and so it goes ...

For the past few weeks my health, and emotions, have been on something of a roller-coaster ride; it’s difficult enough living with chronic-illness / chronic pain but, when more mundane bugs (doing the rounds) place an additional burden on one’s already low stamina reserves, an unwelcome veneer of despair enters the frame. Fortunately, these more mundane viral attacks tend to dissipate after a couple of weeks, but never before time.

Exhaustion still seems to hold control of the reigns, even when one is experiencing an apparently more alert and energized spell. As agonizing pain & exhaustion takes control so one’s temper frays and, against one’s better judgement, expletives tend to fill the air.

This evening the pain in upper limbs, joints and lymph nodes, has defied the efficacy of 100mg of tramadol. Malcolm is not a happy bunny but, still manages to put on a brave smiling face in an attempt to deceive himself. More happily, I am still fortunate enough to be capable of deriving tremendous enjoyment from a catholicity of music, DVDs, poetry and paintings.

random onset - chronic & acute

This happens far too regularly and yet, it still catches me unawares, a total surprise. This afternoon, just relaxing with my faithful pooch laying beside me on the sofa,, when a sudden griping, annoyingly discomforting, ache in the armpits, brings back the feelings of nausea. Shortly after this griping ache a throbbing pain takes over my elbows, whilst wrists ache in a manner similar to carpal tunnel syndrome.

Sometimes the application of elbow and/or wrist supports serve to alleviate the nausea sensation and, the throbbing aches gradually subside; on other occasions even opioid painkillers fail to dispel the more severe discomforting pain. Quite frequently the armpit pain occurs when I’ve been holding a tabloid size newspaper or a tablet PC for more than a few minutes; when this occurs I have to discard my cardigan as the armpit seems overly constricted but application of a shoulder support, which settles more tightly in the armpits, can sometimes alleviate the discomforting pain.

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The first two paragraphs were written on two separate days, the usual problems, as described above, prevented me from spending sufficient time on the laptop to rediscover the document so far. I’m managing to keep posting to my twitter feed and almost keeping up with facebook posts, primarily via tablet, but concentration tends to dissipate as soon as the aches and pains begin.

Today the armpit pain came on more acutely, even though I wasn’t holding either newspaper or tablet. Donning of a shoulder support which fitted quite tightly in the armpit did distract me from the initial acute pain but, within a minute it was necessary to don wrist and palm supports to alleviate an intense, tear inducing, discomforting pain in my wrists. It was necessary, today, to resort to a couple of 50mg Tramadol.

I realize this may be much ado about nothing but, it may help to explain the paucity of posts from yours truly.

attempted exorcism by written word

It’s almost as if the legions of gremlins are on the warpath again, some kind of vendetta against me. Sometimes I’ve found that expressing my hopes, aches, pains and fears in a quite open way, laying myself vulnerable, affects an amelioration of the conditions which drive me to this confessional mode.

Now, having opened up about my wimpish nature (see previous post), it seems as if my upper limbs are once again veering into nausea-inducing aches and pains, alternating between wrists, elbows and armpits. The armpit aching discomfort / tenderness seems to be the nausea inducing quotient so, in an attempt to alleviate this, I’ve removed all garments from my torso and applied tubular bandage and elastic supports to my elbows, along with wrist and palm supports.

I admit that typing on laptop pc is made more awkward by simultaneously having to press and hold my upper arms tightly against the torso’s sides but, it’s almost as if by some kind of magic I hope to drive these hellish aches and torments away. A kind of exorcism.

The weakness of my faith in this kind of exorcism is demonstrated by the fact that I’m also awaiting the ameliorating effect of 100 ml of tramadol taken some forty minutes ago.

FRUSTRATIONS of a Medical and Medicinal Kind

This post also appears on 'Mal's Murmurings' under the title 'CONSULTATION FRUSTRATION'

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It shouldn’t really be like this; anger and despair turn out to be the result of a visit to the GP. Having finally yielded to my beloved’s advice, I got around to arranging an appointment with my local doctors practice. My reluctance to make this appointment is the knowledge that they’re only equipped, or allowed the time, to deal with a specific singular ailment, not a complex multiplicity or whole people.

First annoyance came when he (being the doctor) stated that the medications I was on had a tendency to conflict / counteract each other to some degree. Considering the length of time I’ve been on this assortment of potentially self-conflicting cocktails, I begin to wonder why the practice had been oblivious to this over the course of the past couple of years.

