CRPS - anyone suffering with complex regional pain syndrome

Posted by pfox @pfox, Jul 14, 2017

I am new to this forum- my 40 year old daughter suffers from CRPS that has spread to whole body - her nerves are on fire... it is attacking her digestive system too where she has severe GERD. She goes to Pain Management doctor, gastrointestinal doctor and has wonderful PT that helps to loosen her tense muscles which can eventually atrophy. this was recognized in 2014 as a rare disease by CDC but her chronic pain is intense... we keep searching for help and guidance... since many do not understand this horrible affliction.... thanks for any advice....

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

@bebold

If you have the financial assets, the Spiro Clinic is the only place having su cess with a cure from crps. The don't accept insurance but might be offering more than your brother? She is from Germany and created her own program. Look it up. I sadly can't afford it but perhaps you can. I would go if I could. Website and fb page

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@bebold, @schesse -

Welcome to Connect, @bebold. I found the Spero Clinic website for those who are curious:

- https://www.thesperoclinic.com/

Spero Clinic mimics some of the Mayo Clinic Pain Rehabilitation Center concepts. I found it very interesting. How unfortunate insurance isn't accepted.

How did you learn about the Spero Clinic?

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I am hopping on this thread instead of starting a new one. Not sure if that is the best call, but here goes.

As with all of you, there are mysterious things happening in my body. If I am putting together all the pieces correctly, my body is an overachiever. My nerves are firing too often and too hard and my immune system really overuses inflammation. Unfortunately, this is not reflected in most medical tests. Outside of the MGUS related abnormalities in my blood test, mild neurological damage on an EMG/Nerve Conduction test, and MRI changes that do not directly impact the spinal cord, tests come back normal. Clinical exams show changes. We just don't know why. My doctor is moving away from a focus on Peripheral Neuropathy to CNS and we are experimenting with Baclofen to see if it helps. She has also talked to me about CRPS. She said I don't meet full criteria but "whatever is happening sure is mimicking that process". My pain levels are nowhere near what most of you describe. I have more trouble with swelling and balance with nerve pain that occasionally gets really bad. Most of the time, my pain levels are between 3-5, so not too bad.

For those of you who are veterans of CRPS, does any of this sound familiar? Most recently, it was my OB/GYN who told me to talk to my neurologist about nerves over-firing and muscle spasms. (Muscles throughout my body are ridiculously tight!)

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@jeanniem

I am hopping on this thread instead of starting a new one. Not sure if that is the best call, but here goes.

As with all of you, there are mysterious things happening in my body. If I am putting together all the pieces correctly, my body is an overachiever. My nerves are firing too often and too hard and my immune system really overuses inflammation. Unfortunately, this is not reflected in most medical tests. Outside of the MGUS related abnormalities in my blood test, mild neurological damage on an EMG/Nerve Conduction test, and MRI changes that do not directly impact the spinal cord, tests come back normal. Clinical exams show changes. We just don't know why. My doctor is moving away from a focus on Peripheral Neuropathy to CNS and we are experimenting with Baclofen to see if it helps. She has also talked to me about CRPS. She said I don't meet full criteria but "whatever is happening sure is mimicking that process". My pain levels are nowhere near what most of you describe. I have more trouble with swelling and balance with nerve pain that occasionally gets really bad. Most of the time, my pain levels are between 3-5, so not too bad.

For those of you who are veterans of CRPS, does any of this sound familiar? Most recently, it was my OB/GYN who told me to talk to my neurologist about nerves over-firing and muscle spasms. (Muscles throughout my body are ridiculously tight!)

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@jeanniem Hello there. Hopping on this thread is perfectly fine and was a smart idea.

You are investigating, and rightfully so. Good for you! We've got to be our best advocates.

While I do not have CRPS and can not speak on it specifically, I do have a chronic pain disorder called Central Sensitization Syndrome. It can cause nerve and muscle misfires along with balance issues. Are you familiar with CSS?

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I am not. Are there specific tests or criteria for this? Any success in treating it or does it tend to get progressively worse?

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@jeanniem

I am hopping on this thread instead of starting a new one. Not sure if that is the best call, but here goes.

