anyone out there with auto-immune/chronic pain issues before dx?

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  • suz3
    suz3 Member Posts: 48
    edited January 2011

    Katie 33 - I continue to do well on chemo, I have SE but it is they are like the problems I've been having for years just a little more intense.  Most of my problems are with my sotmach and fatigue.   I'm on day 10, so I am suppose to feel better very day until my next chemo.  The only thing is my hair will stat falling out next week.

    barbe1958 - I went to the pain management dr Friday.  It was interesting, he went right for the pressure points for fibro, which I past with flying colors, he made me fall over in pain when he hit the neck pressure points.  So he is the third dr to check for this (the others just said not quite enough pressure pain and did nothing else) he is running a bunch of blood test to follow through with the pressure point test.  I am encouraged that I may get a treatment program for my chronic pain and stead of telling me how "healthy" I am.  I can't do any shots (nerve blocks) until chemo is finished.  He did give me Lyrica, I need to check with my onco first before I take it.  Do you know anyone who has taken it?  

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited January 2011

    I took Lyrica and it worked!!! It does take time to build up though, give it a chance. It is used for peripheral neuropathy in diabetics so it's a serious drug. Good luck.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited January 2011

    barbe- How long did it take for the Lyrica to work for you?  I was on it for about 6 weeks but didn't see any improvement in pain levels at all so stopped taking it.  

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2011

    I'm just curious what, if anything, everyone is taking for (1) pain, (2) fatigue and (3) insomnia as I haven't found anything to help with any of it or it stops working after awhile.  Just wondering what everyone has had good luck with for their symptoms.  Thanks!

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited February 2011

    When I'm in a flare, I have to add Hydromorphon to this mix, but daily I take:

    Celexa for the pain from FM

    Arthrotech for the pain from OA

    Oxycontin morning and night and for breakthrough pain for what the other 2 don't catch it all

    I also take a couple heart meds.

    I use Immovane when I just can't sleep.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited February 2011

    Kate, there is nothing worse than nerve pain. Several years ago, I was dx with RSD, where even the air made my hand burn intensely. I lived on pain med's for a few weeks. I couldn't functon. My therapist really helped me a lot. She instructed me to put my hand in cool water for a few minutes, than putmy hand into warmer water. I did this for around 15 minutes. I began swimming a lot, going into the hot tub for 10 minutes than into the pool. That helped a lot. I heard that deversion helps. I found that staying positive and keeping my mind busy helped. I learned that my pain was worse when stressed. I try not to let life get to me.

    The therapist explained to be that we needed to trick the brain. She said that it was looping into a pain cycle. It worked. I have mild burning, but nothing where I have to take pain med's. I even have burning pain in my breast scar tissue. It's worse when I stress. This is why I fear bc surgery...yikes, don't want to go there again :)

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited February 2011

    Barry, welcome to this thread! I don't think you've posted here before...

    My Fibromyalgia is similar to your RSD. In fact, when I first saw you post, I Googled RSD. My feet used to change colour, but not anymore. My right foot would turn burgundy/black. It was phenomenal!! Doesn't do that anymore...

    With my FM, I can tolerate air, but at times during a bad flare, I can't even tolerate a sheet on me in bed! Because I have no outward signs of this disease, people have negated it and denied it to my face. They are no longer in my life.

    FM is an overabundance of substance P (same as RSD) and gets worse with over-stimulation. I would be a basket case at Disney Land for instance. I was afraid of my double mast but it was surprisingly not as painful as expected. There are no muscles, bone or organs involved, so as my surgeon says, it's just a deep tissue wound (paper cut!!). I tolerated it very well, but didn't have recon as I didin't want to push my luck. On the other hand, my hysterectomy brought me to my knees.....

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2011

    barbe- My MX wasn't as bad as I expected, either.  I guess we're all so used to be at high pain levels on a regular basis so what's a little more?  It was only after all my surgeries that my pain has seemed to come back with a vengeance.   I'm like you- Disneyland would and has thrown me into an absolute tizzy.  I'm actually dreading going back to work as I'm so used to the quiet and tranquility of my house.  Just don't handle chaos of any kind.  Thanks for the info on your meds.

