Central Sensitization - please share your stories

Posted by Rachel, Volunteer Mentor @rwinney, Apr 14, 2020

Hello everyone
I would like to better understand this diagnosis from personal experiences and compare what I feel to others accounts. I have not been diagnosed with central sensitization however, it seems to line up. Thank you very much and I look forward to reading your stories.
Rachel

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

@rwinney

Good morning @irr4et. I'm so sorry about how you're feeling after these months of Ketamine infusions. Been there, done that. It's disappointing when a hopeful treatment doesn't provide the relief we hoped for.

I'm not an official "health coach", just a girl with a passion for helping others . Yes, my friend, I believe you are a candidate for Mayo PRC given your history of CSS, chronic symptoms and treatments losing their effectiveness, resulting in increased symptoms. If you've had the chance to watch Dr. Sletten's video about CSS, you will hear him explain about fueling the fire that burns within. What you're going through with Ketamine is an example of this.

Have you spoke with your neurologist or PCP about how Ketamine has made you feel? What do you think about a rehabilitation approach, treating the mind/body connection in a holistic way?

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Rachel I’ve been hoping for further communication with you about my severe CSS. I feel so I’ll, like I’m headed toward dying - I have such weakness, neck pain, upper bk pain, burning headache, body aches and heaviness all over that I’m on the sofa most of the day. I do get up once ev 30 min for a short time. Adrenal exhaustion. Daytime sleepiness and sleepy after meals. I’m down to 96 pounds. My normal wt is 118. My BMI is 16. My PCP would be totally willing to refer me. Winters are horrible for me and I go to the Clearwater area then Nov 18 - May 31.. I do get some lessening of my symptoms there except Jan through May are horrible suffering which means I have to use more prescription meds for sleep.
Then I have more memory problems. I so terribly need help.

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@irr4et

Rachel I’ve been hoping for further communication with you about my severe CSS. I feel so I’ll, like I’m headed toward dying - I have such weakness, neck pain, upper bk pain, burning headache, body aches and heaviness all over that I’m on the sofa most of the day. I do get up once ev 30 min for a short time. Adrenal exhaustion. Daytime sleepiness and sleepy after meals. I’m down to 96 pounds. My normal wt is 118. My BMI is 16. My PCP would be totally willing to refer me. Winters are horrible for me and I go to the Clearwater area then Nov 18 - May 31.. I do get some lessening of my symptoms there except Jan through May are horrible suffering which means I have to use more prescription meds for sleep.
Then I have more memory problems. I so terribly need help.

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Hello @irr4et I'm so sorry you are in such a difficult place. It's human nature to want to move less because we hurt, and its easy to become deconditioned. One of the first things I learned at Mayo Pain Rehab Center was -

"hurt does not equal harm"

The less we move, the harder it gets. Finding the right ways to move is important with chronic conditions. Do you work with a physical therapist? Have you ever tried water therapy?

Poor memory can result from medication side effects. Do you take many medications? Have you spoke with your PCP about how you feel?

How do you think change can happen for you? What is the first step you'd like to try towards rehabilitation?

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I have had excellent care over the last 21 Yrs but everything has been tried except help at the Pain Rehab Center. I am in a critical point where I have horrible flares following times I do things like walk moderate pace two miles or clean a bathroom. I had an epidural at T3 in 2010 and my Rt leg flew up when I felt a severe electric shock shoot down my Rt hip, leg and foot, especially the heel. It shocked me a little in the left heel also. Obviously the dr stuck the needle into my spine too deeply. I lost 50% of my Rt hip flute and some of the muscle on the far Rt lower side where it connects with the ankle. Just this last mo I have started having nerve pain in my Rt foot when I walk. I think this injury adds to my flare situation. Do u?
I do not have a physical therapist bc every time I wk with one the flare are so painful that pain is breaking down my body. My skin flakes and wrinkles so badly.
Since

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@irr4et

I have had excellent care over the last 21 Yrs but everything has been tried except help at the Pain Rehab Center. I am in a critical point where I have horrible flares following times I do things like walk moderate pace two miles or clean a bathroom. I had an epidural at T3 in 2010 and my Rt leg flew up when I felt a severe electric shock shoot down my Rt hip, leg and foot, especially the heel. It shocked me a little in the left heel also. Obviously the dr stuck the needle into my spine too deeply. I lost 50% of my Rt hip flute and some of the muscle on the far Rt lower side where it connects with the ankle. Just this last mo I have started having nerve pain in my Rt foot when I walk. I think this injury adds to my flare situation. Do u?
I do not have a physical therapist bc every time I wk with one the flare are so painful that pain is breaking down my body. My skin flakes and wrinkles so badly.
Since

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My PCP told me daily increased cortisol which comes with chronic pain causes muscle steal which I do have. I am going to do better re gentle exercise and find my tolerance level. I forgot to say that I was gluten intolerant 30 Yrs before I was diagnosed so my Villi absorption of nutrients is prob poor (I am gluten free), plus I have Pancreatic insufficiency (I do take prescription digestive enzymes). Therefore I’ve lost a lot of muscle.

