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Prednisone should not be causing any of the pain or sensations. CIDP damages the nerves. This causes neuropathic pain. I have permanent residual neuropathic pain years after going off prednisone and all other drugs related to my CIDP.
Discuss it with your physical therapist. There may be some exercises which will help. For example, lift yourself by flexing one foot to raise the heel. while holding onto something for balance.
I had one EMG because my neurologist wanted it. If he (or she) doesn’t want it, you don’t need it.
Can she talk? When I was immobilized, I could still do crossword puzzles with my wife reading the clues and writing the answers. When I was in the ICU, however, I wasn’t up to mental challenges. I just wanted peace and quiet.
Three months is an awfully long time to be in the ICU. I was in it about two and a half weeks, in two trips through, and I was glad to get out of there.
As I wrote, I used a cane for about 18 months. But everyone’s recovery is individual. Some who use a cane may always need it. I put mine aside when I was no longer depending on it but just carrying it around.
A cane is important when one is at risk of falling, not only to prevent a fall but to get up after one. When I first started walking I needed something to support myself as I got to my feet. Before I went outside with my cane I made sure that I could get to my feet using only my cane. I had done the same earlier with my walker.
Recovery can take three years or more and slows down with time. Recovery may never be 100%. I am six years out of hospital and still have strength and balance deficiencies from the knees down. I consider it permanent.
After the walker did you start using a cane? I used a cane for about a year and a half before I gave it up. If you can walk, you should be able to stand with a cane by leaning against it.
Hypersensitivity at the same time as numbness is not unusual. In my case, my feet were hypersensitive in the early stages of recovery to the degree that it was painful when they were touched. Several years out, I still have some residual hypersensitivity in my toes, but it is not severe.
Fatigue is also normal during recovery. I can’t imagine having to work on one’s feet during the recovery process. When I first started walking again, I couldn’t go more than two blocks without stopping for a rest. Now, I can walk a mile fairly asily, but I still don’t like standing for hours.
One must distinguish between fatigue and relapse. Fatigue is normal, but it is not persistent. Weakness caused by demyelination will persist and progress. It is important not to overexert yourself during recovery. Cycles of exercize and rest are good but one should not work to the point of exhaustion.
Recovery can take a few years. The process can’t be made to go faster by exercize. You do need to exercise, but not to the point of exhaustion. You might get back where you were, but not in a short time. In the meantime, you need to make adjustments in your diet to compensate for lower activity. Jim’s advice is always well-informed and sound. I agree with him completely, the only caveat being that every case is unique. Recovery is not the same for everyone. Just try to make a little progress every day.
This is why insurance companies want to be sure you have a disorder which is treatable with IvIg before approving it.
Jack, I don’t think there is any typical course that response to treatment will take for CIDP. My own case is atypical to begin with. Although I was ultimately diagnosed with CIDP, the initial diagnosis was GBS. I am atypical under either diagnosis.
I received nine PE treatments through a Quinton catheter in the groin. At the start I was paralyzed below the neck. I literally could not lift a finger. I think it was after about seven treatments that I started to move one finger.
Before submitting answers, let me just make one observation. GBS and CIDP can cause great disability, but recovery is possible and progressive over a period of years. So an important parameter is the length of time since becoming afflicted, or since being discharged from hospital. For your questions pertaining to limitations, then, I would answer nearly all of them “yes” or “no” depending on when they were asked. The survey does not account for this aspect.
A few years ago, this organization published a pamphlet for therapists to help them understand the disorder. You should start by getting a copy of that. I’ll see if I can find a reference for it, but the headquarters might know what it is anyway.