  • Hindsfeet
    Hindsfeet Member Posts: 2,456
    edited February 2011

    I had an interesting visit with the Pain Specialist Doctor today. My breast surgeon referred me to him for preventative measues to eliminate any possibilities of a pain problem due to surgery. He said that they understand little about the why of pain syndromes, but he said that stress is most likely the greatest reason for pain syndromes. He said my RSD and surgery puts me slightly at highter risk for it to occur elsewhere in my body.  But the fact, I have managed pain without med's and have overcome the acute pain of RSD makes my situation more favorable. He also said that pain due to breast cancer is usually PMPS (Post Mx Pain Symdrone).

    However, he nor the surgeon want to take chances. They want to do a pain block before surgery, and pain med's 3 days before surgery....and 2 weeks afterwards. Oh...two different kinds of pain med's...strong stuff. Geee...I could get addicted. He gave me one prescription today. I can't see myself drugged up for that length of time.

    The most interesting part of the conversation is tricking the brain in becoming pain free. My therapist years back, when I first injured my wrist/hand, said the same thing. The mind believes that we are in pain, and if you can somehow trick the brain then the pain will go away. The doctor said, they do it through a box of mirrors.  My therapist had me put my hand in cool water than warm water...back and forth several times. She said this also tricked the brain. All I know is it helped. I know keeping my mind focused on other things relieves the pain. Also, avoiding stress...which he said was a must.

    To add...the Pain Specialist today also said the fact I'm fearful of the surgery puts me at higher risk for a pain problem. I've got to get over being afraid of another surgery.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited February 2011

    I don't know. I was TERRIFIED of the pain I expected for my mastecomies. I even asked if I'd have a pain pump. They looked at me kind of weird. When my surgeon came in the room very carefully, he was gratified to see I was smiling. It's really a deep tissue wound, he said. He's right!!

    I was expecting HORRID pain. Why did I leave the hospital without even a Tylenol 3 prescription then? I WASN'T in pain!!!

    Mind you, I take a LOT of pain meds already, but I get a lot of break-through pain as well. So what I have every day "on board" would have helped me.

    I was on Hydromorphon for the past 6 months and just weaned myself off this past month. I am out of my current flare and just on Oxycontins 3-4 times a day. I'm pleased. My PCP trusts me to know my pain levels. I certainly DO know them!

  • carcharm
    carcharm Member Posts: 486
    edited February 2011

    My niece has fibromyalgia and is now going to the Cleveland Clinic fibromyalgia clinic. She feels so much better since starting. They do blood work and give vitamins and minerals and other things that her body is lacking. The Clinic has a special clinic just for fibromyalgia. The treatment is individualized and includes IV infusions, exercises, meal planning, etc... It's very comprehensive.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited February 2011

    I found that without Vitamin D I am useless. I hope they have that in her regimen!

  • blondie45
    blondie45 Member Posts: 580
    edited February 2011

    carcharm - I sure wish I lived near Cleveland, sounds great. I am in such a bad flare of my fibro right now I don't know what to do. I am only 9 days away from my DIEP and I am more worried about how my fibro will be after the DIEP.

  • blondie45
    blondie45 Member Posts: 580
    edited February 2011

    barbe1958 - how much vitamin D do you take a day?

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2011

    blondie- I also take Vitamin D and it does seem to help with my fibro pain.  I take 2,000IU's a day.  It's always a good idea to have a blood test before supplementing with high doses of D as too much can harm you.  I'm sorry about your flare.  The only good thing about my surgery was the pain meds they gave me for it also knocked out the fibro pain.  Hope everything goes well for you.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited February 2011

    I take 5,000 IU's a day...and can't function with less. The pain meds will break the pain cycle from the surgery. Remember to stay on top of the pain!

  • marxi
    marxi Member Posts: 183
    edited February 2011

    with my mastectomy surgeries, i was given very high doses of prednisone for 48 hours.  wondrous relief...

  • Stanzie
    Stanzie Member Posts: 1,971
    edited February 2011

    Hi all, Just found this thread and have been reading and reading! So many things I have wanted to post from older posts.