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@irr4et

My PCP told me daily increased cortisol which comes with chronic pain causes muscle steal which I do have. I am going to do better re gentle exercise and find my tolerance level. I forgot to say that I was gluten intolerant 30 Yrs before I was diagnosed so my Villi absorption of nutrients is prob poor (I am gluten free), plus I have Pancreatic insufficiency (I do take prescription digestive enzymes). Therefore I’ve lost a lot of muscle.

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Mayo PRC does accept Medicare insurance. Which location are you closest to? Florida, Arizona or Minnesota? They typically have a waiting list due to demand. If you are considering the program, I recommend getting started on application sooner than later. Here is an application link:
Mayo Clinic- Pain Rehabilitation Center:
http://mayocl.in/1mtmR63
PRC truly stands alone in their comprehensive approach to rehabilitate the person as a whole. From the sounds of it you could really use help in learning how to navigate CSS.

Please let me know of you have any questions regarding the program.

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@lorirenee1

@rwinney Hi Rachel, I know that central sensitization syndrome has to do with people having amplified pain due to the brain's faulty working. The brain turns up the volume in the pain level for really no reason at all. The brain is not working right, and does this. Treatment for central sensitization is basically retraining your brain to turn down the volume/remove the pain. It might effect your senses, also, like being ultra sensitive to light, or sound, and thus, you retrain your brain, that you can stand the light or sound. That you are ok. Fabulous educators/doctors on this subject are Lorimer Moseley and Jonathan Kuttner, both doctors from Australia. I have read ALL of their books and seen all their videos on youtube about managing pain. I have also had a free consultation, via the computer, assessing my pain, from Jonathan Kuttner's daughter, Naomi, right from Australia, to me, in Illinois. Naomi basically said that the retraining of the brain, when it comes to neuropathic pain, is intensely challenging. I wanted to take one of her dad's on line pain classes, and she basically said that there is no telling whether it would work. Therefore, I did not take it. Tapping away pain is in the same thread, so to speak, because it also tries to retrain the brain not to amplify pain. I am in pain so often, that I would basically be trying to turn down the amplification of my pain, ALL DAY. I would be telling my brain that there is no reason for giving me pain, I would be fantasizing a lovely sun, where my pain is. I would be letting my brain know it can stop working so hard to let me know I am in danger, and give me pain, to prove it. I would be telling my brain to chill out, and stop sending pain messages. I could do this, all day, and the nerve pain would laugh and say, "Hey lady! Gotya! Ya can't escape me!!!!! Ha!" Such is neuropathy. A bear. A beast. The boogie man in the closet..... Lori M

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I agree with a lot of what you said. No don’t understand retraining the brain. Frustrating!

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i have been in and out of emergency rooms and spine centers for 20 years. Only recently it was a APRN, DNP that concluded it was CSS. i have had instances where i can not even get my body out of bed or off the floor. My last major incident i merely stepped off a curb and it felt like i was hit by lightning. i was immobilized on the ground but was lucky enough to have some construction workers near by to assist me up and it took a couple friends of mine to put me in the vehicle and take me to the nearest ER. There they pumped me full of solumedrol and tordol and told me to rest. ALL my mri imaging that was reviewed by MD's only showed mild scoliosis and straightening of lumbar region as well as degeneration and spurring. i use a device to put my socks on every morning when i feel like i need socks. i can not stand for more that 30 min or sit for more than an hour without extreme escalationg pain. The head of neurosurgery said plainly "you have a Piece of shit back" there is nothing surgical we can do. Go home and dont even do physical therapy until you can stand up straight. That was a year ago and i am still compensating for the pain by putting all my weight on one leg which is causing numerous other issues. Was turned down for disability last week even though i can not get the dishwasher unloaded without taking at least one break to let my muscles relax. i am currently now in PT with a very good provider. They would not even do light tissue massage on my first visit because of the extreme number of spasms and contractions i was having even after just waking up that morning.

nowhere for css patients to go for support. Not sure how carpal tunnel qualifies as a disabling condition and css does not but i am now on the road to losing my mouse, vehicles and sanity dealing with this as i have not vbeen able to work since 2/2021

