Showing posts with label pain. Show all posts
Showing posts with label pain. Show all posts

Setbacks



Unfortunately there has been a few setbacks this weekend. I’ve been feeling unwell since I started taking the cimzia; nausea, headaches, migraines, fatigued. On Thursday night I experienced a new pain. Normally I’m not too worried about pain, but this was something I hadn’t experienced before. It wasn’t a pain I was used to from my arthritis/ankylosing spondylitis or any of the other issues and I’m pretty certain it was a direct result of the medication rather than anything else.

I lost a lot of feeling in my right leg, it was tingly and numb, kind of like pins and needles down from my bum to the foot. There was also a burning sensations in my joints (lower back, hip, knee and ankle). It would be okay then it would feel like a hot stabbing burning pain in the joint – particularly in the knee which wasn’t pleasant to put any pressure on to walk. Having read the manual that came with the drugs, there are quite a number of side effects. Unfortunately for me ‘tingling, numbness, muscle weakness and burning sensations’ all came under the ‘SEEK MEDICAL ATTENTION IMMEDIATELY’ category. But at 11pm on a Thursday night, I wasn’t really up for A&E so decided to leave it and see what it did.

Friday was much of the same feeling. Even for the feeling to be slightly worrying. I attempted to phone my rheumatology nurse on the number she gave me in case I needed to contact her for an emergency…..to which she wasn’t there. I don’t mind people having holidays or days off, but if it’s an emergency number, I at least expect someone who knows where they’re talking about to look after the line until the other nurse comes back. The receptionist then gave me the number to the nurses helpline, so ringing that I got an automated message to leave my name, number, issues I was having and they’d phone me back……..in one to two days’ time. I could be dead in two days’ time!

It could be nothing, just a common side effect but since it’s something I’m not used to, I made an emergency appointment with a GP, since it is on the ‘SEEK MEDICAL ATTENTION IMMEDIATELY’ list. He was very helpful, despite having never heard of the medication I was on (which I had pre-empted and brought the information book along with me). I did the right thing since it’s painful and something I haven’t experienced before. The outcome is that he’s going to phone my consultant rheumatologist and see what the story is basically – is this common side effect? Is this something to worry about? Is my leg going to fall off? My next set of injections are due on Tuesday, he said to hold off taking them until I hear back.

Since speaking to the GP on Friday and today waiting for him to phone back, the loss of feeling and burning pain in my leg comes and goes. I’m also experiencing a loss of feeling in my right arm. When lying down, I seem to lose feeling in my arm in about a minute. Not even lying on my arm. No matter what position or how I angle it, it begins to go numb, which is also something new and very unpleasant. 

So the current state of play is waiting for the GP to phone me back after he’s spoke to my consultant and I can see whether I can take the next set of injections or if I need to make an appointment to get checked out. In the meantime this afternoon I have bloods and various function tests to have done to see if the cimzia is starting to do anything.

Robyn x

First Injections :)



So Monday (30th) was the day that I finally began my cimzia treatment. I was mixture of nervous and excited. Even though the treatment is due to take 3 months to start taking any effect, it was good to know that it was finally starting and there would eventually be a point 3 months down the line where I can hope to feel some relief by (if the drug works).

I met with the nurse from BUPA on Monday. I had took the packet (containing 2 syringes) from the fridge 45 minutes before the appointment. This was to bring the liquid inside to room temperature. The liquid is very thick and gloopy and it is difficult to push the plunger regularly, impossible if the fluid is nearly frozen. 

The nurse was lovely and talked me through the treatment from the beginning. We also went over the usual questionnaire about feeling well, taking medication, are you pregnant, do you have a pacemaker, etc. The nurse had her own set of example syringes for practicing injections and a model to practice injecting on. There are two sites of injection recommended for this drug: the thigh and the stomach. The injections are intramuscular so you don’t have to worry about finding a vein. The needles are not long enough to cause any damage to underlying nerves and blood vessels in these areas. I decided to inject myself the first time in the stomach, which I was a little nervous about.

One of those days

It's been one of those days. I knew it was going to be one of those days as soon as I got up this morning. It was another struggle getting up this morning, with very limited movement in my lower back. I slept with a pillow stuffed under my hips to try and get some comfort which helped a little. It's my plan to invest in one of those long body pillows, see if that will help. It was also very cold this morning. 1°C according to my car thermometer this morning. My joints don't like the cold and I was significantly stiffer than usual this morning, waddling my way to the bus this morning.

I commute to work on the bus each morning where I get off at the train station in Dundee. It's about a 10 minute to my office on the far end of campus. Occasionally (and as I get stiffer, it's becoming more often), I get the 73 bus along half way along Perth Road which reduces the 10 minute walk to a 2 minute one and a 2 minute bus trip. This morning the bus was due in 3 minutes and I was in no mood for walking. I could practically see the bus coming when my guts decided to play up.

Endless Struggles

It's beginning to feel like a constant struggle at the moment. I met with the rheumatology nurse last week to start treatment. We went through all the forms and such. I was contacted by BUPA to arrange a time to deliver the drugs and have a nurse come for my first dose. This feels like the longest week of my life. My drugs are due to be delivered on Friday (27.03.15) and my first loading dose is happening on Monday (30.03.15). This feels like the longest week of my life.

My steroids have now entirely worn off. All I have right now is Codiene to try and dull the pain, and it's really not working. I do have tramadol but the side effects are too much to use it consistently. My biggest issue is my back pain. I've had constant pain around the sacroilliac joints aswell as an increasing stiffness in my neck and upper back, severely limiting my flexibility and general movement. Emotionally, I'm at a very low point...


Pain

A rather dramatic title, I'll admit, but that is what I'm going to talk to you about today. You can find out more about the specific conditions that I'm suffering from on my 'About Me' page. Here I'm going to try to explain to you how that main physically manifests on a daily basis. 

As an autoimmune disease, my body is mistakenly attacking normal healthy cells as a result of a certain stimulus (in my case, not quite sure what that stimulus is). In particular, my body is attacking the cells lining my joints, commonly referred to as rheumatoid arthritis (not to be confused with osteoarthritis which is considered to arise from 'general wear and tear', again, I'll refer you to my About Me page). This is causing inflammation of the joints. This inflammation can sometimes be evident in the physical swelling of the joint or it can be unnoticable. Fellow sufferers are probably all too familiar with this. If people can't see the source of the pain, they are less likely to believe its there and this can be infuriating when you're in agony, but let's save that for some other posts.

I've attempted to illustrate (poorly in photoshop, I'm so sorry!) the areas of pain in the diagrams below (that I borrowed from work - these are forms typically used in skeletal identification reports and disaster victim identification reports for detailing the skeletal elements discovered or any particular distinct marks/scars/other identifying features on the body). In the skeletal image, I've attempted to illustrate the joints that are swollen and the areas of pain on the complete body image - as you can see the pain from one joint can manifest over a significant area.