Studies seem to indicate that fluctuations in estrogen levels seem to have a significant impact on reported pain levels, where states of reduced estrogen are associated with increased pain. During the menstrual cycle, estrogen levels are low at the point right when menstrual bleeding is about to take place. As a result, many women may feel more sensitivity to pain during these phases of their cycles. Also, research done on estrogen blocking drugs used for breast cancer treatment known as aromatase inhibitors have shown a correlation with musculoskeletal pain problems, possibly due to increased inflammation around tendons.View Thread
As you may know, shingles comes from the same virus that caused you to have chicken pox when you were younger. With shingles, the virus usually causes a very painful inflammatory reaction around a localized nerve root somewhere in the body. For most who get shingles, the pain as well as the rash subside after about 3-5 weeks. But, unfortunately, in other cases the pain can persist and this is referred to as postherpetic neuralgia. Older patients are more prone to developing postherpetic neuralgia.
Typical treatments for the nerve pain associated with the shingles virus include NSAIDS, nerve pain medications like gabapentin, and topical agents that can soothe sensitive skin. The pain is often difficult to manage, so don't hesitate to continue to follow up with your doctors for further help.View Thread
I can appreciate your frustration- it is always a bit nerve wracking having persistent pains and not really knowing what is causing it. Unfortunately, this happens a lot more often than you might think, as there is still a lot that we don't yet know in science and medicine. Pain that comes from an organ inside the abdomen, like an ovary or the intestine, is often referred to as visceral pain. Visceral pain is often hard to pinpoint and can feel very crampy. Nerve pain, such as from a pinched or injured nerve from surgery, would be expected to cause a more localized, radiating, sharp pain, as an example.
It might help if you talk to your doctors to get a sense of what type of pain they think you are having based on your history and symptoms and use that information to try to help you better manage things.View Thread
Unfortunately, nerve pain problems can arise after surgery, and this can sometimes be the case with carpal tunnel surgery. RSD, also known as complex regional pain syndrome (CRPS) can be a challenging pain problem to have. The sooner something like CRPS gets evaluated and treated, the better, so seeing some type of specialist for nerve pain problems like this is a really good idea. Comprehensive treatment is often needed to help reduce pain, sensitivity, and restore function back in the hand.View Thread
I have seen situations like this arise many times with patients over the years, and I certainly understand your frustration. How can a physician who makes a cursory evaluation really know what you are capable of doing on a consistent basis? In many cases, when it comes to disability claims, decisions get made off of the records without an actual evaluation taking place.
More scientifically assessing for impairment or disability due to the presence of pain can be difficult because of the subjective nature of pain. But there are some assessments to be aware of that can help. For example, a functional capacity evaluation can be done by a PT or OT specially trained to assess what a person can and can't do. This tests often take many hours to complete and are based on specific measurements. One of the drawbacks is that even though they are objective, they still don't really show if the patient can do what is measured 8 hours a day, 5 days a week. As far as cognitive function goes, there are tests that can be done to measure performance. In addition, the medical opinions of your doctors should be given a lot of weight since they know you better than a one-time examiner. Vocational counselors can also be consulted, in some cases, to assess for employ-ability.
I hope this information helps navigate this situation.View Thread
Trying to lose weight and exercise more with a bad knee pain can be a real challenge. I do have a couple of recommendations to consider, and, of course, please remember to consult with your doctor before starting any new exercise program.
Cycling- This could mean using a stationary bike, recumbent bike, or riding outdoors depending on what is tolerated the best. Cycling can give the legs a good workout and provide some cardio/weight-loss exercise.
Pilates- Either on a mat or a reformer with an experienced instructor. A lot the exercises can help build strength and improve balance without you having to put a lot of pressure on your sore knee.
While exercise is really important, I think sticking to a healthy eating plan is critical for weight-loss.
Once you get over the hump, your body will start to feel better and hurt less.
Find something you enjoy- you will be more likely to exercise regularly if you are having fun doing it.
Partner up- having somebody to work out with can help keep you consistent.
Symptoms of burning pain in the feet is often a sign of neuropathy. Peripheral neuropathy is usually associated with some type of change in normal nerve function and the feet are often particularly sensitive. In cases where the neuropathy is due to a treatable condition, the symptoms can improve with treatment of the underlying cause.
I would recommend seeing a physician who can do a work-up of possible causes as a next step.View Thread
Unpleasant itching and the desire to scratch is sometimes referred to as pruritus. Pruritus can have many different causes including medical conditions like kidney disease and medication reactions. One of the mechanisms that can create this unpleasant itching is the release of histamine from cells inside the body. Certain medications, including opioids, can increase the release of histamine in the body, and therefore serve as one potential cause of itching. Again, there could be other causes as well, so scheduling a follow up with your doctor to discuss this as well as other potential causes makes sense as a next step.View Thread
One thing I often tell my patients is that we don't know everything in medicine, and we certainly don't have all of the answers when it comes to complicated pain problems. In fact, it is estimated that for 90% of patients with low back, the causes are not really understood. Just because doctors don't know all of the answers is no reason for others to make you feel that your pain is any less "real" or problematic than anyone else's. Trust me when I say you are not alone, and there are many many others out there trying to better manage their pain, too.
While it may be frustrating when you can't get better answers or solutions from others, that doesn't mean you can't work with different practitioners to develop your own self-management program to help you feel better and function better. For example, some physical therapists may be better than others at working on more chronic back pain problems. Some patients find alternative treatments to be a big help, like tai chi, yoga, Pilates, acupuncture, or even mindfulness-based meditation. A simple daily walking program is often beneficial, as well.
Remember to first go over anything new with your doctors before starting new treatments. Good luck!View Thread