Showing posts with label CRPS - HBOT - REFLEX SYMPATHETIC DYSTROPHY. Show all posts
Showing posts with label CRPS - HBOT - REFLEX SYMPATHETIC DYSTROPHY. Show all posts

Friday, April 17, 2009

How many HBO Treatments does it take for CRPS patients to notice a difference in their pain?

Someone asked "How many treatments does it take to notice a difference?"

I wanted to share the answer here because it is a great question.

It really depends on the patient. There are just too many factors and variables to say specifically; "ten, fifteen, or twenty-five".

You have some patients who have had the disease for 1 year or ten years, have it in one limb or full-body, have CRPS Type I or Type II, or even a combination of the above.

Then you add in the various methods used by different clinics; depths used, lengths of treatments, etc. and you have different success rates.

Then add in how the patients follow the suggestions given in blogs like this and by the technicians themselves regarding how to deal with the treatments; taking supplements, getting enough rest, eating properly, getting through the wall, etc.

So you can see, there is no easy answer. It will be different for everyone.

Hope this helps!

Peace, Keith

American RSDHope
www.RSDHope.org

Monday, October 27, 2008

CRPS - RSD - NEW BLOG BEGINS NEXT WEEK - NOVEMBER 2008

OK, folks the new era of PAIN IS A FOUR LETTER WORD, will begin November 2008. The new life will be all CRPS/RSD. 

We have completed the HBOT cycle and now we will focus on CRPS/RSD, chronic pain issues. I will try to answer questions sent in to American RSDHope's website as well as to my email address and to this blog as well as bring up the typical questions and answers that we have had over the years.

We will start next week, November 2008. 

I may drift in and out between then and now posting a few things so don't be surprised.

See you in a bit,

Peace, Keith Orsini

34 + year survivor CRPS, as well as Fibromyalgia



Thursday, September 18, 2008

DID I RECEIVE ANY RELIEF IN THE END???

Ok, I know I said that was my last post regarding my HBOT treatment but I need to make two more points that are very important; one that I thought I had made but apparently not strong enough, and a second that I neglected to make that I absolutely should have.

1) I have heard from a couple of people, and I believe that Dr Spiegel has as well, who actually said they were sorry that the HBOT didn't work out for me. They thanked me for all of my work on the blog on behalf of other patients but felt badly that I didn't benefit from the treatment. 

While i was appreciative of their comments I was quite surprised to say the least by their feeling I didn't benefit from the HBOT!  I thought I made it pretty clear that I did very well in the end. 

Until I re-read my last blog and realized that I never went back and finished the second part!!!!!

I was writing the last day of the blog in two parts and got interrupted by an issue with my computer and when I came back to it, my first part was gone and I didn't even notice it. I didn't think anything of it until people started writing to me saying they were sorry I didn't do well and Dr Spiegel wrote to me asking what was going on? People were saying the same to him and I had just had an appointment with him were we discussed that I had done pretty well!

Mystery solved! One whole blog entry gone!

So here it is!

If you were reading the blog in the days leading up to the final day you will remember that I had my CRPS originally all over, or "systemic". 

You will also remember that over the last month or so of treatment that my CRPS pain was reduced to a only few areas; my eyes (original site), ears, right foot, and my left leg from my knee to my foot. The CRPS was only barely in s a few other areas. This is it!

The allodynia or sensitivity is still in quite a few areas but that is an enormous reduction in pain folks!

After I took a couple of weeks off, due to the hurricane, I came back for a week but we did not notice a improvement so Dr Spiegel felt that I had hit a plateau and he did not see any positive reason for spending any more time or money on more treatments and so we discontinued them as of last week, after 38 treatments in total. 

So while I do appreciate the kind and heartfelt words, understand my CRPS pain was definitely reduced by the Hyperbaric Oxygen Therapy. 

Now, many of you know that I also deal with Fibromyalgia, sciatica, back issues, migraines, etc. some people find that some of these issues are affected by HBOT. 

While it doesn't seem to have affected my other pain issues I can say I have had maybe two migraines in the last two months!

Many patients find greatly improved sleep due to the HBOT, mine didn't seem to have been positively effected by it other than being very tired during treatment, which is very typical.  However, I just talked to two patients yesterday who recently began HBOT and they said they have never slept better in their life! 

What must be understood when reading something like this blog is a point I have tried to make often; every patient is different. You cannot compare your pain to mine, my results to yours. I present this blog simply as a summary of my experiences with this treatment and as a way of passing along information about the treatment in general, websites, descriptions, etc. 

