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Livvie,

Didn't u mention a fluid filled cyst before? That can b a syrinx, which can

cause rapid decline & out of control pain & spasms. I went from walking

unaided & managed pain to marginal ability to walk even with AFOs & forearm

crutches & uncontrolled pain in 2 months. Arachnoiditis could also

contribute to these symptoms. If they say they can't find anything on the

scan, it may b exploratory surgery. My second was. And he found retethering

& more scar tissue & arachnoiditis than he could imagine.

Sent from my iPhone

You may or may not know that my daughter Beth was a Duke with increased

weakness in both legs and unmanaged pain. Duke got her on a pain regimen

and transported her to rehab to try and increase strength in the legs.

While at Duke she was walking about 80 ft, take a few steps, sit, take a few

steps, sit, you know. When she got the rehab she could not take more than 3

or 4 steps and began having headaches when she would get up or move any.

That was last week on Thursday and Friday, by Saturday she could not hold

her own weight, they had to have one person at each side of the gait belt to

keep her up, and her pain was uncontrolled again. We are now back at Duke

and the Dr.'s are saying they are going to try to get to bottom of things,

that tethered cord is usually more of a gradual decline. To me her being

able to walk unaided in Sept, Oct and then in Nov graduating to a cane, and

down hill since is pretty quick. Rehab did a ssecond MRI

yesterday to compare with what had been done two weeks ago. No changes!

Anybody have experiences with a rapid decline? We are very frustrated and

just want some answers.

Livvie

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She has also been complaining of pain in the tail bone area.  She has SB

Occulta, so there is no cushion in that area.  Any ideas on that one?

You may or may not know that my daughter Beth was a Duke with increased

weakness in both legs and unmanaged  pain.  Duke got her on a pain regimen

and transported her to rehab to try and increase strength in the legs.

While at Duke she was walking about 80 ft, take a few steps, sit, take a few

steps, sit, you know.  When she got the rehab she could not take more than 3

or 4 steps and began having headaches when she would get up or move any.

That was last week on Thursday and Friday, by Saturday she could not hold

her own weight, they had to have one person at each side of the gait belt to

keep her up, and her pain was uncontrolled again.  We are now back at Duke

and the Dr.'s are saying they are going to try to get to bottom of things,

that tethered cord is usually more of a gradual decline.  To me her being

able to walk unaided in Sept, Oct and then in Nov graduating to a cane, and

down hill since is pretty quick.  Rehab did a ssecond MRI

yesterday to compare with what had been done two weeks ago.  No changes!

Anybody have experiences with a rapid decline?  We are very frustrated and

just want some answers.

Livvie

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Was there anything that precipitated the decline - a fall, stumble, a bend-over

where she remembers feeling something? I've read about extreme rapid onset of

decline so surprised that Duke isn't seeing it as that, but maybe if there isn't

an " event " that set it off they're hesitant to say it's definitely the tether?

Kathy

Rapid Decline

You may or may not know that my daughter Beth was a Duke with increased

weakness in both legs and unmanaged pain. Duke got her on a pain regimen and

transported her to rehab to try and increase strength in the legs. While at

Duke she was walking about 80 ft, take a few steps, sit, take a few steps, sit,

you know. When she got the rehab she could not take more than 3 or 4 steps and

began having headaches when she would get up or move any. That was last week on

Thursday and Friday, by Saturday she could not hold her own weight, they had to

have one person at each side of the gait belt to keep her up, and her pain was

uncontrolled again. We are now back at Duke and the Dr.'s are saying they are

going to try to get to bottom of things, that tethered cord is usually more of a

gradual decline. To me her being able to walk unaided in Sept, Oct and then in

Nov graduating to a cane, and down hill since is pretty quick. Rehab did a

ssecond MRI

yesterday to compare with what had been done two weeks ago. No changes!

Anybody have experiences with a rapid decline? We are very frustrated and just

want some answers.

Livvie

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Kathy,

She has a pretty nasty fall back in October.  She was bruised but ok.  About a

month later she ended up with Cellulitis in her left arm, Dr said not related,

but it just seems odd to me that it was in the same area where the bruise from

the fall was.  Really her pain has not been controlled for two years.  The

only time she has had pain control she has been on huge doses of narcotics and

slept alot.  There was no quality of life, and we decided she needed to try

something else.  The Dr. initially thought the decline was related to

inactivity from pain.  But, I just don't think so.  Back in the fall she was

fairly active even with the pain.  Then she got to where she couldn't walk

without her walker, been downhill since.

