RLS and Pain

Whether new to RLS or new to the site, we welcome you and invite you to share your history and experiences with RLS/WED, introduce yourself, and ask questions. Successful treatment starts with a solid understanding of this disease.
Tom Casey
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RLS and Pain

Post by Tom Casey »

Good evening/ morning everyone.
Let me begin by thanking all of the dedicated, friendly and helpful people who are associated with the RLS Foundation. Your work is truly amazing.

I began having problems with RLS as a child. (I am now 54.) I was always the kid who got smacked by the nuns because I couldn't sit still in class or stand straight when I was in line. This was at least as early as third grade. I was also always sleepy during the day.
By high school, my symptoms had expanded to include pain. The pain was only periodic, something like three or four days a month. By my mid to late 20's the pain got to the point that it happened almost every day, mostly at night. By my mid 30's the pain was 24 hours a day 7 days a week.
By the time I hit 40, pain was my primary symptom and it was severe. I finally started to seek medicaL help. Also about that same time, my sister told me that she had been diagnosed with RLS. We also talked about the fact that our late father always complained about pain in his legs. My sister has the more traditional symptoms - jumpy legs, crawling worms etc. She now has gotten good relief with Mirapex and an occasional Ultram.
I saw various doctors included an outstanding sleep doctor who immediately diagnosed me as having RLS. We tried every medication cocktail under the sun but nothing worked. I eventually ended up at the sleep clinic at Johns Hopkins. I saw a renowned RLS doctor. (I don't want to mention names but those of you who've been involved with the foundation at all, know who he is.) He told me that there is a very small group of people who are a) male, b) RLS symptoms began very early in life and c) whose primary or only symptom manifests itself as pain. He had me drop most of the RLS meds that I was taking, add a another med and directed me to start seeing a pain specialist.
The reason that I am writing this is to try to get in contact with someone who either has or is familiar with my situation. I have been a reader of Night Walkers and other publications for years and I have never heard about anyone in my situation. I currently am on a pretty heavy cocktail of medication. Unfortunately, my pain is still bad. I had to quit a job that I truly loved last October. I am currently dancing with the folks in Social Security to see if there is any way that I can qualify for disability benefits.
I have, over the years, tried every medication ever mentioned in your fine literature. I am ecstatic for the folks who say that they have been cured by a no sugar diet, or green tea or this med or that one. Unfortunately, none of this works for me. I have seen doctors all over the country. I have had spinal pumps with morphine, and electrical nerve blocks etc. None of it has worked. The good news is that out of all of this testing, I have learned that my problem is not in my legs and my spinal cord is just fine. My problem has been identified as some sort of malfunction in an as yet unidentified area of my brain. I do not mean a psychological problem. Mine is physiological.
Please understand that I am not crying or complaining or asking for sympathy. I have a wonderful life with a fantastic wife and live in a great neighborhood and community. With this minor exception, my wife and I are both healthy and have wonderful families.
I guess my main purpose is to tell anyone else who finds themselves in a situation like mine, they can take comfort in the fact they are not alone. There are others of us out there who say"Welcome to the club. Take it easy. Things could be a whole lot worse".
Thank you all for enduring my rambling. Feel free to contact me. I live in Kansas City if that means anything to you.
Best regards to all of you and I hope that tonight is a good night for you.
Tom :)
TOM WISHING YOU THE BEST UNDER THE CIRCUMSTANCES

ViewsAskew
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Post by ViewsAskew »

Tom, what a lovely first post. I always have mixed feelings about "welcoming" anyone into our fold, lol; I know it's great to feel wanted and to belong, but I know we all wish it wasn't under these circumstances.

I hope you find someone who has similar RLS to yours. I'm glad that you found one of the JH doctors to validate that this is indeed RLS. That in itself is such a relief...even if there isn't a good pain treatment.

