It’s time for an update, if nothing else so y’all have some more good news about something to read while we enjoy lockdown together, but separate.
The one month steroid step down passed (and I almost missed the alarm I set for it!) without fanfare, and we drop 10mg from the daily diet.
Funny stuff:
Two days before step down I had the worst case of the munchies I’ve EVER experienced. More like INTENSE un-ignorable hunger response.
My only outings are an occasional trip to the pharmacy (even they have automatically extended anything that has proper refill orders out to the end of refills so that won’t be necessary anymore) and the little country gas station/convenience store/pizza take out combo store at the entrance to the neighborhood.
I walked into the place and bought what I can only describe as... an immense amount of junk food. And then sat in the Subaru literally stuffing half of it into my face on day two of that feeling. Completely knew what was going on rationally but have literally never felt that hungry in my life. I’m sitting there laughing at myself stuffing handfuls of chips, and multiple giant fresh baked (they make them) chocolate chip cookies and other stuff along with two different drinks into my pie hole. Was the funniest and weirdest thing I’ve ever experienced related to eating.
Completely stuffed with junk I drive home with a weird sense of accomplishment like my body is saying “great job!” Hahahaha.
Luckily after a slightly uncomfortable night’s sleep after STILL feeling hungry enough to eat a full normal dinner, because I was um... really full... that sensation has abated for the most part and everything went back to normal. I still ate the rest of the junk slower over many days and had cravings for the occasional five, er, ten regular sized cookies... but nothing like that two day insanity of eating everything sitting anywhere in reach!
Meanwhile... and the more important stuff...
Changes! So weird to experience. Clearly nerves are reconnecting/being uncompressed in the spine/whatever the hell is actually occurring!
Legs. Some up and down on sensory numbness from waist down, feet included but the oscillation from numb to reasonable is seemingly related to the water retention and loss cycle. More water, more numb, dehydrated, less numb. It’s... weird. But fine. And way better than prior to starting treatment.
Walking without thinking about it. Even staring at my phone, not a problem, outdoors on the uneven dirt road or my poor driveway that needs regraded bad after our spring snow and rains. Don’t even really have to pay attention. Gait probably has a touch of Frankenstein in it on “bad” days and none on “good days”. That’s mostly hip flexors and core muscles still, and they’re getting stronger.
Have done the “stairmaster” a number of times now on good days. 11-12 steps depending on if you count the deck itself of our outdoor second story deck. Down to the ground and back up, ten times. Normal pace. Gets me some aerobic exercise besides just walking and challenges all of those atrophied muscles, which aren’t feeling too atrophied anymore. Oddity here is: I can’t feel muscle soreness.
Now I know those of you who work out are jealous of that, but it’s not a good thing when you aren’t sure if you’re pushing it too hard. Ha. So... trying to figure out which “sensation” I do have is actually soreness. There’s a couple of different kinds of “numbness” which really isn’t numb, but crossed wires somewhere. LOL.
Okay now for the stranger change. The hands.
Right hand started growing muscle again. We can actually see it. Big muscle on the outside under the pinky, no longer has a deep depression in it, it’s almost flat again. I assume this is the little tiny signals that normally maintain muscle tone, returning.
The good of this. Grip strength is nearly normal. I don’t have a meter but we used the “let’s compare the two” method squeezing Karen’s hands and she says they’re close. Right used to be stronger so it isn’t normal for a rightie, but I pick up stuff in that hand, or use it to pull on things, with no worries it’ll slip or let go. Also individual finger motion down at the last knuckle has returned, but not well enough to touch type yet with it. Computer mouse moved back to the right side of the keyboard two weeks ago, though.
The “bad”, but working on it... it’s soooooo stiff AND has taken to cramping up because ... muscles are rebuilding and angry. LOL. This is basically affecting the whole hand, the wrist muscles that flex the wrist, and also the tricep which if I just happen to move or lean on it right, just locks up in multiple places for a minute. It’s kinda funny, because I can feel that one coming and also DO feel soreness in the hand. So y’all know how that feels. Additionally even though neurons are doing their thing the muscles and tendons and such are tight, so the hand has slowed down a bit. It’s just a “keep moving it and stretching it” sort of thing. It’s doing like 90% of what it’s supposed to, it’s just cranky about being woken back up after a half a year of being “the claw”! LOL.
One significant downer but okay, see where it goes... burning sensation at times in both hands which also truly feels like stuff reconnecting but left hand technically went “worse” for this one. Same muscle that was badly atrophying on right had a tiny dent in it left and that’s back, and the sensation is limited to there and pinky so it’s not awful. I do NOT *have* to take any painkillers for this, unlike before, and it’s annoying as crap for a few hours but usually gone in mornings. Maybe take an occasional 300mg of gabapentin for it to make it non-annoying to fall asleep, but rarely.
Various other symptoms all better. Bladder seems normal or near normal with all the steroids making me go all the time plus staying nice and hydrated. The above tendency for lots of water to bother the sensory stuff is clearly backassward and I’m not avoiding water while on this many drugs, that’s for sure. So I put up with the weirdness. Bowel still has some days but the usual drugs anybody would use OTC seem great. That’s what the Mayo doc wanted and those also do a bit of a number on where water goes, so all of that is intertwined. I messed with it a week or so ago changing my own doseages of the OTC stuff and paid for it. Ha. Not doing that again!
Neck and back. The original neck pain area where the lesion started around C5-C6 still has a “catch” to it but moves now. All sorts of crackles and crunches and noises with reasonable stretches and movements. And every day it’s a little less tight and things move a little more naturally. I’ve found that any day I can combo up and manage a little more sleep on the same day as a solid walk and maybe the stair workout, the next day, significant pop or tweak and another tight tendon out to the arms or another tiny range of motion returns cervically.
The only other thing that’s “interesting” right now is spinal discs doing interesting things. And by that I mean, if I bend over at the waist when the spine feels tight or compressed, EVERY... and I mean every... vertebrae pops from where I’m bent over all the way up through the neck. This HAS to be a weird side effect of the steroid and water stuff. No violent motion needed, no traction other than the wright of my fat old head. Just crrrrrrrrrack like dominoes. All the way up. LOL. This often relieves a bit of the hand burn thing, which I assume is just taking pressure off of the stenosis seen early on in the neck.
So... there you have it. Walking is awesome, hands are a tad annoying but a ton more useable and likely just getting used to muscles firing up again, feet/legs still numb but location sensors all almost all the way back, neck extra crispy/crunchy right now but only has a tiny spot that hurts and rarely, whole back doing the tango with tightness and then the automatic chiropractor thing, and that’s about it.
Unbelievable how fast it’s changing. I don’t think we could have asked for better initial results. I also wondered as I started the taper for the steroids if that would slow or stop changes but not so far. Even today some gentle neck tilts taught at PT resulted in greater range of motion.
It’s just wild. Seeing your own muscles return to life while you’re using them. Almost no way to describe it. Something your hand couldn’t do yesterday it just reaches out and does naturally before you noticed it did it. Or you realize you just kept walking when the phone rang and haven’t consciously directed the legs for the entire phone call.
Be well, everyone. More updates as things change. Pretty damn happy with the decision to treat at this point.
I don’t think my PT will believe it’s me walking in the door someday when I can do that. No cane, no limp, etc. She will probably have a WTF moment.