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I have been experiencing upper extremity pain, tingling and trigger pionts in my upper back. tons of doctors, and different diagnoses.

By February 18, 2010 - 5:18pm
 
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I have been to my PC, an orthopedic, a spine specialist a rheumatologist and a physiatrist, all with different diagnoses...I am negative for arthritis, both osteo and rheumatoid, and my rheumatologist can't put a name on anything. I have heard Myofascial Pain Syndrome, Fibromyalgia and trigger points. I have had EMG's and MRI's, all negative, but still experience pain, tingling and numbness, mostly in my upper extremities. On a bad day I hurt all over (like today), it lasts a few days, and then the symptoms lessen somewhat. My rheumatologist has put me on a low-dose antidepressant and given me 5 trigger point injections in my upper back. Both have helped to a certain degree, and along with chiropractic care the pain seems fairly managble when I'm not "flaring up". She also gave me gabapentin for pain relief, and it works, but it makes my head feel like it's swimming. Does anyone else out there have similar symptoms? I can't put my finger on just one condition and it's driving me crazy!!!

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Expert HERWriter Guide Blogger

No problem, Sue. Can you please take a look at the information on this reference page and let me know your thoughts? This was in our encyclopedia with Myofascial Pain Syndrome. I'm trying to better understand what you're dealing with, and why fibromyalgia is being ruled out. Also, have any of your physicians brought up Chronic Fatigue Syndrome? Please see that info as well. Thanks, Pat

https://www.empowher.com/media/reference/temporomandibular-joint-syndrome

https://www.empowher.com/media/reference/chronic-fatigue-syndrome-center

February 22, 2010 - 5:27pm

Ooops! Sorry, Pat. I live in southeastern Massachusetts, about 20 minutes outside of Boston. i am willing to travel a bit if it's the right treatment...Thanks! Sue

February 20, 2010 - 7:33am
Expert HERWriter Guide Blogger

Hi Sue - Thank you for writing. It must be frustrating to have been trying to pinpoint your condition for such a long time through so many different specialists. We can't promise you a quick answer, but we will work with you to try to find some answers.

If you are in a position to go to an organization that focuses on unusual conditions and takes a wholistic approach to treating patients, that could be an option. The Mayo Clinic is one such provider, and many people go there who have not been able to get answers elsewhere.

Looking at your symptoms, I've found some conditions that may be relevant, and want to give you links so that you can dive deeper into the information to see if it's relecting what you're experiencing. If not, we will do some more research. Take care, and hang in there! Pat

Thoracic Outlet Syndrome:
https://www.empowher.com/media/reference/thoracic-outlet-syndrome

Complex Regional Pain Syndrome:
https://www.empowher.com/media/reference/complex-regional-pain-syndrome

Sjogren's Syndrome
https://www.empowher.com/media/reference/sjogrens-syndrome

February 18, 2010 - 6:52pm
(reply to Pat Elliott)

Thanks, Pat...I have reviewed each of the conditions you suggested, and they really don't sound like what I'm experiencing. I am looking into holistic approaches and Trigger Point therapy, but it's expensive. Everything that I've read previously points to Myofascial Pain Syndrome and Trigger Points, but not fibromyalgia. Like I said before, my rheumatologist is reluctant to give it a name...she's telling me stress is a big factor, hence the anti-depressant. I am an x-ray technologist, and a lot of my work is done with my arms, i.e: manuevering equipment, patients, etc, so there's an over-use and repetetive factor as well. Sometimes it feels like inflammation (my skin and tissues in my arms and hands feel very tight and/or dense), and sometimes it's a tendonitis-like pain. After a couple days of numbness, muscle contractions and tingling I get an almost unbearable joint pain, where it hurts to even touch anything - I can feel it all the way down to my fingertips. If I sleep the wrong way, my neck flares up and starts the whole process over again!!! (I am on a seemingly never-ending quest for the perfect pillow) Sometimes the naproxen works for the inflammation, sometimes the gabapentin works. At least I can recognize which one to take for which type of pain! I hate taking all of these pills and would rather find a nutrition and excercised base treatment path, but until then, I will stick with the conventional medicine, as much as I hate to. Thanks for listening, and thanks for your help!

February 19, 2010 - 7:59am
Expert HERWriter Guide Blogger (reply to SUE M)

Hi Sue - Thanks for the additional information. I can see how your work is adding fuel to the fire, so to speak, and making this more difficult for you.

I have another question for you - Have you looked into any pain management programs or been seen by physicians who specialize in pain management? There can be a vast difference in the programs, but there are some that are holistic and more likely to be what you're looking for. Perhaps the physiatrist you saw would know of programs in your area as rehab facilities sometimes offer comprehensive pain management services on both an in- and outpatient basis.

Have you looked for an alternative medicine resource in your community? If not, we'd be happy to do the research for you and see what might be available. We just need your city and state, either here or you can send me a private message if you don't want to put that information in the comments.

I will also learn more about Myofascial Pain Syndrome and Trigger Points so that I have a better understanding of what you're dealing with, and resources that can help. Talk with you again soon, Pat

February 19, 2010 - 5:26pm
(reply to Pat Elliott)

Hi again! Thank you for being so prompt in responding! the only pain management I have looked into is an on-line trigger point therapy..when I have an extra $150-200 dollars I will give it some serious thought. I have put the word out to freinds about holistic centers and practitioners, the only problem being cost right now. I would love to try accupuncture, but, again, the cost is the only thing hindering me at this point. (my insurance only covers chiropractic, no other alternative therapies. I am open to any suggestions or pain-management ideas that you might have...this is very frustrating, as it has been going on for over a year and a half!!! Thanks again! Sue

February 19, 2010 - 5:37pm
Expert HERWriter Guide Blogger (reply to SUE M)

Thanks, Sue. We need to know where you are though to look at potential resources, including free ones, that might be able to help you. I've worked with pain patients before, and I know it can be very, very frustrating - especially when medical professionals treat you as if the pain is all in your head. Thanks, Pat

February 19, 2010 - 5:57pm
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