can depression cause this much pain?

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blushladybug
Regular Member


Date Joined Sep 2008
Total Posts : 32
   Posted 10/3/2008 10:41 AM (GMT -7)   
hi all,
i am completely at a loss of words or feelings right now. EVERYTHING came out fine. all of my bloodwork, not even an elevated wbc as i normally have. no anemia...."nothing even close to borderline" he said that i have something-its not all in my head...but it may take years to find on a bloodtest?. dr. also mentioned lyrica and cymbalta. anyone have experience with these meds? he mentioned fibromyalgia=depression and depression=fibromyalgia sometimes. ok, so what now? he is keeping me on flexoril, off pain meds. but i still hurt!!!! if this is some sort of whacky new symptom for depression what is it? anyone have this experience? nervous about chronic pain due to previous suicide attempt, tons of pain 6 weeks post partum depression (5 years ago). i don't feel suicidal now just to be clear. i am nervous though. can depression cause this much pain?
thanks for reading
krista

getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40595
   Posted 10/3/2008 11:47 AM (GMT -7)   
Hi Krista,

Yes some types of depression can cause a lot of pain, but what is often wondered is 'did depression cause fibromyalgia, or did the fibromyalgia cause the depression', Kind of like the chicken and the egg. So it could be either that is causing you so much pain.

Being that your blood test ruled out everything else, I suspect that you may have fibromyalgia. Usually everything else has to be ruled out. It can be a long process. But there are no blood tests for fibromyalgia, usually that is determined by a tenderpoint test.

I hope that you find out soon what is your problem so you know how to deal with it. In the meantime we are here for you.

Hugs, Karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


Marlee2
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Date Joined Aug 2007
Total Posts : 6067
   Posted 10/3/2008 12:35 PM (GMT -7)   
Hi Krista and welcome. Have you seen the commercials on TV for cymbalta about where depression hurts??? I'm a strong believer in mind/body connection. I also inherited depression/anxiety gene. I believe our minds can only take so much before it starts to affect our whole body but that is just my opinion. I know all my problems started from stress but there are others that weren't going through stress when their symptoms started so we really don't know how fibro starts.
 
I do think you have to treat both fibro and depression to have any quality of life.
 
I have not tried either of the meds yet.
 
luv and hugs
Marlee
Forum Moderator Fibromyalgia
 
Fibro,Sjogrens, Anxiety, Gastroparesis, IBS, Gastritis, Allergies, High Blood Pressure, Low Blood Sodium and Osteoarthritis
 
Amitriptyline, Celexa, Xanax, Synthroid, Zyrtec, Micardis, Spironalactone, Tylenol, Reglan, Lidoderm Patches and Tramadol
 
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Southernlady
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Date Joined Jun 2008
Total Posts : 844
   Posted 10/3/2008 12:56 PM (GMT -7)   
Welcome Krista,  I take Lyrica and Flexeril both and have seen a change since I started them.  My pain isn't hardly as bad and I do sleep better.  I'm trying to get my insurance co. to pay for the Cymbalta but so far they won't.  I think the Cymbalta helped me more than anything, but I just took it for a month because my rheumy gave me a sample of it.  I think it did help my depression although I don't really feel depressed all the time. 
 
My dad suffered a lot from depression and he complained about pain constantly, so depression may cause pain.  I don't really know. 
 
I hope you can get help and start feeling better.  This is a good place to come.  So many good friends here to talk to.
 
God Bless!
Shannon
Of all the things that I have lost, I miss my mind the most!!!!


Jeannie143
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Date Joined Apr 2004
Total Posts : 6056
   Posted 10/3/2008 3:42 PM (GMT -7)   
Krista,
Fibros have low levels of the brain chemical serotonin which we need for regulation of the sleep cycle, pain perception and mood swings, among other things. Unfortunately, when your serotonin levels are low you are depressed as well. Ways to improve your serotonin levels include sunshine or S.A.D. lighting in your work space or at home or increased carb consumption. This is why sun tanning or walking out of doors will lift your spirits. It's also why pasta and starchy foods are called "comfort foods". These things actually do impact your mood.

Adding an SSRI (selective serotonin reuptake inhibitor like zoloft, prozac etc.) or NSRI (norepinephrine serotonin reuptake inhibitor like Lyrica) to your meds is a good way to help your body in the long run because it delivers ingredients that stop you from burning up your serotonin that you produce. We can't all spend our days on the beach or snarfing pasta. I take generic prozac and this really helps with my pain problems as well as the chronic depression that accompanies fibro.

