1. RSD & Immune System
2.RSD & Vision / Hearing Problem's
3. Fibromylagia VS RSD
4. RSD , FIBROMYLAGIA & CHRONIC PAIN
Reflex Sypathetic Dsytropy & Your Immune System
Alot of rsd'ers have very low to none of a immune system . RSD break's down our immune system to barely nothing . Causing us to catch cold's or Flu's or just about anything . Because we dont have anything to help us fight it off . If your like me I do not have an immune system anymore . So now i have decided to start taking Airborne an ( OTC MED . ) to help catch anything inside my body before it get's a chance to catch me . So i decided to look this up & see if there is another way . Beside's taking all kind's of different vitamin's which can be costly .
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~RSD PUZZLE #126
CRPS (RSD) and Pruritus
Many thanks for your most recent letter regarding persistent itching in a patient who is suffering from CRPS (RSD).
There are certain interesting features about this patient.
1. In regard to migrating pruritus, this condition points to the spread of sympathetic dysfunction to the other extremities. Please refer to RSD Puzzle #18, which discusses the spread of CRPS (RSD). It also has 15 different references regarding the spread of CRPS (RSD).
2. In regard to the relationship of inflammation, I would suggest that you tap the Med-line for references under CRPS (RSD) and Plasticity. It will provide you with priceless information regarding the relationship of CRPS (RSD) to inflammation. In 1995, there was an excellent article in the Journal of Clinical Neuropharmacology. This was in the form of a review of the subject of CRPS (RSD) by Dr. H. Ollat and Dr. P. Cesaro from Paris. They have an excellent review of the principle of plasticity in CRPS (RSD). As you are well aware, the principle of plasticity refers to the fact that in any disease, when the condition becomes chronic, it effects the DNA of the cells that are supposed to repair damaged areas. The areas then become permanently effected. The genetic coding of the cells, be it nerve cells or white blood cells, becomes distorted. As a result, the patient's tissues will not have the plasticity to heal the damaged area. This is especially true in regard to the calcium magnesium pump, sodium potassium pump, and NMDA role in the cell membrane stability.
As you are well aware, the sympathetic system has three major functions.
1. Control of the body temperature.
2. Control of vital signs; B/P, pulse and respiration.
3. Regulation of the immune system.
In the first two years after the development of CRPS (RSD), the immune system is up regulated with high T cell lymphocytes causing low grade fever, neurodermatitis, trophic ulcers, spontaneous bruising, edema, clinical pictures of compression (entrapment), neuropathies such as so-called carpal tunnel syndrome and thoracic ulcer syndrome, which can easily be corrected with conservative treatment rather than surgical treatment.
After two years, as the CRPS (RSD) becomes chronic and the healing power (plasticity) of the nervous system and immune system becomes disturbed, the patient develops hypoactive, down regulated immune system with development of permanent elevation of killer T cell lymphocytes, suppression of helper T cell lymphocytes, and development of persistent skin pathology, such as persistent edema involving the paraspinal and upper and lower extremities, persistent pruritus and neurodermatitis, persistent trophic ulcers, spontaneous bruising, permanent dystrophic changes in regard to skin healing, and abnormal hair and nail growth.
I will summarize the course of treatment, as follows:
1. Treatment with IV Mannitol (Please refer to the following RSD Puzzles 111, 112,115 regarding I.V. Mannitol). It is old, from early 1970's, but they apply as much now as they did then. The principle is that one should not use extra-cellular diuretics for the edema of CRPS (RSD), because it only makes it worse by stimulating the sympathetic system with the stress of dehydration. Mannitol is an intra-cellular diuretic and, as such, gets rid of the edema and itching without stimulating the sympathetic system.
2. Treatment with ACTH. I have written a chapter on the subject of ACTH in my text book titled "Chronic Pain: Reflex Sympathetic Dystrophy - Prevention and Management" published by CRC Press in Boca Raton, FL. Prednisone and Decadron should not be used because the dermatologic conditions are chronic and the use of Prednisone or Decadron on a chronic basis causes serious complications such as adrenal atrophy, and other well known complications.
3. The use of epsom salt and warm water, or the use of magnesium sulfate enema or magnesium sulfate laxatives, all increase the extra-cellular magnesium level, and as such act as an effective calcium channel blocker reducing the inflammation in the dermal, and peripheral nervous system structures. An epsom salt bath is very effective in this condition. The opposite, and one of the most destructive ways of treating this condition, would be the application of ice. That only increases allodynia and raises constriction with aggravation of edema and itching.
4. The use of IV immunoglobulin in more severe and advanced cases is very effective.
5. For the symptomatic relief of the itching, treatment with two benzodiazepines which are non-addicting, and do not suppress the endobenzodiazepines, and help the problem of pruritus tremendously. These consist of:
I. Serax 50 mg q6h prn.
II. Klonopin 0.5 mg 1/2-1 tablet q6h prn.
Obviously, both benzodiazepines should not be used on the same patient.
6. One of the most important aspects of the treatment of the disturbance of the immune system with manifestations of pruritus, trophic ulcer, etc, is to detoxify the patient from medications that suppress cerebral endorphins and cerebral endo BZ's (endobenzodiazepines). The first group of these medications consists of morphine sulfate, MS Contin, methadone, Tylox, Codeine, Percodan, Percocet, Lortab, Demerol, and any other morphine agonist. These should be discontinued as fast as possible. They should be replaced with Buprenex, which the researchers at Harvard University state can be used to detoxify heroin, cocaine and morphine addicts within the first 24-48 hours. If Buprenex is not practical, the other alternatives would be Stadol or Ultram, or alternating the two of them.
For the endo BZ agonist problem (the use of benzodiazepine that are addicting such as Xanax, Ativan, Valium, Restoril or Ambien), the patient can be treated with Serax or Klonopin, as mentioned above.
7. The last, but not least, form of treatment is treatment with analgesic type of anti-depressants which do not cause obesity (such as Elavil, which has a tendency to cause obesity and fatigue), and do not have other serious sexual side effects. These consist of two main medications:
I. Trazodone 50-300 mg qhs. Trazodone provides good REM sleep as well, which is very important for management of chronic pain.
II. Desipramine 25-75 mg qhs, which also provides excellent pain control and good rest and sleep at night.
8. Diet is also very important because certain foods such as chocolate, hot dogs, cold cuts and sausage aggravate the condition.
I hope the above will be of some help to you.
H. Hooshmand, M.D.
where i found this info ... http://www.rsdrx.com/rsdpuz4.0/puz_126.htm
Rare Pain Syndrome Tricks Immune System and Doctors
Published July 16, 2010
Judy Hopkins recently drove down to Virginia to vacation in Colonial Williamsburg. Not only was it her first time there, it was her first non-medical trip in four years and the first vacation she has taken without her parents in 10 years.
This is one of a few quiet victories the 27-year-old New Jersey native has celebrated since she came out of her second ketamine-induced coma to relieve the excruciating pain she has been in since she was 16.
It all started in her junior year of high school when the varsity basketball player had surgery to remove a tumor in her right heel. No one realized it at the time, but the surgery resulted in a severed nerve and vein. It would be two years before the surgical error was diagnosed, and five years until anyone realized that it had also triggered Reflex Sympathetic Dystrophy (RSD) Ė a chronic pain syndrome that is as unpredictable as it is severe, and has terrorized her body non-stop over the past 10 years.
"There is just not enough known about the disease," Hopkins told FoxNews.com. "And no one knows why one specific trauma triggers it. But it can be any major or minor trauma. I know some people, it's been something as simple as stubbing your toe that triggers it."
Dr. Richard Sultan, a pediatric neurologist atJersey Shore Neurology in Neptune, N.J., who diagnosed Hopkins in her sophomore year of college, described RSD Ė also known as CRPS (complex regional pain syndrome) Ė as a malfunction of the immune system.
"Itís most likely some disconnect between the nervous system and the sensory nervesÖ What happens is some type of stimulus triggers your immune system in exaggerated spots," said Sultan, who added that the most common symptom is pain felt by RSD patients that is disproportionate to the degree of injury.
THE TROUBLE WITH DIAGNOSING RSD
RSD affects between 200,000 and 1.2 million Americans, according to the Reflex Sympathetic Dystrophy Syndrome Association website.
It is highly manageable if caught early, but that rarely happens, Sultan said. RSD patients will typically see five doctors before getting an accurate diagnosis because there is still so much that isnít known about the condition. And on top of all that ó many doctors donít recognize RSD because they havenít seen it.
In Hopkins' case, two years had passed from the time of her heel surgery to when a doctor at the Hospital for Special Surgery in New York City diagnosed her severed vein and nerve. During that time, her condition deteriorated due to multiple misdiagnoses, in addition to another tumor found in her left breast and underarm, also requiring surgery. By her sophomore year of college, she had endured 18 surgeries and was taking 30 different medications.
"Unfortunately, many surgeries and many traumas had occurred in-between that caused the RSD to spread before anyone realized there was anything neuropathic," Hopkins said. "They thought it was just a localized nerve issue."
This is where things get tricky for physicians like Sultan.
"A lot of people believe that it can then switch to another unaffected part of the body," he said. "I think thatís a little controversial. Not everyone agrees upon that."
Hopkins says she has stage four RSD, which some describe as the rarest and most aggressive form of the disease, where your entire body is afflicted with pain, and the disease begins to affect internal organs.
Sultan is cautious about this definition of stage four RSD, and specifically rejects the idea that it can ever cause problems with someoneís organ system.
He described two different systems of classification. The first separates it into Type 1, which is when the triggering nerve injury canít be identified, and Type 2, which is when it can be identified.
He acknowledges that RSD patients also can be classified into stages, beginning with the acute stage, which he said occurs in the first three months. The second and third stages Ė the dystrophic stage and the atrophic stage, respectively Ė share many of the same symptoms with the acute stage, but are more severe.
In addition to pain being disproportionate to your injury and severe burning, which Hopkins says can "feel as if you've been doused with gasoline and lit up," other symptoms include spasms, changes in skin color and temperature due to blood flow, joint restriction, tissue swelling and hypersensitivity.
"A breeze can set you off with excruciating pain. Someone just brushing up against you can be worse than someone squeezing you," said Hopkins, describing how hypersensitivity can affect an RSD patient.
Patients with stage two RSD can begin to see "wasting of the muscle," Sultan added, and when a patient gets stage three RSD, the affected body part becomes "just a painful appendage and is really not being used."
