Thursday, February 22, 2024

Pain entries

2/23/24  Asleep on TV room recliner at 9:15, in bed at 9:45, awake with pain by 11 & onto LZB, Lilly woke up & needed to be let out at 12:30, then back on TV room recliner.   Serious pain had me struggling to get out of bed somewhere around 11 p.m.  Both wrist, which will probably eventually get better, and shoulder which probably will not.  While I was on the LZB, I had unmistakable early signs of pain in my right shoulder.   I took one Advil, which may have helped shoulder.

 2/22/24  Serious mostly dull pain in right hand and wrist, even slight pain in right elbow, dull pain extends up forearm.  Painful to lift laptop and to use the keyboard..  Pain in left shoulder.  I applied diclofenac to hand but couldn't apply to shoulder.  I expect the pain in my wrist/hand/thumb/forearm to dissipate with use & stretching. 

2/21/24   I got up with considerable pain in my left shoulder and especially in my right wrist, hand, and forearm.  Yesterday the arthritis in my lower spine had me quite stooped over all day.  I'm wondering whether this is becoming permanent.  I'm also wondering when and whether and how to use Tylenol, aware of the 3,000/4,000 mg. safe limit per day.  Tylenol's instructions say 'severe liver damage may occur' if I exceed this amount and also "acetaminophen may cause severe skin reactions. Symptoms may include: skin reddening, blisters, rash.  If a skin reaction occurs, stop use and seek medical help right away."  Is this what the redness and bumpy skin on my lower left leg is about?  Is it time to send message to Dr. Chatt or am I just a wimp, a hypochondriac, a catastrophizer?  A Munchausener?!?😱  Yesterday I was wondering whether the leg rash might be cellulitis, today an allergic reaction to acetaminophen.  Nonetheless, I took 2 extra-strength Tylenol at 7:30, reminding myself of my favorite line from Groundhog Day, Andie McDowell saying to Bill Murray: "I like to see a man of advancing years throwing caution to the wind. It's inspiring in a way."

2/20/24  On awakening, the normal pains, but wrist pain is better than in the past, as is shoulder pain although the shoulder is the bigger problem of the two.  I got on the treadmill yesterday for a slow, short walk, 20:01 & 0.36 watching the opening of the ICJ hearing for an advisory opinion re: Israel's 56-year occupation of Palestinian territories.   Today, pain keeps me off the treadmill.  0:00 

2/19/24  The usual shoulder, wrist/hand, pelvic pain on awakening.  It's painful to reach and lift the water bottle on the side table.   

2/18/24  The shoulder is still painful but seems less a bit painful than before, the result of PT stretches yesterday?  The wrist is also a bit less painful than yesterday, able to type with all fingers, but the pain extends to mid-forearm. And, egad, now I've developed a pain in my lower back where I know from an x-ray that I have some "severe" arthritis.  I'm feeling surrounded!😱

2/17/24  Very bad wrist pain this a.m., bad shoulder, too.  Painful to type.  By 3:30 in the afternoon, the pain is still considerable, and I've done my physical therapy stretches, hoping they will decrease the pain.  So far, no such luck.  My left shoulder has been sending pain signals to me much like the right shoulder did weeks ago; it scares me with thoughts of losing the use of both arms.  Out of commission.  Giving up?

2/16/24  Very bad wrist and hand pain; it Is painful this morning to type with all fingers, not only from the right wrist/hand/forearm pain but also from the bad left shoulder pain. 

2/15/24  Shoulder pain was a problem during the night; it had me on LZB and up at 3.  PT tomorrow.  Typing these entries is painful, both from the shoulder and the right wrist and hand.  I am semi-disabled by these conditions, not having a strong arm-hand tool on either side.  The wrist gets better with use during the day, but not the shoulder.  I'll see what the physical therapist has to say about the shoulder tomorrow, but I'm guessing I may end up getting a cortisone injection from the PM&R clinic.

2/14/24   I woke with considerable pain in my shoulder and wrist, but mostly in my wrist.  It's painful to type.  Ferkrimpter body, ferkrimpter mind.  The wrist gets better with movement during the day, but the shoulder is a real problem, very limiting.  

2/13/24  Woke up with considerable shoulder and wrist pain, and not enough sleep.  I will see the hypnotherapist this morning, with my fingers crossed.  I believe I have been experiencing some incipient pain in my right shoulder for the last few days.  I hope it's not a sign of things to come.  I took a slow, short walk on the treadmill at 5 p.m., 20:02 & 0.38.  The painful wrist & shoulder situation has kept me off because I hold on to the side bars while I'm on it and tend to lean on my arms; not good but better than losing balance and falling off.

2/12/24   Woke with shoulder & wrist/thumb pain.  Applied diclofenac at 3:50 and set alarms for 9:45, 3:45, and 9:45

2/11/24  I woke with a lot of shoulder and wrist pain, and now having difficulty lifting my laptop, and am uncomfortable typing on it.  I did not apply diclofenac yesterday because the wrist seemed acceptable and applying the cream to the shoulder is a problem because of the need to keep it uncovered by clothing after application.  The lifting pain means no undershirt.  I need to wear a zipped hoodie or stay in my robe during the day.  The wrist pain definitely involves the hand, thumb, and lower forearm.  I'm also feeling some pain in my right elbow.   A rough start to the day.😟  Hard to pull out a Kleenex, to blow my nose, to take care of personal hygiene. 1/19/24  Treadmill; pain.  The usual awakening pains.  I'm wondering whether what has become chronic right wrist pain may be carpal tunnel syndrome.  I'll ask PM&R on the 31st.  

