Young Adult, Chronic Pain, No Answers...

Ughhh, wtf is wrong, is it minor and the psychological aspect is MAGNIFYING it, i don’t know, but i don’t like all this uncertainty.

For the majority of the day Ive been having aches in both bi tendons where they connect at the elbow. The tendon itself feels a little stretched and if i hang both arms out to the side as if im stretching them there’s often a tightness feeling in that area.

It’s just that im scared of what i maybe can and can’t do. Drinking alcohol may of been the culprit of causing the pain i had the other night, but even the other day when i went swimming caused back pain, and exercise helps most things.

I just don’t know what to do, but going to enjoy the next few days as best as i cna at least, but it’s driving me nuts.

Boyinpain,

You have been outed for your lack of intelligence, original thought and involvement in the anything medically/healthcare related. I’ve read each of your posts in other posts. You’ve recommended everything from chiros, PT’s, acupuncture, prolotherapy and PRP injections without on reference/citation to support your ignorance. Then you plagiarised…

Go away…

OP,

All pain has a psychological component. Even a paper cut. Pain is a cognitive, sensory, emotional experience with the nervous/endocrine/immune systems functioning interdependently. If your thoughts are anxious, negative, etc it will create stress. This is directly correlated to the pain experience.

[quote]olifter1 wrote:
Boyinpain,

You have been outed for your lack of intelligence, original thought and involvement in the anything medically/healthcare related. I’ve read each of your posts in other posts. You’ve recommended everything from chiros, PT’s, acupuncture, prolotherapy and PRP injections without on reference/citation to support your ignorance. Then you plagiarised…

Go away…

OP,

All pain has a psychological component. Even a paper cut. Pain is a cognitive, sensory, emotional experience with the nervous/endocrine/immune systems functioning interdependently. If your thoughts are anxious, negative, etc it will create stress. This is directly correlated to the pain experience.
[/quote]

this,

to Boyinpain this guy clearly wants some actual help so don’t reply with a bunch of ballbag therapies that have no evidence to support them beyond placebo, it’s just silly.

Coldfeet,

what I am going to tell you is going to be limited based on what you have written as well as not being able to personally examine you.

I think with what you have disclosed, you probably should be evaluated by a Rheumatologist. They would need to perform a formal assessment including extensive laboratory work to exclude such conditions as Sjogrens, Lupus, RA (as you have mentioned), etc. Certainly they would also be the most qualified to render additional diagnoses such as fibromyalgia.

It also may be reasonable to have either a PM&R specialist or Neurologist examine you as well. He/she may obtain an EMG, which may be useful in identifyng a myopathy or neuropathy.

For your meniscal tear, any sports medicine physician (Primary care, PM&R, or Orthopedics) should be able to guide you in conservative vs surgical management.

Anxiety and depression are conditions that often are a part of chronic pain. The fact that you recognize this is very fortunate. After being carefully examined by a Rheumatologist, to identify inflammatory disease that may be amenable to DMARD (disease modifying anti - rheumatic drug) it would be reasonable to seek consultation with a Pain Medicine Specialist (Usually Anesthesiologist or PM&R). Based on what you have described thus far, I would shy away from narcotic medications, i.e. Cocamadol. Those type of medications are great for acute pain relief. Chronic long term opiate use has potential long term side effects, including, but are not limited to, adrenal suppression, gonadal suppression (yes TEST), tolerance, dependence, addiction, and opioid induced hyperalgesia. Opiates are a slippery slope, once you start on them, more than often, you will desire more and more.

Good luck.

Beef

BBB, you have been a massive support to me and i feel bad that all i can offer is grattiude, you have helped me through a lot of this, and for that alone, i owe you a great deal of respect.

However, i am struggling. I feel the healthcare support recieved has been poor, for example, being diagnosed with “ITP”, and being told next to nothing about it and sending me on my way, all i got was, there isn’t much to worry about as my platelet count was only just under, so maybe it is fine, but what im getting at is that i don’t feel im getting much help from doctors.

I ask to be refered to rheumatology the other day and all i got was “we’ve done all the tests, there’s no need to”, but bollocks, i’ll be making an appointment and they WILL be referring me, because Ive had enough of this.