Read all you can about the meds, ask your doctor if maybe an SSRI might be best to start with, discuss side effects with your doc and see if this may be right for you. You have lots of options and maybe a med might give you back some of your life. I know mine is HECK without my prozac!!! Painful, sad, grumpy, and down right horrid. I'll probably be on it for the rest of my life but I'm so much better with this med than I was for the first 45 years of my life. HOpe this helps.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross


blushladybug
Regular Member


Date Joined Sep 2008
Total Posts : 32
   Posted 10/3/2008 5:54 PM (GMT -7)   
hi all,
thank you smilewinkgrin thanks for the great input. i suffer from major depression, anxiety, and basically PTSD is my official label these days, i am 33 and have been on medication since i was 15 for depression. i just never felt this horrible ever.i really did not understand what my sister has been going through all these years. she was diagnosed with fibro 10 years ago and told she has celiacs disease 2 years ago. wow. and you all shocked wow. i have alot to learn and i am so glad to find a place where people understand. i am currently on 300 mg of zoloft. i have tapered down on clonazepam to .5 mg 3x/day and 200 mg of trazodone for sleep. oh and i have a hypothyroid issue......levothyroxine 150 mcg/day. guess its going to rest on my therapist and myself and my psychiatrist and my pcp. goodness....i need a social worker to set this all up cause i too freaking tired!!!! LOL
thanks for reading
krista

donnaeil
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Date Joined Jun 2006
Total Posts : 1156
   Posted 10/3/2008 8:37 PM (GMT -7)   
At the Univ of Washington they discovered that 50% of patients who had PTSD also had fibro.

They concluded that for tthose people thier fibro was trauma related.

Donnaeil

getting by
Forum Moderator


Date Joined Sep 2007
Total Posts : 40595
   Posted 10/4/2008 3:07 AM (GMT -7)   
Wow,

That is interesting to know. about fifteen years ago I was dealing with ptsd too. I guess the stress from that alone could send you down the fibromyalgia road.

Thanks for the info Donnaeil. Like I said, that is really interesting.

Hugs, karen
  Moderator-Depression and fibromyalgia
 
fibromyalgia, Chronic fatigue, depression,allergies


chuzzle
Regular Member


Date Joined Jul 2007
Total Posts : 269
   Posted 10/4/2008 4:45 AM (GMT -7)   
Hi Krista,
    I just wanted to say don't give up. It will get better. We are here for you.....Linda
"For God, who commanded the light to shine out of darkness, hath shined in our hearts, to give the light of the knowledge of the glory of God in the face of Jesus Christ." 2 Corinthians 4:6
 
A woman is like a tea bag- you never know how strong she is until she gets in hot water.
Eleanor Roosevelt


Marlee2
Veteran Member


Date Joined Aug 2007
Total Posts : 6067
   Posted 10/4/2008 7:46 AM (GMT -7)   
We are predisposed to certain illnesses cause of our genetic makeup and for some of us we do not handle stress well. I am one of those and the older I get the less stress I can handle.
 
Krista I will be on anti-depressants and xanax the rest of my life. I hate being on these meds but they give me quality of life.
 
There are many on here that suffer from PTSD. So you will feel right at home here.
 
luv and hugs
Marlee
Forum Moderator Fibromyalgia
 
Fibro,Sjogrens, Anxiety, Gastroparesis, IBS, Gastritis, Allergies, High Blood Pressure, Low Blood Sodium and Osteoarthritis
 
Amitriptyline, Celexa, Xanax, Synthroid, Zyrtec, Micardis, Spironalactone, Tylenol, Reglan, Lidoderm Patches and Tramadol
 
Co Q 10, Super B Complex, Extra B12, Multi vitamin


Sue2z
Regular Member


Date Joined Jul 2008
Total Posts : 368
   Posted 10/5/2008 2:55 AM (GMT -7)   
I suffer severe depresssion and at first scoffed when they told me alot of it was depression, now I realise it creates a viscious circle.  Pain causes depression firstly but then the depression makes the pain worse, when I am not so depressed I handle the pain better which I think is what doctors are trying to say but it comes out wrong... sue2z sad sad
Fibromyalgia, ulcerative colonitus, arthritus, bi-polar
norspan patch, valium, prothiedon, lyrica


alicat72
Regular Member


Date Joined Jun 2008
Total Posts : 79
   Posted 10/5/2008 8:02 AM (GMT -7)   
last time i saw my doc she kept asking me questions to see if i am depressed.....every answer i gave was directly related to the pain and fatigue i have....

when your not able to function like you used to it is terribly upsetting....studies show that most people with fibro are type A personalities....we will push ourselves even tho we feel like s**t....