You've tried so many things...I was wondering if you'd tried acupuncture for pain. I ask because one of our members here who has very painful RLS got a lot of relief from the pain component using this method, just not the creepy crawly part. Since yours in comprised of mostly pain, maybe this would really help. Of course, we're all different, so it may not help.

I also wonder if your JH doc tested your ferritin. I have no idea if ferritin levels are as important in painful RLS as with the creepy-crawly kind, so am a bit curious what was said.
Ann - Take what you need, leave the rest

Managing Your RLS

Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.

Tom Casey
Posts: 11
Joined: Thu Jul 31, 2008 6:12 pm
Location: YOU NEED. THANKS. I'M in KC
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RLS and Pain

Post by Tom Casey »

Ann,
Thank you for you welcome and kind words. I have tried acupuncture and many of the other "alternative" forms of medicine. I also use Chiropractic although I hardly call this an alternative form of medicine any more. Evryone has been kind and thorough. They have also all sent me on my way with their best wishes, saying that they could no longer, in good conscience, take any more of my money.

I have had so many blood chemistry tests run, that I should soon qualify for my Ph.D. Fortunately, they have all come back normal as have X-rays, and MRI's.

I am in most ways like other folks with RLS. I baffle the MD's but they enjoy their poking, prodding and re-testing because I am a little unusual compared to their regular patients. Anyone who has RLS has been through this drill, I am sure.

Two other quick things.
First, my heart goes out to all of you who are going through the horrible situation of having a small child with RLS. I can not begin to imagine how hard that must be.

Second, can someone please tell me how to work the spell check on this thing. My posts will be far less painful for all of you that way.

Thanks.
Tom
TOM WISHING YOU THE BEST UNDER THE CIRCUMSTANCES

ViewsAskew
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Post by ViewsAskew »

Ah, spell check...

Alas, none in the program. If you use Internet Explorer, then you can add a small, easy to use program called iespell. It sits on your browser and can spellcheck just about anything that you use on the Internet.

Or, you can try a new browser - Mozilla Firefox spellchecks for me. In fact, it's telling me right now the spellcheck - one word - is not a word :-)
Ann - Take what you need, leave the rest

Managing Your RLS

Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.

Polar Bear
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Post by Polar Bear »

Hi Tom
Yes that was a lovely first post. You sound very positive throughout your symptoms/difficulties.

By the way I wouldn't worry too much about spell check. Sometimes when some of us have posted, when weary and tired and fed up with our rls, the spelling etc can get a bit haywire :lol: :lol:
Betty
https://www.mayoclinicproceedings.org/a ... 0/fulltext
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation

Tom Casey
Posts: 11
Joined: Thu Jul 31, 2008 6:12 pm
Location: YOU NEED. THANKS. I'M in KC
Contact:

RLS and Pain

Post by Tom Casey »

Ann and Polar Bear and everyone else,
Thank you for you kind words and help with this posting process. Since you both said kind words about my "first" post, I think that I got your gentle and subtle message. Keep the posts short. No one wants to read "The History of the World According to Me". I couldn't agree more. That said, I really want to tell about an incident during my first day of second grade........

On the spell check thing, I will look into it. You have to understand that my spelling is abysmal. (I had to look that one up two times.) Which reminds me of a life long question. Why do they tell you to look up words you can't spell in the dictionary? If I knew where it was in the dictionary, I wouldn't need the darn book. This coming from someone who spent a good portion of his youth looking in the S's for a Psychiatrist.

And Polar Bear, I'd love to hear where the handle came from. My wife and I are big bear fans as in animals not sports teams.

Wishing you all a peaceful night.
tom
TOM WISHING YOU THE BEST UNDER THE CIRCUMSTANCES

ViewsAskew
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Post by ViewsAskew »

It never ceases to amaze me at how words typed without knowing the person and without any facial expressions can be interpreted in so many different ways.