It’s getting to the point where im losing the will to live, and some may see that as over dramatic, but im starting to get really dragged down by this and i can see it’s going to lead me down a really bad route where i could possibly end up leaving home and potentially harming myself, seriously, things are that BAD.

With pain management and all, it’s not excruciating pain, but it’s always something that fucking hurts me. Im going to read the link BBB has posted as im not underestimating the power of the mind and on occasions i have seen and felt what it can do to the body, so im more than willing to help myself as much as mentally is possible.

With regards to the mental aspect, i have been able to switch off and my mind feels more free lately, and im not so much as worrying about anything, instead, im not looking forward to the future, at ALL, at this moment in time i feel there isn’t one.

I feel i don’t want to go out and buy some clothes for an event in 4-5 months time, because honestly im not sure if im going to be here for then, and why so may say that sounds fucking stupid and family members saying “get a grip”, OR “there’s nothing wrong with you, moaning about nothing”, it really fucks me off, because even if it’s “All in my head”, the pain is very real and it’s really limiting my enjoyment of life.

Ive got an idea of what is wrong with me, and i can’t live like it. Maybe if i was getting on or fairly old i could accept it and just take what life throws at me. But, im 19. I haven’t even started living life yet and nothing is enjoyable, i enjoyed yesterday as much as i could, despite having 1hours sleep as i was really unable to sleep (insomnia?) and no it wasn’t excitment of waiting for santa claus, but bad timing.

Until i saw some family members for a few hours int he evening, i was in pain all day, my bi tendons were aching, aching and aching, and weren’t stopping. Didn’t notice pain as much in the evening, bit of neck and back pain, was sitting down most of the night.

Problems with SIJ, bit of ache there, i can live with, but i just can’t fucking deal with this no more, and im not prepared to live a life of suffering, i can’t enjoy things that i used to and everyday is the same, im desperate to feel normal again, i don’t think that will ever happen, i know that isn’t the right attiude and i know i need to be positive, but im losing hope, especially when i don’t seem to get no help from “doctors”, just fucking depressants and p killers which im not prepared to take.

Whilst i probably have come across as depressed from this post, it’s because of the pain, im tired of it. When im feeling ok, im not depressed, so it’s connected. It’s affecting relationships with friends and family, for example when i was put in a load of pain from going out for some christmas drinks the other night, it’s put me off ever doing that again.

When i went swimming the other week for half hour and came out with my whole back aching, it’s put me off swimming again. Even a lot of serious illnesses/diseases, surely exercise has a place of helping.

Things like not being able to sleep on the back of my head as it hurts, and having to sleep on my side, yes it’s a nuisance, but not the end of the world. Having raynauds which pretty much ruins making snowmen/having snow ball fights with my brother, again a real nuisance, but not end of the world. But for me, end of the world is daily suffering and feeling restricted to sitting ina chair and wlaking, when a year ago i was working out and loving life.

Even now the back of my head/base of skull is fucking aching and has been all morning, along with the glands it feels in my neck. If i were to be in a position to help my brother play with a new xmas toy on the floor my neck will start to hurt. I feel no one understands what im going through and at my age im not prepared to sit down and live a life of suffering.

I read a routine the other day and read a good post and thought to myself, i would LOVE to try that out. “Hopefully next year, i’ll be fine and things will be back how they used to and i could give it a go”. This year has been utter shit and the worse of my life, unless a miracle happens within the week and i start to feel like i have my old life back, i don’t want another year like this, and feel like i can’t, because im on the last straw.

I hate depression and negativity, i know how it affects other people listening to negativity all the time as i was on the recieving end of it, many times in the past from people and it really got to me, but i didn’t let it, I stayed positive and even when i was down about things, i kept a good mood, but this is a completely different story as back then i wasn’t in pain and didn’t have to worry about anything.

I mention my little brother a lot, that’s because without him i might of been dead all ready, and he is keeping me going, almost like a son in some regards with how much love there is, but at this rate, there’s not a lot left at me, an i feel there is no magical answer or solution, i feel like there’s almost NO WAY OUT.

Why can’t this just be something like lyme diesease, course of anti-biotics, bam.

[quote]bushidobadboy wrote:

[quote]LevelHeaded wrote:

[quote]boyinpain wrote:

LOL, sorry, but I consider ‘clinical relevance’ to be what you achieve in the clinic, with real patients in the real world (and yes, there may be some placebo effect in there, not that it matters IMO), NOT what some journal article tells you is ‘clinically relevant’.

