CRPS - What to expect? How to cope / quell my worries?
Hello! I am a 15 year old who recently (late February) got diagnosed with Complex Regional Pain Syndrome. I’ve been in intense, nonstop pain in my foot since August-September and absolutely nothing has worked for me. They put me through millions of tests and doctors (obviously exaggerating, but it was a lot) and only in nearly March did they find out it was CRPS (because everything else said nothing, so process of elimination). I’ve honestly been really upset with the diagnosis. I’ve been told CRPS is not curable, that it’s something you;re stuck with your whole life and has no cure but can be treated to be “manageable”. What is considered manageable? I’m just kind of scared in general because I don’t know what to expect, I haven’t had anything done since my diagnosis and everything else I’ve tried has failed (Physical Therapy, medication for both pain and nerves (though they wont put me on proper pain killers), and pretty much everything I can do for myself at home). I have an appointment with UNC in May but I don’t even know if they’re treating me there or what and I’m just generally kind of scared. To other people with CRPS, what should I prepare for? Am I gonna be in pain for the rest of my life? Am I gonna be able to be a normal kid again and ditch my cane or be able to be active? How do I cope with this?? Anything helps. I’m sorry if any of this doesn’t make sense or is stupid.
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Have you noticed what makes your pain worse? I have had CRPS for 25 years and while it’s never been cured, I learned that managing what makes it worse has lessened the pain. I signed up for biofeedback classes at the hospital which used taught me to lessen my pain by controlling my reaction to it. Cold makes it worse, so I wear lined pants, my foot swells, so I always wear open back sneakers and clog like shoes. I also had a series of epidural injections early which dramatically decreased the pain. I did find that not moving my leg/foot made it worse. I was never totally pain free, some days it was nuisance and didn’t ruin my day. I thought my life was ruined too. I managed to work and take care of a house and retire. Each step in treatment is necessary to find what works for you especially because you are so young. Don’t give up hope!
ALSO WITH THE ICE. I WAS ON ICE PACKS 24/7 ONLY TO FIND OUT IT MADE IT WORSE BUT IT ALLEVIATED MY PAIN WHEN I WAS ON IT. HOWEVER I AFTER 8 YRS. WITH LARGE AMOUNTS OF CRPS, TERRASIL SHINGLE OINTMENT AND ALOE VERA GEL. I STOPPED THE ICE, AND WITHIN 1 MONTH, WAS SO MUCH BETTER.
YOUR WELCOME GOOD LUCK.
I know things like any sort of pressure or touch makes it really hurt, the cold makes it hurt, and things like a lot of weight bearing, walking, and standing. I don’t know why it hurts most of the time though, usually it can just get really bad without any apparent trigger and make it next to impossible to function out of nowhere and other times its just a sitting, constant pain. Ice, heat, and medication have done me no good so fa. I also know things like the TENS machine make it feel better but the moment I get off it I’ll hurt again and obviously I can’t walk around school with that thing hooked up to my leg all day. I’m hoping when I visit UNC’s pain specialist or whoever I’m going to that they can help me figure it out and help manage it because nothing else has worked so far. Thank you for your reply, I really appreciate it :).
I had the same symptoms in the beginning. Going to a pain management treatment center really helped. Some of the treatments didn’t and you have to be strong and tell them when they don’t. Cold was a significant issue for me a soft touch. Epidural injections helped with being able to walk without feeling a breeze and cringing in pain. Reach out anytime you have a question or just want to ask me a question.
Has your doctor said if you are a candidate for a DRG pain implant by Abbott? You should ask. I got that first and it helped for a few years. There is also a Nalu device that you can inquire about. You need to find a pain doctor that has experience with these. Good luck!
Sadly there an only a few centers that specialize in CRPS. In so. Cal the only one I have found is at USC. A multidisciplinary team is needed.
Acupuncture has helped some of my patients as well as ongoing p.t.
Thank you for the luck! I have not heard of that before, but in a month from Thursday I’m going to UNC to see a pain specialist so they might bring it up there!