- Lack of severe hypersensitivity.
- Skin changes to white after pressure is applied (CRPS usually stays red apparently).
- After reaction trigger the symptoms can be alleviated by raising feet above the heart for 20 minutes.
Small blog on Erythromelalgia in Toes, not CRPS as was originally suspected by my doctors.
Saturday, 29 October 2011
First Pain Specialist Appointment
After being diagnosed with CRPS by a paediatric surgeon two months ago (and being prescribed 25mg Amitriptylene for 8 weeks); I've just seen a pain specialist who told me that it doesn't look like CRPS to him per se. His reasoning for this diagnosis is:
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Hi there,
ReplyDeleteI have more or less exactly the same as you. I had an operation on my foot 6 yrs ago. I think, judging by your vid, that ibwas prob your age when the operation was done. Ibwas diagnosed with crps type 2 straight after as it was evident something had gone wrong. All the symptoms you describe I had. The pain used to be unbearable. I am much bettter now and I can even do sport. I still can't wear socks or tight shoes or sit normally which I guess isthe case for you. I have to keep the foot elevated basically all the time. But, I can stand which doesn't hurt anymore. RYou have to reduce alcohol consumption cause that definitely makes it worse. I have zero faith in docs now. I would say you have type II also. But i am no doctor of course. Let me know if you would like further contact.
Hi there, sorry for the VERY late reply. I set this up a long time ago and haven't updated it with my updates as I had intended. Thanks for your comment. I shall post a quick update in the next comment below this one and will update the site with my latest diagnosis and progress.
DeleteHi,
ReplyDeleteAre you still dealing with this pain? I have it very similar to you. Been told it is very mild crps. I have had it for over 4 years now, and is aggravated by exercise, stress, in the shower etc). Did you get a final diagnosis? My pain has also come and gone over the 4 years. Originally disappeared completely just on Fluoxitine. However is back now while on Gabapentin and Amitriptylene. Seems to come back after major street events...
Interested in your feedback.
Thanks,
Mark
Hi Mark, thanks very much for the message. I was originally told it was a form of CRPS and I eventually managed to get a diagnosis as Erythromelalgia in London. A form of sympathetic nerve damage linked to the sodium channels that control the blood vessels opening and closing. These got damaged after my routine surgery. I have had 6 x regional sympathetic nerve blocks, which did little or nothing to help and are very risky procedures. I have also tried every type of nerve numbing and blocking drug over several years, some helped a little, but others gave me intolerable side effects. I also had a genetic test done in Canada to see if I have a gene mutation that could explain my symptoms, but this came back negative. My cause is most definitely small fiber nerve damage as a result of my surgery. These days my symptoms fluctuate in waves up to 4 months long, whereby they improve and get slightly worse, but all the time in a positive improvement direction. So I have modified my lifestyle, cycle everywhere, try not to walk too far when symptoms flare up, where compression socks etc. I can now walk almost as much as I'd like to.
ReplyDeleteHope thats of some help!
Hi Mark,
ReplyDeleteI have similar condition on both feet. By Sodium Channels can you provide more detail explanation. I have not had surgery. I also have the condition on both my hands. I have a thermal treatment for fungi. My blood vessels and skin may have been damage.