Subject: Re: Rapid Decline

To: tetheredspinalcord

Date: Wednesday, January 26, 2011, 5:23 PM

 

Was there anything that precipitated the decline - a fall, stumble, a

bend-over where she remembers feeling something? I've read about extreme rapid

onset of decline so surprised that Duke isn't seeing it as that, but maybe if

there isn't an " event " that set it off they're hesitant to say it's definitely

the tether?

Kathy

Rapid Decline

You may or may not know that my daughter Beth was a Duke with increased weakness

in both legs and unmanaged pain. Duke got her on a pain regimen and

transported her to rehab to try and increase strength in the legs. While at

Duke she was walking about 80 ft, take a few steps, sit, take a few steps, sit,

you know. When she got the rehab she could not take more than 3 or 4 steps and

began having headaches when she would get up or move any. That was last week on

Thursday and Friday, by Saturday she could not hold her own weight, they had to

have one person at each side of the gait belt to keep her up, and her pain was

uncontrolled again. We are now back at Duke and the Dr.'s are saying they are

going to try to get to bottom of things, that tethered cord is usually more of a

gradual decline. To me her being able to walk unaided in Sept, Oct and then in

Nov graduating to a cane, and down hill since is pretty quick. Rehab did a

ssecond MRI

yesterday to compare with what had been done two weeks ago. No changes!

Anybody have experiences with a rapid decline? We are very frustrated and just

want some answers.

Livvie

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I went downhill (pain and neuro - but not to the point where I couldn't walk)

after a car accident. That's why I was wondering - and even this time, with the

decline I'm experiencing, every specialist I see, the first thing they ask is if

I can remember anything that precipitated this decline. I fell just before

decline became rapid, but I was also in a decline status before the fall ...

Please keep us updated, especially about the cyst. I'm in NC - about an hour or

so west of Duke - but if you need anything, let me know.

Kathy

Rapid Decline

You may or may not know that my daughter Beth was a Duke with increased

weakness in both legs and unmanaged pain. Duke got her on a pain regimen and

transported her to rehab to try and increase strength in the legs. While at Duke

she was walking about 80 ft, take a few steps, sit, take a few steps, sit, you

know. When she got the rehab she could not take more than 3 or 4 steps and began

having headaches when she would get up or move any. That was last week on

Thursday and Friday, by Saturday she could not hold her own weight, they had to

have one person at each side of the gait belt to keep her up, and her pain was

uncontrolled again. We are now back at Duke and the Dr.'s are saying they are

going to try to get to bottom of things, that tethered cord is usually more of a

gradual decline. To me her being able to walk unaided in Sept, Oct and then in

Nov graduating to a cane, and down hill since is pretty quick. Rehab did a

ssecond MRI

yesterday to compare with what had been done two weeks ago. No changes!

Anybody have experiences with a rapid decline? We are very frustrated and just

want some answers.

Livvie

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Thanks Kathy!  I will keep you guys posted.

Subject: Re: Rapid Decline

To: tetheredspinalcord

Date: Wednesday, January 26, 2011, 5:23 PM

Was there anything that precipitated the decline - a fall, stumble, a bend-over

where she remembers feeling something? I've read about extreme rapid onset of

decline so surprised that Duke isn't seeing it as that, but maybe if there isn't

an " event " that set it off they're hesitant to say it's definitely the tether?

Kathy

Rapid Decline

You may or may not know that my daughter Beth was a Duke with increased weakness

in both legs and unmanaged pain. Duke got her on a pain regimen and transported

her to rehab to try and increase strength in the legs. While at Duke she was

walking about 80 ft, take a few steps, sit, take a few steps, sit, you know.

When she got the rehab she could not take more than 3 or 4 steps and began

having headaches when she would get up or move any. That was last week on

Thursday and Friday, by Saturday she could not hold her own weight, they had to

have one person at each side of the gait belt to keep her up, and her pain was

uncontrolled again. We are now back at Duke and the Dr.'s are saying they are

going to try to get to bottom of things, that tethered cord is usually more of a

gradual decline. To me her being able to walk unaided in Sept, Oct and then in

Nov graduating to a cane, and down hill since is pretty quick. Rehab did a

ssecond MRI

yesterday to compare with what had been done two weeks ago. No changes! Anybody

have experiences with a rapid decline? We are very frustrated and just want some

answers.

Livvie

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I agree, they may just have to go in and see whats going on. What meds is she

on?

You may or may not know that my daughter Beth was a Duke with increased

weakness in both legs and unmanaged  pain.  Duke got her on a pain regimen

and transported her to rehab to try and increase strength in the legs.

