The Top 10 Shoe Brands for CRPS Warriors

Written by Guest Blogger Ashley Epping

I developed CRPS at 12 years old in my left wrist. After being diagnosed, I spent the next six years dancing competitively, staying at the Pediatric Cleveland Clinic, creating art, traveling abroad and applying to colleges. I never once thought about my shoe choice because I didn’t need to. Though I would always see others in my support groups posting photos of shoes that worked for them, and to be honest most were not versatile enough to wear for specific occasions such as professional or dressy settings. For the first six years my pain was only located in my upper body, but in the following years the pain spread to the lower regions. For the first time in my life, I was not able to purchase shoes based on the fact that they were cute. I am a 22 year old business student, living in New York City. The typical CRPS friendly shoes were not an option for me.

I spent the next few months observing and researching shoes that could serve all purposes. I needed shoes that were equipped for walking, standing, exercising, and were standard for business, social, and/or dressy occasions. All the while serving relief for CRPS symptoms. I needed shoes that could handle swelling, hyper sensitivity, poor balance and support painful legs.

I was successful in finding shoes that fit my lifestyle, and I figure that others may have the same issues I did when looking for shoes. I have put together a list of my findings for all CRPS sufferers who are in need of some kicks.

1. Teva
Teva sells an arrangement of sandals, sneakers and boots, but their most accommodating shoe for swollen and sensitive feet are their adjustable strap sandals. The sandals adjust at the ankle and around the ball of the foot to create the perfect fit everyday no matter the severity of symptoms.

2. Eurosoft
Eurosoft is made up of mostly fashion forward products; shoes that are meant to be worn for style, while also keeping you comfortable throughout the day. The shoes are created with padding in the sole and arch supportive. They offer casual open slip ons for day to day wear, and also offer wedges for a more fancy occasion. Eurosoft is sold by wholesalers, but the most convenient locations are Amazon, DSW and [sic] JCPenny’s.

3. Sketchers
Sketchers offer boots and sandals, but their sneakers are worn most often for CRPS. Sketcher’s sneakers offer light weight technology, air-cooled memory foam, and flexible soles.

4. Christian Dietz
This brand is on the [sic] pricy side, but if you are looking to make an investment these shoes will last you years. Their products range from sneakers to dress wear to orthopedics; allowing all different accommodations. These shoes are incredibly fit for people who wear braces. Christian Dietz is sold through the store Enslow, which has been serving the medical community since 1909.

5. New Balance
New balance is a commercial sneaker brand, but has recently come out with NBRxPerformance Foot Health products. These sneakers are categorized by running, walking and insole options. New Balance connects doctor’s recommendations to certified retail partners and trained fit specialists to fit you with the right sneaker.

6. Dankso
Dankso has a wide range of products, but the most supportive and specialized shoe for CRPS purposes is their clog model. Though these shoes are not highly recommended for walking long distances, they are one of the top shoe brands for people who need to stand for long periods of time.

7. Birkenstock
The most CRPS friendly products from Birkenstock’s are the slip on Arizona sandals, and the slip on Boston clogs. These shoes are made to be adjustable and roomy for cozy socks, and/or in our case for swollen, sensitive feet. These products tend to be a little pricy, but they are real leather, which does last for a very long time.

8. Ecco
Ecco offers a variety of products, but the best ones for sensitive feet are their slip on booties, flats, and casual sneakers. This brand has created a feature using premium materials plus dynamic comfort. They use “next generation platform technology” which is inspired by nature and old world leather. In case a fancy occasion arises they also offer low heel pumps with the same comfort technology.

9. Adidas
Adidas is a commercial brand, but they have come out with their Ultra Boost technology, which are designed to propel you forward while maintaining your stability. They are engineered to expand with your foot and avoid irritation, and come with rubber soles that have extraordinary grip for wet and dry surfaces. These sneakers are the favorable choice for the gym or physical therapy.

10. Naturalizer
Naturalizer offers incredible options for professional shoes; if you are looking for a shoe with a small lift, that are sleek, durable for walking and standing, than their a top choice. Their prices have a wide range, but lower prices can be found through their retailers such as Nordstrom Rack and DSW.

There’s a Monster in the House – CRPS Even Affects A Caregiver

Stephanie and Valerie are the perfect example of how a caregiver can be affected by CRPS tooWritten by Guest Blogger Stephanie Umlor for the RSDSA blog.

While we live with CRPS daily and can let it take over our thoughts, we often don’t realize how our loved ones are affected. This is a reminder that every caregiver and loved one can be affected by this CRPS “monster” as well.

A reality of anger, hurt, and pain rages havoc on our bodies and minds CRPS is a methodical monster. Convincing us that we are helpless, worthless, a burden, as well as unable to to love someone the same way as we did before. Leaving us in an atmosphere so overwhelming we might as well stay. I call this “ CRPS Pain Limbo;” I know most medical professionals refer to it as “ The 5 Stages of Grief.” I think with CRPS sufferers we tend to stay in the anger and bargaining stage more than any other one that’s why I call it CRPS pain limbo.

