am I a dum-dum or a trailblazer?

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  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    well here is a bummer. My insurance will not pay for prolotherapy

    Ironically when I had platelet rich plasma therapy on my foot, my old insurance paid 100% because the treatment has been spectacularly effective and economical.

    I do have a flex spending account, and they will pay for part of the office visit portion. Urgh!

    My arm looks decent...still compressing a lot.

    Cheers to all. 

  • kriserts
    kriserts Member Posts: 224
    edited April 2012

    yes, thanks for posting so consistently, cookiegal!

  • kerrie389
    kerrie389 Member Posts: 66
    edited April 2012

    Cookie reading your posts with much interest.

    What are boobie wiggles. I am having issues post tram flap with a swollen breast that i am sure is LO. I have it in my arm so why not my boob! 

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    @kerrie It is my nickname for the silverwave abdominal band fabric. (Not the arm sleeve) It seems to give very consistent temporary relief to the breast swelling. A few others have found the same.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    Hi, I posted a picture of silverwave on the compression bra cost thread.

    So...I am done with injections, at least until June. 

    My schedule and my docs schedule get really tricky, and she feels we are close to done.

    There is still a little bit of the "over the elbow" flag we would like to get, but she is hopeful that perhaps today's injections did the trick.

    So my preliminary conclusions...and questions

    Did this work?

    Sort of.

    My upper arm is 1CM smaller, and my MD said I shrunk even when my weight went up.

    The bad news is that this is no magic bullet for LE.

    I still have to wear my compression as much as I did before. I am motivated to wear it, since I am seeing results, but I can feel the swell when I don't wear the garments.

    The other question is, did this treat the LE or another problem?

    I know I had a host of other upper arm issues. Pain spasms, odd fluid pooling, range of motion.

    I think it is possible that the treatment addressed nerve/scar tissue problems which were creating swelling in the LE environment as opposed to really "fixing" the LE.

    This may be the reason the benefit is much more clear on my arm than in my breast.

    My trademark undiagnosed arm bubbles are a lot better, but not gone 100 percent. 75-80% better though.

    Oh and my scars are much less fibrotic, though one spot of fibrosis does seem to grow back like a dandelion. Again 75%-80% is a decent estimate.

    For my breast...hmmmmm....swelling isn't worse, maybe 20%-40% better.

    I have no idea if this will be any sort of treatment for anyone else for LE.

    It was a BIG gamble having a LOT of injections on an LE arm and breast.

    It could have turned ugly if I came down or come down with an infection.

    I would say if you have a side where there are no nodes out, it might be worth a shot for scar issues. Perhaps also range of motion or pain.

    So I hopefully won't have much new to report for a while.

    Cookies for all!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    well...I have suffered a bit of a setback.

    I had to pack a LOT this weekend, and even with breaks and compression, my arm flared.

    It's moderate, but in my most hated spot, the blob above my elbow. It's really the shape there that makes me nuts.

    Sigh. 

  • Binney4
    Binney4 Member Posts: 8,609
    edited April 2012
    Aw, cookie! I'm so sorry.Frown I can't offer anything but cyber hugs and cyber chocolate, but please know both are coming your way with hopes for a quick return to great control.
    Binney
  • kira66715
    kira66715 Member Posts: 4,681
    edited April 2012

    Cookie, LE stinks, and you are a trailblazer, and I hope it gets back under control very, very quickly

  • BeckySharp
    BeckySharp Member Posts: 935
    edited April 2012

    I am so sorry Cookie.  I hope it gets better quickly. 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited April 2012

    Oh, darn it, Cookie! I just hate how LE rears its ugly head when things are going well. I hope the swelling goes down soon and you are feeling better. 

  • Binney4
    Binney4 Member Posts: 8,609
    edited April 2012
    Cookie, how are things today?Undecided Hoping you're doing really well again!
    Binney
  • carol57
    carol57 Member Posts: 3,567
    edited April 2012

    Cookie, It's really generous of you to continue to keep us posted on your experience. I know you posted this time hoping for support (and isn't it terrific that we can all do that!), but it's also so helpful to be able to follow your ups and your downs after the prolotherapy. Not everyone would be as committed to keep returning to the thread with updates.  I hope you bounce back soon! 

  • Marple
    Marple Member Posts: 19,143
    edited April 2012

    Cookie, I know what you mean about that blob over the elbow.  I hope its gone down!  Hugs and brownies.  LOTS of both.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    Oh wow I just saw all the responses!

    It was sad to have a setback. I seemed to also have a bit more injection site swelling this time and the bruising lasted a bit longer. 

    I have been doing anything and everything, drinking water, mld, exercises. (Even the darn queens wave that gives me a pain.)

    I still see that darn corner above my elbow. I can still get in my new smaller sleeves, but I seem to have lost a bit of the shape improvement.

    On a non-injectable note...Dr. G is a big fan of jiggling exercises. You can do them lying down or standing but for some reason they annoy me.

    But I have totally noticed, when I jog in my Belisse and silverwave, my breast swelling gets better. She says jogging can count as my jiggling. Doesn't really help the arm. (I guess I could try jogging in the silverwave sleeve, but the light compression makes me a bit worried.)

