregulation of the Central Nervous System causing the brain to receive louder messages from the body. Once acute issues turn chronic from this upregulation, there is nothing left but to learn how to manage symptoms and find the best quality of life. In order to do so it takes a comprehensive approach of 4 main categories:

Physical
Emotional
Behavioral
Chemical

It appears FND requires this same approach. So much gets out of control when we are fighting to understand what's happening to our bodies. It's kind of like a forest fire that needs to be calmed and managed. There is hope, and a plan.
https://www.youtube.com/watch?v=8defN4iIbho
Do you mind watching this video presentation from Mayo Clinic's Dr. Sletten to help you understand CSS, and see if it hits home? Do you think this lines up with your plethora of symptoms? Will you let me know your thoughts?

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I too have all these strange symptoms. I tried to watch the video and it will not work, it said the video is private.

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@joannemm30809

I too have all these strange symptoms. I tried to watch the video and it will not work, it said the video is private.

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@joannemm30809 Hi Joanne. How have you been doing? Yes, Dr. Sletten's video on Central Sensitization Syndrome has been updated. The previous video is no longer able to be viewed. Here is the new video:


Do you mind letting me know your thoughts after watching?

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Can anyone clarify covid status or vaccination status because I am having some of these symptoms since I got covid in November and a friend has other weird neurological symptoms after her booster.

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