What happens if one day you stop and wonder if maybe my spouse may feel the same as I do? Impossible right? Not at all, CRPS may not impact the ones we love with constant pain or fatigue but it does impact them psychologically. They feel Helpless, Worthless, maybe as a burden, and they feel isolated or alone which are a lot of the same feelings we feel. I realized this year from a situation due to CRPS how my wife (Valarie) was feeling as devastated as I had been through the last 7 years. I have accepted that CRPS is a part of me and the perception I believed was reality became an obstacle I had to go through to be where I am now.

Reality is a hard pill to swallow and I had my dose from Vascular test results that were given to me June of this year. When the Vascular specialist came into the room to talk to me I figured he would be like the rest of every doctor, I will admit it he wasn’t. When he first started talking he sounded like Charlie Brown’s teacher speaking, then it started to make sense he was telling me I have bilateral Peripheral Artery Disease(PAD)! He continued by telling me that it was completely neurological and there was nothing he could do, but then he said,” This is CRPS at it’s finest! I mean This is what CRPS can do in its truest form.” I know most people probably took that as a crude statement, when I told Valarie she did but I didn’t. He explained that he had extreme concerns about possible wounds that could develop on my feet and not heal which would or could cause an amputation. I let it sink in and then said, “ So I could possibly lose a toe or my foot, that’s what you’re saying?” The look on his face was unforgettable along with the words that followed that look, “ That would not be the case in your situation! Due to the constriction in your legs the amputation would happen either right below the knee or above it.” My heart sank and continued sinking as I was heading back to my car. I got into my car thinking I was going to throw but the end result was me bursting into tears and a quick phone call to my wife.

When Valarie got home from work, I met her at the back door; her eyes along with the way she wrapped her arms around explained everything I have ever thought or wondered. Still to this day I have no idea why or how the so called CRPS pain limbo melted away to let me see how she was feeling through all of this. For many years I never could understand why my wife was so quiet about certain aspects of CRPS, then becoming frustrated. I imagined it was because I wasn’t who I use to be physically and I was just a burden in her life now, how wrong I was! In that split moment of that hug all of those times flipped through my mind like a photo album and then I said, “ I understand now and I am sorry.” I went on to explain that during the years I never contemplated how she was handling everything. She told me she, too, felt helpless not being able to take the pain away, she felt worthless because I always refused her help, she never wanted to say was in pain due to how could it even compare to what I feel on a daily basis, and she felt alone because she wanted to understand how I felt but I just wouldn’t let her in.

Like I said earlier reality is a hard pill to swallow and CRPS is an intelligent monster causing catastrophic effects to the ones we love and the ones suffering from painful sensations. I would definitely go through it all again to be able to feel the calming relief I felt that day and continue to feel. Learning that communication, involving the people closest to you, and realizing my wife may not be able to fully understand my pain but she can relate to the emotions endured with CRPS has created a very stress free life.I feel strongly that if a CRPS sufferer feels alone and misunderstood their spouse, partner, or girlfriend/boyfriend [or other caregiver] probably feels the same way. So, please try to communicate with them because they are our biggest cheerleaders .

CRPS Retreats and Gatherings – The Positive Impact of the YA Retreat

A group picture from our retreat for young adults with CRPS, which left quite a positive impactWritten by Guest Blogger Melissa Lanty

RSDSA is focusing on how we can better serve the community, especially with November (CRPS Awareness Month) quickly approaching. One of our young adults contributed this blog shortly after our first young adult weekend, which was a great success. Read what Melissa has to say about how this weekend impacted her! Be sure to keep an eye on our events calendar for all things CRPS coming up!

The first time I heard of CRPS/RSD was when my cousin, Ken, was finally given a diagnosis for the intense, burning pain he had been experiencing.  By the time the doctors figured out his diagnosis it already spread, jumped, and did all the horrible things this disease can do.  I saw the scariest form of RSD/CRPS through my cousin, so when I was diagnosed with the same disease I was terrified.  I joined support groups and found pages to follow online, but most of the time I met with people they were all in very different life stages than me, and the advice I was given was often about what I should give up, what I needed to give into, how to adapt to the fact that I am now disabled.

When I got the RSDSA newsletter in my mail and saw the page for a young adult with RSD/CRPS retreat, I immediately went to the website and signed up to go.  It wasn’t until later, when I realized it would be a 4 hour drive, that I started to worry it would be me and maybe two other people sitting around talking about all the things we used to do.   I couldn’t have been more wrong.

I arrived at the beautiful Shawnee Inn on the Delaware River Gap, after getting myself lost for only 10 minutes, and met 9 other amazing young women with RSD/CRPS.  After throwing my stuff in a room, I joined the girls with the basic intros, where we are affected, swapping stories of what we’ve tried, thought about trying, and etc. about this disease.  After talking for a while I realized that this felt nothing like the support group meetings I have been to.  Instead of talking about what we can no longer do, we all talked about things we do despite this illness.  We laughed a lot as we shared our stories and experiences, by the end of the weekend my chest was actually sore from all the laughing we did.  For the first time since my diagnosis I met other people who deal with CRPS in a similar way as me.  People who work a full time job, go for hikes, kayak rides, boat, swim, travel, and push through the pain like I do.  We shared stories of bad flares and doctors who didn’t believe us, like I had with others I had met, but we also talked about college experiences, traveling, working full-time being on our feet all day, doctors still treating us like children, and so many other things that didn’t really apply with others I had met with RSD/CRPS.

