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NH354
New Member


Date Joined Dec 2009
Total Posts : 6
   Posted 12/2/2009 4:22 PM (GMT -7)   
Good afternoon to you all:

I need help. I am a 26 year old male. I had knee surgery about 9 months ago as the result of an athletic incident. Prior to my surgery/incident I was an avid athlete. I worked out 6 days and was very health conscious. I am here today because something went wrong after my surgery and I have exhausted most of my pain relief options and am fed up with the pain. I thought i was a tough guy however the chronic pain that i now experience in my leg is enough to literally bring me to my knees. I say that something went wrong during the surgery because ever since then I have experienced the most excruciating pain i have known 24 hours a day. It feels like my leg is on fire, i have these shooting pains that literally make my eyes roll back, i wince in pain, and sometimes i am not strong enough to fight off the tears. The pain has affected my life immensely. In fact the pain rules my life. I don't sleep at night. I have had to stop doing the things i love. I feel as though I have tried everything i can. All i want is the pain to go away, I have tried: Pain meds (pretty much all of them), neurontin, lyrica, sleeping pills, accupuncture, accupressure ohysical therapy...neurologists have said that there is a chance the nerves will heal, but i have seen no improvement. It just seems that no one understands...no one can believe how much it actually hurts...
Essentially what I am asking of you all is if there any other measures you have taken that have given you relief or even fixed your problem and how do you deal/cope with the pain everyday. I really appreciate any and all input you may have.

-Sean

Piercings
Regular Member


Date Joined Aug 2008
Total Posts : 326
   Posted 12/2/2009 4:36 PM (GMT -7)   
Sean,

It's not easy. We all go though those times where we're just tired of hurting. We just want to lay down and die or else curl up in a ball and never speak to the world again since it's left us with this pain. I wish I had more answers for you as to things to try. My personal biggest help has been to try and reduce my stress. For me all the tension adds to the issues that are already there. I know it's not easy, you're probably thinking....Relax?! I can't even sleep right?!

From the looks of some of the meds that you've tried already the only thing in that AD class that I didn't see is Cymbalta. If it's not something you've tried, it might be something.

Knees are not a strong point for me to try and give any advice on. The only thing that I've ever been able to do for mine is just RICE method. I'm immobilized right now and they want me on crutches cause of a fracture. Not that I've been good about using the crutches....Sigh. But I'm sure that there will be others with better/more advice.

As for the day to day stuff, having to re-evaluate who you are and what limitations you now have is a very hard thing. All of us here have had to go through - or are going through - having to redefine who we are and finding our value despite the things that cause us our pain. It's not an easy task. If you take a look at some of the other posts here just in the last couple of days you'll see that sometimes the only thing that we can do is come here and vent. But it helps.

People here are willing to try and brainstorm, offers suggestions, and offer lots of support. This has been one of the best online communities that I have ever belonged to. People here genuinely care and will listen, even if the only thing you need is a shoulder to cry on. So people keep checking back and posting more cause we'll be here to hear and to try and help as best as possible.
Curious people are interesting people...I wonder why that is.
~Bill Maher


NH354
New Member


Date Joined Dec 2009
Total Posts : 6
   Posted 12/2/2009 4:50 PM (GMT -7)   
Piercings-

Thank you for the reply. I greatly appreciate your words of encouragement and the advice. I wish you the best of luck with your situation.

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 12/2/2009 5:51 PM (GMT -7)   
    NH welcometo the CP forum! I also did not see some of the other comon pain meds. Have you tried Percocet's or Oxycontin. Have you been to a Pain management clinic, or are you seeing your PCD or your surgeon? Are you still doing PT? Could you please give us a little more information? What has your surgeon said about it. There will be other along here, so please check back often, and in between that time tell us more about the pain meds and the amount s you have tried.
 