When conflicting advice, between medics in the same practice, as to whether certain meds should be used pre-emptively or only when absolutely necessary, adds a further quandary for the patient as to the efficacy of using the practice at all.

Anyway, a couple of the prescribed medications are no longer to be used; they are replaced by a single different medication. Worrying for me is the following statement, on the Patient Information leaflet:

 take special care if you:

suffer from conditions like abdominal pain, muscle weakness, mental confusion.

[there are times – regularly for the first two, occasional for the latter - when I can tick all those boxes]

The doctor further suggested that I should use co-codamol instead of tramadol, even though I’d had to stop using co-codamol, because of the effect it was having on various abdominal organs, a few years back. Tramadol, thankfully, remains on my prescription.

Next came the little prep talk suggesting Graded Exercise Therapy would help, even performing the same limited exercise on ‘bad’ as well as ‘good’ days. Obviously he has no understanding of what a PwME’s (even moderately so) ‘bad’ day is like. I explained that even the visit to the opticians, a limited amount of exercise involved, was sufficient to cause payback, his response was that obviously was too much exertion!

Well, it seems that I’ll have to stick with my own pacing regimen which essentially curtails any exertion on bad days and, ensuring that I always have some spoons in reserve when I exercise on good days.

The preceding events, at least their physical & mental toll, necessitate a temporary postponement of my visit to hospital for further blood tests

I’m quite proud of myself for refraining from the use of expletives during this little rant; expletives remain in my personal domestic space for the time being

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Malcolm Evison doctor even told me that there's no connection between overload of pain stimuli and the corresponding nausea that I experience !!!

#ME – There and Back Again!

Sometimes it seems that even that moderately low plateau of stamina, is a level too high to return to. At present, a dispiriting pain and ache level of exhaustion seems intent upon taking permanent residence in my limbs and torso; at times its tentacles seem to stretch discomfortingly into head and psyche as well!

There’s always a price to be paid for even a modest additional expenditure of physical and emotional stamina, even when that expenditure itself seemed beneficial. Recuperation from payback seems to be tidal in nature; just when one thinks that the energy tide is in it swiftly ebbs away.

On Saturday 17^th some long standing friends made their way across the Pennines to Harrogate. Upon their arrival at the Cedar Court Hotel they ‘phoned to invite us over for beaucoup de catch up conversation and an early evening meal. The three to four hours spent with them passed in what seemed like one hour tops! Stamina resources didn’t seem to be a problem at all, I simply basked in the socializing experience.

Next afternoon, our friends joined us chez nous, for further chats and an early evening meal’ Fortunately, I’d already prepared a curry, earlier on the Saturday, so there wasn’t too much effort involved in dinner preparation.

Once again the few hours together seemed to pass at supersonic speed. For a while I felt as if my stamina was heading back to pre-illness levels and, I felt quite on form to co-host our monthly Bible Study group, chez nous, on the Monday afternoon. The study and fellowship proved rewarding as usual.

On Tuesday 19^th a degree of payback kicked in. A shattered painful exhaustion, swiftly metamorphosed from simple over-tiredness,to a sharp burning sensation on the uppers of my feet and simultaneous excruciating pains in my upper limbs, Meantime my torso felt crushed and bloated. That’s just a fragment of the discomforting regimen of the day. Wrist, elbow, and back supports were intermittently required, alongside a frequent recourse to tramadol.

By the Wednesday morning I felt as if I was being gradually restored to normality, only to regress on subsequent days. At least I’m now having less recourse to painkillers.

By the beginning of this week I feel as if emotional resilience has returned; all that remains are my more regular aches, pains, and sudden onset bouts of exhaustion.

 As I look out on blue skies, all’s well with the world.

sunshine and celebration

Sometimes it seems as if the day is almost over before I even get started. In one way this is good, it’s generally a sign that I’m appreciating each waking moment, so much so that it’s sometimes a real struggle to stop myself resenting the earth’s rapid orbit.  Recently we’ve been sighting a bright glowing orb in the sky, bringing a little warmth and elevating one’s spirit; after weeks of dull wet days the sunshine has proved most welcome.

As my beloved took a few days off work, around the time of our wedding anniversary, time seems to pass even more sweetly as we enjoy each other’s company. Visits to Café Culture, for a cuppa and cakes, and Al Bivio Ristorante helped heighten the sense of celebration. We also paid a visit to the garden centre at Otley where I acquired a new bird feeding station for the garden, finally using the vouchers that I’d received for my birthday last June; although the centre is less than ten miles away this was the first time I’d really felt up to spending a little time there browsing around. I especially enjoyed looking at the reptiles in the centre’s pet shop.