As with all of you, there are mysterious things happening in my body. If I am putting together all the pieces correctly, my body is an overachiever. My nerves are firing too often and too hard and my immune system really overuses inflammation. Unfortunately, this is not reflected in most medical tests. Outside of the MGUS related abnormalities in my blood test, mild neurological damage on an EMG/Nerve Conduction test, and MRI changes that do not directly impact the spinal cord, tests come back normal. Clinical exams show changes. We just don't know why. My doctor is moving away from a focus on Peripheral Neuropathy to CNS and we are experimenting with Baclofen to see if it helps. She has also talked to me about CRPS. She said I don't meet full criteria but "whatever is happening sure is mimicking that process". My pain levels are nowhere near what most of you describe. I have more trouble with swelling and balance with nerve pain that occasionally gets really bad. Most of the time, my pain levels are between 3-5, so not too bad.

For those of you who are veterans of CRPS, does any of this sound familiar? Most recently, it was my OB/GYN who told me to talk to my neurologist about nerves over-firing and muscle spasms. (Muscles throughout my body are ridiculously tight!)

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From my perspective this doesn't sound like CRPS but remember there are three stages to it: acute, sub-acute, and chronic. Early on they thought I was full of ya know, and they were convinced I was a drug seeker. Some symptoms during acute for me were inflammation, uncontrollable pain, and this leads to your body countering physiologically naturally by trying to attack the problem through swelling, the nerve signals in the body, to the brain ,etc. Your description seems accurate of the way I remember the acute to sub-acute stage. Chronic is a whole other nightmare.

Anyways, it wasn't until I switched to Jackson Hole, WY that it was taken seriously. The MRI and X-rays didn't show much other than the initial injury, but when I was describing what was happening within my own body he didn't have a CRPS answer. It's when I went to The New York Hospital for Special Surgery that they called it almost immediately; classic symptoms and more tests were done. Mayo Clinic and Scripps Clinic confirmed with at least half a dozen other pain specialists, neurologists, surgeons, etc.

Have you sought a second opinion, and do you have access to doctors in your area that understand CRPS?

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@chuck406

From my perspective this doesn't sound like CRPS but remember there are three stages to it: acute, sub-acute, and chronic. Early on they thought I was full of ya know, and they were convinced I was a drug seeker. Some symptoms during acute for me were inflammation, uncontrollable pain, and this leads to your body countering physiologically naturally by trying to attack the problem through swelling, the nerve signals in the body, to the brain ,etc. Your description seems accurate of the way I remember the acute to sub-acute stage. Chronic is a whole other nightmare.

Anyways, it wasn't until I switched to Jackson Hole, WY that it was taken seriously. The MRI and X-rays didn't show much other than the initial injury, but when I was describing what was happening within my own body he didn't have a CRPS answer. It's when I went to The New York Hospital for Special Surgery that they called it almost immediately; classic symptoms and more tests were done. Mayo Clinic and Scripps Clinic confirmed with at least half a dozen other pain specialists, neurologists, surgeons, etc.

Have you sought a second opinion, and do you have access to doctors in your area that understand CRPS?

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Thank you for your response. I'm not sure how long in a cute face would last or if it can happen chronically. Things first begin for me about 4 years ago. There has been a study progression of symptoms worsening but it is more like a cycle. I kind of think of it as having flare-ups. It was my physical therapist your first mentioned CRPS a few years ago. Then, about a year and a half ago, a podiatrist mentioned that he was afraid that was what was happening. Most recently, it has been my neurologist who has mentioned princess diagnosis. She seems quite familiar with the disorder. We know that there is some systemic mystery going on. But this left ankle needs to be following a different pattern than the rest of my body.

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@jeanniem

Thank you for your response. I'm not sure how long in a cute face would last or if it can happen chronically. Things first begin for me about 4 years ago. There has been a study progression of symptoms worsening but it is more like a cycle. I kind of think of it as having flare-ups. It was my physical therapist your first mentioned CRPS a few years ago. Then, about a year and a half ago, a podiatrist mentioned that he was afraid that was what was happening. Most recently, it has been my neurologist who has mentioned princess diagnosis. She seems quite familiar with the disorder. We know that there is some systemic mystery going on. But this left ankle needs to be following a different pattern than the rest of my body.

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You're welcome. I wish I had better suggestions on what to try next, but don't. It seems you have it squared away with the length of time for each doctor.

My flare-ups are what you describe, cyclical to some degrees with obvious triggers such as weather and activity. Weather fades, temperatures stabilize and things reset to the new normal but always revert back to that cycle. I think of it as an over timer that dings then resets until next time.

