This is one those entries that kinda has to
be written.
I am not particularly one for defining
myself via medical conditions I have. This will never be a ‘Medical blog’, nor
will any of my conditions make it into the description atop my wee corner of
the Internet.
But I am a Tigress....born in the year of
such stripy animals, and as such, I do not turn down opportunities in life and
this I consider an opportunity. Not only to inform others of the reality of
another’s oft physically painful life...but also to help them understand it
from that other’s point of view.
What follows is a, probably rather
disorganized, description of stuff my body has along with the effects thereof.
I am tired today, dog tired....hence the inspiration to take the time to write
this. I am tired but I am happy.
------
Fibromyalgia is an insidious disease....or,
more correctly, a ‘syndrome’: a collection of symptoms hanging out together
that make up a ‘condition’. It involves, by definition, ‘pain of unknown origin’
(really helpful).
Ankylosing Spondylitis and Sacroilitis are
part of a cluster of conditions know as seronegative
spondyloarthropathies and can generally be
referred to as a pain in the ass (as well as several other places).
Hypermobility is the ability to stretch
your joints past what is considered normal. This can be responsible for
irritating the nerves in said joints more often than usual and generally causing
pain wherever the hell it feels like it.
I have all three of these conditions; though,
at present, specialists are not sure of exactly which spondyloarthropathy I
have, or which condition is responsible for most of the pain.
If you ask me on any particular day how I
feel....’sore’ is the correct answer. But I can’t be arsed explaining why (not
that anyone probably wants the full answer anyway lol) so you'll usually get a
smile and ‘good’.
And that’s not a lie. I do feel good,
because that is what I choose.
And I make that decision every day.
There is no other choice for me.
When I wake up in the morning, I put my
feet on the floor...they hurt. I take Naproxen (an anti-inflammatory) twice a
day, but still, every morning I wake up and my feet hurt when I stand on them....to
the point that I cannot walk correctly for several minutes until much of the pain
subsides. This process repeats every time I sit/rest during the day for any
period longer than about 20-30 minutes. I stand up, they hurt...I walk funny,
they loosen up, I do stuff, I sit......rinse and repeat.
All I can say is thank God for good sports shoes and inserts. I wear high heels only about once a year and under close supervision.
I have similar difficulties with my hands
though they are seldom idle throughout the day. Pain most often occurs in my
hands when I attempt to, say, grasp a thin string tightly or have been sitting
still watching a movie and then try and grasp my drink.
I also have pain in my ankles, knees,
wrists and elbows .This varies depending on level of previous activity, weather
changes....or unknown factors in the universe that decide shit with no regard
to anyone’s well-being whatsoever.
Now unfortunately, it’s not just the peripheral
bits that hurt. Due to my sacroiliac joints (found at the back of one’s pelvic
girdle) not being up to snuff....I have episodes of severe pain in that area as
well as stiffness in my lower back in general. Walking is not fun at these times and pain
killers are required en masse. But Naproxen largely avoids these flares now.
This is a pleasing development.
That’s about it in the pain department....stuff
hurts every day and I take pills to stop as much of it as I can. If I don’t take
those pills, I don’t really feel inclined to move....for the most part because not only does all of the above hurt more severely, but I develop costochondritis, or inflammation of the cartilage at the bottom of
the ribs that makes even turning over in bed a mission of epic proportions.
Needless to say I like Naproxen.
Other shenanigans that my body gets up to
are as follows:
I am positive for the gene HLA B27, making
me significantly more prone to the above mentioned spondyloarthropathy cluster
of conditions. Other effects of this gene that I have experienced include
regular bouts of iritis (inflammation of the iris of the eye) and possible reactive
arthritis (should have gone to doctor but didn't, so just my self-diagnosis
there): a temporary arthritis in reaction to an infection (particularly bladder
or stomach). The former involves pain, inflammation and redness in the eye requiring
steroids and dilating drops, the latter manifests as soreness (particularly in
the weight bearing joints) as well as Achilles Tendonitis (making for one very
sore tootsie for a long period of time).
Other eye issues include bouts of dry,
irritated eyes that require drops.
The hypermobility means that basically I
hurt myself more easily than most, coz things stretch further than they should.
This makes gym time fun.