Most CRPS patients don't have all of the medical issues I do so they are typically easier to treat. They are what Drs usually refer to as "clean" patients, meaning they have just one medical problem. "Clean" patients are far easier to treat because it is easier to determine what works on the disease in question and what doesn't. 

Think of the patient as a house and the disease as an electrical problem, which is fairly close actually. With a clean patient it is much easier to zero in on the source of the problem, try various things to treat it, determine what is working, what isn't, and fix it. When it is fixed, it is easy to tell, the lights come on, everything works normally.

When you have multiple electrical failures, and a plumbing leak, and a foundation issue all at the same time, trying to fix one thing presents a problem. When you start fixing one it becomes difficult to know if it is fixed becomes so many things are still wrong. Fixing one problem doesn't always show, it can be difficult to tell so finding a contractor to work on this "fixer-uppers" isn't always easy.

Ever see the move "The Money Pit"?   That is how my body feels sometimes, lol.

Anyway, so what I addressed in my blog, about how the CRPS was attached to me, how it just wouldn't go away, was the parts that won't leave me. How no matter what treatment I try there is always seems to be a percentage that hangs on. I believe it is because I have had it for so long. Thirty four plus years now. I know a lot, a lot of CRPS patients across the USA and around the world and I don't know that many patients who have had it over 30 years. Why? I don't know. Question for the next blog maybe. 

But since this page of the blog disappeared, and all people read was the second page, all they got was " the CRPS just won't go away" basically. So most people apparently felt whatever relief I had gotten went away and all my CRPS came back. Not true.

The relief I received from the HBOT a few weeks ago, I still have.

How long will the relief last? I don't know. I do know that you can get booster treatments down the road and keep your level of relief and maybe even attain more relief the next time. 

I also know, from talking to a lot of HBOT patients, that you can actually achieve additional relief weeks after you stop the therapy. Sort of like a bounce affect. Why? I don't know. I will try to find out for you and post it in the CRPS log.

SECOND THING  - DANGEROUS LIMB

Now the second thing I wanted to post about and didn't, but should have, is I wanted to talk about the success of the blog and how Dr Spiegel went out on a limb, a dangerous limb, by letting me blog about my experience at his clinic. 

When I first talked to Dr Spiegel about doing the blog he talked to some of his fellow HBOT Doctors about it. I think, don't know but think, that they warned him off letting me do it. 

You see, HBOT isn't like going on a diet, following an exercise plan, or doing a work-out regime. It isn't something that you typically write about every day that others can follow along and mark your daily progress. With HBOT you may go forward one day and backward the next. One week you may have a great breakthrough and the next, you might hit the wall and want to stop because your pain goes over the top. 

If people read that their pain will actually become worse by doing this therapy, the other Drs feared, they wouldn't even want to begin it. If they were thinking of starting HBOT and read how it was up and down, or worse, read that it didn't work on me, they wouldn't ever do it. 

This was the biggest fear. Because many people know me, through the RSDHope website, if it didn't work for me, it might turn a lot of people off Hyperbaric Oxygen. And since I had all these other issues, besides RSD/CRPS, there was a good chance it might not work, after all it doesn't work for everyone. 

In addition, how would Dr Spiegel control or know what I was writing until after I had written it? What was my ulterior motive in all of this? 

So I have enormous respect for Dr Spiegel. Because he trusted me. He understood what I was trying to do. He understood the bigger picture. For him it wasn't just about trying to drum up business for his practice. And while he wanted to help me personally reduce my pain, he understood it was about much more. It was about educating the pain community about Hyperbaric Oxygen Therapy and how it could help many, many patients and not just one. 

Even if he was a little nervous at first with the blog, he settled down quickly as he saw how I shared information with everyone about Hyperbaric Oxygen Therapy; how it works, what it does, who it works for/doesn't, the thousands of studies available, links, and more. He, his technician Phil, and Susan Rodriguez (of Rapid Recovery Hyperbarics, one of his colleagues) helped me answer the many, many questions sent in to me by everyone reading the blog.

I was amazed at how the Hyperbaric Community, the Doctors and technicians at the various clinics around the country, talk with each other, share information, ideas, and work together to try to get the best help for patients as they can. It is all about reducing pain. It is an amazing sense of dedication to pain-relief and as someone who deals with pain patients on a regular basis, a joy to experience.  

So hopefully all of those who were a little nervous in the beginning have come to see how much we have accomplished. Google now brings up a lot when you search "RSD and hyperbaric", or "CRPS and hyperbaric" and we are adding more information all the time.