When the weekend was over, I was sad to head back home and leave the group.  Even though we had just met it felt like we had known each other for years.  I sincerely hope there will be another retreat for this group again in the future.  I look forward to more adventures with these women, and hopefully others to join us too.  I’ll have to remember to be ready for anything, because this group lives life to the fullest for sure.

Palliative Care for the Person with Complex Pain Generating Syndromes

Dr. Terri Lewis writes about complex pain and palliative careWritten by Dr. Terri A. Lewis

What is palliative care and what does it mean for people with complex pain syndromes? Dr. Lewis sheds light on this topic for people that are curious about it and would like to know more.

What is Palliative Care?

Palliative care (pronounced pal-lee-uh-tiv) is specialized medical care for people with serious illness. This type of care is focused on providing relief from the symptoms and stress of a serious illness. The World Health Organization (WHO) defines palliative care according to the following criteria –

Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Palliative care:

  • provides relief from pain and other distressing symptoms;
  • affirms life and regards dying as a normal process;
  • intends neither to hasten or postpone death;
  • integrates the psychological and spiritual aspects of patient care;
  • offers a support system to help patients live as actively as possible until death;
  • offers a support system to help the family cope during the patients illness and in their own bereavement;
  • uses a team approach to address the needs of patients and their families, including bereavement counseling, if indicated;
  • will enhance quality of life, and may also positively influence the course of illness;
  • is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.

WHO Definition of Palliative Care for Children

Palliative care for children represents a special, albeit closely related field to adult palliative care. WHO’s definition of palliative care appropriate for children and their families is as follows; the principles apply to other pediatric chronic disorders (WHO; 1998a):

  • Palliative care for children is the active total care of the child’s body, mind and spirit, and also involves giving support to the family.
  • It begins when illness is diagnosed, and continues regardless of whether or not a child receives treatment directed at the disease.
  • Health providers must evaluate and alleviate a child’s physical, psychological, and social distress.
  • Effective palliative care requires a broad multidisciplinary approach that includes the family and makes use of available community resources; it can be successfully implemented even if resources are limited.
  • It can be provided in tertiary care facilities, in community health centers and even in children’s homes.

What Services Are Coordinated by a Program of Palliative Care?

Palliative care is specialized medical care coordinated with community supports designed to focus on providing relief from the symptoms and stressors imposed by serious illness. The following features characterize palliative care philosophy and delivery:

  • Care is provided and services are coordinated by an interdisciplinary team;
  • Patients, families, palliative and non-palliative health care providers collaborate and communicate about care needs;
  • Services are available concurrently with or independent of curative or life-prolonging care;
  • Patient and family hopes for peace and dignity are supported throughout the course of illness, during the dying process, and after death

Services address life planning, community care specialties, referrals and program eligibility management, insurance coordination, nursing, occupational or physical therapies, pain management, social supports, psychological and mental health supports, spiritual supports, diet, nutrition, and disease management education, assistive technology and home modifications. These include-

Physical problems. (the symptoms or side effects)

Treatments may include:

  • Medicine
  • Nutritional guidance
  • Physical therapy
  • Occupational therapy
  • Integrative therapies

Emotional, social, and coping problems. Patients and their families face stress during illness that can lead to fear, anxiety, hopelessness, or depression. Family members may take on care giving, even if they also have jobs and other duties.

Treatments may include:

  • Counseling
  • Support groups
  • Family meetings
  • Referrals to mental health providers

Practical problems. Some of the problems brought on by illness are practical, such as money- or job-related problems, insurance questions, and legal issues. A palliative care team may:

  • Explain complex medical forms or help families understand treatment choices
  • Provide or refer families to financial counseling
  • Help connect you to resources for transportation or housing

Spiritual issues. When people are challenged by illness, they may look for meaning or question their faith. A palliative care team may help patients and families explore their beliefs and values so they can move toward acceptance and peace.

 

What is the Difference Between Palliative Care and Hospice?

Palliative medicine is a medical subspecialty provided by doctors who offer palliative care for people who are seriously ill. Palliative care relieves suffering and improves quality of life for people of any age and at any stage in a serious illness, whether that illness is curable, chronic, or life-threatening.  It is not necessary to be at the end stage of illness (3-6 mos prior to impending death) to receive or benefit from palliative care services.

 

Who Should Receive Palliative Care Supports?

Patients panic when they hear “palliative care” and think it means they are dying. But palliative isn’t only for people who are chronically or terminally ill, and it is not the same as hospice care. Palliative care may be offered for people with illnesses, such as, but not limited to:

  • Cancer
  • Heart, lung, or kidney diseases
  • Dementia or Alzheimers
  • HIV/AIDS or cancer
  • Neuromotor diseases such as Parkinson’s, ALS (amyotrophic lateral sclerosis), Muscular dystrophy, or Multiple sclerosis.
  • Injuries that arise from trauma or medical harms
  • Any chronic disease that results in the need for long term coordinated care of medical and community supports for an extended period.

 

When Should Palliative Care Begin?

Palliative care should be considered whenever a determination is made that the a disease or injury is present that requires multiple services coordinated over a long period of time in order to optimize care, treatment and quality of  life.  The goal of palliative care is to place the right resources at the disposal of the patient and the care team to ensure that services delivered optimize targeted treatment goals and outcomes while helping the individual and family to remain as independent as possible in the care that is provided.