TREATMENTS FOR RSD
Sultan strongly disagrees with the polypharmacy approach to managing RSD pain that patients like Hopkins are put on. Instead of prescribing multiple pain medications like Lyrica, Norontin and ketamine, he favors the use of an aggressive physical therapy program.
"I do believe, which some people donít like to hear, is that when itís treated with multiple medicationsÖ that, itself, puts a patientís life at risk," he said. "While patients know that it runs their lives, they need to adopt a posture of, Ďit can be managed, and it can be treated, and, if youíre aggressive in terms of your therapy, it can improve, and your life can improve.í"
Hopkins, who left school after her RSD diagnosis in the summer of 2003, agrees that physical therapy can play an important role is treating RSD and wasnít happy with her polypharmacy regiment either.
"I literally lived in a recliner in the downstairs of my parentís house. I only left the house to go to doctorís appointments and treatments. I was in excruciating, level 10 and above pain all the time," she said.
After diagnosing Hopkins, Sultan sent her to James Smith, a physical therapist with Crest Physical Therapy in Manasquan, N.J. Hopkinsí left arm was half the size of her right arm when she began seeing him, and even though physical therapy hasnít turned out to be the solution to managing her pain, it has had some positive effects.
"He has prevented me from getting a single, solitary frozen muscle in my entire body in the time that I've been with him, as well as preventing my muscles from atrophying," said Hopkins, who has seen Smith for more than seven years. "I spend more than 20 hours a week in the gym. But that alone has not prevented the RSD from progressing."
Dr. Richard Schwartzman, Neurology Department chair at Drexel University in Philadelphia, also agrees with Sultanís point about physical therapy. But, he reached a different conclusion on how to treat Hopkinsí advanced pain syndrome when she was referred to him.
He put her on an active waiting list to receive a ketamine coma ó a dangerous and controversial procedure that intentionally puts you into a five-to-seven day coma by administering an exorbitant amount of ketamine. The patient has to be put on life support to prevent the lethal dosage from killing them.
Ketamine is a central nervous system depressant that produces a rapid-acting dissociative effect, the U.S. Department of Health and Human Services said on its website. It was developed in the 1970s as a medical anesthetic for both humans and animals.
"The point of giving you that much ketamine is to literally shock your nervous system," Hopkins said. "And they compare it to rebooting your computer. So, what they're doing is rebooting your nervous system, as if giving you a clean slateÖ as if starting anew."
In October 2007, Hopkins got her affairs in order and signed over her medical power of attorney to her parents in preparation for the possibility that she wouldnít return. Then she flew to Germany, one of the few places where the procedure is allowed.
"My parents understood and I understood that when you go to Germany, you sign your life away," Hopkins said. "But, at that point, you literally are at death's door anyway. So, this is an opportunity to actually get a life. Whereas where you are now, you have no opportunity for a future."
Hopkins would get that clean slate when she woke up in complete remission, despite suffering an infection that prolonged the coma two more weeks. Unfortunately, her new lease on life only lasted one month.
By November 2008, her symptoms had returned and were worse than ever, leading her to opt for a second ketamine coma. She said that she became the fifth person in the world to have a second ketamine coma in November 2008.
This time, she was in the coma for the minimum amount of time with no complications. Although she didnít fly home with full remission, the results were positive.
"I was perfect. I came home and I had the most amazing four months of my life. I rode my bike for the first time in eight years, I dribbled a basketball for the first time in eight years," Hopkins said.
But that bliss was short-lived. A few months later, doctors found another tumor in the meniscus of her knee requiring surgery to remove the bone, which triggered a complete relapse.
WHAT THE FUTURE HOLDS
Although Hopkins has recovered from the knee surgery, she is still considering another round of ketamine coma. At this point, she views it as the only thing that can get her back to remission. If she did opt for a third round, she said she would only be the second person in the world to do so.
Sultan doesnít agree with the use of the ketamine coma to treat severe RSD, and while he said he understands why people who have exhausted all other options would turn to such a dangerous alternative, he wouldnít order it for a patient.
Schwartzman, who helped Hopkins get on the waiting list for her first ketamine coma, could not be reached for comment.
"I think that it is extreme," said Sultan, regarding the controversial treatment. "The risks in it are so high and we can do other things here in the U.S., such as RSD-directed physical therapy programs."
People with RSD can suffer from atrophy in their affected body parts, which Sultan believes may be best helped by intensive physical therapy. The idea is that by challenging the muscle to function normally, it will increase blood flow, which is lacking in some RSD patients, and therefore, reduce the painful symptoms and strengthen the muscles.
"You could probably come off medications. A lot of people donít believe it. I believe it, Iíve seen it. Itís much, much more to the patientís advantage than polypharmacy," said Sultan, who added that it would have to be done at a qualified physical therapy or university center to be effective.
While different doctors approach treatment differently, the one thing everyone can agree with is that getting RSD diagnosed early is crucial. The first step in achieving that is to raise awareness about RSD in the medical community.
"Years ago, it had different names and no specific diagnosis, so a lot of doctors werenít trained to diagnose RSD," Sultan said. "Now itís a lot more recognizable early."
The problem, though, remains that many doctors donít know what to look for with RSD. Thereís not one specific test to diagnose it, which leaves it up to the doctor to be able to use the entire clinical picture, including how the patient looks, the exam and the history, to recognize it.
For those who are faced with situations similar to that of Hopkins, she has some simple advice: Be persistent.
"If your doctor doesn't listen to you, go to another doctor," Hopkins said. "And keep going until someone finally listens to you. Because one thing you'll learn is that you are your best advocate. And that's really the most important thing to know."
While Hopkins considers a third ketamine coma, for the immediate future, the former theater and dance major hopes to get her feet wet with a creative writing class this fall.
"For right now, I'm feeling good, Iím staying positive, and I have the actual possibility of a future and that's more than enough for me right now," she said.
where i found this info ... http://www.foxnews.com/health/2010/07/16/rare-pain-syndrome-tricks-immune-doctors/
Nader Soliman, M.D., is a practicing anesthesiologist specializing in integrated pain medicine. Dr. Soliman has his own private practice and is a member of the American Association of Medical Acupuncture.
lifetime_host: Welcome to our chat, Dr. Soliman.
Dr. Nader Soliman: Thank you and thank you for having me...I'll be glad to answer any questions.
Acupuncture is an extremely safe method of treatment. Some complications or side effects can be seen occasionally. The most common of them is bleeding at the site of the insertion of the needle. That happens usually in those people who are prone to bleeding. In general, this is extremely rare. Some people are afraid of infections that could result from the needle. Again, this is extremely rare as the needles are always sterilized. Another fear about the needles is the transmission of diseases from one person to another. However, this cannot happen as long as the needles are sterilized and used only once.
shakenherthang asks: Could acupuncture help menstrual cramps?
Dr. Nader Soliman: Acupuncture is, in fact, an effective method of treatment for menstrual cramps. And as we know this is a common problem with many female patients and results from a variety of reasons that are mostly hormonal imbalance. Acupuncture is known for its effectiveness in regulating the female hormones. As a result it can effectively decrease the menstrual cramps that are resulting from such imbalance. In addition, this also will help in decreasing the amount of bleeding that could also be resulting from such hormonal imbalance.
dgeeee asks: Can acupuncture get rid of a psoriases skin rash?
Dr. Nader Soliman: Yes, acupuncture could help a lot, not only in psoriases but also many varieties of skin problems. In alternative medicine in general, as well as in acupuncture in particular, the aim of the treatment is to eradicate the cause of the problem, rather than treating just the symptoms. In the ma ty of cases, any skin problem is in fact a projection of a deeper imbalance in the body and acupuncture in its way tries to balance such energetic disturbance and as a result all symptoms of this energetic disturbance that might include skin problems will be corrected.
jdguay asks: How successful is acupuncture for weight loss?
Dr. Nader Soliman: Acupuncture has been used in the treatment of weight loss. This could be done either through regular body acupuncture or occasionally through inserting needles in the ear. This is called ear acupuncture. This could be effective in cutting down in the desire to eat but in general we have to understand that excessive eating, or increase in body weight, could result from other problems such as possible thyroid problems or other imbalances in the hormones that have something to do with regulating the desire to eat or the blood sugar. Acupuncture, when given, will try to stabilize such hormonal imbalances and as a result this hormonal imbalance will return to normal preventing an increase in body weight.
good_hearted_woman40 asks: How effective is [acupuncture] for Multiple Sclerosis?
Dr. Nader Soliman: Having acupuncture as a treatment for Multiple Sclerosis (MS) in addition to traditional treatment as acupuncture will help in strengthening the immune system of the patient. Adding an effective measure to minimize the symptoms or even helping stop the progression of the disease.
brownbeauty2709 asks: Is acupuncture covered by most insurances?
Dr. Nader Soliman: This will depend on different areas. But the tendency now is that many insurance companies do add acupuncture as a coverage. And even some HMOs do cover acupuncture currently.
giraffegal2000 asks: How does acupuncture work?
Dr. Nader Soliman: There have been many studies in the West since the 1970s aiming at finding out how acupuncture [works]. And many of these studies have shown that acupuncture stimulates the immune system in the patient, especially those who have a weak immune system. Also studies have shown that acupuncture increases the amount of endorphins, which is a natural pain killer produced by the body. This is a reason acupuncture is effective in controlling pain. In general, all the studies seem to suggest that the needles work on the central nervous system by stimulating the nerve endings in the skin where they are inserted.
Chic_Hoosier asks: I recently had two sessions of acupuncture to stop smoking. Both times, I was totally relaxed for two hours and then the urge was so strong for hours. Any explanation for this?
Dr. Nader Soliman: Acupuncture treatment for cessation of smoking is something that has to be done many times over a period of two weeks. So we don't expect immediate results from the first few treatments. But with the continuation of treatment acupuncture would be stimulating the body to have less reaction to the withdrawal symptoms.
giraffegal2000 asks: Can acupuncture be done on children?
Dr. Nader Soliman: Acupuncture could be done on children. Obviously if they are babies they are not going to be objecting! However, it would be a difficult method to treat children who are toddlers, or even sometimes teenagers, by inserting needles in their skin. However, acupuncture could be done in a different way on such patients in which electrical stimulation of the acupuncture points could be replacing the actual insertion of needles. And in most of the cases, this electrical stimulation is rather painless. But the method is a replacement to actual needling of the skin and could be equally effective.
giraffegal2000 asks: Someone told me acupuncture can help carpal tunnel syndrome and tendentious. Is that true?
