Tendonitis all over - is it nutrition relation?

2»

Replies

  • tomatoey
    tomatoey Posts: 5,446 Member
    edited October 2015
    rileyes wrote: »
    tomatoey wrote: »
    Of course an Ativan chilled you out and inhibited your anxiety & anticipation of pain before a procedure, making it less painful, that's not surprising.

    I'm not saying anxiety is beside the point in chronic pain, either.

    But to suggest to someone with actually damaged tissue that they should take a chill pill and forget about trying to heal said tissue is both wrongheaded and insensitive.

    It's a part of the pain story, but entirely secondary. That's not to say it wouldn't help, but it won't help as long as the main problem isn't dealt with.

    I know your advice came from a good place, but it's not helpful.
    What procedure? The toothache was all in my head!

    So...

    If all the tests come out normal, it just may be all in the head.

    I've had my share of overuse injuries from repetitive motions that I can pinpoint. But, if I found myself in pain for no particular reason (as in the toothache) I may consult a psychiatrist. Pain can be a symptom of depression or anxiety.

    Was it? Are you sure? Did you see an endo to see if your roots are healthy?

    Did you ever have braces? (the prolonged mechanical pressure can contribute to the creation of pulp stones that interfere with nerve signalling, and cause transient pain - they can also interfere with freezing; if you're hard to freeze, you might have pulp stones. not every dentist looks for them and some of those stones are hard to see.)

    Sinus problems can also cause pain. There are a lot of nerves around the mouth and face. And a lot of dumb or incautious dentists.

    You could have had a real problem like that, that was missed, and masked by the ativan. The cause and issue might have been transient, or might turn up again sometime, who knows.
  • jgnatca
    jgnatca Posts: 14,464 Member
    Just because the pain may be all in the head does not make it any less real or any less debilitating. My son has a chronic illness that is all in his head.

    I understand that some of the mood altering drugs show some success with chronic pain. If it works, hey.
  • cafeaulait7
    cafeaulait7 Posts: 2,459 Member
    I'm on an antidepressant and the pain isn't all in my head, so that's another possible combination that always needs to be considered, lol. Psychologically-caused pain is rarer than just plain old something being wrong (physically).

    Even those 'hysterical fainting' spells of days of old have been tied now to real conditions (POTS). It's not impossible for it to be entirely psychological, but that really is a rare problem to have.
  • rileyes
    rileyes Posts: 1,406 Member
    tomatoey wrote: »
    rileyes wrote: »
    tomatoey wrote: »
    Of course an Ativan chilled you out and inhibited your anxiety & anticipation of pain before a procedure, making it less painful, that's not surprising.

    I'm not saying anxiety is beside the point in chronic pain, either.

    But to suggest to someone with actually damaged tissue that they should take a chill pill and forget about trying to heal said tissue is both wrongheaded and insensitive.

    It's a part of the pain story, but entirely secondary. That's not to say it wouldn't help, but it won't help as long as the main problem isn't dealt with.

    I know your advice came from a good place, but it's not helpful.
    What procedure? The toothache was all in my head!

    So...

    If all the tests come out normal, it just may be all in the head.

    I've had my share of overuse injuries from repetitive motions that I can pinpoint. But, if I found myself in pain for no particular reason (as in the toothache) I may consult a psychiatrist. Pain can be a symptom of depression or anxiety.

    Was it? Are you sure? Did you see an endo to see if your roots are healthy?

    Did you ever have braces? (the prolonged mechanical pressure can contribute to the creation of pulp stones that interfere with nerve signalling, and cause transient pain - they can also interfere with freezing; if you're hard to freeze, you might have pulp stones. not every dentist looks for them and some of those stones are hard to see.)

    Sinus problems can also cause pain. There are a lot of nerves around the mouth and face. And a lot of dumb or incautious dentists.

    You could have had a real problem like that, that was missed, and masked by the ativan. The cause and issue might have been transient, or might turn up again sometime, who knows.

    Really?!!! Somebody is feeling a bit dramatic today. (Just FYI, since it may make you feel better, I get regular dental cleanings and check-ups.) I am not sure why you are exhibiting anti-psychiatry behavior.

    OP: There are pain clinics and groups if you don't want to go directly to a psychiatrist. My SO is regularly consulted by them.
  • rileyes
    rileyes Posts: 1,406 Member
    I'm on an antidepressant and the pain isn't all in my head, so that's another possible combination that always needs to be considered, lol. Psychologically-caused pain is rarer than just plain old something being wrong (physically).