I long ago learned the limitations of being completely ruled by studies and RCTs. One poorly designed or executed study can be the death-knell of a technique or approach. But that doesn’t mena it’s not valid. You (the experienced clinician) have to blend science (studies, RCTs, A & P, etc) with what actually works.
[/quote]

Did you really just rip off BBB’s response verbatim from his response in this other thread?..

WOW! I was just thinking “that looks familiar”. Don’t think this has ever happened to me before (my words blatantly plagarised and as a response to the same poster they were used for initially!).

I’m speechless.

BBB[/quote]

I know. Oddly, I had just read your original post right before reading the plagarised post and had to do a double take on it. Pretty pathetic if you ask me. I’m usually open minded to people’s points of views, regardless of if I completely agree with them or not, but the blatant plagarism makes me lose all respect for any of boyinpain’s responses/posts.

Thats fine mate, we’ll talk soon, im busy the next couple of days but will still have time for a call. Hope this is something that can be solved

Tried booking a docs appointment earlier for friday this week as it’s the only day i can do, if not it would have to be the new year. It was mobbed as usual, only want an appointment to try and get a referall to rheumatology, which last time they didn’t want to give me and just gave me a new prescription of p killers and “we’ve done all the tests”, it’s easy for them to think im nuts and id just be feeding my psychosomatic issues by investigating further, but honestly, i feel it needs to be done.

Im not nuts and my psychological issues are alot more under control than what they previousl were, still need some help, probably yes, but an improvement.

Im getting a bit concerned though, and it’s hard to think “im fine” with all this going on, i have been getting quite a bit of pain around the glands in my neck, they feel swollen, i get more thirsty and urinate more frequently is normal i feel, but this has always been the case, i just never got it looked into deeply enough as i was more annoyance than anything.

The docs will likely kick me off their books soon, not sure if they will want to refer me to rheumatology, although id strongly advise it, i mean i have raynauds which was diagnosed by a rheumatologist a few years back, im just getting fed up with this, ridiculously, it’s getting to the point where i don’t want to look down for long, as if i were reading a newspaper or book as the back of my neck/skull hurts along with what feels to me like glands. My neck was hurting a long time ago, but i never looked into it deep enough, just had 2 clear c spine x-rays in the past.

[quote]LevelHeaded wrote:

[quote]bushidobadboy wrote:

[quote]LevelHeaded wrote:

[quote]boyinpain wrote:

LOL, sorry, but I consider ‘clinical relevance’ to be what you achieve in the clinic, with real patients in the real world (and yes, there may be some placebo effect in there, not that it matters IMO), NOT what some journal article tells you is ‘clinically relevant’.

I long ago learned the limitations of being completely ruled by studies and RCTs. One poorly designed or executed study can be the death-knell of a technique or approach. But that doesn’t mena it’s not valid. You (the experienced clinician) have to blend science (studies, RCTs, A & P, etc) with what actually works.
[/quote]

Did you really just rip off BBB’s response verbatim from his response in this other thread?..

WOW! I was just thinking “that looks familiar”. Don’t think this has ever happened to me before (my words blatantly plagarised and as a response to the same poster they were used for initially!).

I’m speechless.

BBB[/quote]

I know. Oddly, I had just read your original post right before reading the plagarised post and had to do a double take on it. Pretty pathetic if you ask me. I’m usually open minded to people’s points of views, regardless of if I completely agree with them or not, but the blatant plagarism makes me lose all respect for any of boyinpain’s responses/posts.[/quote]

Thanks, for proving my point, i was waiting for olylifter to figure it out on his own that I’m not the only one who find him close minded. hey, if your panty is in a knot about it then i guess your not really open minded. If your ask yourself why am i copy pasting something that’s already been said to the poster above, it’s because i don’t need to waste my time writing something that’s already been said. here you are getting your panties in a knot over something trivial.

Even if i were to have the intent to plagiarize,tough luck, cause you can’t sue me it’s not copy right infringement. just a moral standard. Maybe next time wear a tampon.