Dr. Nader Soliman: That's quite possible, especially if acupuncture is introduced early enough in the disease. And in more than half the cases, the symptoms will disappear after two treatments. However, if they do not disappear within six to eight treatments, other intervention methods should be sought.
lowspark95 asks: Has acupuncture ever been used successfully to treat endometriosis?
Dr. Nader Soliman: Yes acupuncture could be used for endometriosis, unless the [it's] not severe or extensive. So it is certainly an alternative method to try before seeking surgical intervention.
lookin4therightman asks: I have fibromyalgia. Is acupuncture the right remedy for me?
Dr. Nader Soliman: I am a personally a pain management specialist and I see a lot of patients with fibromyalgia. From my own experience acupuncture is certainly one of the most effective methods of decreasing the pain and induce muscular relaxation without resorting to a lot of the pain medications that these patients are put on. In fact, acupuncture can effectively decrease the flare-ups of the disease compared to those who are on medications alone.
giraffegal2000 asks: How can I find a qualified acupuncturist?
Dr. Nader Soliman: They could either be physicians or non-physicians, and it will be necessary to look for the certifying boards in every state in order to obtain the names of some of the practitioners in these areas. In addition, there is the American Academy of Medical Acupuncture that has members who are physicians only who practice medical acupuncture. And the Academy could be contacted to find out the name of the physicians wherever the patient is residing. You can reach them on the Web site,www.medicalacupuncture.org. From there you can find the practitioners in your area.
sugarbabe48146 asks: Can acupuncture really be effective for [treating] asthma?
Dr. Nader Soliman: Yes, in many cases but not all of them. Again, I would advise people who have asthma problems to seek acupuncture treatment in addition to their regular medical treatment and try it for from six to eight treatments and judge if that is going to help them to feel better and even decrease their medication. And if that is the case, I would advise that they will continue having acupuncture on an intermittent basis to minimize the symptoms and minimize the amount of medication needed.
toobusytothink2001 asks: Does acupuncture hurt?
Dr. Nader Soliman: No! Most people think that acupuncture hurts because it is done by needles. But we have to understand that we think of needles having in mind the needles we are used to in hospitals or doctors' offices. But there is a big difference between those needles and acupuncture needles. The regular needles have a cutting edge because they have to transmit the injected medication into the patient. And because they have a cutting edge they do hurt as they cut the skin. However, the acupuncture needles do not have a cutting edge, and they have an extremely thin and pointed end. And as they are inserted they simply push the fibers of the skin away and do not cut them. As a result they don't cause any pain. In the majority of cases patients don't feel anything at all as the needles are inserted or removed. However, a very small percentage might experience some discomfort. But it doesn't reach the level of pain.
giraffegal2000 asks: What conditions respond best to acupuncture? That is, what conditions are most successfully treated by acupuncture?
Dr. Nader Soliman: Acupuncture, in general, can treat a large number of medical problems. But mostly we know that treatment of pain is one of the most common indications for acupuncture and that has been recently supported by the NIH [National Institutes of Health]. However, it is known that acupuncture can treat a wide variety of problems apart from pain, and that is supported by the World Health Organization who advise having acupuncture for other problems, like muscular problems, gastrointestinal problems, as well urinary problems and problems related the genitals and reproductive organs. So in fact acupuncture could be used essentially for any medical problem, except for those cases that need surgical intervention.
giraffegal2000 asks: Can acupuncture help your sex life? For example, impotence? Or libido problems in women?
Dr. Nader Soliman: Yes, I think as I mentioned in answering one of the above questions, some of the libido problems in women are usually resulting from hormonal imbalances. And acupuncture being capable of regulating these hormones is a good tool to seek in the treatment of these conditions. Also libido problems in men and women could result from some psychological problems, as in depression, and acupuncture can be extremely effecting in treating or minimizing depression and as a result correcting the impotence or libido problems.
lowspark95 asks: Can pregnant women get acupuncture?
Dr. Nader Soliman: They can get acupuncture, but we have to understand that certain points, if needled, might cause miscarriage or pre-term labor. So it is advisable that if a woman is pregnant to seek real good medical advise before attempting acupuncture. And if she is having acupuncture that the physician is well aware of the points he has to avoid.
hilgartb asks: How effective is acupuncture in treating tension and/or migraine headaches?
Dr. Nader Soliman: As a matter of fact a large percentage of my patients have migraine headaches, and I see them after they have gone through all the regular medical channels seeking treatment. And I would say that about 70% of them would respond very satisfactorily to acupuncture treatment in the sense that their attacks might be diminished medically and the attacks become less severe and more responsive to simple pain killers after receiving acupuncture. Once the symptoms are controlled, they might just come for acupuncture on an infrequent basis to make sure that there will be no recurrence of their symptoms.
Dangie515 asks: How expensive is a treatment?
Dr. Nader Soliman: Again, that really will vary according to the geographical area that individual is living in. My advice is that if you are seeking acupuncture you might shop around and find out what the prices are in your area.
jdguay asks: Are the needles reused?
Dr. Nader Soliman: The needles could be reused, [but] I think there are a very small number of practitioners who use reusable needles. And I believe that more than 95% of them use only needles that are used once.
ramblin_too asks: Can acupuncture help my feet? I've been to several doctors over 10 + years for calluses on the ball of my right foot. No relief. Would your methods help me?
Dr. Nader Soliman: I think acupuncture is certainly worth trying. We have to understand that we use our feet all the time and because of that we injure them quite frequently. If there is a problem in the feet, it is usually difficult to treat because of that. However, if the regular medical treatment has failed to reduce the pain, I would advise giving acupuncture a trial of something like six to eight treatments to see if that is going to help in reducing the pain. And if it does, the patient should continue with that for awhile until the pain is reduced to the maximum. However, if acupuncture does not give results within the six to eight treatments, it is unlikely that it will help.
cherish1955 asks: Who discovered acupuncture?
Dr. Nader Soliman: It is not really a discovery in that sense. It has developed throughout the centuries, about 4,000 years ago in China. We believe that this is the first place to use acupuncture. It is something that people have gathered knowledge about by experience, by watching and by treating. And finally we have the system that we have today.
youngcdldriver asks: What is the difference in acupuncture and acupressure?
Dr. Nader Soliman: Acupressure is simply using the fingers or other machinery to produce pressure at the site of what we call acupuncture points. But acupuncture itself, as the name implies, means that we use a needle to puncture that area. So the difference is simply putting in a needle versus simply putting pressure on that area. And even though acupressure is helpful, putting needles in is certainly the method to get the maximum benefit.
toobusytothink2001 asks: What is "medical" acupuncture? Is it just that it is administered by an M.D.?
Dr. Nader Soliman: The term "medical acupuncture" refers to acupuncture performed by physicians in order to identify them from non-physicians acupuncture.
youngcdldriver asks: Can acupuncture work on a pinched nerve in a foot?
Dr. Nader Soliman: Yes, generally with any pinched nerve, if there no great mechanical pressure causing the pinching. Acupuncture would be one of the methods to consider in treating that nerve. However, if considerable mechanical pressure is suspected, surgical intervention would be preferred.
giraffegal2000 asks: Is acupuncture ever used for vision problems?
Dr. Nader Soliman: Acupuncture has been used but I do not think it is quite effective in treating conditions like glaucoma and cataracts, or improving the visual acuity. Other methods should be sought for such treatment.
txpeech asks: How effective [is acupuncture] on allergies in general?
Dr. Nader Soliman: There are certain techniques in acupuncture that could be very effective in treating allergies. And if patients are seeking such treatment, they should really ask for people specializing in the treatment of allergies. And generally it will give them a very good result if you go to the right people.
toudi_tank asks: Can you briefly explain any of the theories of the science in laymans terms?
Dr. Nader Soliman: Acupuncture, in general, is a balancing technique. And I would like persons who would like to imagine how acupuncture works to visualize a simple canal full of water and all of a sudden we have obstructed the flow of water in this canal. The result of that will be that one side of the canal will have too much water and the other side will have none. This is basically how the Chinese have visualized acupuncture. Considering that there are channels of energy flowing in the body and obstructing them will cause the energy to either increase on one side of the blockage and decrease on the other side. And either one of them will cause symptoms because they result imbalance of the energy flow. And acupuncture in these cases will help to allow the flow of energy to go back to normal as much as possible. By doing so, the symptoms resulting from the imbalance will start to disappear. So in effect, acupuncture treats the cause of the disease rather than just treating the symptoms, as is the case in traditional Western medicine.
lowbug64 asks: Are the needles applied in the area where the pain exists or are they applied to a different area as a form of pain deferment?
Dr. Nader Soliman: As a matter of fact, it is usual to insert the needles away from the site of pain with just a few needles to where the pain is.
corinnacj asks: Could acupuncture help arthritis?
Dr. Nader Soliman: Yes. I would very much recommend that patients with arthritis, regardless of the kind of arthritis they suffer from, seek acupuncture treatment as a complementary method of treatment in addition to their usual medication. It does help tremendously in decreasing the severity of the pain and does help in decreasing the swelling of the joints, naturally without resorting to much of the medication that they are on. So it is certainly something that patients should seek, number one to minimize their symptoms, and to improve their functional abilities, and at the same time decreasing the amount of medication that they are on.
slacker_95926 asks: I developed tendentious...while backpacking last summer. Can acupuncture help me?
Dr. Nader Soliman: Yes. I would very much recommend using acupuncture for this problem. As it's usually very successful in treatment such conditions.
lilbit_islandgirl asks: What about acupuncture and the treatment of fungal sinusitis?
Dr. Nader Soliman: Fungal sinusitis is a major problem affecting the sinuses. And doing acupuncture is certainly advisable in those patients, as it does improve the drainage from the sinuses and it does improve the immune system, allowing the body to fight the fungus. In contrast to regular medical treatment that tends to surpress the secretions and thus aggravating the condition in the long term. So I would advise people to seek acupuncture treatment for their sinus problems and by doing so their sinus problems will decrease in both intensity and frequency and might even disappear.
mdcowherd asks: How long have you been an acupuncturist?
Dr. Nader Soliman: I have been an acupuncturist for the past 10 years.
lowspark95 asks: Can acupuncture help migraines?