    Even those 'hysterical fainting' spells of days of old have been tied now to real conditions (POTS). It's not impossible for it to be entirely psychological, but that really is a rare problem to have.

    Not rare.
  • tomatoey
    tomatoey Posts: 5,446 Member
    rileyes wrote: »
    tomatoey wrote: »
    rileyes wrote: »
    tomatoey wrote: »
    Of course an Ativan chilled you out and inhibited your anxiety & anticipation of pain before a procedure, making it less painful, that's not surprising.

    I'm not saying anxiety is beside the point in chronic pain, either.

    But to suggest to someone with actually damaged tissue that they should take a chill pill and forget about trying to heal said tissue is both wrongheaded and insensitive.

    It's a part of the pain story, but entirely secondary. That's not to say it wouldn't help, but it won't help as long as the main problem isn't dealt with.

    I know your advice came from a good place, but it's not helpful.
    What procedure? The toothache was all in my head!

    So...

    If all the tests come out normal, it just may be all in the head.

    I've had my share of overuse injuries from repetitive motions that I can pinpoint. But, if I found myself in pain for no particular reason (as in the toothache) I may consult a psychiatrist. Pain can be a symptom of depression or anxiety.

    Was it? Are you sure? Did you see an endo to see if your roots are healthy?

    Did you ever have braces? (the prolonged mechanical pressure can contribute to the creation of pulp stones that interfere with nerve signalling, and cause transient pain - they can also interfere with freezing; if you're hard to freeze, you might have pulp stones. not every dentist looks for them and some of those stones are hard to see.)

    Sinus problems can also cause pain. There are a lot of nerves around the mouth and face. And a lot of dumb or incautious dentists.

    You could have had a real problem like that, that was missed, and masked by the ativan. The cause and issue might have been transient, or might turn up again sometime, who knows.

    Really?!!! Somebody is feeling a bit dramatic today. (Just FYI, since it may make you feel better, I get regular dental cleanings and check-ups.) I am not sure why you are exhibiting anti-psychiatry behavior.

    OP: There are pain clinics and groups if you don't want to go directly to a psychiatrist. My SO is regularly consulted by them.

    I'm not against psychiatric treatment **for psychiatric disorders** or as an **adjunctive treatment** in the management of chronic pain consequent to a known physical cause.

    Or as a palliative when no cause can be found.

    Suggesting psychiatric meds as a *primary* treatment when there's evidently something physical going on, and no actually healing or appropriate treatment happening there,

    Or when a possible systemic medical cause has not been excluded

    Is cuckoo
  • tomatoey
    tomatoey Posts: 5,446 Member
    I'm on an antidepressant and the pain isn't all in my head, so that's another possible combination that always needs to be considered, lol. Psychologically-caused pain is rarer than just plain old something being wrong (physically).

    Even those 'hysterical fainting' spells of days of old have been tied now to real conditions (POTS). It's not impossible for it to be entirely psychological, but that really is a rare problem to have.

    Exactly.
  • Sued0nim
    Sued0nim Posts: 17,456 Member
    I have to agree with tomatoey here
  • tomatoey
    tomatoey Posts: 5,446 Member
    jgnatca wrote: »
    Just because the pain may be all in the head does not make it any less real or any less debilitating. My son has a chronic illness that is all in his head.

    I understand that some of the mood altering drugs show some success with chronic pain. If it works, hey.

    I appreciate a pragmatic approach but what's being missed here is that possible medical causes for the widespread nature of OPs (documented) injuries haven't been excluded. And the uncertainty around that.
  • richln
    richln Posts: 809 Member
    DapperKay wrote: »
    Thanks all, really appreciate the support!
    gia07 wrote: »
    This sounds like classic signs of Chronic Pain Syndrome... Do some research on this.. this can cause a mulitude of issues and it reeks havoc on the psychological, emotional as well as the physical being..

    You need to get in tough your doctor as soon as possible.. diagnosis will not necessarily be through blood tests (although they rule will everything out so a real diagnosis can begin)..


    moyer566 wrote: »
    I would be more insistent about a diagnosis. it could be autoimmune related, cps, or not tendinitis at all.
    In the meantime, i would rest the body. actually rest. not active recovery. rest.

