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Hi everyone, this probably wouldnât be what my Mother or Doctors would call the best place to go for info but I need to speak with people who have experienced this.
I dislocated my patella in a fall at the end of December 2022, I had never fully dislocated it before but had, had subluxations. This was obviously incredibly painful and scary for me. Went to a&e and have X-rays and an exam confirming the dislocation (chip in kneecap etc.) and was put in a brace and sent home with instructions to start physio when I could walk again without crutches. When I got home my partner had to cut off my boot, and we realised my foot was also swollen. (They didnât even take my shoe off in the er so werenât aware of this). About a week in and trying to move my foot I realised I had completely lost the ability to bend my big toe and was experiencing burning on the sole of my big foot and around my toes, specifically at night. I had constant tingling around these areas, like tv static, and pain in my ankle. Kept resting and elevating and icing as directed with a âsimpleâ injury, whilst experiencing a lot of pain and instability in my knee (obviously) it got to the two week mark (where they told me iâd be able to be back at work as a vet assistant) and I still couldnât walk at all without crutches. My inner ankle was the size of a golf ball and my skin was scaly and falling off underneath and dry on top (it looks horrendous), my foot was cold and off colour and would go purple/blue after a shower, I couldnât bend or move my big toe or lift my foot (as in flex toward my face, at all), twitching, and I couldnât sleep due to the pain and burning. I didnât sleep more than an average of 3 hours a night for the whole first month. But anyway, after 2 weeks, my partner and family pushed me to go back to my GP as all of these issues with my foot canât have just been caused by a dislocated patella. My GP saw all of these symptoms, and diagnosed me with an ankle sprain (?) foot drop, and noted the muscle wastage already evident on my thigh. He referred me to an orthopaedic surgeon, who I saw after a few weeks in the same position. Since then I have seen 2 specialists, began physio, have an MRI of both my knee and my ankle/foot and a nerve conduction study of my leg. Everything from those tests looked normal (except the swelling, evident on the MRI). I have now been diagnosed with CRPS and put on some nerve blocking meds. There is a lot more detail I could include (such as not being listened to, crazy waiting times, fear, anxiety, being off work this whole time etc.) but I am aware this is already extremely long. I feel lucky, as I know I am not experiencing anywhere near the level of pain and symptoms other people with CRPS experience, especially after reading this SR, which makes me feel like maybe something has just been missed, and I donât have CRPS? i have made progress with my knee since the injury, but still have to wear my brace as it is prone to buckling, but I can now walk short distances unaccompanied, just trip due to the foot drop and canât do stairs without one crutch. But the colour, swelling, skin texture and burning issues remain. My physioâs were convinced it would be an entrapped/compressed nerve but the nerve study was normal. The thing is I am not in constant pain, which I feel like is a big part of this diagnosis. I have pain, everyday, but not all day, and itâs worse at night. I have a significant limp, and if I put full weight on the affected foot every step will hurt. But basically Iâm just wondering if anyone else has experienced something similar, or if you think this is something other than CRPS? I just find it hard to believe/am confused about the whole thing, but I feel like theyâve ruled out anything else it could be. Itâs just so crazy.
TLDR; dislocated L patella at the end of December 2022, since then have had swelling, discolouration, skin scaling/falling off, burning, twitching and pain on L foot. Doctors think must have sprained ankle at the same time but donât remember it. MRIs and Nerve Conduction study all normal, diagnosed with CRPS. Not in constant pain, and feel like not nearly as bad as others I read about. Concerned wrong diagnosis? Can it get worse? I am very scared.
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Itâs possible but I doubt each country has different criteria. Some people do say 9 months/one year is ideal for remission but others say they were diagnosed after years and still found it. Youâll learn that this illness is about as definitive as the weather forecast. No enough awareness or research to truly know about it. Each doctor, website or book will say something different about x,y & z. But each persons illness is also so very different.
Also, typically pain is worse at night because we have less stimuli around us. You should take a look at purchasing âwhy are my nerves so sensitive?â The CRPS manual so to speak, itâs on Amazon.
If you are doing PT, ask about graded motor imagery. Itâs been known to help, I found it worth while.
Since CRPS is the nervous system in hyperdrive, yoga and mindfulness is key. My CRPS flares with stress.
Itâs a beast and often it can only be corralled, not tamed. One day at a time.