Dr. Nader Soliman: Yes, we discussed that earlier. And it is certainly a method that should be tried by every patient who has migraines. In the majority of cases their symptoms will decrease, their need for regular medical treatment will also decrease.
ITeachGr3 asks: Last year I started acupuncture for RSD [reflex sympathetic dystrophyin] my left foot. It worked wonderfully at first, but since another recent trauma to my foot, it hasn't done anything. Can you possibly explain why? I am SO frustrated!
Dr. Nader Soliman: RSD is really a very complicated problem that involves many parts of the central nervous system and acupuncture may help with such conditions. But not necessarily at all times. My advice is to continue for a longer period of time doing acupuncture to assure that it will help at least to some extent. As traditional medical treatments are usually also ineffective.
outlaw393 asks: Does [acupuncture] stimulate certain nerves or what?
Dr. Nader Soliman: Yes. The theory that we hold right now is that by inserting the needles at certain points in the body which we call acupuncture points, certain nerves or certain nerve endings at these points seem to respond to either putting pressure on these areas, which we call acupressure, or respond to the insertion of needles in these area. As a result the central nervous system is stimulated. And accordingly will respond to the problems that the patient is having.
lowspark95 asks: Can anyone get acupuncture? Are there any restrictions?
Dr. Nader Soliman: There are certain restrictions, and as we mentioned earlier, one of them is pregnancy. Another one is patients who are on anti-coagulant medications. Also patients who might be having such electrical equipment in their body - like pacemakers for example. If you have acupuncture in these situations, we should avoid stimulating these needles electrically. But acupuncture itself is not contraindicated in patients with pacemakers. Finally, obviously, in patients who have a fear of needles, acupuncture is not recommended.
nuttydevil asks: Is acupuncture good for stress?
Dr. Nader Soliman: Oh, certainly! This is a very good method in reducing stress and anxiety. It is quite effective with immediate results after the treatment.
vinoo2k2001 asks: My brother's son [is] 18 years old [and] has [neurological] problems. He's [been] in coma [for] the last 16 months. We are giving him acupuncture treatment [and consulting a doctor]. Please guide us.
Dr. Nader Soliman: My advice is certainly to continue giving him acupuncture as this is a method of stimulating the central nervous system. And it is a known fact that patients in comas need to be continuously stimulated by various methods. In order to keep their brain function working at a high level. Acupuncture, no doubt, is an excellent way of stimulating the brain.
dreaming_in_tx asks: Can acupuncture help with depression?
Dr. Nader Soliman: I personally have treated many patients who suffered from depression and they have improved to a great extent and have been able to cut down their medications, even stopping them. So I would again recommend acupuncture for patients with depression at least as a complementary therapy.
rndebra asks: What are the chances of getting [Hepatitis] B or C or HIV from the reused needles?
Dr. Nader Soliman: Equipment and instruments are sterilized after each patient. However, in order to avoid any fear about transmission of diseases, you may ask the practitioner doing the acupuncture to use needles that are not reusable.
nuttydevil asks: Is it possible to have too much acupuncture?
Dr. Nader Soliman: Yes, you can have too much acupuncture which is not recommended. Acupuncture is a method of treatment that works on and manipulates energy in the body. If it's used excessively, it could have some reverse effects by depleting the energy of the body rather than stimulating it. So it has to be done at a frequency suitable for the patient and that will defer from one patient to the next and it should not be used excessively.
lifetime_host: Thank you for joining us, doctor.
Dr. Nader Soliman: Thank you very much. It was my pleasure!
lifetime_host: Our time is up. Thank you for all of your questions. We're sorry we couldn't answer all of them, but please check the "Strong Medicine" Web site for more medical information and resources atwww.lifetimetv.com/shows/strongmedicine/patientfiles. Thank you for joining us! Please come back next Sunday night for another chat on women's health issues. Watch "Strong Medicine" next Sunday night on Lifetime, and then join us for a chat at 9pm et.
where i found this info ... http://www.medicalacupuncture.org/acu_info/interviews/soliman.html
~*~ RSD & VISION ~*~
Do you have rsd or fibromylagia or chronic pain or even diabete's? This can take a tole on your eyes & hearing. Since these type's of medical condition's can play so many thing's on our bodies . We sometime's start to lose vision & some hearing . Cant read small letter's , or unfocusing of our eye's . Make's your wonder " what's next . Am i going blind too ? " or " am o going deaf too ? "at least that's what i ask myself . I know it's either the rsd or the diabete's . But how do we know which one is causing it ? So here i am searching for answer's again on what or which is doing this to me . As i,m sure you maybe wondering the same .
Reflex Sympathetic Dystrophy Syndrome is a progressive disease of the Autonomic Nervous System that can follow a simple trauma (fall or sprain) a break or fracture (especially wrist and ankle) a sharp force injury (such as a knife or bullet wound), heart problems, infections, surgery, RSI/CTS, spinal injuries/disorders, or major trauma. It is a multi-symptom condition affecting one, two, or sometimes even all four of the extremities. It can also be in the face, shoulders, back, eyes, and other areas as well. It may spread from one part of the body to another regardless of where the original injury occurred; and RSD can spread in up to 70% of the cases. In a small number of cases it can become Systemic or body-wide. RSDS is an involvement of nerves, skin, muscles, blood vessels (causing constriction and pain) as well as bones.
ANYONE can get RSDS. There are now an estimated SEVEN MILLION Women, Men, and Children across the United States with this disease. It affects women many more times than men, maybe as high as four or five to one, and affects all age groups from 3 to 103.
RSD PUZZLE #130
Eye Complications in CRPS;
Dear Dr. Hooshmand,
Over t he last year I have developed watering eyes and my left eye turns outwards with
where i found this info ... http://www.drugtalk.com/hytrin/drugthread.php/t-152071.html
RSD & vision loss and/or anorexia??
( Q ) Hi there,
I was wondering if there was anyone out there who has/had RSD (Reflex Sympathetic Dystrophy), or knows someone with it??
Also, I was wondering if anyone has had any experiences with having:
RSD and Anorexia
RSD and vision loss (such as eyes being routinely dilated and never going back to normal)
RSD and OCD
RSD and other psychological disorders
We are trying to figure out if there is a link between RSD and other neurological disorders, etc. Doctors will not believe us, they say everything is separate, but these conditions have to be connected in some way!! Anyone have a personal experience?? Or any information from a doctor??
(hopefully that wasn't too confusing....)
( A ) I had serious vision problems with my RSD due to being on Lyrica. Is your RSD/CRPS internal, and external? Often times medications that many RSD/CRPS patients are on have side effects that can cause problems with eating disorders, or other problems, but usually they aren't directly caused by the RSD/CRPS. RSD/CRPS and depression are commonly linked because of the drastic change in a RSD/CRPS patent's life.
where i found this info ... http://answers.yahoo.com/question/index?qid=20080623141658AA28rrD
The average FMS patient suffers for several years and spends thousands of dollars in medical bills before receiving an accurate diagnosis. People are relieved when they finally get a diagnosis and realize itís not all in their heads.
FMS can have different symptoms each time a doctor is visited, and the symptoms donít appear to be related to each other. This can be a source of frustration to many physicians, because FMS is very complex. Also, no two people have exactly the same symptoms. Furthermore, the symptoms in a child can be different from those of an adult. Diagnosis in a child is also harder, because children have more trouble describing their pain.
While not everyone has the same symptoms, or even all of them, some of the potential symptoms of FMS are:
- abdominal pain
- bladder irritability or spasms
- blurred vision
- chest pains and pressure beneath the breast bone
- dry eyes and mouth
- gastroesophogeal reflux (GERD) Ė sometimes called heartburn or acid stomach
- general aches and pains
- hearing loss
- intermittent hearing problems and low-frequency hearing loss
- memory and reasoning problems ("brain fog")
- migraine or tension headaches
- morning stiffness
- muscle twitching
- nighttime grinding of teeth (bruxism)
- pelvic pain
- pre-menstrual syndrome
- skin sensitivity to temperature
- sleep problems, insomnia
- temporomandibular joint disorder (TMJ)
- tingling or numbness in arms, legs, feet or face
- water retention and swelling; especially in the hands, face and feet
Symptoms can be made worse or triggered by:
- cold or drafty environments
- hormonal changes, before periods or during menopause
- physical overexertion
- weather changes
Pain is the most prominent and common symptom. It can be all over, or in just one main region. Some people describe it as "knife-like" or a "muscle cramp." Some say itís like having a persistent flu and can be quite severe in some. Other factors that effect pain are level of activity, the weather, a personís sleep patterns and stress. Most people with FMS say that at least some degree of pain is always present. The pain generally is present in all four quadrants of the body, for at least three months. That means pain is present on both the right and left sides of the body, and above and below the waist.
Fatigue is also a very common symptom. About 90% of people with FMS have moderate to severe fatigue. This fatigue can range from simple listlessness and decreased exercise endurance to total exhaustion.
According to past studies about 75% of people with fibromyalgia have sleep disorders. That means people with fibromyalgia sleep lightly, can be awakened by the slightest sound and donít feel rested or refreshed when they wake in the morning. They also report feeling tired, achy and stiff. One person describes it like this: "You wake up in the morning looking for the eighteen-wheeler that mistook your bed for the interstate." It is still not known if the pain causes the sleep disturbances, or the other way around.
Another common symptom is mood changes. Many people with FMS report feeling "blue" or "down," but only about 25% of these people are clinically depressed according to past studies. Some people also report being anxious, with difficulty concentrating. They complain of decreased short-term memory and trouble performing simple tasks. Many of these symptoms are also common in anyone whose sleep is disturbed.
Standard medical tests come back negative, and often a person "looks" just fine. In addition, symptoms can change from day to day, and even hour to hour. They can also change with illness, stress and increased physical exertion.
Sometimes people are sent for physical therapy, psychological counseling or other inappropriate treatments. Unfortunately, some treatments can actually aggravate FMS.
Technically, FMS is not a disease, but is rather a "syndrome." Fibromyalgia is a specific set of signs and symptoms that occur together. It is chronic, but is not inflammatory, degenerative or progressive. FMS is systemic however, meaning symptoms can be found all over the body. Also, it is not in the joints, but mainly in the muscles. Joints may be sore, but generally the source of the pain is the tendons or ligaments that attach to the muscles.
