Any one else with arthritis in back and scoliosis?
Comments
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Oh dear, seamonkey, it isn't going too well for you at all at the moment, is it? One of the biggest problems we all face is finding the right combination of meds to work for us: everyone is so different in how they react to the pain dullers/steroid jabs/anti-inflammatories etc etc etc. After nearly 14 years of this rubbish I now know that steroid injections do nothing for me, oral steroids do (which is why I am trying to cut them out this year, go figure!), tramadol 50mg make me dozy but the slow-release ones are fine (at least they take off the edge sufficiently for what remains of 'life' to carry on), there is so much trial and error in the early days of daignosis/treatment, I swear that is more frustrating than the health problems themselves. You will find your way thro all of this, you will find something that works, it will just take time. You are in the Orkneys, yes? We have a member here called only49, she is there too - I hope she spots you and says hello! DDHave you got the despatches? No, I always walk like this. Eddie Braben0
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Wonder how you are today Seamonkey??
I am well, but very busy catching up on the kids mess :roll: Three teenage girls is no joke!!
Hope your day is ok.
Love
Toni xx0 -
Hi DD,
Yes im up in orkney, it would be nice to say hi to other member who is up here. I was wondering about enquiring to see if theres any groups etc up here ill may b ask doc.
Hope your having as good a day as u can
seamonkey0 -
Hi toni,
Thanks for asking after me, ive had a great day pain wise and mobility wise. Best for a long time. Ive been busy working then hoovering washing floors etc. Its lovely having a good day but always makes me wonder if i imagine how bad it gets! Had shower rail and stair banister fitted by ots today. They really are great.
I hope youve also had one of your better days,
Ive been thinking for a while my shoulder has been painfull could i mayb have it there as well? I really need to stop being mute at the doctors and start asking questions and telling how it really is. It just doesnt come naturally to me though.
Best wishes hope your well
seamonkey0 -
Hi DD,
Have you been taking slow release tramadol for a while and do you take it all the time? Ive been worried that i should be stopping taking it but when i try i get the most awfull side effects. Im taking 27 tabs a day at mo and go through days when i feel like just binning them all off! It is so good to be able to message people who have first hand experience and knowledge. Members on this site are great especially for us that have just joined. It sure can be lonely with arthritis. :sad:
seamonkey0 -
Morning seamonkey, firstly a word to the wise: when you have a good day, try not to blow all your energy in one go. You sounded very busy yesterday (it's good if you can be, of course) but pacing yourself is essential: arthritis is very good at tricking you into a false sense of security, making you think that everything is fine, so you set to and do the chores etc then the payback visits and hangs around, and you wonder where on earth you went wrong. I no longer trust the good days, I know what will happen if I do.
Right, long-life trammies. I think I first aquired these towards the back-end of last year, September/October time, and to be honest I don't take them that often. Remember I am 14 years into this palaver, and my decline has been reasonably gradual. thus giving me time to adjust. I started off with one bad knee, then in 2003 the other knee began to play up, by 2006 my sacro iliacs were s[parkling into pain, and it is now in my ankles and toes. The pain is continuous but I am used to it and can usually manage quite well. I think I must have a relatively high pain thresh-hold, which is a double-edged sword in itself. What does vary, however, is my ability to cope with it. That fluctuates widely and I am lucky in that I have a raft of pain dullers at my disposal.
Good days: pain, yes, but dulled sufficiently by 2, or maybe 4 30/500 co-cos.
Rougher days: pain, yes, but dulled by up to 6 co-cos during the day and a 50mg trammie to send me off to what I laughingly call sleep. (I wake every 90 minutes or so, with pain plus night sweats caused by the oral steroids, and these are exacerbated by the trammies).
Bad days: pain dulled by one, or maybe two slow-release trammies, topped up with co-cos as required.
The worst: a good slug of Oromorph. It doesn't do much for the pain, but it takes ME away from IT very effectively.
Last night I drifted off with just two co-cos (taken at 10.15, they topped up the four taken during the day at 6 hour intervals), woke at 12.30 and again at 1.45, had a 50mg trammy at 3am, but haven't been back to sleep, which is a shame, they usually send me off quite nicely! I would have gone for a drive but the weather is foul and I don't like driving when 50g trammied - the slow release ones are fine from that point of view.