     Michael

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 12/2/2009 5:58 PM (GMT -7)   
Hello Sean,
Has anyone mentioned RSD or central pain syndrome to you?Do you have difficulty having clothing or blankets/sheets touching the area? Does it turn red or blue or get hot and cold in that area? If you have not visited a pain management clinic, I would suggest getting a referral to one if you need to have one and going there.
I don't see any narcotic pain relievers mentioned in your post. Have you tried those? And if so, which ones....
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2281
   Posted 12/2/2009 5:59 PM (GMT -7)   
NH,
I really feel for you. I had something similar after I had surgery on my head & neck. The NS kept telling me to wait -- weeks, then months went by & the pain wouldn't let up. It ruined my ability to work, friendships, pretty much everything. After 8 months, I finally went to see a pain specialist & got some relief. Eventually, I needed to have radio frequency nerve ablation. It turns out that the scar tissue from the surgery grew around the nerve in the back of my head/neck & it was basically strangling the nerve. There wasn't any permanent treatment for it, but the ablation helped for a long time & now I have a Spinal Cord Stimulator that has helped me get back many parts of my life. I'm not running half marathons anymore, but at least I can work, do housework, and keep up friendships plus do some walking around. I have slowly been able to build up to more active things like walking up a flight or two of stairs and such. I'm told that if I keep up, I will make progress -- slow & not always steady -- and may eventually be able to hike again (though distance running is probably not going to be a possibility) and play some sports for fun (not with competitive people).

I want to encourage you to keep trying. I didn't have much luck with a lot of the meds I first tried. The only thing that helped at first was steriod injections (& those only would last for several days, if that). Then we found one pain med that helped a little bit. We added anti-convulsants, sleeping pills, muscle relaxers, sleeping pills, etc., etc., plus accupuncture, behavioral modification, rest, relaxation, and so on. It took all of those things working together. Truly, I was so miserable for the first 4-5 months. I was on like 8-9 medications. I hated it. But as we got the pain under control, I was able to start cutting some of the meds & now I can manage the pain with mainly the SCS & Lyrica. Sometimes I also use a topical gel -- was using Voltaren gel, but that made my hair fall out (long story, not a common side effect -- plus the pain was my head so I was putting the gel in my hair), so now I am back to the compounded prescription gel made with Ketamine. It's not covered by my insurance, but it does work quite well. If you haven't tried Voltaren, maybe look into that first; but if it didn't work for you, maybe ask about compounded topical treatments.

All I can say is to hang in there. Nerves do heal, but they need to rest to do so (as I understand it) & if they are constantly in pain, that often doesn't happen. Breaking the cycle of pain can be very, very hard, but once you break through the pain, it will be so much easier to manage it.

hang in there!!!
frances

NH354
New Member


Date Joined Dec 2009
Total Posts : 6
   Posted 12/2/2009 9:03 PM (GMT -7)   
Thanks all for responses. I have found each one of your responses encouraging and thoughtful. It is nice to see that there are people out there who understand and care. I wrote down all of your suggestions and am going to do some research and talk with the doctors...I am sure that you are all on here because you suffer from some sort of pain, most likely worse then mine and have suffered for longer then me, for that I say that I wish there was some way in which I could help you like you are helping me now. Through this whole process I have gained an unbelievable amount of respect and admiration for those who have lived and continue to live with symptoms. I can only pray that someday medicine and technology will come up with better, permanant ways to treat pain.
 
I am currently prescribed to 30 mg oxicodone (inscription on pill is a215) pills 4 times a day as well as elavil at night. The pills provide some relief but it doesn't last long, and if i take more then 2 I become a sleepy zombie. My surgeon is at a loss, he has tried most everything to correct (injections...) it but nothing has worked. Originally they thought it was scar tissue pressing on a nerve however most of my scar tissue has gone away. We are now under the assumption that the common peroneal nerve was knicked/severed somehow. I am angry at my surgeon for letting this happen however I want to work with him to fix it...He is a good guy and feels horrible about it...However I can't help but be angry with him...My primary care doctor is aware of the situation and willing to give help. There are a couple 'pain clinics' in the area that i live, however to tell you the truth i do not know much about what they do there. If someone could fill me in on what kind of services a pain management office does i would greatly appreciate it.
 
As for the physical therapy, I  go about once a week. They pretty much just use the machine that is supposed to break up scar tissue then move my leg around and I make noises because everything they do hurts so much. Then they put ice on it and I go home!
 