Meantime, I’ve acquired 5 more golden and 5 white cloud minnows which, having first spent ten days in my quarantine tank,  have now been added to the Main aquarium.  It’s really quite strange that, having introduced my beloved OH to blogging. I have to check out Helen’s blog to see what I’ve been up to!

On Wednesday I had an appointment with my GP, a lesion on my leg, which I’d been attempting to alleviate with a 1% hydrocortisone preparation, wasn’t showing any improvement (quite the opposite in fact) so I was going to see the doctor who specialized more in skin disorders. He was quite baffled by this particular sore spot, it was quite unlike anything he was familiar with, definitely not discoid eczema or Bowens etc;  so he prescribed a potent topical corticosteroid (Mometasone Furoate) which I’ve to apply once a day for a fortnight. He also checked a small occasionally weeping lesion on my chest which he says is a basal cell carcinoma and has duly referred me to the District Hospital. [I’ve had previous experience of having a bcc excised – see ‘Sunshine and Blanket Stitch’] If the ointment applied to my leg hasn’t healed the lesion he suggests I also have the specialist look at that when I have my appointment for the bcc!

Another positive outcome of the visit was to confirm that the recent X-Ray of my hips, following a quite prolonged period of chronic pain, apparently emanating from the right hip, showed no abnormality on the right hand side but, it did show that I had arthiritis on the left-hand side. Fortunately, after copious doses of tramadol & co-codamol the pain had eventually abated!

I received a further acupuncture treatment on Thursday and, I’m no longer averse to expecting resultant miracles. Life goes on and I’m determined to enjoy it – if only I could discover some refreshing sleep all manner of things would be well!   

ailing and rejoicing

It seems really strange how quickly the days, weeks, months and even years, scurry by! I often think of how little I manage to do each day, and yet, time still manages to pass almost too quickly for comfort. Even on days where my sundry ailments are crying havoc, and I wish the pain and discomfort would quickly pass, I can never wish the day to end as I look forward to my OH’s return from work. I wish the ailments would disappear but not the day.

 I appreciate every moment of my existence, the piscine activity in aquarium and pond, the birds visiting our garden but, most importantly,  the more time I can spend with my beloved the better; each moment of life is to be savoured and I give thanks that I still have the ability to appreciate it.

As I write I’m sitting in comfort at the fireside, listening to Berlioz’s Overture to King Lear (courtesy of Radio 3) and, casting an eye over the garden; I never thought multi-tasking was something I could manage! My furthest ventures out in recent weeks have been to the local shops and, on one occasion, the extra few minutes trudge to see my doctor.

Even after 8½ years, since succumbing to this illness, I still find it difficult to accept that I can no longer take a “proper” walk! I can at least manage many things better than was the case in the not too distant past. As long as I remember to PACE myself, take appropriate medication, and feel and express gratitude for all life’s blessings (including the ministrations of my physiotherapist – herself a PwME – as she applies the acupuncture needles ), I do experience reasonably long periods when many of the symptoms appear to have gone into remission.

I am currently battling (unsuccessfully for the past six to eight weeks) with acute, although spasmodic, pains in the hip and left lower limb joints and muscles. Externally applied Ibuprofen gel had barely any effect. A thorough examination by my GP, who I saw once these symptoms started interfering further with an already erratic pattern of unrefreshing sleep, left me feeling rather more bruised and battered. He prescribed 2 x Co-codamol 15/500 to be taken (in alternate doses) with my usual 2 x 50ml tramadol and the usual pre-bedtime amitriptyline.

 So far the results are not at all promising but, tomorrow I’ll be going to the District Hospital for a hip X-Ray and blood tests, and the possibility of a further scan.

Although I initially thought it may just be a bout of sciatica, rather than a recurrence of my herniated disc problem, I’m no longer prepared to self-diagnose.

As I continue writing the Red Kite has entered my field of vision, circling just beyond our garden boundary. I’m quite surprised to see it today as conditions are wet and blustery. At lower level, blue tits, coal tits, and a robin have been visiting our feeders.

This evening, emotional and physical stamina permitting, I’m hoping to attend the AGM of our local Labour Party.

I rejoice and am glad in this day the Lord has made.

Rare day

 One of those rare sunshiny bright (albeit chilly) mornings drew me up the garden (lack of) path. Task one was to net out kilos of fallen leaves from the pond, and applying same to garden borders. That task completed, I set to refilling our sundry bird feeders to add a further gleam to my nascent halo!