However, this does not imply that FMS is not serious. In fact, it can be a debilitating as rheumatoid arthritis and lupus, both of which are also technically classified as syndromes.
Johnnie has helped thousands of people who have been diagnosed with Fibromyalgia lose weight and/or improve their overall condition. Over 90% have shown improvement!
One of the frustrations with FMS is that there is currently no X-ray or blood test to diagnose it. For a correct diagnosis to be made, a health care professional must first identify the symptoms and then rule out other disorders. A proper diagnosis may be confounded by the fact that fibromyalgia can co-exist with other disorders.
In 1990, the American College of Rheumatology (ACR) defined FMS as "the presence of unexplained widespread pain or aching, persistent fatigue, generalized morning stiffness, non-refreshing sleep, and multiple tender points." By the ACR definition, a person should have at least 11 of 18 tender points that hurt when pressed. The tender points are present in all four quadrants of the body, and the pain is widespread and continuous for about three months or more.
Tender points can vary from day to day. The exact tender point locations may also vary slightly from person to person. If your doctor doesnít find at least 11 tender points on exam, he or she could give a diagnosis of "possible FMS" and recheck the tender points at another time. Sometimes, tender points can be unnoticed until a health care professional applies pressure.
FMS is "part of a wider syndrome encompassing headaches, irritable bladder, dysmenorrhea, cold sensitivity, Raynaudís phenomenon, restless legs, atypical patterns of numbness and tingling, exercise intolerance and complaints of weakness".
There seems to be a link between depression, anxiety and FMS but researchers still are not sure if itís a cause or an effect.
Major symptoms of FMS can sometimes be traced to a triggering event such as:
- prolonged grief
- body trauma, such as an automobile accident
- infection Ė viral, bacterial or otherwise
- difficulty in pregnancy, labor and delivery
- open-heart surgery
It is very important to note that even if you have one or more signs and symptoms, it doesnít mean you have fibromyalgia. You should get a thorough medical exam and rule out any other possible causes for your symptoms.
Not enough really is known about fibromyalgia to point to one exact cause. Unfortunately, until a cause or causes are identified no cure is possible. However, current research points to several main theories.
Metabolic dysfunction Ė a problem with making or using substances in the body, for example, serotonin. It seems that in people with fibromyalgia, either too little serotonin is produced or it is reabsorbed too soon. Also in people with FMS, phosphates do not seem to be excreted properly.
Immune system dysfunctionĖ FMS may possibly be linked to allergies or yeast, viral or bacterial infections.
HeredityĖ there seems to be a link among family members with fibromyalgia. What is not known at this time if it is a genetic or behavioral link (learned reaction to pain.)
Illness or injuryĖ often fibromyalgia can be traced back to a major illness or automobile accident
Prolonged stressĖ many people with fibromyalgia can identify a prolonged period of stress in their lives.
There are several potential causes of fibromyalgia that have pretty much been eliminated by extensive research. They are:
- Toxic exposure
- Vascular or circulatory problems
- A degenerative condition
- Mental or psychological problems
- Tumors or growths (there is no relationship between fibromyalgia and cancer.)
Even when you are armed with knowledge about FMS, getting the right health care professional for diagnosis and treatment can be difficult. Doctors with a negative bias against FMS can have a bad effect on your diagnosis and care. If your doctor isnít familiar with fibromyalgia, or doesnít believe it exists, find another doctor.
If you are confronted by a doctor who discounts the fibromyalgiaís existence because it canít be proved, you might want to remind the doctor that until the connection between the pancreas and sugar metabolism was discovered, doctors considered diabetes to be a psychological disorder.
Once you do get a diagnosis of fibromyalgia, sometimes people donít believe that anything is wrong with you, because you look fine. For you, and your family and friends, education is the key. Learn all you can about this syndrome. Then make sure a good support system is in place. There will be more on this issue in a future article.
Fibromyalgia can be managed. The old adage "Knowledge is Power" truly applies to fibromyalgia. Learn what you can, then take an active role in your health care. Donít expect the health care providers to do it all for you. Take charge, and you too can learn to live well with fibromyalgia.
where i found this info ... http://www.tbfinc.com/fibromyalgia.htm
Symptoms of Fibromyalgia
The following is an expanded list of common symptoms often associated with FM. Not all patients will experience all of these symptoms and each case is individual.
PAIN - diffuse musculoskeletal pain and fatigue. The syndrome is defined by the presence of musculoskeletal tender points on physical examination. Pain is often described as aching, burning, throbbing, gnawing, shooting &/or tingling. It can be localized, generalized, can feel like muscle spasms and can be scattered throughout the body. It may be migratory, with pain presenting in one or more areas on one day and other areas on another day. Pain is often experienced very quickly after any repetitive movement - even something as simple as holding arms up to brush or comb hair etc.
Numerous vague unspecified symptoms that wax and wane and cause fibro sufferers to "just never feel good".
Due to the lack of Stage 4 sleep, muscle repair does not occur properly and therefore muscles take longer to heal and regenerate after micro injuries or trauma, as is experienced by everyone in day to day life. Micro trauma during exercise is not repaired in FMS patients in the same manner as it is in normal people - thus the muscle stiffness causes much more distress in fibromyalgics or FMSers and takes longer to subside, therefore exercise is not refreshing but continuously causes pain making patients reluctant to engage in an exercise routine.
Fibromyalgics have 3 times the amount of Substance P in their bodies than do normal people. Substance P is the vehicle that carries pain stimuli to the brain. The brain may also interpret the pain improperly and respond inappropriately. What might be experienced as a "tickle", itch or annoyance normally - is often experienced as pain in those who suffer with FMS. There are often more pain receptors in FMSers, therefore pain is magnified.
Bilateral Pain in various points in areas throughout the body. There are 18 TPRís - Diagnosis of FMS is made if pressure on 11 of these 18 points causes pain. Areas throughout the body may feel "bruised" when touched. The tender point is considered to be positive if an approximate force of 4 kg. of pressure causes pain when applied to the specified points. Widespread pain must have been present for at least 3 months with the associated tenderpoint pain in order for Fibromyalgia to be diagnosed.
FMS patients may bruise more easily than others and some may experience excessive bruising.
Temporomandibular Joint Disorder: in many FM patients, problems are encountered because of the abnormal tone in muscles around the joint, not because of abnormalities in the joint itself. (Pain in the face and jaw.)
Grinding of teeth at night.
Clenching of jaw at night.
Headaches: tension &/migraine. Visual Migraines may also be experienced. (Search Visual or Ocular Migraines for more information)
Recurrent sore throat.
Chest Pain: Non-cardiac pain that may simulate cardiac disorder. This may be Costochondritis which is pain in the sternum or breastbone where the ribs attach. (Search Costochondritis for more information.)
Heart murmur: may be Mitral Valve Prolapse. (MVP occurs in up to 75% of fibromyalgics. Search Mitral Valve Prolapse + Fibromyalgia for more information.)
Heartburn and digestive problems.
Esophageal dysmotility or reflux.
Back Pain: usually low back pain - may be exacerbated by muscle spasms in this area. A pillow placed under the thighs to tilt the pelvis while in bed may help, as it flattens the low back against the mattress. Pillow should not be under the knees as this might contribute to causing blood clots.
Sacro-iliac instability and pain.
Joint Hypermobility and Laxity: lax ligaments or what is commonly referred to as being "double-jointed". People who have this condition often ache and are more susceptible to osteoarthritis later in life. Studies suggest that joint hypermobility and fibromyalgia are associated and that the hypermobility can play a role in the pathogenesis or development of pain in fibro.(For more information search Joint Hypermobility + Fibromyalgia)
Arm and Shoulder pain: Often burning type of pain - often between the shoulder blades. May go across shoulders and down arms. Neck may also be sore &/or stiff. Arms may ache or pain may be severe in them. One side may be more painful than the other. A small pillow placed under the arm to elevate it slightly when lying down is often helpful, as arms tend to drop down on the bed and pull on the neck and shoulders. When riding in a car, it is often helpful to place a pillow over your knees and rest your arms on it. This helps elevate the arms and shoulders and can alleviate the "drag" one them and stop arms from going numb if this is a problem.
Postural Changes: shoulders hunched forward or rounded, head thrust forward with neck kinked forward, chest sunken, low back pushed forward causing abdomen to protrude, knees locked, muscles in back of thighs flexed - all a mechanism to find a comfortable position.
Painful lymph nodes: under the arms and in the neck.
Carpal tunnel syndrome: numbness, tingling and pain in wrists, hands and/or fingers. Pain in hands makes writing, typing, wringing out dish cloth etc difficult. Pain when plunging hands into cold water. (also pain maybe experienced on entering the water if swimming in cold water).
Paresthesia: Numbness or tingling (non-dermatomal) Numbness in arms and legs.
Raynaud's - like symptoms - numbness and tingling in the extremities especially in fingers, exacerbated by the cold.
Many fibromyalgics feel cold even when it is not particularly cold inside or out. Often hands & feet are very cold. Sometimes the sensation of cold seems to cause pain as well as giving the sensation of cold. A warm shower will usually help to alleviate this sensation whereas turning up the heat in the house does not.
Tennis Elbow: Pain in elbow and forearm.
Dry, itchy, blotchy skin &/or skin rashes. Especially on the face by ears and jaws and on forehead.
Ridges: may develop in finger nails and toe nails. Nails may split. Nails may break off easily. If they do grow they may curve or curl under.
Restless Leg Syndrome: Aching in legs especially at night causes legs to be moved constantly in an attempt to ease the pain or aching.
Weak knees and ankles. Cramps in legs.
Foot Pain: Plantar arch or heel pain, may be plantar fasciitis or just "fibro feet". Orthopedic shoes and orthotics may help.
Muscle and joint aches.
Severe muscle weakness.
Muscle spasms: may feel like tight knots or charlie horse or lumps. Muscles contract but do not release properly. Muscles apparently may contract without receiving stimulus from the brain.
Twitching: can be muscular - may experience eye twitch or a facial twitch.
Burning sensations in muscles throughout the body.
Nausea: may be caused by overload of pain stimuli bombarding the brain - nausea may also be experienced when moving from a horizontal to a vertical position.
Recurrent flu-like illness with muscle pain and aching.