Sean

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 12/2/2009 9:14 PM (GMT -7)   
I would seek the opinion from a new orthopedic surgeon. Find one that is not in practice with, in any way, the doctor who did your knee surgery. As you said something may have been screwed up during your surgery and perhaps it could be fixed if it is found.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 12/2/2009 9:35 PM (GMT -7)   
      Hello again Sean!...your going to fit in nicely here with us. I too, am on oxycodone in a form called Percocet but take #10 325mg for breakthrough pain....in addition to Oxycontin 30mg twice a day. I believe the oxycocone you are on is a immediate release, and generally last around 3 to 4hrs. I was suffering the up's and downs...so my PCD put me on the Oxycontin, as it last 10 to 12hrs for most people. In many areas of the country the Dr get leary of giving pain meds for an extended period of time and will often send their patients to a Pain med specialist. They usually are very well trained in their field, and would be your best bet in helping you with your pain problem. I will have to admit that the med your on now is pretty strong, but there are many medications out there that may have a better effect on your pain. Each medication takes their own special pathway to the brain, so I would definitely ask your PCD about sending you to a PM Dr (Pain Management) Hang in there...we are rooting for you already...and will always be here for you. Every body's pain is different, so don't worry about having less pain than others here, and it sounds like yours is pretty bad. If you feel like it is a 9 or 10 to you, it is! Every body's pain threshold is different. Like I said earlier, call your PCD and get the ball rolling to get in to a PM Dr. Please check here often, and don't be afraid to engage in conversation here. Also a small tip for you...if your post drops to the bottom of the page or onto the 2nd page...post a small quip on it and get it bumped back to the top. It will get more attention there. Take care my new friend, and we all hope you get some relief soon.

Post Edited (Screaming Eagle) : 12/2/2009 9:42:00 PM (GMT-7)


bsjaguar
Veteran Member


Date Joined Jun 2009
Total Posts : 974
   Posted 12/3/2009 2:24 AM (GMT -7)   
Sean, welcome to the forum and I'm sorry to hear of your pain issues.

A pain management doctor is just that, they are experts at managing pain. Not all PM doctors are good doctors though just like any doctor so you may have to try more than one to find the perfect match for you. Also, not all pm doctors prescribe meds for pain some only do procedures so make sure before making an appt that the doctor also prescribes pain meds.

There are alot of different pain meds out there besides oxycodone that may work for you better. Like Screaming said a extended release med will stay in your system for 8-12 hours so you don't keep having breakthrough pain. We are all different and we all take alot of different meds as you can see from past posts on the forum. Definately sounds like it is time to try a new doctor for some fresh ideas on how to help you.

I hope you find some relief and remember we will listen when you need help of you just need to vent. Good Luck!!!
---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


NH354
New Member


Date Joined Dec 2009
Total Posts : 6
   Posted 12/3/2009 10:08 AM (GMT -7)   
Thanks again for the tips. I have a question for anyone who is willing to answer. In talking with my primary care today he suggested I look into getting a nerve block from a pain management doc. I had a nerve block when I had surgery and it numbed my leg for a couple days. Does anyone have experience with getting a nerve block on their leg for pain after surgery?.if so what is it like? Is the leg completely immobilized and numb? Any side effects? Would I need crutches etc..? How long does it usually last?

Thank you again for any and all input. Have a good one.

Sean

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 12/3/2009 10:15 AM (GMT -7)   

   NH, I'm a little short here on this one....but Straydog or PaLady will know...keep checking here. also please ignore the comment by Cheify...he has been reported and they will soon remove the sorry comment he made here. hang in there...help is on the way!  also give Koffee clatch a try...its a fun thing for all of us here...but what ever you do don't mention anything about pain...it's a no no there. Have fun!

 

    Michael

Post Edited (Screaming Eagle) : 12/3/2009 10:21:42 AM (GMT-7)


punchfit
Regular Member


Date Joined Nov 2009
Total Posts : 89
   Posted 12/4/2009 12:55 AM (GMT -7)   
Hi NH354,

Welcome to the forum,I am to a fairly new member andin such a short time meet a group of genuine caring people with loads of info and ideas, i am sure that you will enjoy the forum and gainalot of knowledge and different fresh ideas.
I to can feel you anguish and pain and truly feel for you.
As you can see its nice to see your not alone, and everyone here is a fantastic support.And can relate to your disstress and pain.

I can understand how you must feel, as you lead an very active atheletic life
May i ask what kind of athletic injury you actually sustained?
I to was health concoius, worked out 5 days per week,and lead an active lifestyle.
As my member name reflects PUNCHFIT. I was a proffesional cabret theatre dancer and dance instructor and did alot of boxing and weights to keep fit and get into shape, but my active lifestayle has had to be heavly modified and my dr said that all my intense training was great for my heart, lungs and insides but has actucally contributed to cause more damage due to the stress my body has endured.

A catch 22 i supose, at the time when i was involved in my active lifestyle i was actually encouraged to keep up what i was doing at the time to keep flexiable and increase bone density etc..., i to had to give up alot of my dreams and passions and this really impacted on my psycological wellbeing, but i have had to learn to deal with this as best i can, and modify my physical activity to only isometric excercises, but most days are in to much pain to do anything at the moment.