    I think you are both onto something and I have personally suspected this especially as I also sometimes suffer from fatigue without much cause.

    Problem is and I hate to say it, doctors just do no want to hear about this. All doctors I have seen just kept saying it is over exertion, and for a while even I bought into it. But surely now that I have been completely inactive for a good 2 and half month and prior to that was also only mildly active, something else should be considered.

    I'll have to do more research to maybe find a private clinic that deals with this sort of thing, because traditional GPs are either not equipped or do not want to bother with such complex conditions. They would rather deal with the more textbook stuff.

    I only say this because I have seen so many of them of late and despite explaining everything in detail they still shrugged and told me to "lay off" for a few months and things will get better. Well they are not. :'(

    Have you been taking any diet breaks or have you been cutting for 5 years straight?
  • rileyes
    rileyes Posts: 1,406 Member
    OP looks like he could have anxiety from what he posted. Though I am curious what kind of pain medicine he is taking. I don't think a simple aspirin or ibuprofen would take away pain caused from anxiety.
    DapperKay wrote: »
    Hi all,

    Does weight loss and nutrition affect the tendons directly?

    Over the past five years I have dropped around 50kg (110lbs / 8 stones) and went from overweight to just perfect for my age and height. This was done through a combination of exercise and calorie control. In the last 8-12 months however I have been racking up injury after injury and at the moment I have all of these:

    - Achilles tendonitis - both legs. Sustained in May.
    - Left pectoral tendon strain - sustained first in January (2 months) then again in June.
    - Right pectoral tendon strain - sustained in August.
    - Right groin strain (Adductor) - sustained in August
    - Left sports hernia (athetic pubalagia) - sustained in October

    These are on top of existing shin splits (not tendons).

    I would not classify myself as a fitness freak at all - I used (now all at a halt) do the gym 1-2 times a week for strength building (not more than 30-40 mins) and used to run 15-25km a week. Then all hell broke loose all of a sudden.

    I am so worried because no doctor (I have seen half a dozen different ones over a year) can tell me what is wrong. All blood tests (I have done them all) show I am fully healthy with no deficiencies whatsoever.

    Things are really worse at night after I get home - I have to take pain killers if I plan on having a quite night otherwise I am constantly in pain.

    During the day things are okay as I am occupying myself at work (office based desk job).

    I have tried 2 physios so far - I am going private with this latest one but I am not seeing much results. The first one was really off the mark as well and put me on the same exercise for 3 months.

    The worst thing for me at this point is my mental state. I am absolutely shattered all the time and this is having a massive knock on effect on my personal life. I wont go into too much details but I have lost many things permanently. I feel like I will never heal again and I am cursed and doomed to slowly go back to gaining all the weight I have lost.

    Personal issues aside, I am really interested in other people to see if their weight loss journey had a similar effect on their health? Would love to hear your stories.

  • tomatoey
    tomatoey Posts: 5,446 Member
    edited October 2015
    @rileyes , yes he does sound like he's suffering from secondary anxiety. Psych meds might help him with that.

    It will go altogether better, I suspect, if he

    1) finds a physiotherapist or other kind of practitioner who can treat his existing injuries, if that's the right approach, and/ or set his expectations for healing time and

    2) either excludes systemic causes for it, ie come to terms with that, or gets an explanation / diagnosis that can set his expectations for the future - and so help him mitigate or prevent further injuries, and , importantly, arrange a lifestyle that will support that.

    Also if there is something like a connective tissue disorder at play, PT will have to differ a bit, he'll need a physiotherapist who knows how to help hypermobile people, bc it's a little different.

    A lot of the anxiety is likely to settle down once those things happen.

    In the meantime, psych help is not a terrible idea but not helpful *in lieu* of the other things.
  • tomatoey
    tomatoey Posts: 5,446 Member
    Particularly when invalidation is such a huge part of this whole experience
  • tomatoey
    tomatoey Posts: 5,446 Member
    Standard blood tests Don't cover ED or related disorders, you need a referral to a geneticist. Most GPs are out of their depth with MSK stuff, but you often need them for the referrals. Is the problem.
  • rileyes
    rileyes Posts: 1,406 Member
    OP Did something traumatic happen in May? What specific strength training were you performing? You stated a left pectoral tendon strain in January/February. Then in May, June and August you sustained more strains. And was the hernia during you session with the PT?
  • mbaker566
    mbaker566 Posts: 11,233 Member
    rileyes wrote: »
    tomatoey wrote: »
    Of course an Ativan chilled you out and inhibited your anxiety & anticipation of pain before a procedure, making it less painful, that's not surprising.

