Posted 1/12/2011 5:56 PM (GMT 0)
Teacher, I do experience the balance problems, especially when I wake up from a sound sleep. It is the same with stiffness . I sometimes feel in the daytime that my legs do not want to work right, although I have had a mild form of nystagmus in the past, particularly when fatigued. I did have a very severe bout of TMJ about 20 years ago, during which I could not open my mouth over about 1/2-1" for several months. I have had several bouts of this since that time, although not as severe. Pain in the neck, upper back, and shoulders usually accompany this, although I do not have the bad spasms in the neck like what you describe. I think that the only eeg's that I have had were a part of 2 sleep studies (both revealed sleep apnea and lack of REM sleep). I have not had a mri of my head. I had a number of blood tests which were negative except for Anemia and low D3. Nearly all of the spots in the tender points test were postitive. I think that my diagnosis was based on that, and the fact that other illnesses were ruled out.
As for medications, I was initially put on Trazodone. This helped a great deal at the beginning with fatigue, as it helped me to get a better quality of sleep. For Several months pror to my getting diagnosed, I was going to sleep at night with no problem, but then waking up after a few hours drenched in sweat. I would then be unable to go back to sleep. This took care of these symptoms, and, since I felt better rested, I could deal with pain more effectively. I did recently go off this med recently, as I felt that it might be causing me to be groggy during the daytime. I was sleeping through phones ringing, alarms, people knocking, etc. I also recently had a hysterectomy, however, and I have heard that the fatigue from this type of surgery can last for up to 6 months. I plan to discuss this further with my doctor at my next appointment. I am not opposed to going back on the Trazodone, if necessary. I just hate feeling tired/not rested for whatever reason. I also take Lyrica, and this seems to help somewhat.
I have found that the medications only play a part in managing the pain. I think that inactivity can be our worst enemy. Exercise is very important in managing Fibro. I find that if I sit for more than 15 or 20 minutes, I am in pain. It is important to get up and move, even if it is only a few simple stretching exercises in the beginning. The Neurologist at the pain clinic recommended water exercises. When I complained to him that I did not have the time, he told me very sternly, "You go! Even if you don't have the time, You go!" I found myself feeling very annoyed with him at the beginning, but decided to follow through. It has turned out to be the best advice that I have ever gotten. I have been inconvenienced by having to rearrange my schedule and cut back on the amount of work that I do. But it is worth it. I go several times per week, and the warmth of the water coupled with the stretching does me a world of good. I have less pain and stiffness, and my range of motion has improved a lot over the past year. I have also started walking my dogs when the weather is nicer for about 11/2 hours per day. In addition, I use an elliptical trainier for 30-45 minutes per day 4-5 times per week, and do Wii Fit as much as possible. I do not seem to lose weight, which I badly need to do, but my muscles are much stronger, and I am healthier as a result. Just about any form of exercise will help with stress and anxiety, also. I also use moist heat when I am having pain, and keep several bed buddies rice packs on hand for when the pain is all-over.