For the chronic pain patient, this may mean beginning care when treatment and pain management require intensive supports through a combination of modalities that require risk management and coordinated inputs from multiple specialty providers working in concert to assure that patient’s desires and outcomes are monitored.

 

Palliative Care and the Person with Chronic Pain Generating Diseases

Palliative care in America is not uniformly available or consistently provided to eligible individuals. This is a function of state regulatory implementation, insurer limitations, and access to trained and knowledgeable medical professionals and carers.  To investigate the availability and implementation of palliative care services in your state, look to these links-

https://www.nhpco.org/sites/default/files/public/palliativecare/corporate-practice-of-medicine-50-state-summary.pdf

Palliative care: The legal and regulatory environments parts I & II

https://www.nhpco.org/sites/default/files/public/palliativecare/legal_regulatory_part1.pdf

https://www.nhpco.org/sites/default/files/public/palliativecare/legal_regulatorypart2.pdf

Click here to look for qualified provider organizations and practitioners

What Are the Limitations and Access Issues Associated with Palliative Care in the USA?

Palliative care is an important service for persons with chronic illness. It not only improves patient outcomes but it prevents secondary and tertiary harms from poor handoffs between specialty treatment providers.  It also prevents duplication of services and helps to control costs of care. But it is not uniformly available.  As an essential service it is plagued by uneven regulation and resource allocations across the states.  Some states do not have enough trained medical providers, and some states have lost providers due to reimbursement by insurers for the services provided.  On the whole, insurers limit provider choices through narrow networks which may in turn result in capitation or rationing of care to fewer people than the number that actually need the service.

What is certain is that the population is aging and needs are greater than ever. Not only is medical education a critical need but so is opening of regulatory process to allow eligible persons access across the lifespan as their care needs change. Persons with chronic pain generating syndromes often find themselves dealing with multiple diagnoses that will benefit for multidisciplinary approaches including palliative care.

For more information visit:

RSD Is An Angry Ocean – Why It’s Okay to Be Angry

RSD is an angry ocean according to Sara
Artwork done by Sara’s daughter

Written by Guest Blogger Sara

We love to post uplifting stories about people living with CRPS/RSD. But, what about the moments where it is nearly impossible to be positive? Do we let that go unnoticed, or should we reach a point of acceptance that RSD comes with a range of emotions. Sara covers her feelings on RSD and how it is like an angry ocean.

Each day, I face the endless ocean, scanning the horizon, tipping my head to the sky searching for signs of storms.  Will the currents be calm, allowing me to drift easily under a sunny sky with my aching and ancient bones; or will the storms clouds gather, thunder booming, lightning splitting the horizon with the surf threatening to pull me under?  Navigating life with RSD is a lot like diving into the vast ocean.  It’s nearly impossible to comprehend the depth, vastness and magnitude of it; and it’s practically alive.  One day calm and “background”, other days it’s a Category 5 Hurricane, tearing apart cities and wiping entire towns off maps.

The days I find the hardest are the days I wake up angry.  On the surface, all appears calm.  There is nothing that screams out “BE ANGRY,” and yet, I am.  I’ll try to shake off the feeling, the same way I try to shrug off the buzzy hands, the stiff joints, the swollen limbs and yet, it won’t go away.  I open my browser and as I scroll through my various feeds – Facebook, Instagram, blogs; that angry itch grows.  So many people doing things that I miss being able to do, writing about accomplishing x, y, and z while having an autoimmune and loving life.  I’m left feeling like a failure.  I’m struggling to keep up with the basics.  I’m frustrated and angry. I’m angry that I’m angry; I’m guilty that I’m angry.  I’ve got a list a mile long and for that, yes, I again feel guilty.  While others lead off with, “So grateful to my autoimmune- it’s forced me to slow down and now I smell the roses, enjoy time to knit, learn coding and Chinese, and am grateful to watch each sunset as I haven’t let this stop me or take my happy away!” I’m left feeling frustrated and sad as my list goes more like: “Struggling to find a doctor locally to work with my main RSD doctor, depressed by the amount of medications I have to take, angry and depressed from my Spinal Cord Stimulator (SCS) and the pain and discomfort it causes me, the isolation and loneliness I experience, hearing “but you look fine,” trying to make my body listen to me and like a stubborn child it ignores my command, my treatment is less effective every year, the punishment I get from my body when I push too hard and do too much, the length of time to recover when I do push too hard and do too much, feeling like I’m sitting on the sidelines of life rather than being fully engaged as I once was, being bone tired, yet sleep evades me due to the pain, there is no cure, there is no cure, there is no cure.”