Everyone is different in how much they can manage pain-wise. I suspect I do push myself too far with it from time to time, but I am wary of the dullers losing their effectiveness, so I ration them. I knew from a very early age that children were not on the agenda so looking after a family is not a factor, I work at home and can therefore tailor my work to my needs (I reckon today's appointments stand a good chance of being cancelled, I am too tired, stuff hurts and I now know my limits) so all in all I am very, very fortunate in my circumstances. My husband is very understanding, which is a boon - but he is a total ostrich when it comes to talking about the future and what it holds: I am realistic, he isn't.
You are not imagining these things, they are happening: one of the most difficult features of arthritis and its associated conditions is the sheer variability of it all from day to day: I am currently in the PA pit but by tomorrow I could have metaphorically climbed out from it, for all I know. That is exasperating, frustrating and demoralising - it would help matters considerably if one knew where one was with it all! I hope today is another good day for you. DDHave you got the despatches? No, I always walk like this. Eddie Braben0 -
Hi DD,
Im sorry to hear your not having one of your good days today. Im on a roll with two in a row!
I know i should not over do it with chores etc when having a good day but to be honest if i dont do it all when im well i dont know when it will get done. I tend to over do it so if next day bad i dont have to struggle on to get it done.
Im also wary of tramadol not working if things get worse so i dont take the highest dose i can very often. I didnt realise you could mix tramadol with co codamol. That might be an option for me.
I wake alot in the night also mostly with pain in back and have to wake partner to turn me. I hate doing this as he has a very physical job and needs sleep.
My partner is being very supportive of me having time off work even though i wont get sick pay. We had a long talk last night hes always getting at me for changing my mind, on work what we do at weekends etc. Finally he understands that on good days i still think i can manage a days work where as in reality when normal day comes i cant. so ill say yes i can work then no i cant etc. Im slowly starting to see that thats just the way it is and think im just going to enjoy not being in so much pain on the good days and do things for family.
I did say to doc that had i known what lay ahead for me i wouldnt have chosen to have had four children. Not that i regret having any of them i just hate feeling like ive let them down in so many ways.
You have arthritis in lots of different places, must be agony, do all the areas play up at same time or can it be different?
You seem to cope very well with the pain and know what to take and when. I suspect this comes from experience. Although ive only just been told i have arthritis in back ive had problems for 11 years with pain. Nobody would listen untill 3 years ago when i went doc in tears as i couldnt manage pain any more. My ex husband didnt show an ounce of consideration when i had my pain and docs didnt even investigate it so i stopped mentioning it and just slogged on thinking it must b in my head. Its good to be able to finally put a name to it. Untill reading this site i had no idea that it could be so off and on. all makes sence now though.
Take care today rest if you cancell your appointments,
Best wishes
seamonkey0 -
Hi Seamonkey
Just butting in to say....you are very wise - save the good days for the family and respite from the bad ones for you too.
Brilliant days are for doing more and bad days for looking after YOU.
I had had back problems for a bout 20 years or more before my op - the medical profession just seem to ignore us don't they? :roll:
DD cancel appts today eh? Look after DD today instead
Love
toni xx0 -
Appointments duly cancelled - who needs money? I don't think the parents would appreciate me seeing their little darlings today - life for DD is rather messy and smelly at the mo. :sad: Re the pain seamonkey, it all hurts all the time. The dullers take the edge off, thus rendering it tolerable, but it does crank itself up from time to time, for no particular reason other than it can - but as I said I suspect it could also be connected to my variations in coping skills. Tiredness makes things worse, I haven't had a good night's sleep for years now, thanks to the night sweats and the pain, so if I need to sleep in the day I do and hang the guilt. I feel that mixing the pain meds may not be an ideal answer but if it helps then that is all that matters. I am sensible about these things, I do not overdo them in anyway, I have nearly learned when I need to be getting ahead of the pain (that's when I feel a flare coming on or if the coping skills have utterly deserted me) it does, in the end, all come down to experience. And that only comes with time. I have numerous affected joints now, gawd knows what the damage levels are (I cannot be ***** to find out) and more now join in when I flare. It's a grand life. DDHave you got the despatches? No, I always walk like this. Eddie Braben0
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Hi Seamonkey,
You say you are mute when it comes to docs.....make sure you go with a list to docs/rheumy/ortho or whoever.....I forget things if I dont....that reminds me its my 2nd appt for acupuncture tomorrow at 8.30am so I must make a list of how it has affected me over the last week for him.