It isn't the only treatment out there for CRPS obviously and as we mentioned, it doesn't work for everyone, but it is one more tool in the arsenal and it is non-invasive. 

I hope this clarifies things and I do apologize for the confusion!

Peace, Keith

American RSDHope

keeths@mac.com


Sunday, September 7, 2008

ONCE MORE INTO THE BREACH DEAR FRIENDS

IMMMMMM BACCCCKKKKKK!

Did you miss me? 

Just a little bit?

C'mon, you can admit it.  

the bad jokes, the dry sense of humor, the information thrown in with all of that? 

Ok, maybe not too much :)

After taking some time off to deal with hurricanes and to see what would happen if I took a couple of weeks off I will be going back to HBO Therapy tomorrow, Monday the 8th of September. 

How many treatments have I had now? Just under 7 weeks; 33 treatments altogether. Most of my treatments have lasted 90 minutes each, a few were 60 minutes. 

Many people have written to me asking what my protocol has been. I must stress that the exact protocol that Dr Spiegel and I put together for me was something he had never tried before.  So it would not be prudent for me to share the exact everyday protocol  because it isn't likely to be duplicated by whomever does your treatment.  

I will be back doing my daily blog beginning tomorrow, Monday. I hope you will join me.

Please send in any questions you have regarding the procedure, HBO therapy, the treatment overall, etc.  You can send them to keeths@mac.com or leave a comment here at the blog. 

If you have questions on CRPS I would be happy to try and answer them as well. 

Wish me continued luck and pray for me.

Peace, Keith 

Friday, August 15, 2008

HBOT - Moving Forward

This will be my fifth blog post this week...

There are three types of people in the world.

Those who can count ... 

and those who can't.

My father always told me the two most important things that have guided me throughout my entire life.

1) Never tell everyone everything that you know.

and that brings me to another subject.  In my last post I talked about how great I was doing, how low my pain level was and how great my HBOT was going. I neglected to mention where I have been getting my Hyperbaric Therapy from, for those who are new to the blog and didn't read the first couple of weeks entries.

I have been getting treated at NATIONAL HYPERBARIC OXYGEN THERAPY in Palm Harbor, Florida by Doctor Allan Spiegel and his technician Phil. His entire staff has been so wonderful every time I go in there, they are always so cheerful and friendly. That makes a big difference on those days when your pain is bad let me tell you. 

So today is Friday and my seventh week has ended. Next week is one of those weeks where we had a choice.  We could either take a week or two off, which many patients do, or we could push through five more days to complete eight weeks then take a few weeks off and see where we stand. The hope is that at the end of that time my CRPS will be in remission and no further treatment will be needed. 

That would be extremely nice to have happen. I have a lot of catching up to do! 

Oh yeah, it would be nice to be out of pain too ;-D

But seriously, it takes a lot out of you when you under-go this therapy. You are tired a lot, especially after the treatment and in the evening. And in the morning. And at night. Other than that ....

Definitely the vitamins help and I was on some before, but added more during.

This was a big week for me, especially the first part of the week. I saw great progress in my pain-relief over last week-end and the first couple of days this week. I am hopeful that trend continues next week.

I know quite a few people who have been following this blog have either started their HBOT and/or are getting ready to. I appreciate your sharing your comments and experiences with me. Please keep me informed as to your progress as you go along even after I this blog is finished. 

Because of well this blog has been received I am contemplating doing a once-per-week CRPS blog that discusses some of the latest items related to our disease, articles, questions patients and loved ones submit, things like that.  

What do you guys think?

One other really wonderful side effect of the HBOT is that I haven't had a migraine in weeks!


Migraine Cure
A man goes to the doctor with a long history of migraine headaches. When the doctor does his history and physical, he discovers that his poor patient has had practically every therapy known to man for his migraines and STILL no improvement.

"Listen," says the Doc, "I have migraines too, and the advice I'm going to give you isn't really anything I learned in medical school, but it's advice that I've gotten from my own experience. When I have a migraine, I go home, get in a nice hot bathtub, and soak for a while. Then I have my wife sponge me off with the hottest water I can stand, especially around the forehead. This helps a little. Then I get out of the tub, take her into the bedroom, and even if my head is killing me, I force myself to have sex with her. Almost always, the headache is immediately gone. Now, give it a try, and come back and see me in six weeks."

Six weeks later, the patient returns with a big grin.

"Doc! I took your advice and it works! It REALLY WORKS! I've had migraines for 17 years and this is the FIRST time anyone has ever helped me!"

