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Thread Title: Numbness in Extremities post Cervical SX?
Created On Tuesday January 27, 2009 2:24 PM


postscript2
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Tuesday January 27, 2009 2:24 PM

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Hi All,

Quick question:

I have been experiencing increasing numbness in both arms and hands at night (all night) and now into the daytime as well.

This seemed to have resolved after the surgery which was almost 5 months ago. But I went to P.T. 4x and it flared up my shoulder tear and everything that the sx seemed to have corrected flared up last Nov/Dec and continuing.

I'm scared, because I fear driving with my hands going numb arbitrarily...

Anyone else experience this? I see the doc tomorrow, so I'll surely ask--it just doesn't seem right to me.

Thanks in advance!

LCS

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STEVEPSCA@YAHOO.COM
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Tuesday January 27, 2009 2:58 PM

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You should probably start making yourself familiar with the information here...www.rsds.org

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postscript2
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Tuesday January 27, 2009 4:35 PM

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OUCH!

You know I've always been in denial about this! My legs also hurt/go numb and the knees, esp, hurt. AND, my hands look like crab claws...

Oy vey! What to do??? I'm tired all of the time, and feel like I've aged 10 years over this entire ordeal.

When I was first seen, way back in April/May 2007, I was auth a one time visit with a pain management specialist. He prelimilarily dx'd me with "fibromyalgia" and ordered a host of tests, which of course were ALL denied per U.R. (Go figure:frown. You all know the rest of my story about the 3 PQME's and finally the AME. Multiple painful tests, etc. The crappiest part is that I was still within the 90 day delay period and the first 10k should have been paid. But we've been through this before as well. No need to shoot a dead horse!

I've read about all of the pain associated with RSD from those of you on the forum, but again, I'm in denial. BTW my appt. is not until Thurs, my goof! Oh well, buys me more time to research. Dr's hate it when they have a "knowledgable" patient, esp. surgeons, so I don't anticipate this will go over well if I mention it?

Most of the pain is in the BAD torn shoulder and underneath (armpit). But now that it's in both arms and hands I'm afraid I'm headed for the "special bus..."

Believe me when I tell you that I've been through this more times than the moon orbits the earth or vis-versa--just not on "this" side of the equator.

Should I mention that I think I have RSD? Should I just go in and complain about the increasing symptoms and fatigue-lack of sleep, insomnia and pain?

Like I've said before, I "should" know all the answers, but I don't.

Thanks Steve for the link,

Take care,

LCS

Edited: Tuesday January 27, 2009 at 10:43 PM by postscript2

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postscript2
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Tuesday January 27, 2009 5:21 PM

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--don't know what happened to the last post, but remember friends,

"a smile is just a frown turned upside down..."

In my case, maybe I punched the wrong "emotion" button?

LCS

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STEVEPSCA@YAHOO.COM
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Wednesday January 28, 2009 6:00 AM

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'When I was first seen, way back in April/May 2007, I was auth a one time visit with a pain management specialist. He prelimilarily dx'd me with "fibromyalgia" and ordered a host of tests, which of course were ALL denied per U.R. (Go figure:frown. You all know the rest of my story about the 3 PQME's and finally the AME. Multiple painful tests, etc. The crappiest part is that I was still within the 90 day delay period and the first 10k should have been paid. But we've been through this before as well. ! '

Sorry, I don't recall those issues with the med/legal's... but, IF there were additional testing to be done during a med/legal evauation, why was that an issue for UR ?

Referral to a specialist outside the AME/PQME field, testing for dx etc, would/should have been a cost charged to the med/legal expense and not a 'treatment' cost.


'Should I mention that I think I have RSD? Should I just go in and complain about the increasing symptoms and fatigue-lack of sleep, insomnia and pain?'

If you mean by 'mentioning' your feelings on RSD to your PTP... No, that could be taken as an attempt at 'self diagnosis'...what you should do IMHO....is present as a 'willing participant' in your care and treatment plan, and I think that is best done with a open, frank discussion with the PTP regarding your symptoms, and your 'findings' through you own research.
Informing the doctor you think you suffer from RSD may generate a response of 'everyone does these days...". Not something I'd like to hear.


'No need to shoot a dead horse'....you might want to consider a little "CPR" on that dude...

'Like I've said before, I "should" know all the answers, but I don't.'............don't beat yourself up on that one...I don't think anyone has met the unique soul that possesses that 'quality'. (even though there are those who beleive in themselves to that extent !)

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postscript2
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Wednesday January 28, 2009 12:27 PM

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Hi Steve:

To go back, way way back-the pain management request was from the original Company Clinic PTP while the claim was under delay. Not my choosing. I completely cooperated. Even from the first visit, the Co Doc stated that my injury was "work related." It all got blown off while the 90 days ticked away as I awaited the 1st PQME. Also PTP ordered multiple tests; they did an EKG from day one due to my HBP. Then requested a psyche, pain management, EMG/NCV and MRI. None of it was done until the 1st PQME in Neurology, 2nd PQME was Internal, 3rd PQME was Ortho and then came the AME in Ortho. Psyche referral is still pending, but agreed upon by the parties. This is due to undue emotional stress that is well documented throughout my entire medical record.

So, long story short--my PTP at the clinic quit "due to stress." He told me the last time I saw him around Sept. '07 that "this job is killing me." It just so happened that he was the "Director" in charge of all the other doc's. What a sorry state of affairs when a good doctor is so stressed with W/C that he has to resign and move on!

All 4 Med-Legal docs found my claim(s) compensable.

So there you have the short version/CPR performed and horse is still walking.

I will take your advise and just discuss my increase in symptoms and my concerns and we shall see what happens...

Thanks again,

LCS

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