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Old 11-10-2007, 10:03 AM   #1
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Has anyone had to do PT before being treated for pain?

I am just curious what others have had for treatment programs. I am required to do my PT without having a GP or anyone say so. The one GP that diagnosed me just said CRPS, put on Gabapentin and do functional assessment. That was it. Next thing I know I am to do the following:

20min on inclinded bike.
3 1/2 hours exercises and stretches
1/2 hr educational/information session, may be optional
1-2x week see psychologist for hypnotherapy and relaxation techniques
did 15min of TENS at end of week on inside lower left leg. (PS does anyone know what you are supposed to get out of TENS?)

I was told gabapentin takes 6-8 weeks to get results. I don't get to see the doctor who diagnosed me again. I had to go to the hospital, expain everything to them, get an opinion from him saying yes something more is going on with the rest of the nerves in my body caused by the original injury but he is in no position to say anything about my PT program because I won't see him on a regular basis. Okay, fine. Neurologist appointment on Nov 20th. Hopefully s/he will be my regular go to person an one that oversees my treatment program. I know I am not as bad off as others and have been told as much by my PT but why should I be treated as though I don't even have CRPS in my treatment program? I don't have desensitization in my program yet. They haven't said anything about it and I told her she won't get near me with ice or hot/cold treatments.

So, what are your experiences with treatment programs? How long did you have to wait before even starting a PT program? How long did they say the projected RTW or previous injury state would be, please state your injury? If/When you had new things going on with you was your PT program adapted to include new treatments?
It would help me out a lot to understand if what I am going through is normal.

Thanks everyone. J

 
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Old 11-10-2007, 07:18 PM   #2
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Re: Has anyone had to do PT before being treated for pain?

First of all, I am lucky because I've never had to deal with WC, my RSD came from injuries from a car wreck I had 24 yrs. ago. It took 20 yrs. to get a diagnoises because I was treated for everything from arthritis to being bi-polar, everyone from my family to doctors considered my problems were all in my head. My injuries were my right arm was broken into with the bone severing my sensatory nerve into, the turn signal went through my left hand leaving a hole in my hand, my pelvis was cracked in two different places up to my spinal cord leaving a bone chip inside. My right ankle was twisted so bad that they told me I would have been off it had been broken instead.

What lead to my diagnoises of RSD is when one day out of the blue my left shoulder started hurting real bad and then it drew up to the point my shoulder was touching my ear. I went home from work and just relaxed and it went back down. Next day, went to work and went I starting using my left arm it starting doing the same but the pain was so bad I was in tears. I left work and went to the ER, the doctor gave me a prednisone shot and it went back down. Two weeks later same thing, so I got a doctor's appt. and they gave me some medicine and set me up an appt. for PT. I went one time and that was it, I was in more pain than before I got there. First, they put some gel on my upper left arm and rub this ultra sound thing on it, I asked the nurse was it suppose to hurt, she said no. So she stopped doing that, next was the cold pack which really hurt. Then she did some kind of electrical stimulation that like to have put me over the edge. I never went back and my arm and shoulder keep getting worse and everything I would extend my arm out, I would end up in excruciating pain.

To make a long story short I saw three specialist which neither could tell me what was wrong. My arm and shoulder kept getting worser and weaker until the point I lost of use of my left arm. It is now locked in a postion where my left hand touches my left shoulder. I finally got a diagnoises and was given medication for it. I did have botox shots put in my left shoulder and arm to try to restore my arm or at least allow me to strtch it out but they did not work.

As for you question about the TENS unit is concerned, I believe that the electrial stimulation is suppose help. But it did not help me at all when the nurse put it on my left shoulder were I have all the nerve damage, it literally cause me some much pain I was screaming. I had to scream to get her to take it off, it had every nerve in my shoulder and back throbbing. My husband got so mad and told her to get it off of me right now. It took forever for me to get the nerves to calm back down not to mention my pain level went through the roof. So that's my experience with the TENS unit, it might help some people but it's not for me.

 
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