Just to clarify - the presumed cause of Complex Regional Pain Syndrome (CRPS) (formally known as RSD -reflex sympathetic dystrophy) appears to involve the formation of a reflex arc after an inciting event. The arc is thought to follow the routes of the sympathetic nervous system. This is modulated by cortical centers (the brain). The pain sensation in response to injury may lead to increased sensitivity. Not all cases of CRPS are related to the sympathetic nervous which is why the term for the condition has changed. There is a possibility of spread - either mirror (other extremity) or a completely different location. The causes of this is not well understood. I hope that helps.View Thread
Thank you for your post. There are a number of indications for a knee MRI such as findings suggestive of instability, persistent locking of the knee, and/or suspected bone infection. Most of the time a clinical exam will elude to the diagnosis. Conservative measures such as PT, ICE, Anti-inflammatories can be very helpful for common injuries but take time and patience. I would follow the advice of your doctor and follow-up in 6-8 weeks or certainly sooner should there be any changes in your symptoms. Good luck!View Thread
Thank you for your post. The ability tolerate an opioid wean is extremely variable between individuals. Generally the symptoms of withdrawal can be controlled and last anywhere from 4-7 days. In regards to your lack of pain control you should discuss this with your prescribing physicians. A new plan may be warranted. Good luck.View Thread
Thank you for your post. It sounds like your dose needs to be adjusted. I would discuss the side effects with your doctor. It is true that you will develop tolerance over time but based on your comments it sounds like your dose needs some tailoring to maximize benefit and minimize side effects. Good luck.View Thread
Good luck. If you have trouble finding a pain specialist you can try your local Med Chi chapter to get names of physicians or call your insurance company. Please let us know if you have any further questions.View Thread
Thank you for your post. Have you had the opportunity to see a dedicated pain specialist? I suggest you see one, perhaps at a local academic center. A localized "neuralgia" could perhaps contribute to your symptoms but an exam and careful history would be necessary to allow for any therapeutic options. I hope that helps. Good luck.View Thread
Did you have this "numbness/throbbing" before surgery? If so, this can take time to resolve. If not then close follow-up is warranted and sometimes repeat imaging is neccesary pending on the clinical course. I would follow-up as planned with your doctor. Hopefully the Gabapentin will provide you some meaningfull relief. Good luck.View Thread
I am sorry to hear about your mother's struggle. There are a number of different medication that can be used. If the oxycodone is not working you should discuss with your prescribing doctor. The dose may be insufficient or she may simply be a "non-responder" and an alternative opioid may be required. There are a number of adjunctive medications (example - acetaminophen) that can also be used but should be done under the guidance of your doctor as well. I hope that helps.View Thread
The ability to use extended release medications in bariatric surgery is variable. It depends on the type of procedure performed. The gastric pouch is one variable but principally it depends on functional intestinal length. The reduction in functional intestinal length makes it likely that extended release preparations will have passed through the GI tract before absorption is complete. You should discuss all of these issues with your surgeon to make a plan going forward. Best of luck.View Thread
The opinions expressed in WebMD Communities are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. Communities are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Do not consider Communities as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.