    I'm not saying anxiety is beside the point in chronic pain, either.

    But to suggest to someone with actually damaged tissue that they should take a chill pill and forget about trying to heal said tissue is both wrongheaded and insensitive.

    It's a part of the pain story, but entirely secondary. That's not to say it wouldn't help, but it won't help as long as the main problem isn't dealt with.

    I know your advice came from a good place, but it's not helpful.
    What procedure? The toothache was all in my head!

    So...

    If all the tests come out normal, it just may be all in the head.

    I've had my share of overuse injuries from repetitive motions that I can pinpoint. But, if I found myself in pain for no particular reason (as in the toothache) I may consult a psychiatrist. Pain can be a symptom of depression or anxiety.

    or you were anxious and gritting your teeth and thus causing a toothache
  • mbaker566
    mbaker566 Posts: 11,233 Member
    I'm on an antidepressant and the pain isn't all in my head, so that's another possible combination that always needs to be considered, lol. Psychologically-caused pain is rarer than just plain old something being wrong (physically).

    Even those 'hysterical fainting' spells of days of old have been tied now to real conditions (POTS). It's not impossible for it to be entirely psychological, but that really is a rare problem to have.

    that and tight corsetting
  • Cherimoose
    Cherimoose Posts: 5,208 Member
    rileyes wrote: »
    tomatoey wrote: »
    Of course an Ativan chilled you out and inhibited your anxiety & anticipation of pain before a procedure, making it less painful, that's not surprising.

    I'm not saying anxiety is beside the point in chronic pain, either.

    But to suggest to someone with actually damaged tissue that they should take a chill pill and forget about trying to heal said tissue is both wrongheaded and insensitive.

    It's a part of the pain story, but entirely secondary. That's not to say it wouldn't help, but it won't help as long as the main problem isn't dealt with.
    What procedure? The toothache was all in my head!

    So... If all the tests come out normal, it just may be all in the head.

    I've had my share of overuse injuries from repetitive motions that I can pinpoint. But, if I found myself in pain for no particular reason (as in the toothache) I may consult a psychiatrist. Pain can be a symptom of depression or anxiety.

    For some people, stress can trigger a flareup of the trigeminal nerve in the face, which can feel like a toothache. ;)

    But yeah, it can't hurt to try a properly-prescribed psych med, to test whether the pain is brain-related.

    OP - any visible signs near the pain points, like swelling, bruising, etc?
  • DapperKay
    DapperKay Posts: 140 Member
    edited October 2015
    Cherimoose wrote: »
    OP - any visible signs near the pain points, like swelling, bruising, etc?

    Almost all of the injuries are tendon related, and these dont swell unless they are completely ruptured (luckily not the case). There are tender areas which when I touch and poke generate various degrees of pain. I only managed to locate these areas after working with the most recent PT who showed me where the tendon ends and where it meets the muscle. It is at the meeting point where most of the pain is unfortunately.
  • SweetPeasMom55
    SweetPeasMom55 Posts: 3,563 Member
    I had constant pain until I went on the diet. I eliminated things from my diet and I feel like a whole different person. My biggest problem is grains. the pain in the joints is unbelievable and running through the body just constant. When I have a slip up and decide to eat something within 24 hours the pain is back so mine is definitely diet related. I make sure I have a good multi vitamin just in case but overall I'm eating better. Good luck!!
  • LKArgh
    LKArgh Posts: 5,178 Member
    Sharing my anecdotal story, because sometimes things are not as they seem: A year ago, I developed tendonitis. It would not heal completely after months of rest, and physical therapy and stengthening exercises. Finally an MRI revealed underlying arthritis. The initial tendonitis just made the arthritis worse because of not walking correctly and then the arthritis caused me to put weight on a weird way on the leg, preventing the tendon from fully healing.
    It took 10 months, 5 drs and finally an MRI to figure out the issue. So, if you are not getting answers, get a new dr. And a 3d, 4th and so on unfortunately :( And in the meantime, avoid any exercise causing any sort of stress on the affected tendons.
This discussion has been closed.