Weight change: - usually gain - a feeling of swelling or puffiness might be experienced. May experience retention of fluid for a few days and then return to "normal". May "feel" swollen even if inflammation and swelling are not actually present. Weight gain may also be due to various medications used to treat fibro.
Hair loss: hair may come out in great "gobs" when combed or brushed. May notice hair coming out when it is being washed as well.
Sleep disturbance/non restorative sleep: may be described as not being able to fall asleep, not being able to stay asleep or more common, "I feel like I haven't slept at all". May awaken frequently and be unable to return to sleep for some time. May wake up "full" of pain and feel "more tired" than on going to bed.
There is a disturbance in the sleep pattern and fibromyalgics are not able to enter into stage 4 sleep, thus they awaken frequently through the night when they reach Stage 4. One may also feel that they are awake and asleep. In essence what happens is that there is brain wave activity of sleep going on in the brain and at the same time there is brain wave energy of being awake going on - almost like the sleep patterns and awake patterns are playing in the brain at the same time. Restful sleep is never achieved. Thus there follows deep aching discomfort throughout the body and the feeling of being exhausted. The shoulders, neck and low back are often the most painful.
Frequent, unusual nightmares or being unable to dream - "black" heavy sleep may be experienced if medication is taken to aid staying asleep.
Night sweats: wake up drenched in perspiration, then become very cold and maybe even start to shiver.
Intolerance to cold: muscles contract in response to exposure to cold - cold weather, cold drafts, ice packs etc. Sometimes referred to as muscle jelling as in jello - jello is fluid and liquid when warm and jells when chilled. Extreme sensitivity to seasonal changes, climatic changes - rain and impending storms. Most Fibro patients find that their muscles respond to the application of warmth but that application of ice packs or cold intensifies pain.
Body temperature fluctuations - hot one minute and cold the next. Perhaps inner "controls" (thermoregulatory system) are out of whack.
Fatigue - can be described as feeling tired to being extremely exhausted after minimal physical exertion. Sometimes a short nap in the afternoon may help relieve the feeling of fatigue, yet some people require frequent rest periods to get them through the day. Sometimes the fatigue can come on suddenly for no apparent reason and can be very debilitating. Short periods of exertion can require long periods of rest to recuperate. Can be severe and have a sudden onset even with minimal physical exertion. May experience sudden debilitating fatigue that makes it necessary to immediately stop whatever one is doing and go and rest. May be experience as a sheet of fatigue descending over one. It is so debilitating that patients are often left wondering how they can carry on - "I'm just too tired to keep on living"
Disequilibrium - impaired co-ordination: misjudge distances - bang into door frames, walk into furniture, walls etc.
Cognitive function problems: such as attention deficit disorder, calculation difficulties, memory disturbance, spatial disorientation, difficulty with concentration and short-term memory. These things are commonly referred to by FMSers as "fibrofog".
Neurogenic inflammation: rashes and hives, inflammatory sensation, with rashes that may be severe, severe itching with inflammation - initiated by nerves.
Alteration of taste, smell, hearing. Some odours may make one nauseous.
Sensitivity amplification: may be more sensitive to smells, sound, odours, lights, pressure and temperature fluctuations, vibrations and noise etc. - the buzzing from fluorescent lights, hum of computer, buzz of overhead hydro lines may become almost unbearable to an FMSer at times. FMS hyper-sensitizes nerve endings.
May develop food intolerances, allergies and chemical sensitivities.
Changes in visual acuity: impaired function of smooth muscles used for focus as well as skeletal muscles for tracking. May experience blurred vision &/or double vision. Some people require two or three different eye glass prescriptions as their needs change with the Fibro symptoms. May experience Visual or Ocular Migraines.
Exaggerated nystagmus: involuntary rapid movement of the eyeball.
Intolerance of bright lights/sunlight.
Dry eyes and mouth: dry mouth can cause dental problems - dry eyes may cause inability to wear contact lens, may cause other visual problems, may require eye drops to keep eyes moist and free from infection. Eyes may be very dry at times and water at other times.
Hearing Loss: low frequency, sensorineural hearing loss.
Decreased painful sound threshold. Sometimes normal everyday noises become very irritating. May not tolerate radio or television well.
Ringing in the ears - ringing and sounds like the rolling ocean or whispers may be experienced.
Allergies: Severe nasal and other allergies and patients may also have a deep sinus infection.
Environmental sensitivities may develop.
Enhancement of medication side effects.
Intolerance of medications that were previously tolerated.
Intolerance of alcohol.
Intolerance of caffeine.
Intolerance of processed white sugar and most artificial sweeteners.
Premenstrual Syndrome: swelling, tenderness and lumps in breasts are often experienced with PMS, painful periods as well as mood swings, exaggerated emotional responses etc. etc. as common in PMS.
Fibrocystic Breast Disease: may be experienced by FMSers especially prior to period. Breasts may become very swollen and sore and be full of cysts or lumps that disappear after period.
Frequent vaginal yeast infections.
Vulvar vestibulitis or vulvodynia.
Irritable Bladder/Frequent Urination: might be uncomfortable or painful. Also bladders spasms may feel like a bladder infection.
Foul or strong smelling urine: May smell like green hay. May be dark in colour.
Irritable Bowel Syndrome: alternate between constipation and diarrhea. Frequent abdominal pain, gas and nausea.
Depression: may be reactive or clinical. Often pain and feeling ill all of the time causes the depression. FMSers are depressed because they hurt. They do not hurt because they are depressed.
Anxiety: may include panic attacks.
Emotional lability or mood swings. May be tearful at times because life seems overwhelming.
Irritability probably due to pain and inability to do the things that you need to do and want to do.
Personality changes: usually a worsening of a previous tendency. People who have FMS sometimes have a hard time accepting their limitations and the loss of the person they "used to be" - they may actually go into the mourning process. Because FMS is an "invisible" sort of illness - and patients often see many Doctors before being properly diagnosed, they often begin to doubt themselves.
Fibromyalgics desperately need support and understanding from those closest to them but they often feel alienated because of their illness and inability to participate fully in many common activities of daily living. Many are unable to continue working at the jobs they love and thus lose part of the identity that their job may give them. They begin to lose their sense of independence and productivity and their sense of value.
Anger and resentment towards lack of understanding may alter FMSers personality drastically and cause even further alienation from family and friends. Along with this sense of helplessness and worthlessness that may develop, they may begin to feel guilty for not being able to be the person that others need or expect them to be. They may become extremely depressed and begin to lose interest in life altogether.
Fibromyalgia does not usually respond to anti-inflammatory medications. Initially there may be a positive effect but often this initial response subsides. Low doses of anti-depressants are often administered in an attempt to modify sleep patterns and serotonin uptake. Analgesics likewise often become ineffective once the body has become accustomed to them. Doctors are sometimes reluctant to prescribe narcotic analgesics due to the possibility of addiction. Various herbal remedies are found to have some positive effects by some fibromyalgics as are various vitamin and mineral supplement preparations. There are special herbal combinations specifically for FMS.
Exercise Programs are effective for some FMSers while they exacerbates the pain for others. Swimming is helpful for some people. Warm Baths are sometimes comforting especially if sea salt or epsom salts are added to the water. Heating Pads are helpful - either regular pads or moist heat. Infra Red Pads are also helpful for some patients. Analgesic rubs or liniments also bring some temporary relief. Massage, Reflexology and Chiropractic treatments are effective for some FMSers but tend to be aggravating to others.
It is very important for those who suffer from this syndrome to remember that THEY have fibromyalgia and that fibromyalgia DOES NOT HAVE them!
The information on this page was gathered though various reading and sharing of information in the early 1990's and from a survey done by my daughter as a College project. Numerous online friends participated in the survey to help her. They answered the survey, shared their experiences, wrote about the kinds of pain they experienced with fibromyalgia physically, mentally and emotionally, as well as the frustration, anger and sadness they went through as they felt themselves "losing" the person they had once been and the numerous other symptoms that were problematic to them. Some had also visited many Doctors but were unable to obtain a diagnosis as to what was wrong with them. The information gathered was shared with all of who participated. In giving her presentation, my daughter also educated her class about Fibromyalgia, which was the purpose of the project - to do research, a survey, an interview and to present information on a topic about which people knew nothing or very little about.
I will be forever grateful to those special people who became very understanding friends in those early years. They supported me through some very difficult, painful and frustrating times when there were fewer people being diagnosed with fibromyalgia and there was much less known about it. Sadly I have lost touch with many of them over the years, but they will be forever in my heart.
There was very little in the way of treatment or medication for fibro when I was first diagnosed, other than medication for pain that was often ineffective, and low dose antidepressants to help with sleep but that often were both ineffective and had unpleasant side effects that made things worse instead of better.
I originally compiled this list for people who had been newly diagnosed with fibromyalgia and were trying to understand what it was and what symptoms were associated with it. As I mentioned, I wrote it from various notes I kept in a note book for my own information, from different things I had read, from things other people had shared and from the results of my daughters survey, so I have no bibliography or reference notes associated with this offering of "Symptoms of Fibromyalgia". I wrote it entirely as a help for people who were looking for information years ago, as at the time, there did not seem to be very much. Of course now there are literally millions of sites with lists of symptoms and more information than people can possibly assimilate.
This information is very simple - in plain text - a no frills kind of web page - mostly because I live in the country and am still on dial-up internet but partly because I figure people are more interested in the information on it than anything else. I was going to take this page offline, until I saw the number of hits it had received and since the number continues to increase, I will leave it up and continue to update it periodically.
Although we are still suffering with fibro, there is so much more being done in the way of research and treatment, I am hopeful that, in the not too distant future, others being diagnosed will not go through what some of us have when they hear the words from their Doctor or Rheumatologist: "You have fibromyalgia.".
where i found this info ... http://abarnabas.tripod.com/indexfibrosymptoms.html
RSD & Loss Of Vision & Loss Of Hearing
Loss of Vision
Complaints of changes in vision or loss of vision are common in the hospital emergency ward. These complaints may represent a simple problem related to recent trauma or may be early evidence of a disease. Some causes require urgent recognition and treatment, whereas others require minimal outpatient care. The important issues for the emergency physician are: 1) recognition of visual changes; 2) general localization of the lesion through an orderly and structured manner; and 3) appropriate referral if the diagnosis is not apparent or the treatment indicated requires specialized techniques.
The emergency physician plays a pivotal role in diagnosing and treating the loss of vision in a patient, and may ultimately save, or lose, the patient's vision.