So i can understand your frustration and sadness to give up something you loved so much.
I agree with Jim 1969 , if your not happy and have come to a dead end so to speak, it may be worth a new approach, change of medical proffesionals and a some fresh advise & options , like many on this forum have already suggested regarding different meds that you have not tried, hey its worth a shot, no need to suffer in that much pain, i recently changed dr after all the support and suggestions from other forum members and it was the best thing i did, at least i have a dr now with new ideas, a freash approach and at least has an understanding of how severe my pain is, because if you medical team/specialsits cannot understand your pain , and the chances of quality treatment are not that good.

Anyway take in all the advise from all these wonderful people who have some great knowlwdge on this forum and explore your options that you feel might suit your situation.
Good luck & keep us posted.
and my thoughts are with you.
Keep your chin up, it has to get better.

Cheers
Leisa

NH354
New Member


Date Joined Dec 2009
Total Posts : 6
   Posted 12/4/2009 8:08 AM (GMT -7)   
Leisa and everyone else- again thanks for the input. Still looking for some input on the nerve block. If anyone knows about them and has experience with them and can tell me what they are like it would be greatly appreciated!

A little backstory on my left leg injuries; When I was 19 I had arthroscopic ankle surgery for osteochodritis dissicans (chipped bone in ankle joint). I tore my left ACL 4 years ago. Both of these injuries healed well. My most recent and surgeries are what have caused the pain that I experience. While 'mountain' biking with a couple friends I took a tumble directly onto a bed of rocks. I broke my kneecap. It was put back together with screws and pins and what not...

One thing I have realized throughout this whole thing is that I am happy that I have good insurance. On the other hand I have been completely frustrated with the amount and extent of bureaucracy involved in the medical field. I had to learn very quickly that I have to be my own advocate. If you want something done right or done quicker when dealing with doctors you have to get involved and do it yourself. I can't tell you how many doctors, surgeons and neurologists have told me that the next available appointment is 3 months away.

FunnyGurl
Regular Member


Date Joined Nov 2009
Total Posts : 173
   Posted 12/4/2009 8:29 AM (GMT -7)   
Hi NH54
It sounds like a very painful situation you are in right now.  Plus now they are making you wait for appts? 
My exhusband ended up with RSD in both of his feet after some foot surgeries.  Sounds a bit like that to me.  But it may be something that can be fixed by other treatments or surgery.
Like others suggested I would find a new ortho speciafically one that specializes in the knee. A good Pain management Doc.  I currently see one for my spine and leg/nerve pain.  He is great.
Have seen a few not so good ones in past.  But very happy with my Docs now a Back Pain specialist, an Internal medicine Dr and a psychiatrist.
So that brings me to the other suggestion I had for you.  I would like to see you make an appt with a psychiatrist or better yet a Pain psychiatrist.  I think they may be very helpful in assisting you in dealing with your  chronic pain.
Also have the Physcial therapy tried to use desenstizing on your knee in order to reduce your pain.  That may be an option for you esp if it is RSD.
Also try to find a hobby that can keep your mind off of the pain that can help tremendously.
I hope you can get the right Docs and the Right DX and get this pain under control.
Good Luck to you and I am hoping you can have pain free days real soon!
 
Rhonda
Humour is always the Best Medicine!
 
Fibromyalgia, DDD, 2 herniated Lumbar discs, OsteoArthritis Lumbar, Migraine, Dysthmic Disorder, Anxiey, Panic Attacks, OsteoArthritis Knee, Carpal Tunnel both hands, Currently Double Depression


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13461
   Posted 12/4/2009 11:27 AM (GMT -7)   
Hi Sean,
 
I too would like to welcome you to Healing Well. I am so very sorry to read what has been going on with you. I think by now you can tell this is an awesome group of people on this forum. I do not believe you will find a forum out there that can compare to this group. I have been hanging out out here for a few years in different forums, I am lucky enough to have enough wrong I can jump around to different rooms, lol. But all kidding aside, when I first came to Healing Well, my world had been completely turned upside down, inside out and I did not know what in the hail I was going to do. I no clue how to cope, how to accept what was going on in my life. This forum became my safety net.
 
One of the first things that sort of jumped out at me was what Mrs. picked up on and spoke of, a conditions called RSD. I do hope you will google this condition and find a reputable website and read up on it. See if any of your symptomns fit or not. I truly hope I am way off base in my thoughts,  I have seen what this condition will do to a person first hand.
 