I have made a docs app for next week, to request a referall to rheumatology, if im honest, i think they’ll refuse again and say “there’s nothing wrong with you”, maybe the case, but i know that everyday im in some degree of pain and it’s making my life miserable.

I have felt unsociable all evening, and really down, my arms are constantly aching, there’s a lot of cracking there too, i can easily crack the joint/tendons.

So worried, don’t know how much more to deal with.

Can’t deal with life at the moment. Everyone arund me is having a laugh and enjoying theirselves and i feel so left out. I don’t want to be around anyone, and am seriously the worse, just the constant ache in my arms is making me panic. I don’t know how much more i can take but i can’t see myself being here for much longer at this rate

Even my mum and brothers are going to look at a gym today and it’s making me i feel sick. As it’s something i used to love doing. I must sound like the world is over, but i feel things will be soon, i am in such a bad place right now and just want to be told im fine, and given a solution. Im scared to go swimming as last time it made my whole back ache and my stomach, however when i got in, some p kilers took it away. Scared to drink heavily as last time it made my back hurt, took fishoil when got in, woke in night with ankle pain.

BBB,

You make it sound as if what you provide is only yours and sacred. This could not be further from the truth.

For anyone wanting to learn more on the actual ‘science’ of pain neurobiology, cellular biology, neurophysiology and substrate implications (neural, endocrine, immune) here are a few easy ways.

Step 1:

Step 2:
Search Ronald Melzack+neuromatrix, Lorimer Moseley+pain education, VS Ramachradan+phantom limb pain, Clifford Woolf+central sensitisation, Irene Tracy+pain
Step 3:
Read everything, pat yourself on the back because you understand more about pain physiology than your healtchare provider. Learn more about the contributions to the pain experience and start helping yourself.

Quick update;

I feel things have been getting worse. I can’t live like this, at least not long term, as pretty much, right now, i don’t have a life. My depression and anxiety got so bad recently that i was getting suicidal thoughts and the end was near, my mind is a much better place now as im not focusing or dwelling on stuff as much, along with this i have noticed my symptoms have improved.

However, recently, last week or so, i have been getting really tired, like out of the blue, i never noticed getting tired/fatigued like this before, i used to be able to stay up for long periods of time, and even 2 days several times in my teen years (im still 19). Along with this, i have been recently getting really bad dizzy spells, i even fell over earlier onto the floor when getting up. I have also been getting really nausious, bad stomach sick feeling as though i need ot be sick, or if ive just got a belly ache. Both these seem to come and go throughout the day, and i have been very tired lately, i never used to nap during the day, the past week or so Id be snoozing throughout the whole day, and Ive been a lot more tired and out of energy lately. Seems fairly sudden to me.

I just feel so weak and lethargic, i wasn’t eating too well for 3-4 days, barely 2 meals a day, perhaps ot even 1k cals sometimes, just had no apetite, but Ive sorted myself out the past few days and have been eating a lot more.

Id like to add in another issue, Ive had this for as long as i can remember, i get really thisty. Like at times, i’ll drink a glass of water, and it’ll go right through me and into the toilet. An example, just had MC D’s, which is salty, fair enough, but a large milkshake and still ridiculously thirsty and with a dry mouth. This would happen whever it was water too. Maybe it’s having an effect on my issues? Also pain in my sacrum, really sharp stabbing out of the blue, on the way to bowling, did eventually go away within half hour though, but it all just seems so unpredictable.

Also, more recently, Ive been getting stiffish joints during the day, that ache a bit, randomly, perhaps because they’re tired with my body, but noticeably it’s been occuring in my wrists and ankles, almost as though i need to crack them or something, i have also noticed in the mornings my neck has returned to feeling really stiff, and along with the ankle and wrists, the sensation is almost as though someone is blowing cold air onto them, almost as though there’s a draft there - i know it sounds odd.

Before i was stretching before bed and in the morning, and it helped the neck stiffness and feeling better much, so maybe should continue to do so.

All in all, im worried deep down, i was hoping this year would be good for me, i could get back on track and start working out again, moving on with my life, as i have no life at the moment and day in day out, doing barely minimal stuff.

It’s frustrating when people keep saying, you’re 19, go out enjoy yourself, i just feel fucking tired, and the problem is i may appear and look fine to others, but i don’t feel well, and i feel sick.

Was hoping for any comments, cheers.