2/10/24     Bad shoulder pain on awakening.  I didn't apply diclofenac before going to bed.  The wrist is still pretty OK.  Ditto back

2/9/24   I woke with shoulder & wrist pain.  The last application of Duclofenac was at 9:30 last night.

2/8/24   It was a very rough night with pain, especially in my left shoulder, hard to get out from under bedding and out of bed for pit stops and to spend sleepless time on LZB.  Around 3 a.m., I managed to get my undershirt off and to apply a dose of DICLOFENAC to the shoulder.  The instructions say this med should not be in contact with any clothing for at least 10 minutes after application and is to be applied 4 times each day, which means effectively that I'll likely be in my bathrobe all day since the shoulder pain makes it impossible to get into and out of clothing 4 times a day. 

2/7/24  Shoulder & wrist pain during the night and upon awakening.  CPP all day. Rough day.

2/6/24   I woke with considerable pain in my shoulder and wrist.  So much for my theory about the Apple Watch.  Also bladder pain, hoping it's not a harbinger of cystoscopy ahead. 

2/5/24  Treadmill; pain.   Coming up on 24 hours w/o wearing the Apple Watch, the right wrist is still somewhat painful and restricted but not as bad as before.  My left shoulder is still bad but I haven't tried the analgesic cream yet.

2/4/24  Considerable wrist pain during the night.  I received the DICLOFENAC around 5 p.m. but didn't apply it until I could read the package insert which is scary enough to make me wonder whether I should apply it  The insert has such small print, all running together, that it is very difficult to read.    

2/3/24  Bad wrist pain during the night made for a hard time sleeping, time on the LZB, and Tylenol at 1 a.m., but no relief. I notice the wrist pain is much better mid-afternoon, suggesting arthritis rather than some other problem.  

2/2/24  Woke up with very painful (5?) left shoulder and right wrist, hand, and thumb.  Yesterday, with Dr. Cheng in the PM&R Clinic, neither my chronically painful left shoulder nor my chronically painful right wrist & environs were painful, or only very little.  The wrist is the much greater problem, making me almost one-armed at times. . . . I had the shoulder and wrist x-rayed at the VA today and Dr. Cheng reviewed them almost immediately thereafter.  He called to say it looks like a rotator cuff problem in the shoulder which should be helped by the topical med he ordered for me and by the physical therapy also ordered.  The wrist looks like nasty arthritis but there was some confusion because he confused me with another patient who had a trapeziectomy, so I'm not entirely sure what's what with the wrist (and hand, thumb, and forearm.)  I'll check the written report when it is published on myhealthevet.com.

1/31/24   Back, left shoulder, right wrist.  I see the doc at PM&R this afternoon.  Advice, relief??? 

1/30/24  Normal waking-up pains: back, shoulder, wrist.  

1/29/24  Treadmill; pain.  Normal waking pains.  I wondered whether to lift my heavy robe off its hook using my aching right wrist or my aching left shoulder

1/28/24  The right wrist pain has been daily since sometime before January 10, when I first mentioned it in this journal.  So @ 3 weeks.  I'm glad to be seeing PM&R on 1/31. 

1/27/24 waking pains are present but not so bad this morning

1/2624  I woke up with wrist pain thinking of more bladder procedures and the horrendous last one.

1/25/24  Woke up with normal mid-back, left shoulder, and right wrist pain plus some neck pain that went away upon rising. 

1/24/24  Woke up with the normal pains, including my right wrist which I realize isn't going to go away on its own, wondering about a wrist brace but waiting until my appointment with the VA PM&R clinic next week.  

1/23/24   Normal wakening pain in back and shoulder, pain in right wrist appears to be getting worse.  It's hard to hold onto anything with my right hand.  

1/22/24  Woke with normal back and left shoulder pain, and worse pain in my right wris

1/21/24  Considerable BPS last night, especially at 3, 4, and 5ish.  Last night's chili???  Plus the now normal sore right wrist and left shoulder.  Yesterday I had very few PF spasms.  This morning I am feeling some warning tightness. . . 

1/20   The wrist pain has become a troubling problem, extending up into my forearm and a bit into my hand.  It's quite painful, and makes typing on my laptop difficult, anything requiring the use of my right hand difficult, although it aches even doing nothing.  I'm also having some RP, CPP keeping me off the treadmill all morning

1/19/24   The usual awakening pains.  I'm wondering whether what has become chronic right wrist pain may be carpal tunnel syndrome.  I'll ask PM&R on the 31st.  

1/17/24  Normal back & right wrist pain; left shoulder, not so much.

1/16/24   My right wrist and left shoulder are still sore. 

1/15/24   I woke with the usual: sore left shoulder, right wrist, upper back

1/13/24  Woke up with a very sore left shoulder and even more painful right wrist and to a lesser extent, right hand.  

1/12/24   My right wrist is hurting badly as I wake up.  Is it simply arthritis or do I strain it in my sleep?   30:09 & 0

1/11/24    Woke with back, left shoulder, and right wrist pain and had quite a bit of plumbing discomfort & modest pain during the long trip to and visit at the VA. 

1/10/24   The arthritic back pain clears up pretty quickly with movement, but the right wrist pain is sticking around and made the morning kitchen clean up, dishwasher loading, and pots and pans washing a bit of a challenge, hard to hold anything with my right hand. 

1/7/24  PP continuing this morning and this afternoon.  Big struggle to put the sheets back on my bed after laundering them, back pain, pelvic pain combo

1/4/24  Awoke w/ upper & midback pain.  Big scare in the early afternoon with pain around the right kidney area, like pain on 11/25 (ER visit) but not as intense.  Took 3 Advil and laid down on the bed under a beach towel.  It felt better lying on the right side rather than the left.  

12/25/23  Woke up with left shoulder and midback pain, tightness in lower back & PF.



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