I was responding to the tone of your post, to your honesty, to your willingness to be open. I was responding to your continued upbeat perspective even though your life at times would probably qualify as pretty darn miserable. You were humble.

The length of your post? Never ever entered my mind! You are certainly new here is you think that we'd comment about that! While Polar Bear does keep her posts nice and to the point....I can type in novels. As can a few others here!

So, keep the posts to whatever length you like. It's your forum, too.

Per the spelling, I really do suggest iespell. http://www.iespell.com/ It's easy in install and then you just ask it to spell check for you when needed. I use it when I write letters to customer service, when I post on any forum, or even when I fill out a form. Great little program. And, it's free!
Ann - Take what you need, leave the rest

Managing Your RLS

Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.

Tom Casey
Posts: 11
Joined: Thu Jul 31, 2008 6:12 pm
Location: YOU NEED. THANKS. I'M in KC
Contact:

RLS and Pain

Post by Tom Casey »

Ann asnd Polar Bear,
Please accept my most sincere apology. As you so wisely pointed out, written words are so much different than the ones done face to face. I truly meant no offense in my reply. I also took no offense if the comments in your posts had been meant to reel me in a touch which they obviously WERE NOT.
I tend to have a very dry and self-depricating sense of humor. I have speant most of my life feeling one step behind the "normal" folks. I never thought that I could do things quite at the same level as they could. As my condition deteriorated, this became more and more true. As a result, I became fairly comfortable being the butt of jokes. I also got to the point where I had and still do have a hard time graciously accepting an honest complement.
The fact that my comments caused you even a minute of concern or discomfort is truly disconcerting to me. You have been nothing but extremely kind to me. While there are times when I am on a streak, (like the last couple of weeks where my pain is unusually high) that I do get a bit or more than a bit cranky. Yet I seldom, if ever, deliberately do anything to cause someone else discomfort. For this, I most sincerely apologize.
In light of the fact that I can no longer work, most of my close friends have a disability or illness of some kind (MS, RA, ALS etc.) None of us are ever truly comfortable. So we've learned not to ask each other things like how are we feeling. None of us is ever going to feel much if any better. We work hard to look after one another and will roll with the punches when needed. We all laugh a lot whether it be at ourselves or at something else. That said, you had no way of knowing that my barb was aimed at myself and not you. I hope that you are able to accept my most humble apology. I really do need to develop some friends in the RLS community. Right now, I have so many friends, neighbors, and former coworkers who look at me and say,"Hey, you look great. Are you sure you can't go back to work?" They, of course, have no way of knowing just how painful a question that is. Even though it was unintentional.
Obviously my comment to you and to Polar Bear was painful and difficult for you. I have learned my lesson and promise to do better in the future.
Please do not think that this present rant is a bunch of self pittying nonsense. Nor is it in any possible way, a criticism of you. Self pity is my worst enemy causing me much damage and doing me no good. My wonderful wife has worked very hard to knock the pity out of me. I do ask that if you see me sliding that way to feel free to knock me around a little bit. The folks in this organization are wonderful. My hope is to eventually be able to contribute to the group.
I will close by thanking you for having the strength to call me out on what was obviously a significant blunder on my part. Please continue to do so when the need arises. You are wonderful.

Thank you once again.
tom
TOM WISHING YOU THE BEST UNDER THE CIRCUMSTANCES

Polar Bear
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Post by Polar Bear »

Hi Tom,

the length of your post never even crossed my mind. No offence could possibly be taken from any of your posts, be it length or content. I really just meant what I said, I did like your post.

Ann is correct when she says that the written word can be misunderstood in its tone i.e. the tone in which the words are written can sometimes be not the same tone in which they are read, given the mood of any given person at any given time. I have a close family member who lives in the USA and we stay in touch daily by email, and I find sometimes we have to use the emoticons a lot to show that things are said and meant in a certain way. Humour can be a hard one to put across, :lol:

My posts are inclined to be short simply because I find myself sometimes pushed for time, however I have posted quite a few 'novels' in my time here on the board.