As you can see, my list is less than cheery.  I’ve struggled with feeling like a failure as a result.  Feeling as though I wasn’t dealing with my disease properly.  I spent so much extra energy, time, and stress trying to push my feelings of anger down, away, anywhere really, except express it.  Finally, on a trip to the beach, with the sun beating blissfully down and warming my sore bones, the answer came to me.  As I idly read the beach signs, a thought occurred to me.  Anger is much like a rip current.  The ocean may look calm but you can still get caught in the undertow.  They are powerful and not to be ignored.  If you struggle against a rip, you can tire yourself out and drown, which is how I was feeling trying to bury my feelings of anger and frustration.  Instead, go with it.  Eventually you will get out of the rip and make your way to shore again.  Isn’t that what we are all trying to do?  Make our way home.  On the days that I’m experiencing anger, hurt, frustration, I let those feelings out.  This fall will be 19 years since RSD walked into my life and shattered any sense of normalcy.  After nearly 20 years you would think that I would be accustom to this beast.  After all, I’ve had it for more than half of my life.  The answer is a resounding NO!!!  I still rail against it, go back to the day and rewind it in my mind as if I could make it stop, think of the years lost as my ortho told me that the surgery went great and all was fine as I fell apart.  Some days, I can put those feelings in a box and on a high shelf, other days they spill out and I have to deal with them.  My advice: be angry, be mad, let it out.  RSD is so difficult to deal with and it’s a wily beast.  It takes every ounce I have and nearly all of my spoons to get through my day.  Why waste any of those precious spoons or energy pushing away a completely valid feeling?  It would be the same as experiencing a very sad event in your life and doing the old “stiff upper lip, buck up buttercup” approach.  Hardly helpful and certainly not doing an ounce of good.  When you are angry, I say let yourself be angry.  If you wake up 1 week in or 40 years in from your diagnosis and you are mad that you have RSD and you have to deal with the pain and problems associated – be mad!  Let yourself be angry!  My children have a book that talks about their emotions, how they can be happy, sad, mad, excited.  “If you are mad or sad, that’s ok, it won’t last forever.”  I love that book.  It acknowledges that you can have the less than happy emotions, while saying that it’s ok, and that they won’t last forever.

While seeking out the good vibe blogs is a wonderful thing and I do love a silly animal video, I also think that reading raw, real blog accounts is equally important.  Life is hard enough, before throwing in something like RSD.  Be kind, and let yourself feel the entire range of emotions.  If you’re mad, be mad however that is to you, whether that’s screaming, breaking something, writing something, whatever you need to do to channel your anger.  Let it out, don’t swallow it down, in my experience that will only create another current to swim against.  Go with the flow of your emotion, and when the feelings subside, make your way back to the beach.

Cheers to being angry!

To read more of Sara’s writing, please visit her blog by clicking here!

Knock Out Pain Together – An Inspirational Story of Coming Together

Sarah Phillips-O’Steen is an ally to the CRPS community. Ever since she was 2 years old, she has been witnessing what CRPS/RSD can do to a loved one. Her father, Julian Phillips, has been living in pain since his daughter was toddling around. As Sarah will tell you, he’s always been good at hiding his pain, but she has never known him without it.

In January 2015, Julian took a terrible fall that sent him into one of the worst CRPS/RSD flare ups that he had ever experienced. This guided him into full body CRPS. While Julian was spending time in hospitals, fighting the pain, Sarah witnessed some of the grim realities that come with CRPS. Medical staff didn’t know how to handle a person in so much pain, never mind the fact that they even had the slightest idea of what CRPS/RSD was. Sarah decided enough was enough. While sitting by her father’s bedside during a ketamine infusion, she started researching awareness event ideas, primarily benefit 5k’s. She stumbled upon a 5K in Charlotte, NC that benefitted RSDSA- Fight the Flame 5K. Sarah then immediately reached out to them and established a friendship with the Stillitano family. Once Julian was released from the hospital, Sarah approached him and her family with the idea to do a 5K and to fundraise for RSDSA. Julian wanted to take it a step further and start a support group for those suffering from all types of chronic pain. Thus, Knock Out Pain was born. It is a full out family affair. Julian and Sarah’s mother work on the support group, while Sarah, her siblings (Craig and Hannah), and other family members work on fundraising and awareness. They held their first benefit that March in Trexlertown, PA.

For Sarah, RSDSA was a natural choice to donate to. According to Sarah, RSDSA has done and continue(s) to do some great things. When needing guidance to start this project, RSDSA Executive Vice President and Director Jim Broatch was there, supporting and helping her get the right contacts and start on the right foot.

Knock Out Pain 5K and 1 Mile Fun Walk will be taking place on September 17, 2017 in Easton, PA. This is their 3rd fundraising sports event and 2nd 5K. Last year, with their first 5K, they were thrilled with the 50+ participants and their hope is that they can double that figure this year. What makes this event stand out is that it’s the only 5K in the Lehigh Valley that benefits RSDSA AND it is a small family event. It is a wonderful demonstration of what happens when we are all able to come together to support a loved one in need. Sarah will tell you that the event is not a giant event that you’ll get lost in the crowd in, but it’s an event to bring people together and to make people aware of this disease that affects people worldwide, although little have heard of it. You can be the next Usain Bolt or you can be the polar opposite. All levels of runners and walkers are welcome at this event.

The overall goal of the 5K is to raise awareness for CRPS. That is the goal for the entire family. Sarah’s personal goal is to make her father proud and touch at least one person’s life. She hopes people walk or run (no pun intended) away from this 5K armed with knowledge that there are more diseases out there that impact people and their families that deserve time and attention, too! Sarah wants to make sure that people realize that diseases can be invisible and we all need to remember we shouldn’t judge anyone until we walk a day in their shoes.