While at Duke she was walking about 80 ft, take a few steps, sit, take a few

steps, sit, you know.  When she got the rehab she could not take more than 3

or 4 steps and began having headaches when she would get up or move any.

That was last week on Thursday and Friday, by Saturday she could not hold

her own weight, they had to have one person at each side of the gait belt to

keep her up, and her pain was uncontrolled again.  We are now back at Duke

and the Dr.'s are saying they are going to try to get to bottom of things,

that tethered cord is usually more of a gradual decline.  To me her being

able to walk unaided in Sept, Oct and then in Nov graduating to a cane, and

down hill since is pretty quick.  Rehab did a ssecond MRI

yesterday to compare with what had been done two weeks ago.  No changes!

Anybody have experiences with a rapid decline?  We are very frustrated and

just want some answers.

Livvie

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I had rapid decline like that after a chiro adjustment.

Subject: Re: Rapid Decline

To: tetheredspinalcord

Date: Wednesday, January 26, 2011, 4:23 PM

 

Was there anything that precipitated the decline - a fall, stumble, a bend-over

where she remembers feeling something? I've read about extreme rapid onset of

decline so surprised that Duke isn't seeing it as that, but maybe if there isn't

an " event " that set it off they're hesitant to say it's definitely the tether?

Kathy

Rapid Decline

You may or may not know that my daughter Beth was a Duke with increased weakness

in both legs and unmanaged pain. Duke got her on a pain regimen and transported

her to rehab to try and increase strength in the legs. While at Duke she was

walking about 80 ft, take a few steps, sit, take a few steps, sit, you know.

When she got the rehab she could not take more than 3 or 4 steps and began

having headaches when she would get up or move any. That was last week on

Thursday and Friday, by Saturday she could not hold her own weight, they had to

have one person at each side of the gait belt to keep her up, and her pain was

uncontrolled again. We are now back at Duke and the Dr.'s are saying they are

going to try to get to bottom of things, that tethered cord is usually more of a

gradual decline. To me her being able to walk unaided in Sept, Oct and then in

Nov graduating to a cane, and down hill since is pretty quick. Rehab did a

ssecond MRI

yesterday to compare with what had been done two weeks ago. No changes! Anybody

have experiences with a rapid decline? We are very frustrated and just want some

answers.

Livvie

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Kathy,

Dr. came in and wants to get a handle on the pain before we go any further. 

Her pain has not been controlled very well in a long time and for the past 6

months not at all.  Therefore, she was very inactive.  I am wondering that

since the majority of the decline took place in rehab, was it the aggressive

PT.  Being up, not necessarily on her feet, but just doing things even in bed

like working with therabands is more than she has done in several months.  The

most activity I have been able to get out of her was walking to the bathroom and

to the kitchen, then she would go right back to bed.  Maybe she did damage

something when she fell in October, and her being forced to be a little more

active sped things up.  I did ask about the " fluid pocket " , he said that it was

not really a fluid pocket but a gray area around the bottom that looked like

possibly where she had started to leak but it had sealed itself.  He is

concerned about the headaches and

the possiblity of a leak now, but the MRI shows no changes.  Doesn't mean

there are not some changes in the area that always look abnormal anyway.  I

guess we just continue to sit, and wait!

Livvie

Subject: Re: Rapid Decline

To: tetheredspinalcord

Date: Wednesday, January 26, 2011, 4:23 PM

 

Was there anything that precipitated the decline - a fall, stumble, a bend-over

where she remembers feeling something? I've read about extreme rapid onset of

decline so surprised that Duke isn't seeing it as that, but maybe if there isn't

an " event " that set it off they're hesitant to say it's definitely the tether?

Kathy

Rapid Decline

You may or may not know that my daughter Beth was a Duke with increased weakness

in both legs and unmanaged pain. Duke got her on a pain regimen and transported

her to rehab to try and increase strength in the legs. While at Duke she was

walking about 80 ft, take a few steps, sit, take a few steps, sit, you know.

When she got the rehab she could not take more than 3 or 4 steps and began

having headaches when she would get up or move any. That was last week on

Thursday and Friday, by Saturday she could not hold her own weight, they had to

have one person at each side of the gait belt to keep her up, and her pain was

uncontrolled again. We are now back at Duke and the Dr.'s are saying they are

going to try to get to bottom of things, that tethered cord is usually more of a

gradual decline. To me her being able to walk unaided in Sept, Oct and then in

Nov graduating to a cane, and down hill since is pretty quick. Rehab did a

ssecond MRI

yesterday to compare with what had been done two weeks ago. No changes! Anybody

have experiences with a rapid decline? We are very frustrated and just want some

answers.

Livvie

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