    First I also have M.S and am hypothyroid, and have had shingles. 

    Very interesting how many things I can totally relate to from all the FM posts. I too sometimes cannot have anything like a sheet touch me but it is always very specifically my left arm. I have constant pain in my left leg and both feet but mainly my left.

    I am very sensitive to medicines - if it says may product drowsiness  well see you tomorrow or the next day as I'll be out and gone. I also take 5000 mg of vit D which does help. I also cannot function without my horrendously expensive Provigle - gives me energy to function and to think.

    Also am very sensitive to noises and lights and such. If someone is talking and the Tv is on or a radio then I'm lost - basically hear static and it makes me easily aggitated.

    I get overwhelmed easily and have temper flare ups very suddenly which I'm told is MS and they can't help me with it. I do know if I'm tired it is worse so I try hard to get enough rest however after BC sleeping is difficult with all the menopause symptoms. Also I usually don't experience things like everyone else. Somewhere I read menopause symptoms like hot flashed are from the waist up -mine start in my feet. I work with a trainer for balance and she will say OK where do you feel this and it is usually not where I'm supposed to feel it. And the one exercise I can do easily is what she calls reverse crunches - have been seeing her since I was diagnosed in 2002 and only just found out that those are usually an exersice everyone else hates and finds hard. 

    Barb - your explaination on why people with auto-immune diseases are more susceptible to cancer is very good. My gyn who had me on high estrogen as I went into early menopause 37. He said if he had to predict who might get cancer from all of his patients I was top of the list because of an auto-immune disease. Wish I had known that before. Might not have changed anything but I think I would have liked to have known. Also just saw on another thread the med. I take for MS has a higher incidence of BC. Well great! 

    Sorry I'm rambling all over the place - there was just so much information and wanted to read through it all and then post. I'm sure I still missed things - haven't figured out how to do the double screen on word to write and be able to read and refer back as computers and all electronics are totally baffling to me. Thanks for this thread! 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2011

    Stanzie- Over and over again I am amazed how many symptoms MS and fibro share.  I wonder how they tell the difference?  Is there something MS has that fibro never does or visa versa.  As I told you in another thread they thought I had MS because I had an abnormal brain MRI that showed several areas of plaque.  When I read all the symptoms of MS at the time I was so relieved that they had finally figured out a diagnosis and I could start treatment.  Then they told me, based on where the plaques were in the brain, it couldn't be MS but they didn't know what was causing the plaques.  I think they said fibro because they couldn't figure out what the heck it was.  Just makes me wonder if we're all suffering from one big disease that just has overlapping and various symptoms for different people.  It seems strange that we all seem to have the hyper sensitivity to stimuli (lights, sounds, etc), sensitivity to medicines, chronic pain and fatigue, mood swings, etc, etc, etc.  

    Just curious- for those with fibro.  Do you see a rheumatologist or a neurologist?  

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited February 2011

    Kate, FM is on both sides, so when Stanzie mentioned just her left side, you know it's not FM.

    I see a rheumatologist and have been waiting to see a neurologist for about 6 months....sigh.

  • Stanzie
    Stanzie Member Posts: 1,971
    edited February 2011

    Barb - why so long to see a nerologist? That is a long time. Yes most of my symptoms are all on one side but I think that might be more in particular to me - not sure. I think 3jaysmom sometimes checks in here and if I remember correctly her symptoms are all over the place.

    One think MS has that I don't believe FM has is the relapsing remitting part. Now the fatigue is pretty much 24/7 but what they call excerbations where someone with MS might wake up and can't walk or drags their foot or can't see - those symptoms are treated with high dose steriods and ususally then go away - they can come back but with typical relapsing remitting they come and go. However, anyone with that type can get secondary progressive where your symptoms and excerbations continue to get worse and worse without the break from the big symptoms - And their is primary progressive which continues to get worse. 