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@jhubler72

i have been in and out of emergency rooms and spine centers for 20 years. Only recently it was a APRN, DNP that concluded it was CSS. i have had instances where i can not even get my body out of bed or off the floor. My last major incident i merely stepped off a curb and it felt like i was hit by lightning. i was immobilized on the ground but was lucky enough to have some construction workers near by to assist me up and it took a couple friends of mine to put me in the vehicle and take me to the nearest ER. There they pumped me full of solumedrol and tordol and told me to rest. ALL my mri imaging that was reviewed by MD's only showed mild scoliosis and straightening of lumbar region as well as degeneration and spurring. i use a device to put my socks on every morning when i feel like i need socks. i can not stand for more that 30 min or sit for more than an hour without extreme escalationg pain. The head of neurosurgery said plainly "you have a Piece of shit back" there is nothing surgical we can do. Go home and dont even do physical therapy until you can stand up straight. That was a year ago and i am still compensating for the pain by putting all my weight on one leg which is causing numerous other issues. Was turned down for disability last week even though i can not get the dishwasher unloaded without taking at least one break to let my muscles relax. i am currently now in PT with a very good provider. They would not even do light tissue massage on my first visit because of the extreme number of spasms and contractions i was having even after just waking up that morning.

nowhere for css patients to go for support. Not sure how carpal tunnel qualifies as a disabling condition and css does not but i am now on the road to losing my mouse, vehicles and sanity dealing with this as i have not vbeen able to work since 2/2021

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@jhubler72 Hello and welcome. My heart feels for you, having been there myself with CSS. I'm attaching another conversation that I participated in earlier today with a link to watch a video from the Mayo Clinic pain Rehab Center about CSS.
https://connect.mayoclinic.org/comment/869801/
Please get back to me with your thoughts I hope the video means as much to you as it does to others who first watch. I anticipate your response and we can chat further. Keep the faith there is hope.

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@jhubler72

i have been in and out of emergency rooms and spine centers for 20 years. Only recently it was a APRN, DNP that concluded it was CSS. i have had instances where i can not even get my body out of bed or off the floor. My last major incident i merely stepped off a curb and it felt like i was hit by lightning. i was immobilized on the ground but was lucky enough to have some construction workers near by to assist me up and it took a couple friends of mine to put me in the vehicle and take me to the nearest ER. There they pumped me full of solumedrol and tordol and told me to rest. ALL my mri imaging that was reviewed by MD's only showed mild scoliosis and straightening of lumbar region as well as degeneration and spurring. i use a device to put my socks on every morning when i feel like i need socks. i can not stand for more that 30 min or sit for more than an hour without extreme escalationg pain. The head of neurosurgery said plainly "you have a Piece of shit back" there is nothing surgical we can do. Go home and dont even do physical therapy until you can stand up straight. That was a year ago and i am still compensating for the pain by putting all my weight on one leg which is causing numerous other issues. Was turned down for disability last week even though i can not get the dishwasher unloaded without taking at least one break to let my muscles relax. i am currently now in PT with a very good provider. They would not even do light tissue massage on my first visit because of the extreme number of spasms and contractions i was having even after just waking up that morning.

nowhere for css patients to go for support. Not sure how carpal tunnel qualifies as a disabling condition and css does not but i am now on the road to losing my mouse, vehicles and sanity dealing with this as i have not vbeen able to work since 2/2021

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Hello, and welcome. I'm so sorry to hear about your struggles. You're right, it's extremely difficult to find true and integrative support for central sensitivity syndrome, but help and strategies are out there. For me personally, a chronic pain program similiar to the program offered at Mayo Clinic or Shirley Ryan AbilityLab (formerly the Rehabilitation Institute of Chicago), closest to where I live was not a practical or the appropriate choice. I found help through a physical therapists knowledgeable in how to treat central sensitivity; personally I found the most help from PTs, but it's still difficult to find someone knowledgeable (I find many providers know "of" central sensitivity, but now how to treat it--and that actually goes for the PTs I've met at Mayo as well).

Since your quality of life seems so limited, Mayo's pain rehab program could be a really good fit. If not, maybe a PT. Would you be willing/able to pay out of pocket for virtual PT? I know of a few who are familiar with central sensitivity in private practice and do telehealth. They give you a superbill you can submit to your insurance if applicable. If you're interested, let me know and I'm happy to direct message you their information if you want to look them up.

The second thing I'd try would be Graded Motor Imagery, specifically you can start with Right/Left discrimination, because it's something you could do on your own without moving your body and without a therapist. Despite what your neurosurgeon said, there IS physical therapy you can do before you can stand up straight and without movement--it's based on mental movement and neuroplasticity--our brain's ability to form new connections and heal.

Without getting stuck in the weeds, often with chronic pain your brain loses a strong connection with your most painful body parts--it sounds weird, but the approach is evidence-based. Something as simple as doing flashcards where you have to identify whether the left or right side is pictured helps your brain rebuild that connection and can improve your pain). There are apps you can get on your phone for the applicable body parts. This is the company, but you can also do a search for research if you're interested: https://www.noigroup.com/graded-motor-imagery/

I was totally skeptical but willing to try anything, and I made more progress in 3 months working with my PT on graded motor imagery than I'd made in a year with someone else.

That would be my two cents on things you might be able to try to start getting back more of your quality of life. I'm kind of assuming you've already gone the conventional route, and those are 2-3 things that I wish someone would have told me when I was in so much pain. There are resources and strategies out there, but you're right and it's very difficult to find them. But there is help out there.

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