so, eventually we become saddened by the fact that our lives are so incredibly difficult.....my doc sad i fit all the criteria for depression.....i said "i'm not depressed"....just because i cannot get my chores done or i cannot concentrate at work does not mean i'm depressed!!!

well, she put me on zoloft.....i took it for a few days and started having the weirdest symptoms, so i am now weaning....i'd much rather take st.john's wort....at least there's no side affects with it....

sorry for the rant, i just get so frustrated with how people and doctors percieve those with fibromyalgia.... mad

blushladybug
Regular Member


Date Joined Sep 2008
Total Posts : 32
   Posted 10/5/2008 10:41 AM (GMT -7)   
hi all,
i am right with you all!!! i finally went to the dr. (i am so medically stoic) and it was like ok buddy....this is how i feel, and this is new and severe, and.....i just want to not hurt and possibly to sleep sometimes. and i think a lot of it is miscommunication with the dr.s....i just want to call my pcp and remind him....i have given birth 2x w no meds b4 or after. I have had surgeries, broken bones, kidney stones, and dry socket pains, and lyme disease etc etc....and this is WAY worse. but they say its a mind body link. k guess my mind has it in for me secretly then! i guess my mind could make me happy and pain free and exceptionally beautiful-but it chose this. huh. what the heck? i am so angry right now.
thanks for reading
krista

alicat72
Regular Member


Date Joined Jun 2008
Total Posts : 79
   Posted 10/5/2008 11:09 AM (GMT -7)   
krista,

i love what you said about the fact that if it is possible for your mind to cause pain then it is possible for it to make you happy and pain free...something the doctors don't really consider.....the kind of pain we are in is difficult to control....

i suppose that because they do not understand it, they have to evaluate the symptoms and treat in a multifaceted way.....it is just a crapty feeling for a doctor to tell you that an antidepressant will help you feel better because we all know that is not the cause of the pain...bleh.

Sue2z
Regular Member


Date Joined Jul 2008
Total Posts : 368
   Posted 10/5/2008 9:34 PM (GMT -7)   
It is sad that so many doc are ready to just dump it all on depression, it is so hard to find a good one.  It is not just depression, most of the depression comes from the pain,  off course we are depressed.  mad mad mad     sue2z
Fibromyalgia, ulcerative colonitus, arthritus, bi-polar
norspan patch, valium, prothiedon, lyrica


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 10/6/2008 9:58 AM (GMT -7)   
Sue2z said...
It is not just depression, most of the depression comes from the pain,


Sue2z,
You just said a mouthful!!! The depression is the result of the pain using up all of our serotonin which we need to keep our mood on an even keel. THIS is why treating the depression with meds also relieves some of the pain. It enables the brain to have enough serotonin to use for pain coping, sleep and mood. When the serotonin levels drop all we want to do is sleep and eat carbs to build up the serotonin levels again. I wish some of the docs would explain this to the fibros.

Pain, depression and interrupted sleep cycles all stem from the same problem, low serotonin levels.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross


blushladybug
Regular Member


Date Joined Sep 2008
Total Posts : 32
   Posted 10/6/2008 11:46 AM (GMT -7)   
so jeanie,
although i take ssri's at a very high dose, you believe its possible they just stopped working a month or 2 ago....after 4 1/2 years? i never thought of zoloft as a lifetime drug.....although i do have to take levothyroxine that way. this is a curious theory for me. i eat a diet high in omegas, protein, veggies and fruits, whole grains and lean dairy. plus a probiotic whole food suppliment. i wish anyone would explain this to me as a newcomer to possible fibro!!!
yikes
krista

Marlee2
Veteran Member


Date Joined Aug 2007
Total Posts : 6067
   Posted 10/7/2008 8:31 AM (GMT -7)   
Krista, I found this article that is geared towards ADD but many of us with fibro seem to have developed ADD it may explain the brain chemicals to you. Fibro is mentioned in this article. I take 100 mg of amitriptyline a day and 40 mg of celexa which are both ADs and I know I'm still lacking in serotonin and it's time for a change in my meds. Yes, I think they can stop working after you have been on them for a long time. There are a lot of things mentioned that we can do for ourselves to increase the brain chemicals. Even the way we think can have an affect on them. I was one that was born without enough receptors or something.
 
