Introduction to my Life With CRPS

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Complex regional pain syndrome (CRPS) is a form of chronic pain that usually affects an arm or a leg. CRPS typically develops after an injury, a surgery, a stroke or a heart attack. The pain is out of proportion to the severity of the initial injury.

Complex Regional Pain Syndrome
https://www.mayoclinic.org/diseases-conditions/complex-regional-pain-syndrome/symptoms-causes/syc-20371151

January 4, 2018. That is the day that my life changed drastically forever. On that morning, I put my trust and faith in to a foot surgeon that said he was “going to fix my flat foot pain.” The plan was to do a subtalar joint fusion of the right foot/ankle to correct my flat foot and the pain that was associated with it. This would be my fifth foot surgery. The previous surgeries were all done on my left foot/ankle which was 100% pain free by now thanks to a different surgeon at a different hospital that my insurance I had in 2018 wouldn’t cover.

The reason we chose this drastic course of action was because in the surgeon’s opinion, it would be the only surgery I would need on the right foot/ankle for at least several years as the goal of the fusion would be to prevent the joint from moving and create a more sturdy joint overall.

When I awoke from the surgery that January afternoon, I instantly knew something was wrong. I was in so much pain. More pain than I had ever experienced in my entire life. My gut instincts kicked in and I just knew right away that something was off and it wasn’t good.

I spent the night in the hospital for pain control and was sent home the next day in the worst pain of my life. The 10mg of Oxycodone would hardly even touch that pain. As days turned to weeks and my recovery progressed, I still knew something was wrong and each time I would tell the surgeon, he would thing I was exaggerating and just looking for pain med.

At my 8 week post-op appointment, he cleared me to start walking with partial weight bearing while having a cam walker boot on and using crutches. It took me a very long time to even be able to put any amount of weight down on my foot. And this being my 5th foot surgery all together, I knew this wasn’t right. It was excruciating. Imagine walking on glass and legos all while your foot is on fire while having rubbing alcohol poured onto it. That is what I felt.

At my next appointment (11 week post-op, I think) the surgeon refused to prescribe me any more pain medication despite me bawling with every step. Even if something grazed my foot, it would send me into a tizzy. I begged the surgeon to do a CT scan but he refused. It would be at that point that I sought out a second opinion.

I reached out to my podiatrist who I have known since I was a toddler. Right away, he did a CT on me and within 6 hours, I received a call that would confirm what I knew all along in my gut. There was something wrong. Not only did I have broken hardware (both screws), my ankle was not anywhere near being fused. I had been walking on an non-unionized ankle that had 2 broken screws in it as well. Within a week, I found myself sitting in a new surgeon’s office in a different clinic and was told I would need more surgery to try to fix all that had gone wrong with the first surgery. The new surgeon didn’t make any promises that he would be able to fix anything. My ankle on the inside was a complete disaster. This new surgeon also warned me that another surgery may make things worse rather than better as once a fusion has failed, a subsequent fusion in the same joint is also likely to fail.

So, on October 4th, 2018 I underwent my first revision surgery to try to re-fuse my right subtalar joint. When I woke up from that surgery, the surgeon told me he tried his best but that at the end of the day, it was a very difficult surgery and he wasn’t sure what my prognosis would be.

By December 2018, we knew that this second surgery would ultimately be another failed fusion. I tried a bone stimulation device to try to get the bones to fuse together even. It just didn’t work. And it was at that point I was also diagnosed with Complex Regional Pain Syndrome of the right foot/ankle as a direct result of the first surgery, the surgeon and his negligence.

Some days are better than others but there is always very intense pain that not even the strongest of narcotics touch.

CRPS Information

I wanted to take some time to put together some information for all you lovely people regarding CRPS.

Per The Mayo Clinic website,

Complex regional pain syndrome (CRPS) is a form of chronic pain that usually affects an arm or a leg. CRPS typically develops after an injury, a surgery, a stroke or a heart attack. The pain is out of proportion to the severity of the initial injury.

I have heard that CRPS is the most painful condition known to man.

“The cause of Complex regional pain syndrome isn’t clearly understood. Treatment is most effective when started early. In such cases, improvement and even remission are possible.”

Below is an info graphic all about CRPS. Lots of good information in there!

Signs and symptoms of complex regional pain syndrome include:

  • Continuous burning or throbbing pain, usually in your arm, leg, hand or foot
  • Sensitivity to touch or cold
  • Swelling of the painful area
  • Changes in skin temperature — alternating between sweaty and cold
  • Changes in skin color, ranging from white and mottled to red or blue
  • Changes in skin texture, which may become tender, thin or shiny in the affected area
  • Changes in hair and nail growth
  • Joint stiffness, swelling and damage
  • Muscle spasms, tremors, weakness and loss (atrophy)
  • Decreased ability to move the affected body part

Complications:

If complex regional pain syndrome isn’t diagnosed and treated early, the disease may progress to more-disabling signs and symptoms. These may include:

  • Tissue wasting (atrophy). Your skin, bones and muscles may begin to deteriorate and weaken if you avoid or have trouble moving an arm or a leg because of pain or stiffness.
  • Muscle tightening (contracture). You also may experience tightening of your muscles. This may lead to a condition in which your hand and fingers or your foot and toes contract into a fixed position.

There are several different treatments that are being explored for CRPS. Some of these include pain medication (OTC and prescription), antidepressants/anticonvulsants (Gabapentin, Lyrica, ect.), Ketamine infusions, and spinal cord stimulators just to name a few. Each person affected by CRPS responds to treatment differently.

I’m happy to answer any questions that anyone may have regarding CRPS and how it affects my daily living.

Citations:

https://www.mayoclinic.org/diseases-conditions/complex-regional-pain-syndrome/diagnosis-treatment/drc-20371156

https://images.app.goo.gl/LjexBPqY1NK1fVFg6

This is me

I wanted to take a moment to officially introduce myself. I am 27 years old, living in a small city in NW Minnesota. I currently live with my Mom and brother. My brother and I help to care for our Mom who is also chronically ill.

We have 3 cats and 2 dogs. Music is a big coping mechanism for me. I love all types of music and love exploring new music as well. In my spare time, you can find me at the lake, fishing and/or camping or hanging out with my friends. I try my best to not let my illness take hold and ruin my life.

That is me in a nutshell.

-Shelbie-