Then there’s the rest of the Fibro fun and
games. Fibromyalgia not only causes pain, but also some major doses of fatigue.
You develop quite sudden and overwhelming desires to lie down on frequent
occasion and these tend to be non negotiable. Some days you will feel quite
good and go hooning around like a mad thing doing a bunch of stuff only to feel
like death warmed up the next day. Life is about balance with Fibromyalgia....a
balance I am apparently yet to learn.
Fibromyalgia also means you sleep like
shit...no other way to describe it really. I am lucky in that I have trained
myself to fall asleep fine....but I often wake up at stupid times and cannot
return to a deep sleep. This does not help one’s concentration and energy level
issues the next day.
Fibromyalgia also makes your body sensitive
to everything. And I mean everything.
Food: I am gluten, dairy, yeast, caffeine, aspartame and alcohol sensitive (significantly reducing or avoiding these
has lead to a considerably better mental and physical state)
Noise: it irritates and stresses me,
especially loud or incessant noise....I much prefer quiet, though I do tolerate
most music very well.
Temperature extremes and changes: My body
strongly dislikes cold but also stops working in the heat....I have a
functioning range of temperature that is not that wide....air-con is my best
friend here in Perth.
Light: My eyes are hypersensitive to light....
(Though unrelated, I also have a photic sneeze reflex – I sneeze at the
sun/bright light)....I have to wear sunglasses everywhere, even in winter on
glary days, and I strongly dislike ‘white light’ indoors.
Skin: My skin can become sore for no reason...none at all...just becomes sensitive to
the touch for no reason whatsoever....quite ridiculous. Getting poked
in one of the 18 Fibromyalgia ‘tender points’ ain't exactly fun either.
Everything else: Anxieties are common with people with Fibromyalgia. I strongly dislike telephones and am not all that impressed with crowds either. Am also prone to vertigo in some situations.
Another delightful wee facet of
Fibromyalgia I sometimes experience is ‘Fibro-fog’. That is, I lose track of
what I'm saying mid statement; I cannot recall the spelling of simple words or
cannot recall the specific word I want; I have frequent periods of low concentration
and attention span and I have difficulty remembering some recent events (though
have crystal clear memory of others).
There are other random things that my body
does but they are probably not related to these conditions and will be part of
further investigations. These include heart rate abnormalities, reactions to
local anaesthetic, aseptic cystitis (the symptoms of bladder infection without
any actual infection present.....particularly clever I thought) and various
stomach and bowel complaints that seem to be above and beyond the Irritable
Bowel Syndrome I've also been diagnosed with. I'll just keep up the doc/specialist
visits till we have the full story.
But enough of what’s wrong....what’s
happening to fix these things? Well before we get too cutely optimistic let it
be known that all three of these conditions are chronic (ongoing) and incurable. But stuff can be
done to manage them.
Exercise is a good therapeutic aid and I am
in the process of being prescribed a physical therapy routine to work within
the bounds of my Fibromyalgia, around my sacroiliac issues and toward
strengthening muscles to support my hypermobile joints. I am very much looking
forward to this as when I am left unsupervised, I go all out and consequently write
myself off for days.
I am currently trialling the drug ‘Lyrica’
for sleep issues and pain management. It seems to be helping a little with the
sleep but not so much with the pain just yet. Doses can be increased, we'll see
how it goes.
I have made many dietary modifications (as mentioned above) and
believe this has significantly improved my Fibromyalgia symptoms, but there are
still more I can investigate. Following the FODMAP diet and/or removing
nightshades (potatoes, tomatoes, eggplant and capsicums) from my diet are the
next step but I want specialist evaluation before I go changing anything else.
But probably the best way to fight these
conditions is by simply not giving in to them or letting them define you. I am a global citizen, a Kiwi, a committed partner, a mother, a daughter, a humanitarian and a friend long before I will ever be a Fibromyalgia sufferer or cancer survivor. I get
up each day, enjoy each day, be thankful for each day and put everything I can into each day. I surround myself (virtually and actually) with positive, caring people (my gratitude
to my Kevman knows no bounds here), smile at strangers and genuinely appreciate
everything I still have to offer this world.
I may be a broken-ass bitch but I’m still a
damn lucky one. I get to wake up, stand up and step up each day...and that’s all I
need to know.
Till next week! Be awesome ;-)