"Well," says the physician, "I'm glad I could help."

"By the way, Doc," the patient adds, "you have a REALLY nice house.


I couldn't help that, sorry :)

But, no, that wasn't me talking to my Doctor. 

Also, my muscle spasms, that were a near constant companion in the evening and through the night helped only by taking baclofen, have been reduced to almost nothing. Before my treatments, you could actually sit there and watch the muscles in my legs bouncing around, doing the rolling spasms (I know many of you are familiar with these horrible things), and getting so painful they woke me up. No more. 

Some people have asked how in the world I have managed to deal with this disease for more than three decades. My short answer is always the same ... I didn't like the alternative! My longer answer lies in a talk I gave at the last national CRPS/Pain conference we held in Maine. 

Those of you who know me, have watched any of my DVD's, or seen me speak at a conference, have probably learned how important I feel that humor and positive thinking are in the healing process. 

I don't simply mean thinking "I am not in pain, I am positive I am not in pain", or ignoring your pain or anything like that. Bringing the power of positive thinking into every aspect of your life, changing how you view your life IN SPITE OF YOUR PAIN is not easy but is absolutely necessary if you are going to move forward in life; in my opinion. That was one of the major topics in my last DVD (copies are available on the RSDHope website for very little do-re-mi) . 

We set the DVD's up so they could each be shown separately at a local meeting and discussions could occur afterwards. It is especially good in areas where it is more difficult to get speakers.  Just a thought!

In closing today, I will leave you with this thought. You figure it out. 

Your brain is a masterpiece, divided into two parts, left and right. In the left nothing is right and in the right nothing is left.

and for those of you in Florida remember, as Yogi Berra once said, "It ain't the heat, it's the humility"

peace, Keith 

Tuesday, July 29, 2008

OXYGEN IS A GAS!

Humor is one of the best ways to deal with chronic pain. Laughing triggers endorphins and that helps battle pain. 

So hear are a few little tidbits for you;

 
  • Science Exam Quotes (from 11 year olds) 
  • Laurie Sale/Norman Josephs
    • * "Water is composed of two gins, Oxygin and Hydrogin. Oxygin is pure gin. Hydrogin is gin and water."
      * "When you breath, you inspire. When you do not breath, you expire."
      * "Three kinds of blood vessels are arteries, vanes and caterpillars."
      * "Blood flows down one leg and up the other."
    So, what is the latest update? 

    Fantastic news. After this mornings treatment, I noticed the burning in my hands has decreased to only about 10% !!!!!!!!!!!  That is nothing! So exciting!!!!

    The allodynia is still quite strong, as it is in in my feet, legs, and arms still and the burning is still strong in my left foot and a little less so in my right foot. But one step at a time. This is so amazing. 

    After my discussion the other day of the Third Symptom of CRPS, Spasms in the blood vessels and muscles of the extremities, I received a few emails. Some saying they were grateful to hear they weren't the only ones who experienced those things and some asking what the other three symptoms were. I even got two asking if you needed to have all four symptoms in order to have a diagnosis.

    So let me try and answer all of those here :)


    1) Constant Chronic Burning Pain (includes allodynia - extreme sensitivity to touch, sound, vibration, 
    2) Inflammation - This can affect the appearance of the skin, bruising, mottling, etc.
    3) Spasms in blood vessels and muscles of the extremities
    4) Insomnia and Emotional disturbance (includes major changes to the limbic system; among them are short-term memory loss, concentration difficulties, inability to find the right word, depression, etc.)
     
    There are other CRPS symptoms of course. 

    In answer to the question about whether you need to have all four symptoms; no. But it is unusual for a patient not to have at least three of the four. Not every patient has the constant burning pain but probably 85% of patients do. 

    On another note, we recently added an article from TIMES ONLINE called "IS PAIN ALL IN THE MIND?"

    It is an interesting article but I think it falls far short of what the typical chronic pain patient deals with. It deals more with what I term "simple pain". But check it out and decide for yourself.

    HBOT CLINICS - Someone asked me for a list of clinics around the country. If you visit the links in our HBOT section you can find some of the clinics there and most of them have a list of clinics. For example; the AZ HBO Clinic has a LISTING OF HBOT CLINICS 

    Also, someone asked what conditions are covered for HBOT and which aren't covered by are treated with HBOT.

    On the RAPID RECOVERY HYPERBARIC website, there is a great page that lists these two things right next to each other. Check it out!

    Ok guys, that is it for today. Check back tomorrow!

    peace, Keith