    It is "suspicious" that some of the fibrotic scar keeps coming back. It makes me wonder if to some degree the prolotherapy benefit is temporary. Obviously I can not keep having dozens of injections every week. (Especially when insurance only pays for the office visit.)

    Still getting into the smaller sleeves is encouraging. I will probably have another set of injections in June, when I get PRP on my foot. 

    One issue with being the first to do something is that we have no idea what the most effective protocal is.

    Will I need a touch up every few months?

    It did seem that the arm seemed to benefit much more quickly and somewhat exponentially than the breast.  But how much is enough, how much is too much?

    Thanks for the cyberhugs! 

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    Here is another thought.

    A lot of people can get a 1cm improvement with wrapping. Unfortunately wrapping never really worked since most of the swelling is so high. It just seemed to push things in the wrong direction.

    While this is obvioulsy easier than wrapping, there is bruising and injection site swelling.

    The bruising on me sticks around for a while. Typically the injection swelling goes away in 36-48 hours. 

  • Anonymous
    Anonymous Member Posts: 1,376
    edited April 2012

    Cookie, what are jiggling exercises?

  • olearca
    olearca Member Posts: 215
    edited April 2012

    Yes, Cookie - what are jiggling exercises?  I keep picturing all my "fat" jiggling - that would be easy exercise - LOL!

    So sorry you had a flare and I can sense your frustration but you ARE a trail blazer and we all benefit from the risks you are willing to take as well as you reporting honestly and openly here.  Go cookie Go!!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    it's hard to describe...stand or lie down and just rock your whole body north and south. Think of bouncing a baby, but you are the baby?

    It makes me a little motion sick, I think I will just jog.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    ok...after a lot of ackward wiggling I got a slice of wavy foam into my sleeve over my elbow. Maybe it will help?

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    I forgot to look at the elbow after the wiggle foam.

    I am not sure how I am doing, I feel like maybe there has been a small bit of improvement, since last weeks setback.

     But my expectations are higher, having seen the improvement.

    Went swimming today, that always helps.

    I guess my bottom line is that this was a helpful, but not curative treatment. So far at least.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    So I wore the little wiggle foam over the elbow for 24 hours. Some slight improvement.

  • camillegal
    camillegal Member Posts: 16,882
    edited April 2012

    Cookiegal--I love u'r posts, lots of interest and explaining--I have Le, but I just have it--give u so much credit for fighting it so well-  keep us posted.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    thanks camille....((camille)) 

    Mine is so atypical and I had so much trouble getting a dx, I had to put in a lot of effort from the start.

    I kept getting dxed with infections, prominent doctors said it was not le because it is so high on my arm.

    It's also hard because I have a very public job,and image is a big part of it, and I really struggle with wearing the garments and all the questions. 

    I think the wiggly elbow foam is helping. The corner shelf above the is a little rounded.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    Had a "good arm day".... best it has looked in two weeks!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited April 2012

    Thumbs up, Cookie! Or, maybe I should say "gloves up". Isn't it wonderful when you have a day when you feel good? So happy for you. :-)

  • cookiegal
    cookiegal Member Posts: 3,296
    edited April 2012

    Thanks Tina, on a really good day my LE arm is smaller since it's not dominant and compressed all the time. Those days always lift my spirits!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited June 2012

    Hello! I had my next and maybe last set of injections today.

    I also got discharged from Radiation Oncology.

    I also had a big proceedure on my foot.

    Feeling kind of tired, but wanted to update/

  • cookiegal
    cookiegal Member Posts: 3,296
    edited June 2012

    So the cool part is that there was a osteopathy resident who watched the whole thing and will be taking an instructor job.

    So he now knows a whole lot more about LE.

    So now at least some women in AZ will have a doc more familliar with LE.

    It does seem that osteos are more into the lymph system than allopathic MD's...

    Funny part was he asked what my breasts were reconstructed from...but they are not!Surprised

    I guess that's a compliment?

  • cookiegal
    cookiegal Member Posts: 3,296
    edited August 2012

    Hi....my latest update.

    So the good news....I feel like my upper arm has stayed under control better this summer, and even the stubborn breast has continued to slowly improve. Knock wood.

    As for protocol, I have a lot less injections, a lot less frequently. Since I see the same doctor for my foot, we still have been doing a few, but more like every 4-6 weeks, and really in a much more limited area.

    So I still feel like this was successful, even if it was not a cure.

    (Even my LE, who I had not seen in a while was impressed my LE arm now looks smaller than my other dominant arm.)

    Here is the hard question, do we treat the hand, where my LE now seems to be showing up with injections?

    The negatives....the injections are way more painful in the hand, and the injection site swelling is worse.

    The stakes are higher here.

    If I have a bad reaction or swelling in the hand it's a bigger deal than the breast or even the upper arm.

    Dr. Francis was totally fine with doing it on the breast and 50/50 on the arm.

    We did one injection in one finger as a test, it swelled but went down ok.

    So I am back where I started. It's a unproven, painful, time consuming, risky treatment that just happens to have seemed to have worked for me. 

    I think I am going to wait until summer is done, maybe the cool weather will help my hand. If not I may consider going ahead.

    ???????

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