PT Visit #2
The therapy evaluation I had Monday put me in a world of hurt Tuesday. It didn't help that I had a 14 hour day of work counting travel on Tuesday, and that I drove myself, and that I stood for almost nine hours. The last half hour of the drive home I was actually in so much pain I didn't know if I could make it home. After getting home I took a Soma and benedryl, and then curled up around a pillow and cried silently for a couple of hours until the pain started to dissipate a bit. About as bad as it can get so it must be uphill from here! I know my face must have reflected the pain at the client as I was asked two or three times if I was OK. I try very hard not to show it, but I can't help the "hollow eye" look I get.
The therapy visit I had today hopefully won't leave me in as much pain. I hurt quite a bit this evening, but it is basically what I started with this morning, so far no additional pain. Whew!
The therapists had researched radiation induced lumbosacral plexopathy to see how to treat me. Bless their hearts! They told me what I already knew - there is not a lot of research or literature out there on this condition. They did find some tips in therapy websites on what has worked and what has not worked for this type of problem. Unfortunately there wasn't a lot that had worked.
They decided to try a technique called myofascial release which involves pressure and stretching of connective tissue (fascia) that has become restricted by the therapy and the body's reaction to pain. I am sure my inability to exercise much in the last three years has not helped any either. They said their research said that they would need to work in a band from my ribs down to my knees, and will work from the outer edges inward to "trick" the nerves out of their hypersensitivity. I felt some scar tissue release today in the radiation field, so am hoping this might actually help. They are trying very hard not to hurt me too much. They said this works really well with fibromyalgia too. I have a niece with this condition, so thought of her.
I was put in traction for a while to allow my lower back to relax. I have more exercises to add to my list and will practice until my next appointment next week. I feel as if I have been tortured with soft cushions and made to sit in a comfy chair for a while today, much better than the bed of nails and the rack I was tortured with on Monday. Hoping the next session will go well. The therapists said I will need at least hour long sessions or more for a while, so I will have long days at work making up the time the next couple of weeks. They have some techniques to work on the pudendal nerve issues also, but said we need to wait for some of the pain to subside before trying these. Yeah!
My therapist said she teaches a class on pain and how the body perceives pain. The next session is in July and I would love to attend if my travel schedule permits. Understanding the mechanism takes some of the mystery out of the "why me" part of my whiney brain. She said if I can't attend she will try and include it in my therapy sessions.
Go to see the new headache specialist tomorrow. Have hopefully gotten all my records sent to them already, and have faxed them all the evaluations they asked me to fill out. Good news for all of us "scent sensitive" people out there - they specifically say not to wear perfume or strongly scented powders deodorants or soaps. They said the first visit might take a couple of hours. Not sure if it will for me, since I already have a diagnosis. Hoping they are not weird, or flakey, or rude, or incompetent. I have a friend who went there and now has control over devastating migraines that haunted her for years, so I hope this practice will work for me too!
When I hit the big four oh, I found that my body started to fall apart one piece at a time. My warranty had expired and there was No Extended Warranty available! This is the story of my struggle to keep it all together using spare parts and baling twine.
Showing posts with label headache specialist. Show all posts
Showing posts with label headache specialist. Show all posts
Wednesday, June 9, 2010
Tuesday, July 14, 2009
KU Medical Center Day

I'm On the March to Painville
I drove to Kansas City today to see my headache specialist. Have had the appointment for a few months. Also squeezed in a visit to the Immunology department to discuss my horrid hives.
My specialist was pleased with my progress to partially functional, since I was coming from totally disfunctional territory the last time she saw me.
I told her that the Benedryl is having less and less effect, and she said that is a draw back for Benedryl. She prescribed Vistaril, another sedating antihistamine medication to take in combination with phenergan. She said the trammadol I was taking probably wasn't doing much good for the type headache I have, and I said it didn't do much, but was in assistance in sedating me when the headache got bad enough. She said the Vistaril should do the trick, even though it is a low dose. She also mentioned if the oral route of a medication doesn't help with a headache, sometimes it helps to bypass the digestive system, either as a suppository or as a specially compounded skin absorbing cream. She said there just isn't much that can be done for The Headache other than what we are already doing. She said she would like to see how The Headache does after the three month study period, when all the bells, whistles, and programming gets turned on the occipital stimulator. Me too!
The immunologist took pity on my hivey body and loaded me up with samples of some expensive medications. She also said I need to carry TWO Epipens with me. I keep one in the car at all times, but never thought of carrying two in my purse. More blood tests, meaning more co-pay. Sigh. At least I got the free samples!!! I was glad to get reestablished with someone who is used to treating chronic hives. The only allergist I found locally after my immunologist passed away last fall said he didn't treat chronic hives.
I left at 4:30 this morning in order to get to KC in time for my first appointment. I drove through dreadful rain and lightening half the way there, and then bumper to bumper traffic after I hit the Kansas City limits. I had forgotten what real rush hour traffic is like! The Headache did not behave itself, even after I fiddled with my stimulator controls.
Tonight I will be trying the Vistaril to see how it goes, but am waiting until the last minute because I am determined to get some things done. I won't be able to save myself from hurting, since the march to painville has already started and is well on its way, so I'm going to suck it up and see how long I can last. I was able to work for about an hour after I got home, so at least I am drawing some wages for today. Hoorah!
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