Loss of Hearing
Loss of hearing in a patient can occur for many reasons, including brain trauma and other head injuries. It is imperative that the physician treating such a patient orders the appropriate tests be administered to determine the exact cause of the loss of hearing and to stop the condition from developing into a state of full deafness. Inappropriate medical treatment and the failure to administer CAT (computer axial tomography) scans and MRI (magnetic resonance imaging) scans can lead to the misdiagnosis or failure to diagnose internal bleeding injuries, spinal cord and brain injuries causing the hearing loss, and can jeopardize the ultimate health of the patient.
Reflex sympathetic dystrophy (RSD), also known as complex regional pain syndrome (CRPS), is a chronic, painful and progressive neurological condition that affects skin, muscles, joints and bones. The syndrome usually develops in an injured limb, such as a broken leg, or following surgery.
RSD/CRPS appears to involve the complex interaction of the sensory, motor and autonomic nervous systems, and the immune system. Causes associated with the onset of RSD/CRPS include the following:
Heart disease, heart attack
Infection, due to surgical malpractice
Paralysis on one side of the body (hemiplegia)
Repetitive motion disorder (e.g., carpal tunnel syndrome)
Spinal cord disorders
For more information on RSD/CRPS, or to discuss the legal options available to you when bringing such a medical malpractice claim, contact a qualified attorney in your area today.
where i found this info ... http://www.resource4medicalmalpractice.com/topics/medicalmalpracticeinjuries.html
What is the difference between Reflex Sypathetic & Fibromylagia .
We know it cause a great deal of pain . Both involve the synpathetic nerve system . So i decided to look into both & see what i can find about both subject's that invade our bodies .I do know that in both rsd & fibro . the sypathetic nerve's are involved rsd , misfiring of the sypathetic nerve's telling your body PAIN , PAIN , PAIN . While fibro. tell's your body pppppaaaaiiinnn.When trying to live a normal life . With medication's it can be calmed down . & some still feel pain . With RSD you can take medication's and the misfiring of the sypathetic nerve's still tell's your body PAIN , PAIN , PAIN ... There is two common thing between the 2 Pain is alway's involved . & No cure for either .
Reflex Sympathetic Dystrophy Syndrome (RSDS/RSD) is also known as Chronic Regional Pain Syndrome (CRPS). RSD is classified as a chronic neurological syndrome that shares some of thesymptoms of fibromyalgia including chronic pain. Many individuals who are diagnosed with RSD disease suffer from other conditions such as fibromyalgia and chronic fatigue syndrome, which can make the diagnosis of RSD symptoms difficult.
What is RSDS?
There are two types of Chronic Regional Pain Syndrome: Type I and Type II. Type II CRPS is known as Reflex Sympathetic Dystrophy Syndrome.
RSD is caused by a disturbance of the sympatheticnervous system, the network of nerves located along the spinal cord which controls bodily functions such as the opening and closing of blood vessels and sweat glands, and is also linked to emotions.
RSDS primarily affects the hands and feet, creating changes in theblood flow, which leads to weakened bones. If RSDS is left untreated, the disease can spread to other parts of the body.
What Causes RSDS?
RSDS is an injury disease. This means that a physical injury such as a sprain, strain, surgery or even an insect sting can lead to RSD. Injuries to nerves, bones, joints, muscles, tendons or ligaments can trigger RSDS along with other conditions including:
neck and lower back disorders
heart attack or stroke
RSDS is most likely to affect individuals between the ages of 40 and 60; however, children and the elderly may develop RSDS and the condition is more likely to occur in women.
RSD Symptoms and Signs
Symptoms of RSD are often similar to fibromyalgia symptoms and usually develop within a few weeks after the initial injury took place:
severe pain or burning which may or may not be in the area of the injury
changes in the bones and
extremesensitivity to touch, particularly in the fingers and toes
skin discoloration in the injured area
temperature changes (either hot or cold) in area of injury
rapid hair or nail growth
stiffness ormuscle spasms
muscle contractions or tightness
Diagnosis of RSD
There are severaltesting procedures that may be involved in the diagnostic process of reflex sympathetic dystrophy. This includes any alteration of blood circulation in the toes which may be obtained by a photoplethysmography.
Your doctor will document any skin discoloration and changes in bone density and structures. Abnormal sensory nerve testing may be performed along with any increases to temperature sensitivity and noticeable differences in temperature between the hands and feet.
Allodynia or pain due to stimulus that should not normally induce pain will also be considered.
Treatment of RSD
Early diagnosis andtreatment of RSD can help prevent permanent damage that may be caused by the disease. Treatment can include exercise, physical therapy, biofeedback, sugery, TENS (transcutaneous electrical nerve stimulation), and medications such as alpha-blocking drugs, calcium channel blockers, local anesthetic blockers, and Bien block.
Talk to your doctor for information about treatment options for RSD that may be right for you.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Fibromyalgia Symptoms Suffer from Painful Fibromyalgia Symptoms?
Although many people suffer from it, numerous people have never heard offibromyalgia. To help you get a better idea of just what the symptoms of fibromyalgia are, take a look at What is Fibromyalgia?. For answers to some of the most common questions, check out our FAQs. And be sure to check out our Common Fibromyalgia Myths and Misconceptions page for the real facts on fibro. While a specific cause of fibromyalgia has yet to be determined, Causes of Fibromyalgia outlines some of the potential reasons people may develop this illness. This reasons are further broken down in Autonomic Nervous System Dysfunction; Sleep Disturbances a Cause of Fibromyalgia?; All in the Family and Injury and Muscle Trauma, as well as Food Allergies.
What To Expect With Fibromyalgia
If you have just been diagnosed with this chronic illness, you will likely have many questions as to how fibromyalgia will affect you.What You Can Expect can help answer many of your questions about fibromyalgia symptoms as well as provide you with information on your fibromyalgia treatment options. Learn about the effects of fibromyalgia on women's health, particularly how fibromyalgia can impact your reproductive health. If you are pregnan
t or are consideringgetting pregnant, then take a look at Fibromyalgia & Pregnancy, which provides tips on dealing with your fibromyalgia symptoms safely during pregnancy.
Women And Fibromyalgia
Although 80% of fibromyalgia sufferers are women, men are not immune from the disorder. Yet, because men are not in the majority of fibromyalgia patients, they have their own issues and problems to deal with when it comes to fibromyalgia.Men with Fibromyalgia outlines some of these issues and offers helpful tips for all male fibromyalgia patients.
If your child has fibromyalgia, it can be a frustrating experience. Ourfibromyalgia in children section provides information on the diagnosis and treatment of fibromyalgia in children, as well as helpful tips for parents of children with fibromyalgia syndrome. Seniors with fibromyalgia face unique challenges when it comes to the diagnosis of fibromyalgia syndrome. Find out more about fibromyalgia symptoms as well as fibromyalgia treatment options in elderly individuals.
If you have a friend with fibro, here are some ways toshow you care.
Also check out our information onlife insurance for seniors.
NorthWestPharmacy.com is a leading licensedCanada pharmacy online. See if they can help you.
Though you may be suffering from widespread pain, chronic fatigue, and a variety of otherfibromyalgia symptoms, it can be difficult to ascertain why you have become a victim of fibromyalgia. Fibromyalgia remains an elusive syndrome. Even experts on the illness do not know why fibromyalgia occurs or what causes it. This often makes fibromyalgia diagnosis and treatment all the more difficult.
Why Canít We Find A Cause?
Researchers have theorized on a number of possible causes for the
Well, one of the problems is that there is so little evidence supporting any one theory. No physical examinations or diagnostic tests have pointed to any major cause of the disorder. Even muscle biopsies taken from the tender points of fibromyalgia sufferers have offered little information. Another problem is that fibromyalgia occurs in such a wide population. It affects women and men, and can hit at any age in life. This makes finding a single cause for the disorder very difficult.
Likely Causes of Fibromyalgia
Researchers in the field have singled out a few likely causes.
Autonomic Nervous System Dysfunction
Fibromyalgia may be caused by a problem with the brainís
A large percentage of fibromyalgia patients have difficulty sleeping. Though once seen as a fibromyalgia symptom, it is now theorized that these
Injury and Muscle Trauma
A large number of fibromyalgia patients do seem to have suffered from serious
Other Possible Causes of Fibromyalgia
Other possible causes of fibromyalgia syndrome have been investigated.
Many fibromyalgia sufferers have close family members with the disorder. This may indicate that fibromyalgia has a
Infectious illnesses, including certain viruses, may be at the root of fibromyalgia. Certain infections attack the central nervous system, inhibiting the production of neurotransmitters. This could cause fibromyalgia pain. Infections can also cause muscle trauma and injury, which may develop into chronic and
Immune System Abnormalities
Fibromyalgia could be the result of an over-active immune system. Your immune system works to protect your body by attacking bacteria, viruses, and other foreign cells. When over-active, the immune system can cause severe inflammation and pain.
In addition to all these possibilities, genetics and gender are also thought to perhaps contribute to the development of the illness. However, since no one cause stands out as the trigger for fibromyalgia, it is likely that a combination of factors contribute to the development of the syndrome.
Fibro, a casual term for fibromyalgia, is an arthritis-related syndrome with a collection of symptoms. The condition isn't actually arthritis since those with fibro have no measurable swelling in the joints like arthritis sufferers. But it can be significantly debilitating and often difficult to treat.
Here's some interesting information about fibromyalgia you may not have known.
Diagnosis is Difficult
This condition is difficult to diagnose since the symptoms can vary significantly. Fibro symptoms are often confused with symptoms of other diseases which means misdiagnosis is common among those who suffer from fibromyalgia.
The syndrome has been called the Great Imitator because the symptoms are so varied, often look like the symptoms of other diseases, and are difficult to pinpoint to a specific cause. The condition often remains undiagnosed for years. On average, it takes five years for a sufferer to get an accurate diagnosis of fibromyalgia according to the National Fibromyalgia Association.
Pain is the Underlying Symptom
Although the symptoms of fibromyalgia are so varied and can mimic other conditions, the one symptom needed for a diagnosis of the condition is widespread muscle pain and tenderness.
Thiswidespread pain and tenderness is different from that experienced by arthritis sufferers in that it doesn't come from joint, muscle or other tissue damage or inflammation.
The cause of the pain is unknown, but to be diagnosed with fibro, a person needs to experience generalized whole-area pain in four specific quadrants of thebody continually for at least three months.