CRPS type 1 is where they have not found a distinct nerve injury, whereas Type 2 there is known damage. My question is around the time four years ago was this phantom pain or was there an event that could have caused this?

My understanding is even needle pricks can cause CRPS in extremely rare cases.

Stages of CRPS:
https://med.stanford.edu/pain/about/chronic-pain/crps.html

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Good question. I had something that they called metataralsia. At least that's what doctors thought it was. I saw three different podiatrists. The first two just took x-rays and told me to take Ibuprofen. The third one took me a bit more seriously and did an MRI to rule out a planter plate tear. The MRI showed some muscle atrophy in the small muscles between my toes. But there was no other evidence of a planter plate tear. I have very high arches so, apparently, I have had minor injuries in my feet off and on for my entire life. Eventually, this doctor got me to Mayo clinic where I got tested and was diagnosed with some small and large fiber neuropathy. However, the neuropathy was not in line with the symptoms in that left ankle. I always have the neuropathy symptoms but the other types of odd swelling come and go. The temperature change is pretty much always there. The bottom part of my leg and ankle and foot are always colder on the left side than the right. This last flare at I am pretty sure was caused by my physical therapy evaluation. It started when I stood on my left foot for the balance test. Stupid balance test. 🙂

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@jeanniem

Good question. I had something that they called metataralsia. At least that's what doctors thought it was. I saw three different podiatrists. The first two just took x-rays and told me to take Ibuprofen. The third one took me a bit more seriously and did an MRI to rule out a planter plate tear. The MRI showed some muscle atrophy in the small muscles between my toes. But there was no other evidence of a planter plate tear. I have very high arches so, apparently, I have had minor injuries in my feet off and on for my entire life. Eventually, this doctor got me to Mayo clinic where I got tested and was diagnosed with some small and large fiber neuropathy. However, the neuropathy was not in line with the symptoms in that left ankle. I always have the neuropathy symptoms but the other types of odd swelling come and go. The temperature change is pretty much always there. The bottom part of my leg and ankle and foot are always colder on the left side than the right. This last flare at I am pretty sure was caused by my physical therapy evaluation. It started when I stood on my left foot for the balance test. Stupid balance test. 🙂

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“Stupid balance test”. Yep. We know our bodies. I had a new PTA do a series of exercises and stretches on one side of my body, then at the end he said “okay, we’re going to just do one side today, as a control, to see how your body reacts”. Hm, I don’t think so. I explained to the PT that the thought of one side of my body being deliberately irritated more than the other made me very uneasy.
By the way, I have SFN, not CRPS - just reading along today.

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@jeanniem

Good question. I had something that they called metataralsia. At least that's what doctors thought it was. I saw three different podiatrists. The first two just took x-rays and told me to take Ibuprofen. The third one took me a bit more seriously and did an MRI to rule out a planter plate tear. The MRI showed some muscle atrophy in the small muscles between my toes. But there was no other evidence of a planter plate tear. I have very high arches so, apparently, I have had minor injuries in my feet off and on for my entire life. Eventually, this doctor got me to Mayo clinic where I got tested and was diagnosed with some small and large fiber neuropathy. However, the neuropathy was not in line with the symptoms in that left ankle. I always have the neuropathy symptoms but the other types of odd swelling come and go. The temperature change is pretty much always there. The bottom part of my leg and ankle and foot are always colder on the left side than the right. This last flare at I am pretty sure was caused by my physical therapy evaluation. It started when I stood on my left foot for the balance test. Stupid balance test. 🙂

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I have high arches too. Even needed girl shoes as a toddler in the 1980's to get enough support lol. Too young to remember so it's okay.

If you're able to pinpoint the discomforts and historical perspective I'd imagine a physician could as well. Have you had ultrasound?

Today, I'm going to see an ultrasound / PRP injection doctor (plasma-rich platelet). Saw my pain specialist yesterday who put me on Buprenorphine from extremely low-dosing of Tylenol 3. They gave me stomach aches and I stopped taking them knowing pain would get worse, and did. See how that goes. Had high hopes until he said PRP doesn't work for nerve damage, only cartilage. Still going to go talk though. If anything, I want my nerves mapped to figure out where the nerve damage is if only for peace of mind and to have a better understanding of my body.

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