 

Such was the sun’s effect on my morale that, once back in the house, I forgot to turn the fire on until the chill had begun to gnaw its way into my corporeal being. It wasn’t too long after that when the old familiar aches and pains began to make a negative impression on my sense of well-being. It wasn’t long before the aches in arms and feet induced feelings of nausea. Next thing, a light-headed giddiness hit in as an accompaniment to a sudden, simultaneous, onset of dyspepsia and flatulence.

 

Wrists strapped and tramadol ingested, I rested a while before swallowing lansoprazole and mebeverine in advance preparation for an early evening meal. Thankfully, the intensity of the muscular pains soon settled to a more manageable level and the nausea discharged itself from my psyche.  

 

As the indigestion settled down a little, I ventured into the kitchen and griddled a couple of oak-smoked salmon fillets, accompanied by a gently spiced stir-fry of red peppers, cherry tomatoes and mushrooms (marinated in a garlic, turmeric, tikka and soy sauce concoction) sprinkled with a few flakes of oak-smoked sea salt.

 

And that was my day … so far!

Progress or Regress

 Over the past few weeks I’ve managed a bit of gentle socializing, a couple of meals out at Al Bivio, lunch at Café Culture, and even a wonderful buffet lunch at Wesley followed by a stimulating talk, necessitating conversation with ones neighbours at table, from the President of Conference.

 

Essential as these socializing occasions are for one’s morale, I once again, misjudged the amount of activity I could manage without payback. I’m afraid my payback threshold is much lower than I’d hoped. Payback rewards usage of reserves of both emotional and physical stamina.

 

Shovelling compost from bin to wheelbarrow, not much more than a dozen shovel loads at that, and hence to a small section of garden border proved several shovel loads too much. Not only the refreshed aches and pains in the lumbar region but, a full torso and limbs spread of irksome twinges, peripatetic clog dancers stomped their repetitive way across and along muscles of upper and lower limbs whilst a vague dull headache gave way to waves of giddiness, as if to emphasise my reward for a job well done.

 

On another occasion, just changing twenty litres of water from my main aquarium was the camel’s backbreaking straw. At least the far too regularly recurring shooting pains in the upper arm (armpit to elbow and vice versa) have withdrawn their attention, in response to a more regularized tramadol habit!

a joyous combination

A wonderful combination of garden, sunshine, and gentle breeze helps lift the spirits. Having fed the goldfish in the pond, and watered the tomato plants (both in the greenhouse and the great outdoors), a sit down on the garden bench, slightly shaded from the sunshine’s full glare, provided a rich reward.

Birds, bees and butterflies, a kind of fluttering congregation, hovered and winged around in close proximity to me. I couldn’t really say whether they were oblivious to, or acceptingly aware of, my presence. I even enjoyed the shadow play on an adjacent wall, an animated conversation between shadow and light.

It was almost as if this simple celebration boosted the efficacy of the preceding dose of tramadol. If only thinking positive thoughts could provide a cure, today I’d be the healthiest creature on planet earth.

Unfortunately, there are too many occasions when even the necessary stamina for true relaxation is in abeyance.

tidings of discomfort and joy

The gaps between postings seem to be increasing; don’t know why I tell you that, presumably you’d already noticed. Sundry muscular aches and pains almost got the better of me during recent weeks, not so much the intensity of pain (barely halfway up the scale) but rather a disconcerting all pervasive sense of dis-ease. At present it feels as if a generalized discomfort proves more disabling than spasmodic acutely intense pain.

The question constantly arises whether codeine, tramadol or any general painkiller can tackle these dull persistently nagging aches. On occasion simply putting on wrist, elbow and shoulder supports seems to alleviate all but a background purring nausea, at others only the combination of pills and  strappings seem to do the trick.

It’s strange that some nights, following on from a more comfortable day, the discomfort only begins its nagging and gnawing routine when I attempt to settle down to sleep; brief interludes of dream laden sleep interrupt my sadly familiar restlessness. At times I could swear that the amitriptyline is working as a stimulant rather than benefitting me with its supposed gently sedative properties.

For the past several nights I’ve pre-emptively dosed myself with tramadol before retiring au lit but, I’ll never know whether it’s the medications efficacy that grants me a more comfortable (albeit still unrefreshing) night’s rest, or have these nights just happened to be ones that were destined to be more comfortable anyway.

At its worst the discomfort is such that I become nauseatingly ill at ease inside my own skin ….

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I’m now beginning to see a reason for not posting; all the preceding spilt out as if I’m having a miserable life whereas in fact I continue to feel rather blessed.