I have had 5 knee surgeries and understand the pain from that stand point. I lived with knee pain for many, many years. My last two surgeries were done 3 weeks apart and that was one of the stupidest stunts I believe I have ever pulled. I fell and twisted a freshly operated tear of the ACL and spent one year in a Don Joy brace, a week in the hospital trying to get the pain under control.  It took my knees 18 months to heal due to medications I was on to manage my crohns disease. Because the meds were relatively new no one knew if it would affect the healing process, well it did. I was ready to shoot me, the drs and anyone else that crossed my path.
 
I have a couple of things I would like to throw out that I would consider doing if I were in your shoes. The first thing I would do is get a second opinion with a ortho that is board certified preferably in sport medicine. I would take my op records and go see what  he/she thinks. Then, I would have my ortho or even my PCP ref me to a PM dr. Most PM drs want a ref from another dr so be sure this is done. I would call one of the local hospitals in my area and I would get some names of drs from their referral line for a PM dr. Keep in mind sometimes we have to go to a few of them before we find the right fit. Not all PM drs are created equal just like our other drs.. Sometimes we have to kiss a few toads before we find our prince/princess. There are two types of PM drs out there. One does nothing but prcodures and injections and will not write a script for pain meds, you don't want to go there. Then, there is the other kind that will write scripts and does the procedures too. Before ever seeing one call and just ask up front if he does procedures only or if he does procedures and gives scripts for meds. Pain mgt drs have more knowledge under their belt to handle someone with CP over say a PCP or an ortho. Sometimes it takes a combination of meds to get relief, different kinds of modalities, its a mixed bag, but you want someone with experience pulling things out of that bag.
 
Another thing, is I would talk to my PCP about getting put on something for depression and being referred to a pyschologist that also deals with CP patients or someone with experience with patients that have medical issues in their life.  Personally, I prefer a psychologist over a psychiastrist, I wouldn't give two cents for one of those guys, lol. but again that is my opinion only. lol. I was referred to one and let me tell you, she was a lifesaver for me. By the time I got to her I was a complete mess and truly had no idea how to cope on a daily basis, deal with any kind of an issue, talk about a fish out of water, let me tell you, I was there. I wasn't crazy or anything like that, I just had come completely undone with my life and I did not know how to put the puzzle back together. It was really hard taking that step because I am one of those people that has to be in control of her life and I was totally out of control.
 
Depression and CP for some reason go hand in hand. Sometimes we have to try several types of medications to find the one that works the best for us. It is like any other medication we take, it is not a one size fits all. For me being on an antidepressant helps me smooth out the rough edges. Makes my life a little less hectic and I am not so scrambled inside. I think if you have read many posts here you will see that people that have CP are the strongest people walking this earth. Not just anyone could deal with the issues we do on a daily. It is definetly not for the weak.
 
Our lives get so turned upside down, we lose our friends in many instances because we are not able to get out and run with them, our finances go down the toilet, our familes don't understand what is wrong with us because after all we appear to look ok, we spend a lot ot time seeing drs and sometimes they don't know what to do with us, we get angry with everyone including ourselves, it just seems to be never ending. Many times we think there is no light at the end of tunnel, but there is, its just real dim some days. The important thing is to never give up or give in, keep fighting and keep looking for answers.
 
I hope you can get some answers and help soon. Hang in there, it will get better.
 
 

crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & psoriasis and psoratic arthritis. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 17 different daily medications. Intrathecal pain pump implanted June 05.


NH354
New Member


Date Joined Dec 2009
Total Posts : 6
   Posted Today 9:13 AM (GMT -7)   
Thanks for all the input and support everyone! I am very happy that I joined this forum and actually spoke up! I am still looking for anyone who has information on having a regional nerve block to curve pain of a leg or anywhere else for that matter...

Thanks,
Sean

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted Today 2:45 PM (GMT -7)   
Sean
I had RSD in my shoulder at one time so I can explain the nerve block thing a bit to you. They inject an anesthetic into the sympathetic ganglion to your leg/shoulder, wherever the pain is. The reason behind it is that if they can interrupt the pain signals coming from your brain and spinal cord to the painful area, it is sometimes truly helpful in reducing or even eliminating the pain that you are feeling. There are times that it needs to be repeated, especially if you are dealing with sympathetically maintained pain such as RSD or CRPS.
You said you had a regional block when you had the surgery, so it is very similar to that, except it lasts for a few hours or hopefully days.
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..9/08- adding bilateral ulnar neuropathy with severe compression to the mix. They want me to see a surgeon for ulnar nerve surgery, but I'm not biting.
I've seen enough surgeons over the last few years.
Avascular necrosis of left wrist- maybe hips too

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