Showing posts with label pain. Show all posts
Showing posts with label pain. Show all posts

Tuesday, December 23, 2014

Weaning Off Cymbalta


I had been taking 60 mg of Cymbalta daily for approximately four years.  It was the first drug that I received a prescription for after being diagnosed with Fibromyalgia. I remember the side effects the first few weeks were terrible, but I felt okay/good most of the time. The side effects lessened and the symptoms were under control.  After four years I was just tired of the never ending cycle.  The cycle is known to anyone dealing with a chronic illness: have a good day, overdue, pay for it the next day (or week).  The flip side of this cycle is have a bad day, feel guilty, push through it, and pay for it the next day (or month).  


I felt that it was time to do a self evaluation.  I wanted to stop taking the Cymbalta and find out how my body would handle the Fibromyalgia on its own. Okay I have heard and read a lot of horror stories about coming off of Cymbalta (and other similar drugs). I wanted to do this the safest way possible, so I checked in with my doctor.  This is not the original doctor who prescribed Cymbalta to me, but my current general practitioner. I have been seeing this doctor for maybe six months. At first she suggested that I could just cut the pills in half. Ha ha ha, see photo at top of page. Okay, a short discussion and computer reference later, she sent a prescription to the pharmacy for 30 mg Cymbalta qty 14,  and gave me a written prescription for 20 mg Cymbalta qty 20. The instructions were 30 mg daily for two weeks, 20 mg daily for two weeks, and then 20 mg every other day for two weeks.  Mission accomplished.


The main problem I have encountered is SLEEP.  My sleep cycle is not like anyone else's that I have ever heard of.  A typical example follows:

Go to bed at 10 pm and fall right to sleep.
Wake up at 11:30 pm -- wide awake.
Do quiet activity such as reading, crocheting, word search puzzles.
Tired again (finally) at 4:30 am.
Sleep til 9 am alarm.

This is rather aggravating. I have started skipping the going back to sleep part.  I was hoping that It would help me sleep longer, but so far no such luck. 

 I do have days that I can't stay awake:

Go to bed at 10 pm and fall asleep within a half hour.
Wake up at 9 am to the sound of a whining dog who needs to go outside.
Let dog out. Feed fish. Take medicine.
Back in bed asleep by 9:30 am.
Awake at 1 pm by bladder.
Wake up between 5 pm and 7 pm starving.
Eat dinner and wander around in a daze (fog).
Go to bed at 10 pm and fall right to sleep.
Sleep all night.


I am trying the Fit Bit Flex to track my sleep habits as well as my activity levels. I am hoping that this will lead to discovering ways to improve my sleep.  More time is needed to work on this.

After only a few days since my last dose of Cymbalta, I am noticing an increase in the pain in my legs along with an overall achy feeling.  I prefer to stay off of the medication indefinitely, but have set a minimum of one month for myself.  I will try supplementing natural minerals and herbs before going back to a chemically produced solution.  I am also still working on the reduction of processed foods and sugar in my diet.

More updates after the first of the new year.  If you have any questions or suggestions, please comment or contact me.
Rebecca

Tuesday, July 16, 2013

Traits for Self-Healing Part 4: Nonresistance


This is the fourth in a 10 Part series based on the article "The Traits of an Energy Practitioner" by John Kroneck (July/august 2013 'massage & bodywork'). Today we are focusing on nonresistance, a part of non attachment.
  1. Stillness
  2. Presence:
  3. Non attachment
    • nonresistance
    • non-judgment
  4. Beginner's Mind
  5. Acceptance
  6. Inspiration
  7. Responsibility
  8. Kindness Quotient
Nonresistance
There are times when the tendency to protect ourselves from the perceived danger of revealing a truth about ourselves can take precedence over the desire for seeing the truth.  This resistance to what is occurring can frustrate a client's progress.  Nonresistance is the willingness to experience whatever dynamic may show itself.  It includes having the courage to directly face fear, pain, and shame without shrinking from the experience.  It is also a critical tool in moving through what we fear in the quickest, most efficient manner possible.  How is your mastery of nonresistance? -- John Kroneck

I interpret this as denial. A client may not want to tell their massage therapist  all of their recent activities or even admit to themselves that they spent 5 hours playing video games the day before their massage. This information could help quickly pinpoint the source of a client's pain, anything from poor posture to repetitive motion injury. This can also come in the form of an injury that may not be something massage can effectively treat, but the client not wishing to visit their doctor and have diagnostics done schedules a massage instead.
I would also consider guarding in this category. I find this most often in shoulder range of motion. As I move the arm upward the client will tighten up to avoid previously felt pain. This action prevents the therapist from observing where the limitations are and to what degree. Communication is crucial at this point as well as trust.
How do you interpret this trait?  How would you try to improve your own nonresistance and encourage it in others? 

Tuesday, June 25, 2013

Traits for Self-Healing Part 1: Stillness

I recently read the article "The Traits of an Energy Practitioner" by John Kroneck (July/august 2013 'massage & bodywork').  In it he lists 8 primary traits necessary for healing; two of which are subdivided further into 2 more specific traits:
  1. Stillness
  2. Presence:
    • present moment
    • awareness
  3. Non attachment
    • nonresistance
    • non-judgment
  4. Beginner's Mind
  5. Acceptance
  6. Inspiration
  7. Responsibility
  8. Kindness Quotient
I believe that each trait deserves attention and would make great discussion. So, over the next ten weeks I hope that you will all join me in focusing on them one at a time.  I will start with a quote from the article:
stillness
For a majority of people, one of the most difficult things to do is to be still.  This could be because the mind has so many stimuli today, but it may also be that being still is frightening.  To be still means that pain has time to show itself without the distractions of life.  Being still within our consciousness opens healing avenues as it stimulates an alignment and integration of the body and its systems.  How is your mastery of stillness? -- John Kroneck
Think about how this applies to you. When are the times you are still?  If you can't think of any, try it now. Find a quiet place, turn off the electronics, and calm your mind.  What occurs during that time?  
If you are a therapist, how do you help your clients in this aspect?

I will start the discussion by leaving my thoughts as the first comment.  I can't wait to hear what everyone has to report.  
Remember to come back next week for the second trait: present moment.