No apology is necessary.

And yes, people don't see our pain or our discomfort - I have literally just this week had to ask my employer if I can go down to a 4 day week, and they have accommodated me in a very considerate manner. I could no longer cope emotionally with the lack of sleep, discomfort, running of a home and full time work and keep home and work up to the standard that wanted.

Have no worries Tom, you are most welcome and wanted.
Betty
https://www.mayoclinicproceedings.org/a ... 0/fulltext
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation

Polar Bear
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Post by Polar Bear »

Tom, forgot to tell you where my 'handle' came from.

Hmmm.....
There is a big white rock situated on the coastline in a bay, near where I live and it is shaped rather like a polar bear. Very many years ago someone painted eyes, nose and mouth onto it, but this added a little character and has not made it look like it has graffiti or anything like that. When I first met my hubby we used to spend many happy hours at this bay watching the sea birds dive for food, and putting the world to rights. He has bought me several polar bears over the years, some glass, some fluffy toys. So polar bears are a little special :)
Betty
https://www.mayoclinicproceedings.org/a ... 0/fulltext
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation

Tom Casey
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Joined: Thu Jul 31, 2008 6:12 pm
Location: YOU NEED. THANKS. I'M in KC
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Polar Bear, once again thanks for the kindness

Post by Tom Casey »

Polar Bear,
What a wonderful story about your handle. It certainly brightened my evening. I am sure that we're not supposed to plug the work or any product on this sight but if you're not familiar with a guy named Tom Mangelsen, you might want to Google him. We have lots of his bear work in our home - photos, books etc. And no I am not related to him nor is he a friend. In fact the only time I met him he was kind of a jerk.

Sorry to hear about your work situation. I know asking for concessions can be tough. Your ego takes a hit and it is very tough that you can't produce the quality that you used to do. In my case, I was either working all weekend to get caught up or I slept all weekend. I traveled a lot for my job. My wife finally pulled the plug on things because she said she wasn't willing to spend the best years of her life with someone she never saw. I was either working, gone or asleep.
Anyway, I empathize with you on your work situation. No matter how caring the people were with me, because they couldn't quite grasp RLS, they often seemed to project a sense that they thought I was trying to take advantage of the situation.

So please get some nice rest. I wish you the best this evening.
Take care,
tom
TOM WISHING YOU THE BEST UNDER THE CIRCUMSTANCES

ViewsAskew
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Post by ViewsAskew »

Hi again...I am laughing as I type this...truly, cross my heart and hope to die! I wasn't at all upset by your post(s). You didn't hurt my feelings, or upset me in any way. Again, it's this typing while not being able to see each other thing.

I have a hypothesis...it's probably wrong, lol, but I'll share it anyway. If we have never met someone, we tend to "read" into posts things that we ourselves are upset by, bothered by, etc. For example, my mother-in-law (MIL) tends to worry that everyone thinks she's stupid. So, if she were reading any post here, she'd find a way to believe that the person who wrote it was saying that she was stupid.

Maybe this is another version of we get what we expect?

It's probably a silly theory, but since we can't see anyone, we have to try and determine what people "meant" by what they said. We ascribe all kinds of things: mean, silly, dumb, concerned, caring, etc....all without every knowing for sure what someone really meant. I sure know that there are many times when someone thought my posts meant one thing when they certainly meant something else. While I do think about it, I've stopped worrying about it - I try to say what I mean and hope that others take it the way I meant it. And hope that if I inadvertently hurt someone's feelings, that they will let me know nicely.

So, please, no apologies needed.
Ann - Take what you need, leave the rest

Managing Your RLS

Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.

Polar Bear
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Post by Polar Bear »

Hi Views, your theory is no way silly. Its exactly what I think (unless we are both silly)!!!!

I think we read into a post according to our own mood and our own self esteem at the time of reading.