    I read about a doctor Zambini (sp?) who has treated some people with sever MS with something similar to angioplasty(if that is the right word) Anyway, they found by ultrasound some people with MS have the arteries going to their brain clogged or twisted cutting off the blood supply. He inserts a balloon to open up the artery and it showed one patient awake during the surgery and he said it was an immediate sort of whoose- wow I feel like I used to!!! Very Interesting and exciting- supposedly they are going to start trials in the US. At the end of the video clip - they talked about how this could be a huge breakthrough for ALL auto-immune diseases. Wouldn't that be wonderful!

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited February 2011

    FM does flare like MS, that's why it's so hard to split the two. I can be perfectly fine for a couple of months and then be on a cane or my electric scooter. Sometimes I've crawled to bed and/or slept on the floor! Totally debilitating, believe me. The weakness is frightening, the pain is secondary but pretty horrid. I've been able to wipe myself, but have had to be helped on and off the toilet, if that tells you anything....

    I'm in Canada, so though I wait for a doc appt, I also don't pay for it.

    The artery thingy was done in one province of Canada, but the government in general didn't think it was worth proceeding with testing. It seems only certain people repsonded and those people may have been ones that had circulatory issues and not really MS. Who knows!!!!

  • marxi
    marxi Member Posts: 183
    edited February 2011

    i see a rheumatologist who diagnosed RA, fibro, and Sjogren's.

  • Stanzie
    Stanzie Member Posts: 1,971
    edited February 2011

    Oh Barb - I know FM can be just horrible and I'm so sorry you have got a lot of the really awful symptoms but your sense of humor and great attitude hopefully helps! I'm so sorry. I feel like most days I'm knocking on wood hoping everything stays OK. My aunt's brother has Ms and has been going downhill, over Christmas had to have his leg amputated. I don't think any of these auto-immune diseases let you off very easy. Wish they would come up with something for them. I was wondering about the artery thing - my first thougth was if it really was fabulous why haven't more doctors do it?

    FM like MS is so often an invisible disease and no one can begin to understand the fatigue unless you experience it which makes it harder..... Seems like we could  just stop at having one disease..... would be a lot easier to manage and make some sense of...

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2011

    Just got diagnosed with hypothyroidism.  Waiting on more test results.  Anyone else have this and what are you currently doing to treat it?  Amazing how many symptoms are identical with fibro.  Makes you wonder if there is just one big auto immune disease with varying degrees of symptoms.  

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited March 2011

    Wow Kate!!! I have some research to do!! I've had part of my thyroid taken out due to a HUGE sub-sternal goiter. (The size and thickness of my surgeons' hand - he was STUNNED). What are they putting you on?

    There are 137 different types of arthritis, so I'm sure that autoimmune diseases work the same way.

  • barbe1958
    barbe1958 Member Posts: 19,757
    edited March 2011

    Rats! Except for the thinning eyebrows and joint pain, it doesn't seem to fit.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2011

    barbe- I don't know what their plan is yet.  They called Friday and said my doctor wanted to see me on Monday.  I asked her if she could tell me why at least.  She said I tested positive for hypothyroidism, high cholesterol and my blood pressure was high.  Hopefully, she'll have the US results back when I see her Monday afternoon.  I guess I have some research to do between now and tomorrow.  I did read somewhere (should have bookmarked the site) that hypothyroidism can cause high BP and cholesterol.  I need to find that again and print it out.  Maybe it's all related and I'm not the big mess I feel like I am right now!

  • bevin
    bevin Member Posts: 1,902
    edited March 2011

    HI Kate - I am hypothyroid as well. Prior to getting on synthroid, I also tested positive for high cholesterol. Once I was on Synthroid, it came right down and has been normal ever since.  I take synthroid and cytomel (t3).

    Good luck to you. 

    BTW - very interesting thread. I always wondered about the connection of autoimmunie disease. Not sure if its connected, but I also had shingles. I see someone mentioned this above.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2011

    bevin- Thanks for the info on your meds.  In some ways I feel like it is like the beginning of BC (though a lesser scale) all over again.  Trying to figure out what doctor to go to. researching everything about the condition, trying to figure out the treatment options, etc.  Am feeling kind of overwhelmed but hopeful that maybe a lot of my issues will be resolved.  (Fingers crossed, anyway.)  How long has it been since you were diagnosed?

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