Posts Tagged ‘Rheumatoid Arthritis’

What Do Pain Docs Do For Me?

January 11, 2021

As mentioned in my previous post, I see two different pain physicians. Yes they do both know about each other. Actually, one referred me to the other. But why two? Because they do different things that help differently and for different durations.

I know these doctors know what each other’s are doing because I see them both in the same clinic but different offices. And while there are different offices in different cities, my electronic file is available to them both.

Shots with Dr S

My regular appointment is with Dr S.. I actually started seeing her 10 or more years ago, once a week but now generally only see her every four weeks now. From her I get nerve and trigger point injections.

I get them in my shoulder for the nerve going down my arms, 2 injections on each side of the back, the top of my back at the sides of spine in the trapezius muscle, down my back in painful trigger points primarily in the shoulder blade & the latissimus Dorso muscle, 8 shots in my lower back beside the Sacral & lumbar vertebrae, and on in the back of each hip for the sciatica. So a minimum of a about 20, to up to close to 50. Typically I get 30 shots in my back & neck.

Bupivacaine – for nerve & trigger point injections

Bupivacaine injection is used to numb an area of your body during procedures. It is a local anesthetic. It causes a loss of feeling and prevents pain by blocking signals at the nerve endings.

Epi with Dr J

I also, only in the winter, see Dr J.. He is an anesthesiologist and performs epidurals in my lower spine, specifically my tailbone every two to two and a half months. This is in lieu of the injection shots in my lower back as the pain in my lower back goes up during the winter probably due to the cold & the OsteoArthritis in my lower spine. The epidural covers a lot more space on the lower back and does a better job with the pain has it lasts about 2 months, not just one.

Traimcinolone – For coccyx Epidural

Triamcinolone is in a class of medications called corticosteroids. It works by activating natural substances in the skin to reduce swelling, redness, and itching.

Compare: How Do They Work?

The monthly injections with Dr S are done with a medication that is a local anesthetic, While it does help break up the knots of the Myofascial Pain Syndrome, it is primarily a numbing agent forthe pain. Over the years the blockage of pain has lasted longer and longer. Initially it was less than a week whereas now I am almost back to my pre-COVID pain treatment level at almost four weeks.

The epidurals with Dr J are with both the bupicavacine in the lower back and the corticosteroids which is a type of anti-inflammatory. So in addition to the initial numbing, I am also getting inflammation reduction as this medication reduces the signs and symptoms of inflammatory conditions & rheumatologic diseases such as arthritis including RA & OA.

So given that on the weekend, my pain hovered to an 8 out of 10, I am grateful that I was able to book in quickly with Dr J today & glad I’m seeing DrS for the upper back injections tomorrow.

Chronic Illness Bingo leads to Acceptance

July 27, 2020

This is kinda like the get to know style of bingo, but it’s just for you. Check off what applies to you.

I originally just posted this on my regular social media, but choose to write about here.. The reason I do is the reaction of a friend of mine, Susan.

Late last year she was diagnosed with Rheumatoid Arthritis. Now, she has been struggling with acceptance that her life he’s been permanently altered through no fault of her own. Recently she say the post on my social media of my bingo card (see below) & noticed that she checked the few spaces I had empty. She then got curious & looked at the rest of the card noticing that she actually checked a majority of the boxes aswell.

This was her “Ah-ha” type moment. And realized “I have a chronic illness.” I think this realization, and acceptance of the hard truth has actually be a relief for her. She’s realized that there are limits and she has to learn where her limits are. But she’s no longer stuck and is able to move forward.

While I’m not happy that my post gobsmacked her in the face with the truth, I am glad she’s got the acceptance and is moving forward.


See where my 3 bingo lines are. How full isUis your card? I know someone who actually checks each box. ­čśŽ

Weather Changes – from +20 to -2

March 27, 2012

I`m up here in Toronto, Ontario, Canada and we`ve been having some really funky weather. Our normal this time of year is about 5C.
The past two weeks have been lovely: mostly sunny with daytime highs hovering just under 20C.. I`ve lost count of the number of days that have broken the historic high temperature here. When it wasn’t warm enuf to break a historic record, it was pretty dang close to! Unfortunately all things must to end, including this gorgeous warm streak.. It took a mere 24 hours to go from late Spring/early summer, back to late winter/early spring. Weather shifts tend to be disastrous, especially dramatic, uncharacteristic ones. Not just to us, our pets and all of God’s creatures too. The worst goes to those of us with conditions such as Rheumatoid Arthritis and Fibromyalgia when the temperature drops or the barometer swings extensively. These are some of the worst days we can have, living in total agony.
Today is one of the worst days in quite a while and I think it’s hitting me harder than normal cuz I’ve been doing really well physically lately, with the nice weather & all.. The worst of the worst is my right arm, just below the elbow, on the outside. I can’t remember the name of the muscle, but when I move it, it screams – Loudly. & I am right handed.. It sucks.

 

FYI, Temperature conversions
0C=32F, 5C=41F, 20C=68F.