The quadrants of the body are further broken down into tender points, according to the AmericanCollege of Rheumatology. There are 18 tender points. To receive a fibromyalgia diagnosis, an individual must experience pain in 11 of these tender points. Often weight testing is done to determine pain in tender points instead of simply depending exclusively on patient reporting of pain.
Psychological Conditions Are Associated With Fibromyalgia
It was once thought that fibromyalgia was caused by a mental problem that made an individual dream up pain as a way to get attention. It's becoming more widely recognized as an actual medical problem in thedoctors and medical researchers.
Although fibromyalgia isn't caused by a psychological condition, some of the conditions typically associated with the syndrome are psychological.
The American College of Rheumatology conducted a steady evaluating 307 fibromyalgia sufferers for an eleven-year period. Those who had severe physical pain also tended to have severe psychological issues likedepression. Those who had moderate physical issues tended to have mild to moderate psychological issues.
Fibro is Manageable But Not Curable
Once someone has fibromyalgia, they will have it for the rest of their life. It is an incurable condition. The good news is that the symptoms can be managed through traditional medication, alternative therapies and lifestyle changes.
Each of these treatment options can provide pain relief and help the sufferer sleep better. Anxiety and depression are common among fibromyalgia sufferers but medication can help with this so that the sufferer can live a more normal life.
Extreme Fatigue is Common
Many fibromyalgia sufferers also suffer from a variety of sleep conditions includingsleep apnea. Studies have shown that many fibro sufferers don't reach the state of restorative sleep which helps the body heal itself. Lack of sleep can cause problems like memory lapses (sometimes called fibro fog), lack of energy and cognitive problems.
Some statistics show that approximately 90 percent of fibromyalgia sufferers also suffer from a sleep disorder and severe fatigue, or both.
Different People, Different Symptoms
While the symptoms of fibromyalgia are generally the same, the way they manifest themselves in each person is different. This can add to the difficulty of getting a correct diagnosis. Scientists don't know why this is the case and suspect that they won't know until the cause of the syndrome has been determined.
where i found this info ... http://www.fibromyalgia-symptoms.org/fibro-facts.html
Reflex Sympathetic Dystrophy, Fibromyalgia And Spread
While occasionally someone afflicted with Fibromyalgia is told he may have Reflex Sympathetic Dystrophy (RSD), it is not uncommon for someone with RSD to be told he has Fibromyalgia. Unfortunately, this only adds confusion to those with either of these disorders.
The hallmark of RSD is cold sensitivity in the presence of vasomotor and sudomotor change (abnormal skin color and sweating), which may progress to edema (swelling), contracture (loss of range of motion), and bone loss. Symptoms usually begin after an identifiable, causative event. In patients with RSD, the weather-sensitive component may manifest itself as pain that increases with barometric change. This is a noticeable worsening and a major feature in those with RSD.
In contrast, Fibromyalgia patients may also have weather sensitivity; however, this problem is not a hallmark feature of the disorder. Fibromyalgia patients tend to have more generalized pain, earlier complaints of fatigue, and a history of immune system over-activity or persistent infection when compared to the RSD patient. Fibromyalgia patients are less likely to have an inciting event that they can relate their symptoms to.
Despite these variations, there may be considerable overlap between the two diagnostic groups. For example, an RSD patient whose symptoms seem to have spread may look very much as if they have Fibromyalgia. This is because the new areas of pain may have no obvious inciting event, are less likely to be associated with contracture or bone loss, and are often associated with increasing fatigue.
While it is important to evaluate new symptoms to determine if there has been a progression of RSD, spread can usually be proven in only a minority of cases. New symptoms may:
∑ represent an unrelated problem;
∑ provide evidence that the disease has developed into Chronic Regional Pain Syndrome (CRPS) that is
independent of sympathetic pain;
∑ be a clue that there is hidden infection or immunologic compromise.
If the previously mentioned hallmark changes for RSD occur, or if thermographic or bone scan findings confirm objective findings, then true spread of RSD can be diagnosed. Likewise it should be recognized that a Fibromyalgia patientís symptoms might progressively worsen to the point that the sympathetic component becomes dominant and RSD features develop. While this is not common, if it does happen, treatment should be aggressive.
Although there can be considerable overlap between patients with sympathetic pain who do not develop full blown RSD and Fibromyalgia patients who are weather-sensitive, a skilled clinician should be able to differentiate between the two conditions in the majority of cases.
where i found this info... http://robertgschwartz.homestead.com/fibromyalgiaandspread.html
Fibromyalgia vs. Reflex Sympathetic Dystrophy Syndrome WisdomCard
Research Notes on Fibromyalgia vs. Reflex Sympathetic Dystrophy Syndrome
Written by the OrganizedWisdom Team with Catherine Kowalski as the reviewer. All original content is supervised by theThe OrganizedWisdom Medical Review Team
Bothfibromyalgia and reflex sympathetic dystrophy syndrome (RSD) are conditions that are marked by chronic pain. Both conditions share a number of the same symptoms, such as muscle pain that is sometimes described as burning, temperature sensitivities, and stiffness and swelling of the joints. Patients who suffer from fibromyalgia appear to be more likely to also suffer from RSD.
where i found this info ... http://www.organizedwisdom.com/Fibromyalgia_vs._Reflex_Sympathetic_Dystrophy_Syndrome
This may have some affect on rsd or fibromylagia pain & chronic pain. Anything is worth a shot when your in alot of pain ...
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Tips for Arthritis Relief
People in pain want to know how to get arthritis relief -- fast arthritis relief. It's important to know where to start. Here are some tips for getting arthritis relief.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Coping With Pain - How Well Do You Cope With Pain
Coping with pain is important if you have arthritis. Because arthritis is a chronic condition, pain becomes part of your life. How well do you cope with pain?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Types of Pain Scales
Pain scales help you rate your level of pain so it can be communicated to your doctor, other health professionals, or even your family. There are different types of pain scales -- including verbal, numerical, and visual pain scales.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~10 Ways To Increase Your Pain
Pain can interfere with daily living. It is important to manage pain and minimize its negative impact. Do you take actions which control your pain or do some of your habits and routines actually increase your pain level?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ways To Manage Your Pain
Better ways are always being sought in order to better manage the pain of arthritis and find an improved level of comfort and relief.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Pain Tolerance - Arthritis Patients Vary In Pain Tolerance
Pain tolerance or pain perception can vary among people with arthritis.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~The Pain Relief Quiz
How much do you know about relieving pain? Pain serves as the signal that something is wrong in the body. There are many pain relieving techniques which can be tried. Do you know about the various pain treatment options?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~The Pain Quiz - Acute Vs. Chronic Pain
There's more to know about pain than the fact that it hurts. Do you know the difference between acute and chronic pain? Do men and women respond to pain differently? How much do you know about pain?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Guide to Arthritis Pain
Most types of arthritis are associated with pain that can be divided into two general categories: acute and chronic pain.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~The Back Pain Quiz
Back pain is a very common condition. Four out of 5 people will actually experience low back pain sometime in their life. How much do you know about back pain? Do you know how it's treated? Do you know if you can prevent it? Take The Back Pain Quiz.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Types of Pain - An Excerpt from "Healing Pain"
Pain is broadly categorized as acute or chronic. Acute pain is easier to diagnose and treat than chronic pain. Chronic pain is a lot more complex. An excerpt from Healing Pain explains the different types of pain with a closer look at chronic pain.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~What is Pain?
A brief explanation about acute and chronic pain.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Chronic Pain Survey
A survey has revealed that many people suffering with chronic pain have not found adequate pain relief.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~The Soothing Power Of Snuggling
People with arthritis want to be touched but their pain may make them fear it. Touching gives a person the sense of being cared about and cared for.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~An Overview Of Pain And Pain Research
An overview of pain and pain research. Scientists believe that research can help lead to more and better treatments for pain
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Arthritis Cream - Top Arthritis Cream Products
Arthritis creams can be effective for soothing minor arthritis and muscle pain. Some contain the active ingredient salicylate while others are based on the pain-relieving effect of capsaicin or menthol.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Help Your Arthritis Treatment Work
You can help your treatment work. Arthritis can strike at any age. It hurts the joints, where two bones meet. It damages the joints and makes them stiff and painful. Correct treatment can ease the pain and help prevent more damage.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Sleeping Tips - Tips for Good Sleep
The combination of arthritis pain and sleep problems is often a two-way street. Poor quality of sleep and waking pain can create a vicious cycle affecting mood and fatigue levels. Here are a few tips for good sleep.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Low Back Pain - Guide to Low Back Pain
If you have low back pain, you are not alone. Nearly everyone at some point has low back pain that interferes with work, routine daily activities, or recreation
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Gel Packs - Top Heat/Cold Gel Packs
Reusable gel packs for heat or cold therapy, used to reduce arthritis pain and muscles aches, are convenient products to have in your house.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~What is Arthralgia?
A brief explaination and fast facts about arthralgia.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Do You Use Joint Protection Techniques?
You can lessen arthritis pain and preserve your joints by following joint protection techniques and principles.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Osteoporosis: Coping With Chronic Pain
A two-part overview of pain relief options for osteoporosis. The fractures caused by osteoporosis can be very painful. Some people experience little or no pain, while others with osteoporosis suffer intense pain and muscle spasms that last long after a fracture has healed.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~TENS Unit - What is a TENS Unit?
A brief explanation and fast facts about a TENS unit.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Your Spouse Can Help Ease The Pain Of Knee Osteoarthritis
Study reveals two new approaches (with the aid of your spouse) can help improve the self-management of osteoarthritis pain.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~When Are Pain Medications Appropriate For Arthritis Patients?
When is it appropriate for pain medications (analgesics) to be prescribed as part of the treatment plan for arthritis patients? Are analgesic pain medications appropriate as a long-term treatment or maintenance treatment, or should they only be used short-term?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Muscle Relaxers And Arthritis - When Are Muscle Relaxers Prescribed For Arthritis Patients?
When are muscle relaxers appropriately prescribed for arthritis patients? How do muscle relaxers work? Are muscle relaxers a short-term treatment or can they be part of a long-term maintenance regimen for arthritis patients to control aches and pains?
where i found this info ... http://arthritis.about.com/od/controllingpainsymptoms/Pain_Relief_Arthritis_Pain_Relief_Information.htm
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