My love for ma belle grows ever deeper and, what’s more, that love is reciprocated. The assurance that one is loved somehow overwhelms life’s more negative aspects, simultaneously building one’s reserves of emotional stamina in readiness for the ongoing struggle for justice and compassion for all.

Having always been of a somewhat gregarious disposition I still, not infrequently, find myself mourning the loss of the ability to socialize (other than on the most modestly minimal scale) but still feel fortunate that I can enjoy all kinds of music and drama via television, radio, and sundry recorded formats. It’s strange the way that sudden unexpected sounds can serve to shatter my nerves, almost crushing the breath out of me, whilst dramatic transitions in a musical score never (or perhaps very rarely) seem to play such a disruptive role.

The garden too is a source of constant delight and refreshment, even when it’s getting a bit out of hand, and the avian activity (viewed from the comfort of a supportive high-backed armchair) is a constant source of pleasure.

Come to think of it, perhaps the reason I’m not posting so regularly is that I’m far too busy appreciating life!

Woes and Gratitude

It’s becoming increasingly difficult not to sound like a moaning wimp. It isn’t that I feel much worse than has become my familiar norm and, I’ve frequently experienced more excruciating aches and pains than at present, but it’s an overall sense of feeling ‘off-colour’ that nags and gnaws at me for at least half of my waking hours.

It’s almost impossible to get used to those times when one suddenly experiences a cloying, gut-wrenching, nauseating giddiness, and sudden change from warm to cold skin as the colour can almost be felt draining away from ones face. Sometimes the overall sense of queasiness persists for only a few minutes, before the healthier glow returns, at other times the period of dis-ease is much more prolonged.

The spastic colon & diverticular disease randomly asserts itself, with little regard to whether I’ve maintained a regular dose of anti-spasmodic pills (mebeverine) but, fortunately the ppi’s (lansoprazole) function reasonably well in curbing the worst excesses of gastro-oesophageal reflux (although there are some days when, come bedtime, I still require a dose of antacids.

On a positive note, I’ve suddenly realized that up to this point no mention has been made of the painful aches in the upper limbs (not infrequently emanating from the armpit) as these are currently adequately controlled by doses of tramadol. So, I conclude on a note of gratitude once again; if only the flow of thanksgiving could overwhelm the woes that flesh is heir to!

ME - my body - a little moderation

Reduced my hours ensconced in the duvet lair to the usual twelve (last PM – this AM) but, as is far too common, I didn’t feel much refreshed as I emerged into the mid-morning grey. Muzzy head, sore throat and lower limbs feeling rubbery leaden, I didn’t even contemplate venturing as far as Open Church this morning, so I restricted my exercise to a faltering stroll to the local bakery to collect our wholemeal loaf.

Once I’d decided on the bakery goal, I popped a fully stamped up Café Culture loyalty card in my pocket, to claim a free drink on my way back to the house; such was my clarity of thought and intention that I walked straight past the Café on both outward and return journeys, forgetting to claim myself a treat!

The hours hung most heavily by mid-afternoon as I drifted into a somewhat discomforting intermittent nap; an hour spent in this condition felt like an eternity of awakened drudgery. At this point my old familiar pains in upper limbs, from armpit to wrist, kicked in once again but were alleviated reasonably quickly with 100mg of tramadol.

Overall though, I can’t complain as I’ve frequently had much worse days than this and, I remain grateful that I’m only a moderate sufferer.

Cussing and Tears

For someone who needs / requires a minimum sleep & bed rest of at least twelve hours per night, things take a quite dramatic turn when medications fail to support the necessary restfulness. Last night / this morning proved a cussingly tearful case in point; the cussing, tossing, turning and stamping during the night, the tears on late emergence into the daylight hours.

Having taken an overdue shower, mid-evening, I seriously anticipated a good night’s sleep as I mounted the stairs en route to beddy byes. A quick brush of the teeth, followed by a casting off of the dressing gown, and I was ready to snuggle down with my beloved. No matter how tired I felt, golden slumbers had little or no intention of passing my way.

Crushingly searing pains in the left arm, coupled with muscle spasms in the lower limbs, conspired against the best laid plans. It wasn’t long before the lightweight pyjama jacket, which began to feel unduly constrictive, had to be cast off and, I then tried to apply the wrist splint, which has on many occasions seemed to alleviate the intense discomfort in the upper limb. Arms stretched downwards, both under and over the duvet, then stretched behind my back followed by stretching them above my head; none of this solves the extreme discomfort. Next I try lying on my left side, lying on the right side, lying on my front with arms crossed under my pillow but none of this helps. The discomfort screamingly intensifies.