Knock out pain together and join this event to help make changes in the lives of those with CRPS/RSDMaking it more of a family affair, Sarah has stated that she never would have started this had it not been for her husband supporting her through and through. They have an amazing 5K committee that includes friends of theirs on top of family- Rob, Aubrey, Mike, and Kathy. Other friends continue to support them behind the scenes by sponsoring, campaigning, web designing, graphic designing, and being a shoulder to lean on when times get stressful or emotional.

While Julian is Sarah’s number one inspiration, when she stops and thinks, she sees all of the other people and reasons that she puts on Knock Out Pain 5K. Her mother has dedicated her life to being by Julian’s side through surgeries, medications, frustrations, setbacks, and more and has continuously changed her own life around so Julian could have more of a “normal life.” Sarah states that her mother is an inspiration of what a true wife/mother/grandmother should be. Then, there are two men that have the same hopes, dreams, and desires as Sarah, which is that everyone will know of CRPS one day. Those men are her husband, Kyle, and brother, Craig.  They continue to push her and support the cause, all while working tirelessly with Sarah to make Knock Out Pain something. But, Sarah also does this for her kids and youngest sister, Hannah. The inspire her to set a good example of what a leader looks like. She wants to encourage them to set goals and achieve them, no matter what obstacles may appear.

Participating in awareness and fundraising events is important. Giving back to the cause that helps families and individuals affected by this monstrosity of a disease is important. Sarah likes to give back to those that need it. Both Sarah and her husband feel they have been blessed throughout their lives by the kindness of others, and now is the time to pay it forward.Running a Knock Out Pain event for CRPS awareness and fundraising

As Sarah stated, “What do you have to lose?” Join us at Knock Out Pain 5K on September 17, 2017. It will be a fun morning getting some exercise and/or meeting new people while learning more about CRPS. You can register for this event by clicking here. If you cannot make it out to the event, you can also give a general donation to this walk.

We are incredibly inspired by the entire Phillips/O’Steen family. Thank you to Sarah, Julian, and the rest of the family for taking on such amazing tasks within the CRPS/RSD community and for continuing to give back.  Help them help you and others with CRPS! Let’s Knock Out Pain together!

RSD and Me – A New Full Time Job

Living with RSD can feel like a full time job. How can you adapt to the changes and make a positive difference in your life with RSD/CRPS?Written by Guest Blogger Sylvia Miller

Being diagnosed with RSD CRPS can cause people to go through a range of emotions: denial, frustration, confusion, sadness, incompleteness, etc. Sylvia writes about what it was like trying to find an answer that wasn’t RSD/CRPS. What happens after the RSD diagnosis? How can you impact your life regardless of the pain?

3 years ago, I suffered a fall and fractured my ribs.  From that point forward, it seemed to be that I reached out to any doctor to [try to] understand the pain I encountered.   A physician diagnosed me as having RSD, but I thought, surely, this doctor is wrong.  So, I continued to research and search for any understanding about RSD and locate any physician to tell me I did not have RSD.  The news I dreaded hearing confirmed I was diagnosed with RSD. There is no cure, so, where do you go from the point of diagnosis and what do you do after the diagnosis?   Searching countless and excessive research to help me stop the insanity of the pain became a full-time job.  Having family and friends get a glimpse and understanding what I was dealing with was a full-time job.

I was placed out of work and my new full-time job became searching for answers and searching for doctors to help me.  From injections to consults with no relief.  Grasping out to every newspaper, government official and talk show host to spread awareness and no response.  Feeling alone and trying to get family members, friends, acquaintances to understand this disease.   This truly is a full-time job.   I believe unless you experience something yourself, you can truly never understand the depth.

Cancelling plans with friends and family has been consistent as the pain permits me from participating in activities. Finding new ways to do simple household chores has become a challenge but you reinvent a new way to handle. Anxiety has now become an issue. From physical therapy to Yoga to walking, trying anything to keep me occupied in hopes the pain will come to a halt.  Feeling alone has become the new reality.

For now, my search continues, but confirmation is that I get through every day and know somewhere there is an answer that will give life back, stop the insanity, and remind myself daily to never ever give up and positivity is a strong force.

My CRPS Experience at the Young Adult Weekend

Jess was one of the young adults at our CRPS retreat. Read about her experiences and why events like this are so importantWritten by Guest Blogger Jess Henry-Cross

Jess was a participant in our very first CRPS Young Adult Weekend this past June. She was more than happy to write a brief blog about her experience and how it changed things for her. Why are events like this so important? Read about what Jess experienced to learn more.

Around 2:30 in the afternoon on Sunday, June 18th I found myself holding back a few (happy) tears.  I was driving home after spending the last 45 hours with a group of women who recharged me in a way I had never even dared to hope for.  I didn’t want the weekend to be over.

I signed up for the RSDSA Young Adult Weekend with one goal – to go kayaking on the Delaware River.  I figured that I would give myself bonus points if I met a person or two who I could have a good conversation with.  One of my worst habits is my constant expectation of disappointment, so imagine my surprise when I walked into this group of brave, beautiful, adventurous, determined, energizing, bad-ass rock stars.  This weekend blew my mind.  The instant connection and pure understanding amazed me.  I had no idea how powerful it would be to venture into a community where others don’t just get [CRPS] RSD, they have [CRPS] RSD.  I guess there really is something to those support groups I’ve heard about!