A bit like 'we can hear - but are we listening??' - only different. :roll: :roll:
Betty
https://www.mayoclinicproceedings.org/a ... 0/fulltext
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation

Tom Casey
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Post by Tom Casey »

Dear Ladies,
At last, we have reached an agreement. You are both silly. Do not fret too much about it. It comes with being a member of your gender. :D I, on the other hand, sit here basking in my brilliance. I have not yet, been able, to settle upon my exact rank relative to Einstein and the others. I am, of course, too humble to just go ahead and grab the top spot. I will let history and public opinion decide all of that.
I will offer a few examples of my recent brilliance. Yesterday, I penned another of my usual brilliant posts and rather than hit the submit button, I allowed myself to be distracted by my silly wife (who wasn't home at the time but I am sure it was her fault.) and hit the back arrow at the top left of the screen rather than the submit button.
While basking in the brilliance of such a move, I later returned to re-post my reply and I hit the "I don't care to receive any more replies" link. So I don't know if you'll ever get this post or not but I hope you do. I also would love to hear from you both again.
And what could possibly top brilliance such as this, you ask? Let me tell you. After realizing that my brilliance needed to be shared with more than the likes of you two sillies, I decided to branch out and reply to someone else's post. It would seem that this young woman had discovered the wonders of methadone and it was providing her nearly miraculous relief. Well, I decided that in my new role as "Your Brilliance" that I would warn her of the potential pitfalls of methadone. So I told her, as only someone brilliant can, that she needed to be careful as to how quickly she increased her dosage of methadone since it is possible to reach the cap that your body can take and then you are out of luck. Well after providing such brilliant advice to another silly woman. I was able to go to sleep.
Well, I woke up to a reply from this silly young woman. Young women, after all, being even more silly than older women, I couldn't wait for her reply which obviously would be gushing thanks and praising my brilliance. Well, as it turns out, I had managed to completely confuse and somewhat distress this poor woman. As it turns out, she has been taking 5 mgs. (the minimum dose available) for over 18 months. It has worked wonderfully and she had never given any thought to increasing her dosage. After that I am sure that there were pages and pages about how awed she was by my brilliance and how grateful she was for my help. For some reason, I wasn't quite able to locate that part.
I responded to her that I often forget just what an odd duck I am in the rls world. I told her about my pain and that when I very first started taking methadone it was at 70mgs. a day and that was supplemented by 2400 mgs of gabapentin and on bad days 20 to 40 mgs. of percocet. I told her that I was thrilled for her success with methadone and wished her a long and happy life.
So after all of that, I am sitting here waiting for the mobs of autograph hounds to arrive and for the phone to ring. "Who is calling?" You ask?
Well, I figure that once word of my brilliance gets around, the folks on the board of the RLS foundation will call. Probably the only reason that they haven't called already is that there are silly women on the board and they are having trouble deciding whether to name me President and CEO or if, recognizing my overall brilliance, they want to add CFO to my titles as well. Because trust me, if there is anything that I do better than type and spell, it is handling money.

Well my brilliant ladies, please have a great day and a better week.
Your court jester. :lol:
tom
TOM WISHING YOU THE BEST UNDER THE CIRCUMSTANCES

ViewsAskew
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Post by ViewsAskew »

The RLS world of those without pain and those with can be quite different.

But, you're here and you're sharing. You know, we each do the best we can do...you didn't set out to cause a problem, make her upset, etc. You were genuinely concerned.

This, to me, is a great example of why all of us need to take a deep breath and count to ten (or twenty or whatever it takes) before we respond to someone we think is stupid, mean, ridiculous, etc. 99.0 % of the time, it's either because they have a different perspective or didn't seen the dual meaning of what they wrote. At least here on this board.

So, welcome again. We'll be looking for more posts and we promise to write back :wink:
Ann - Take what you need, leave the rest

Managing Your RLS

Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.

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