 Having taken amitriptyline during the evening, I now reluctantly resort to 2x50mg tramadol but, even these seem to have little effect. Eventually, sometime after 3.00am, some snatches of sleep; vividly Technicolor naturalistic dreams haunt me back to wakefulness. A time of hopeful waiting follows, hopeful that I may soon revisit the land of nod; I drift back into slumber and a different dream.

When I eventually feel more awake, and find sufficient stamina to remove myself from the duvet lair donning daytime clothing, I’m suddenly overwhelmed by tears of intense frustration. Suddenly, I can’t help feeling that this health-imposed lifestyle is letting life pass me by. It’s only very rarely that I can venture beyond the neighbourhood high street, even that becoming an effort at times, that even the pleasure I derive from the home garden and aquarium begins to wane. I certainly couldn’t manage without the loving tenderness, care and caresses, of ma belle Helen but, at the same time, I feel utterly guilty and upset by the stress I must be causing her.

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This post also appears on 'Mal's Murmurings' as "a self-pitying yelp of frustration"

Of Pain Creators, Pain Pathways and Pain Killers

 
One almost has to admire the blatant way that the Tories, both blue and orange varieties, demonstrate their disdain for the poor and vulnerable in our society; if only we had a political party prepared to attack privilege, and the wealth stealers, with equal fervour. Problem is these thieves, curiously misnamed "wealth creators", are held in such high esteem by the Tory controlled meejah (which seems to set the agenda for all parties with serious parliamentary aspirations)!

Strange how they have so much respect for the people who'll go to any lengths to avoid paying their fair quota of taxes; surely their readiness to pay up would be a true demonstration of their patriotism. The poor have no choice, patriots or not, the PAYE system ensures that they pay their full whack and, if they have the misfortune to succumb to any illness, or be made redundant, find themselves treated as scroungers and/or criminals, by the meejah, for daring to claim the benefits to which they are entitled.

Rant over for now, indeed it wasn't intended - it just sort of spewed forth but, I'll stand by it. Don't know exactly what was intended when I opened 'notepad', just felt it was time to update my blog!

Apart from a familiar sense of shatteredness, last Friday's exertions seem to have taken their toll on my spine. I don't know if it's possible to re-herniate a disc, one which hadn't given too much gyp in recent months, but I've once again started to experience quite acute (transferred) pain, in fluctuating increments - from about 3 to 8 out of 10, through hip, thigh, knee and ankle of my right lower limb. It began on Friday evening with a sensation of the lumbar vertebrae locking up but, I can't say for sure when the transferred pain in the lower limb began; as a matter of daily routine, I experience painful spasms  emanating (apparently) from an area of the calf muscle immediately behind the tibia.An early morning fix of tramadol helps to control this but, more frequent doses of the same med are only minimally reducing the acutely stabbing pains that seem to travel on a neural pathway from hip to ankle.

Back To Normal

i seem to have fallen back onto the ailment roundabout, fortunately it has not yet transmogrified into a full rollercoaster ride at this point. Persistent irritations, of the over production of acid and mucus variety, still make their presence felt alongside the, probably related, ache and bruise sensations (with the occasional sharp nudge) around the chest and lower ribcage area.

Now the leaden ache of the lower limbs has reaffirmed its presence, as has a gnawing ache in wrist and armpits which seems to have re-appeared on a whim and then hangs around for indeterminate / unpredictable periods of time. Even as I sit and type this I'm finding it necessary to take breaks wherein I place both forearms behind my back and push my shoulders firmly back on the comfortably supporting high back chair.

Having had a little stroll down to Open Church, this morning, my legs began to ache as if I'd been on a marathon trek; to be honest they weren't really painful, just more of a gnawing discomfort. The thought occurred that maybe they needed a further stretch so, with the aid of my trusty walking stick, I set off on a brisk walk around the block. Please note that I "set off on a brisk walk", I can't make any claims to having sustained any degree of briskness beyond the 100 metre mark. I thought at least it would prove good for the morale and, it hasn't made the gnawing ache any worse or better.

By late afternoon, an additional dose of lansoprazole (to cut down on acid production) and a couple more tramadol capsules served to alleviate the more extreme edge of discomfort. That extra bit of relief allowed me to get on with preparing a meal in time for my beloved's return from work, and even enabled me to enjoy accompanying ma belle for a grocery shop at Waitrose post dining!