If your doc thinks your just depressed and doesn't recognize fibro than you have a problem and need a new doc but if your doc recognizes that you have both problems that is a good thing. I am fortunate to have the same doc for 15 yrs. He has seen me at my worst and he has seen me at my best and this was before fibro. I will see him on the 27th and I'm going to tell him I need a change in ADs. He will say than try the cymbalta I've been trying to get you to take for the past year. tongue
 
 
luv and hugs
Marlee
Forum Moderator Fibromyalgia
 
Fibro,Sjogrens, Anxiety, Gastroparesis, IBS, Gastritis, Allergies, High Blood Pressure, Low Blood Sodium and Osteoarthritis
 
Amitriptyline, Celexa, Xanax, Synthroid, Zyrtec, Micardis, Spironalactone, Tylenol, Reglan, Lidoderm Patches and Tramadol
 
Co Q 10, Super B Complex, Extra B12, Multi vitamin


cajunbrat
Regular Member


Date Joined Feb 2006
Total Posts : 186
   Posted 10/7/2008 9:17 AM (GMT -7)   
Hi Krista, sorry that you are going through such a tough time, "been there done that". I am on Cymbalta which saved my life in 2005, I also take Wellbutrin SR, Trazadone, Lunesta, Lyrica, I think that's all I take for PTSD, Major Depression, Chronic Clinical Depression, Fibromyalgia, that's all in that department. I do want you to know that Cymbalta and Lyrica, Trazadone and Lunesta are a group that worked for me and reduced the flares of FMS, depression, body pain, or at least take the edge of the body pain. I wish for you that your Dr will get the best mix for you. I take 12 Rx's daily and just that alone makes me so depressed. I have to be knocked out at night to be able to get a nights sleep, I used to wake all night long with body pain, every time I would change position. I will share with you that I was put on Lyrica when I broke both wrists and I found that the body pain was alot better, when I mentioned to my Orthopedic Dr, he said that he had just read in the Journal that Lyrica was now being tested so that the FDA would allow it to be abled to be advertised as a FMS medication. That was in 2006.
Take Care of YOU! God bless!!!!
~Kathy~

Life's,too short to sweat the small stuff"


fibrofog
New Member


Date Joined Oct 2008
Total Posts : 5
   Posted 10/7/2008 1:21 PM (GMT -7)   
Hello all,

I just subscribed today, and it's really nice to have other people to relate to. I was involved in a minor car accident in June 2005, after which I began to experience muscle pain, which got worse by the day, it seemed. At the time, I had a job I enjoyed, a beautiful daughter, and was engaged to the love of my life. I would hardly have called myself depressed. After several emergency room and doctor's office visits, I described my symptoms to my mother, who also suffers from fibromyalgia, and she suggested I see a rheumatologist. I nagged my doctor until he referred me. I told the rheumatologist what i suspected, and he began testing me, but stopped at the 3rd pressure point (or whatever you call them) because I was already in tears when he squeezed my elbow. I was put on Cymbalta, which completely floored me for 5 weeks (I was unable to leave my bed and slept most of the time except for bathroom visits). After that, it worked for a while, but I started feeling depressed all the time and even having suicidal thoughts (which I hadn't previously had) and the medicine lost its effectiveness, so I took myself off of it. My mood improved, but the pain got the better of me, and I eventually lost my job, and my relationship with my fiance fell apart. I have been unable to keep a job since the time I was diagnosed (although I've tried my hardest and will keep trying). Am I depressed now? You better believe it. Living with constant pain has taken its toll on me. Although I keep trying to get myself out of this slump, I can only hold my chin up for so long before a really bad day comes along and kicks me in the butt, starting the process all over again. I take Lyrica once a day most days, along with Xanax at night to sleep. I try to stay off the Lyrica when I can because it gives me a sort of drunken feeling, and I definitely don't take it when I have to drive, but it's the only thing that's really helped so far. Sometimes (rarely), I also take 1/2 a Vicodin (which my doctor will not prescribe to me, but my dentist did some time ago for a couple of root canals), but that's only on the worst days. I think fibromyalgia --> depression in my case. To me, it just seems obvious that anyone who has to live with pain like this with no real known cause or solution isn't going to be positively chipper all the time. I'm not saying that there's not a possible mind-body connection in all of this, but in my situation, and to the best of my knowledge, the pain came first, the depression later.

blushladybug
Regular Member


Date Joined Sep 2008
Total Posts : 32
   Posted 10/7/2008 3:34 PM (GMT -7)   
hi all!!!
i just got a quick chance to write. !!!!thanks for all the support and info and links, all so helpful!!! I especially admire people for adding in their personal stuff...makes me feel less alone!!! i am on the case....my dr.s are all helpful and willing to work with eachother. thank god! so maybe by next wednesday i will be trying a new med. regime which is very positive and i feel hopeful about. i joined the ymca today so that i can go swimming (good low impact esp...if you have asthma which i do). ok time to settle my kids and dogs in!!! thanks everyone!
krista
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