This ended up being a collaborative weekend where we all learned from and challenged each other.  Some of us learned what our limits are and some of us expanded our limits.  We had crucial talks on advocating for ourselves, whether it be in a doctor’s office, with an insurance company, on a college campus, out in the workforce, in a restaurant where the music is too loud, and even within our own groups of family and friends.  There were midnight talks in hotel rooms, the contents of which will never leave those four walls.  We shared and brainstormed tips and tricks for forming and maintaining relationships, self-care, transitioning from being a child with chronic pain to being an adult with chronic pain, sneaking into a wedding reception, and making the best s’more.  I’m so proud to say that we all found adventure in some form on the Delaware River.  Jess, who has been living with CRPS for 8 years, was able to fulfill her goal of kayaking in the Delaware during the young adult retreat

Over the last 8 years I have accumulated a lot of different things in my “living with RSD” toolkit.  I’ve managed to find some great doctors, I have friends and family that support me, and I have access to a constant rotation of various treatments that keep me moving and grooving (and hopefully some more kayaking).  I’ve come a long way from the darker days of my original diagnosis, but up until this weekend I was still too stubborn to admit that I needed to connect with a community that fully understood the burning pain I feel in my bones and the brain fog that steals my precious time.  I think my toolkit took a hint from The Grinch and grew several sizes to fit in this remarkable group of new connections.  I wish I could go back to freshly diagnosed 20-year-old me and tell her to do more than just ‘like’ a few Facebook pages and subscribe to a newsletter.  To anyone out there who has never reached out for support, this is your sign – do it!  To RSDSA – keep doing things like this.  Keep bringing us together.  The hugs may be gentle, but the support is fierce and life changing.

If you would like to donate to help make a Young Adult Weekend happen again, please visit rsds.org/donate!

How CRPS Is Like a Wailing Alarm That Never Shuts Off

Roberta explains how CRPS to her can be like a wailing alarm that never shuts off. What does this mean for your mentality and for your pain levels?Written by Guest Blogger Roberta Hierath

This blog about CRPS being a wailing, screaming alarm that never shuts off was originally featured on The Mighty. We were given permission to post it as a part of #TheTuesdayBurn, especially since it explains the overwhelming feelings that CRPS can bring on.

One thing I’ve learned in seven years of living with Complex Regional Pain Syndrome is that there is almost no one in the regular course of my life who truly understands what constant, unwavering and intense pain really feels like. I am glad for that fact as I wouldn’t wish this on anyone, but it does make it harder for people to relate to my daily experience. So I am going to try to do my best to explain.

First, it may be helpful to explain, in very generalized fashion, what CRPS is at its core. Now remember, I am a patient, not a doctor, and nothing I am explaining should be considered medical advice or opinion. Basically, complex regional pain syndrome is a malfunction of the autonomic and central nervous system. The autonomic nervous system regulates fight-or-flight along with body temperature and other systemic functions. In CRPS this system gets activated and cannot be turned off, resulting in a feedback loop of pain signals.

The example my pain doctor gave me when I was diagnosed was to think of the big, initial flare of pain you get when you burn your finger or stub your toe, something everyone can relate to. Now imagine some crossed wires in your body become unable to turn off that warning system. That initial pain flare, enough to cause you to jerk your hand away from the flame, or jump around cursing your stubbed toe, never goes away. That warning system has now gone into overdrive – warning you of an injury that no longer exists. And it never stops trying to warn you. Ever.

One of the ways I like to explain it is that it is like a car alarm that malfunctions and can’t be stopped. It wails and screams its warnings and nobody has the code to turn it off. How long would it be before you felt yourself getting annoyed? Frustrated? Distracted? Overwhelmed? Angry? You can maybe close the window, or put earplugs in to try and lower the volume, or turn on the stereo or TV to try and drown it out, but you just can’t escape that wailing, screaming warning. You’ve been to the mechanic, many mechanics actually, and there’s nothing wrong with the car that they can find. They’ve run every test, tried everything they can think of to try to disrupt it, but the car just won’t stop sounding the alarm.

Now imagine you have to keep this malfunctioning car for the rest of your life and it is always within ear shot. You can’t walk away from it. It follows you everywhere. And the alarm never stops. Screaming, wailing, warning of an emergency that isn’t there… Warning!!! Danger!!! Warning!!! Danger!!! Warning!!! Danger!!! Warning!!! Danger!!! Warning!!! Danger!!! Feeling any stress or anxiety yet? That is CRPS in a nutshell. We can takes medication to help manage the pain or help us sleep, but it really can only serve to dampen the “noise,” if you are lucky.

Now I know any rational person would get as far away from that car as humanly possible, but that isn’t an option for me. That screaming, wailing warning is constantly in my head and in my shoulder, neck and back in the form of pain. Burning pain, stabbing pain, aching pain, stinging pain, crushing pain, simultaneously red hot and ice cold. And very, very, loud. There are other symptoms, too, but pain is the big one. And it’s intense. The most intense pain known to man according to the McGill Pain Index, a scientific measurement for pain created by McGill University in 1971.