Pace yourself.......Its OK getting payback the next day if you've been doing something nice the day before....you get used to knowing that you will suffer afterwardsbut its not nice if its housework youve done and you suffer....dont believe in that...I know i havent got the kids at home but still.....I'm sure there must be some things you can cut out. My housework doesnt get done as thoroughly as it used to :oops:
Take ironing for instance......very little gets ironed...only what is absolutely necessary....its surprising the things that if you wash them gently and then when the come out of the machine iron them with your hands before hanging them up LOL how much you can get away with. I know with kids its different but still.
Would your husband vac for you.....mine does a thorough one through the house, up and down stairs once a week. I have a light vac cleaner that I just bring out in between times to do the living room hall etc...that makes a difference. Upstairs gets ignored lOL
I have a perch stool and find that sitting ironing is much easier.
Anyway....pace yourself and look after yourself when you are havining a flare
Love
Hileena0 -
Hi Seamonkey,
As DD. says, it takes experience to build up knowledge of pain, medication, coping skills and physical limits.
Keeping a diary is time-consuming and means more physical effort but it can help in the beginning.
Make it as simple as possible with just headings----day, time and type of meds., main activities, pain levels, type of sleep, for example.
I did this for a while and added a note on weather (you will have a great variety!) and main food eaten when I learned how much these can affect arthritis.
If there was extra stress for a day or period I noted that ---though not detail of it.
A diary can be helpful in a talk with your doctor(s). It can also reveal things to you, sometimes after a while. Time of eating and types of food were things I changed for example.
Now this is far from easy when you have children to look after and work but perhaps one of the older ones might like to help you get started. Some youngsters like drawing up charts. You may not want them to be involved but if you do, even in a simple way, they could learn something.
You may start off well, as I did, only to abandon the writing because it takes time and extra thought. There will be days when you want to scribble wildly over your entries because nothing explains the level of pain and despair. However there might be meds., or a style of pacing or the reduction of one kind of food that do show up on the chart/diary and point to a better days.
Give it some thought.
Best wishes,
Puffin0 -
The diary is a good tip from puffin, seamonkey (I can sooooo har Jonny Vegas when I type your name!) It doesn't have to be a wordy thing, you can devise your own short-hand for stuff and it does help to build a picture of what is going on. We think we will remember stuff but we rarely do. I hope you are having your third good day in a row, I really do. DDHave you got the despatches? No, I always walk like this. Eddie Braben0
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Hi all,
Thanks to those of you for posting who havent before, its always nice to 'hear' new voices. Not so good today feeling abit off, kids got a but so i prob do too. Not so agile today either.
Re house work, kids and partner help out but hoovering is mine!Kids do the stairs now though and my eldest always carrys hoover up for me. A diary sounds like a good idea although im still trying to make myself believe that its real.
Went docs today had a locum. He couldnt believe i was still walking and asked if id use a zimmer frame! Im 32 for heavens sake and would rather walk while i can. He was just being nice but he then suggested a wheel chair. I told him id had enough cruel comments about my cruch thanks.
He signed me off for 3 weeks untill i see specialist and have had mri. i dont hold out much hope of mri seeing anything since have had a few before. I dont get sick pay from any of my jobs, have no tax credit coming in due to fact had to make a new claim since fella moved back in and its gonna be tough. Have started to make cut backs but its just a thought of struggling again. I managed with that when i thought that when kids at school id be working full time. How do you all manage and for some of you its been years youve had arthritis for. Thats me all moaned out. Some days its tough thinking of how it all got to change.
Seamonkey0 -
Oops,
just reread my message, kids have got a bug. hehe
I have a perching stool and i use it loads in the kitchen and yea its great for ironing. I hope your all having a good a day as you can.
X seamonkey0
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