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Author Topic: Bone pains worsening  (Read 2213 times)
RightSide
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« on: November 07, 2008, 04:48:59 PM »

Despite dialysis and phosphate binders and vitamin D, my bone pains continue to worsen.  I already had major pain in my left hip joint; X-ray confirmed joint space narrowing there.  Then it spread to my right hip joint.  And most recently, it seems to have spread to my spine and shoulder blades; my upper back is in considerable pain, and I can barely raise my arms above my head.

If this keeps up, I'm not going to be able to climb stairs or lift even somewhat heavy objects.  What else can be done about all this?  Should I ask my neph for a bone scan?

Edited: Fixed subject line-Boxman,Moderator
« Last Edit: December 13, 2008, 08:40:05 AM by boxman55 » Logged
Sluff
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« Reply #1 on: November 07, 2008, 05:47:48 PM »

If the neph orders a bone scan and finds nothing then I would see a rheumatologist. Pain sucks.
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Zach
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"Still crazy after all these years."

« Reply #2 on: November 07, 2008, 05:53:40 PM »

Yes, you might want to have a bone scan.  How are your numbers?
Plus it might be time to start some physical therapy.

8)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Meinuk
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« Reply #3 on: November 09, 2008, 07:10:42 PM »

What about your PTH and your parathyroids?  How are those numbers?
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52 with PKD
deceased donor transplant 11/2/08
nxstage 10/07 - 11/08;  30LS/S; 20LT/W/R  @450
temp. permcath:  inserted 5/07 - removed 7/19/07
in-center hemo:  m/w/f 1/12/07
list: 6/05
a/v fistula: 5/05
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G-Ma
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« Reply #4 on: November 09, 2008, 07:16:04 PM »

Good question Meinuk...that is when I was hurting..when my pth was sky high and that pain has leveled off with the numbers getting better.
Ann
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Lost vision due to retinopathy 12/2005, 30 Laser Surg 2006
ESRD diagnosed 12/2006
03/2007 Fantastic Eye Surgeon in ND got my sight back and implanted lenses in both eyes, great distance & low reading.
Gortex 4/07.  Started dialysis in ND 5/4/2007
Gortex clotted off Thanksgiving Week of 2007, was unclotted and promptly clotted off 1/2 hour later so Permacath Rt chest.
3/2008 move to NC to be close to children.
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Aug 5, 08, trained NxStage and Home on 9/3/2008.
Fistulagram 09/2008. In hospital 10/30/08, Bowel Obstruction.
Back to RAI-Latrobe In Center. No home hemo at this time.
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RightSide
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« Reply #5 on: December 11, 2008, 09:29:36 PM »

I just got my latest blood work numbers this evening.

With all the Zemplar they've been shoving into me, my PTH has been dropping, it's now around 380 or so.  (It was around 1200 when I was first diagnosed with ESRD last August.)  And yes, the bone pains seem to have leveled off (not getting worse anymore).  And the pain in my back has subsided, thank goodness.  Still have considerable pain in both my thighs though.

My nephrologist told me that the itching and bone pains are going to take time to improve, even after my PTH and other numbers get close to the target range (which is what's happening with them).
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Zach
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"Still crazy after all these years."

« Reply #6 on: December 11, 2008, 09:48:40 PM »

I'm glad things are starting to get better.
 :beer1;
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Sunny
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Sunny

« Reply #7 on: December 12, 2008, 03:07:44 PM »

I'm glad things are a little better for you and I hope they can be resolved better in the future.
I too have bone pain, muscle pain, and itching and I will be interested in knowing your outcome.
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Sunny, 49 year old female
 pre-dialysis with GoodPastures
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