For most people there is an inciting event such as an injury, broken bone, sprain or surgery, like me. In many cases it can spread to the opposite limb, up or down the arm, leg or spine, and can even spread throughout the entire body and internal organs. It can cause changes in skin color and temperature, excessive sweating, swelling, weakness, muscle spasms, altered hair and/or nail growth, muscle atrophy, short-term memory issues, depression, anxiety and the list goes on. Not everyone has every symptom and some symptoms come and go, but the pain never wavers. There is currently no cure. There are many treatments intended to help reduce pain and in some cases allow for full or partial remission, often temporary. But mostly treatment is aimed at managing pain and keeping or restoring as much function as possible.

It isn’t always easy dealing with the pain, weakness and disability that comes along with a CRPS life, but I do have my ways of getting by and enjoying some quality of life. I hope this helps people understand a little better what complex regional pain syndrome is and what it’s like to live with this horrible disease.

Take a moment to read this story on The Mighty.

7 Things I Can Do When The Pain Is Too Much – CRPS Blog

What are things you can do when your CRPS pain is too much? Kelly blogs about what she does as inspiration to youWritten by Guest Blogger Kelly Hodgkins

This blog was originally posted on Moonglotexas. Click here to view the original post. This post, entitled “7 Things I Can Do When The Pain Is Too Much” was posted with permission and offers great insight into things that you can do, or try to do, when your CRPS/RSD pain feels like too much.

My CRPS has a habit of flaring up on days I’ve made plans to do fun things that rejuvenate my soul. Snuggled up under my duvet, I visualize the landscape before me trotting along on my horse. I rearrange flower beds, trim branches and try out that great idea from a book. Coffee in hand, I catch up with a friend at the local bakery. It’s all before me and I’m ready to go until I step out of bed!

The nausea rises, the room rotates slowly to the left, a throbbing fills the joints of my hand and a bone-deep fatigue makes the walk to the couch a challenge. A whole day’s plan goes out the window, it’s just not possible. One of the biggest lessons CPRS has taught me is to take each day on its merits and work out, based on how I’m feeling, what can I do today. I still feel the disappointment, particularly about seeing my horse, but working out what I can do has helped make those long days bearable and mostly still fun!

So, here are the seven things I can do when I’m in too much pain to leave the house but not so much that I’m bedridden:

  1. Take a garden gander – still in my PJs, I pull on my gum boots (they are bright pink and clash beautifully with my outfit – quite the sight for the neighbours) and follow my two exhuberant German Shepherds out the front door. My mom has made me my favorite brew and we breathe in the fresh air and the beauty around us. The garden is full of small changes, tiny incremental shifts which I find so encouraging. Spotting that centimeter of new growth, the bright shine to a new leaf or a bud about to bloom but not quite yet, makes it a gentle adventure. Dancing about chasing bugs and following birds, Bessie and Teddy always make me chuckle. Some days, at the end of the front garden tour, I’m too tired to continue so, cuddled up on my verandah chair, I just sit and listen to the sounds of croaking frogs and birds in song.
  2. Bake a sweet treat –  I read research that said just the smell of freshly baked goods eases pain and I’m all for that, though consuming it is a favorite part too. I have several simple recipes that don’t take long or take much work and that, combined with a Kenwood mixer and my mom, make it possible. Today was a chocolate cake: all the ingredients in a bowl, mix, bake, scoff!
  3. Read a great novel – well-crafted books pull me into a new world, surround me with new friends and take me on adventures, all from the comfort of my couch (hot water bottle and blankie required). One of the reasons this blog focuses on books is because of the immense joy they bring me when I’m in pain. I’ve come to appreciate so many different genres as I’ve read more and now enjoy a good Christian romance as much as a historic who-dun-it. Some days the migraines or the tired eyes take exception to reading so then I rely on audible books and now even prefer them for some of my stories. Barbara Rosenblat reading Amelia Peabody’s adventures is a treat and you can’t go wrong with Juliet Stevenson and a classic like Austen.
  4. Connect with friends – being confined to home can feel isolating but the world we live in allows us to reach out. On tough days, a conversation via WhatsApp with a friend, a chat on a Facebook post or sharing an article from Twitter allows me to be a part of their day and breaks up mine.
  5. Exercise – I’m not talking about the sweat-breaking, heart racing type but rather the slow movements that release muscles, relieve aches and fight inflammation. I asked my biokineticist for a routine of migraine and neck pain relief exercises which takes 5 minutes to complete but regularly prevents me from needing to take more pain medication.
  6. Rewatch a great series – whether it’s Downton Abbey, Miss Fisher’s Mysteries or Emma, certain TV shows just feel like home and make me sigh with comfort. Familiar scenes and favourite lines relax and engage my mind for a few hours. I like movies but they always leave me trying to think what to watch next (exception made for epics like Harry Potter and Fast and the Furious of course) whereas a series promises hours and hours of endless diversion.
  7. Prayer and meditation – when the lows of the day hit, when the pain peaks or distraction fails, quiet time with God soothes my soul best. I have a 20 minute guided meditation on my phone and Summer Gross’ videos on YouTube are great too, headphones in, I focus on the words. Sometimes, the silence and darkness is just right too.

When these days happen, for those of you who suffer from chronic pain, I hope this inspires you! For those of you who don’t, but read this, I hope this explains a little about our rough days and where you can help.

Don’t forget to check out Moonglotexas by clicking here. More great articles in her blog!