When I was growing up I would have restlessness and that crawling sensation in my legs on occasion. My mother told me it's just growing pains since that's what she was told as a child. My maternal grandmother was also a "Nightwalker". Sounds sinister don't you think?! So I too am now a "Nightwalker", so is my daughter and my sister may be a "Nightwalker" too and her daughters and her granddaughters. That name reminds me of the zombies on AMC's The Walking Dead! Ha! I have severe Willis-Ekbom disease, which may have been excacerbated by Fibromyalgia since this disease is frequently a feature of FMS. In my 20's and 30's I continued to have intermittent episodes, which seemed to be related to slumping down on the sofa and reading. It was probably more about being in a resting position that triggered the episode. I was injured at age 41 and began to have more frequent episodes and would experience spans of time (several months to years) when I had daily symptoms when I would rest in the evening or when I would get in bed for the night. I had also developed tingling in my legs and trunk that was present both day and night. I attempted to correlate the symptoms with body position such as slumping down while reading. I would attempt to just ignore the symptoms of restlessness and crawling, but it would only get worse until I would get out of bed and start walking around. I started a routine of getting out of bed when symptoms would start, turning on the TV and I would try to get the feeling out of my mind. I would feel tired and eventually the symptoms began to wane, but I would be afraid to get back in bed. It was almost as though the symptoms were attached to the bed. So I would lay on the sofa, get a couple of hours of sleep and then wake up and get back in bed to complete my night's sleep. Needless to say I was losing a lot of quality sleep. This continued for years and the FMS symptoms had gotten better, but 8 years ago the symptoms began to gradually worsen and I became more severely ill again about 4 years ago. With this excacerbation of FMS also came an excacerbation of Willis-Ekbom disease. I developed a constant tingling, shooting pain and the restless crawling sensation in my arms, hands, legs, feet, trunk and head. I also have burning pain in the bottom of my feet, all of that in addition to the FMS pain too. I have told people in the past that I don't have any disease that could finish me off, I'm just going to live a long and miserable life. That was my sense of humor speaking, but there is always some truth in the jokes we make. Maybe you can relate . . . I was to the point that I had severe Willis-Ekbom disease that would worsen at about 7:00 pm every night and would not subside until about 2:00 am. I have found some relief with Requip 1 mg in the morning and 2 mg in the evening. I am concerned, because this is a progressive disease and the effectiveness of medications used to treat this disease is only a temporary measure. In addition, Requip can cause symptoms to worsen also. I will be talking with my doctor about that possibility and looking at a new medication that is a topical patch, which may also be easier on my liver. I had a very bad night a couple of nights ago. I had tried to get Requip refilled but the front desk staff would not ask the doctor to okay it. Instead I was told I had to come into the office first. That put me in a position that I had no medication for three days. By the third day the symptoms were so severe that I was unable to sit still for 27 hours straight and finally got relief when I could get Requip refilled. My doctor was dismayed this had happened in her office; I changed doctors so this wouldn't happen to me again.
I just want to reiterate that this is a serious movement disorder related to Parkinson's disease. You know, when I saw the sleep specialist the other day he told me that I have a severe case of Willis-Ekbom disease and that many people's attitudes are "Just get over it", because they don't understand the severity and debilitating nature of this disease. Last night I called my 87 year old mother to talk with her about this, because I know she has some symptoms. She was quite impatient with me and told me "Just get over it". Isn't that classic?
3 comments:
My experience:
Doctor: "You can't come in for every little ache and pain."
Me: "This isn't every little ache and pain!"
Doctor: "It might happen again."
Me: "I don't want it to happen again!"
Doctor: "Do you want to be sick?"
Me: "If I wanted to be sick I wouldn't be hear to get help. If you think it is psychological, why don't you just give me a pill but don't tell me if it is real or fake. See if I get better. If I get better and it is fake then you'll know if I am faking."
Doctor: Rudely turns his back on me and says while walking out of the office, "Maybe it's a musculoskeletal disorder."
This is the last time I saw him.
It turned out that 8 out of 10 doctors diagnosed me with Fibromyalgia (gastroenterologist for IBS); 2 rheumatologists (fibromyalgia); two anthesologists (chronic pain and fibromyalgia); gynecologist (intestitial cystitis); podiatrist (unnecessary pain in the joints, muscles, and nerves); and facial pain specialist (TMD). I was diagnosed with periphernal neuropathy (neurologist and EMG test) and Restless Leg Syndrome (Willis-Ekbom Disease) by my neurologist.
Although each condition I mentioned above are separate conditions, they are all part of fibromyalgia (not sure about neuropathy). What do I have? All separate conditions or Fibromyalgia, which includes all the conditions I mentioned above? Whatever, the worst of all the conditions is Willis-Ekbom Disease and Tempromandibular Joint Disorder (TMJ). There is no test to prove one has Willis-Ekbom Disease or Fibromyalgia resulting in doctors thinking everything is psychological. The gastroenterologist that diagnosed me with Fibromyalgia gave me a printout from uptodate.com, which is up-to-date information for doctors and patients. Here is how to get it:
1. Go to uptodate.com
2. Go to the search box and type in Fibromyalgia.
3. Click on Patient Information: Fibromyalgia (Beyond the Basics)
4. Look under the Symptoms section. You will see all the symptoms I have in addition to Restless Leg Syndrome.
Hi, I am so sorry about this happening to you. There are medications that you can take for Willis-Ekbom Disease that will help ease the restlessness and help you with sleep too. Willis-Ekbom impairs sleep even on those nights that you don't have restlessness. Doctors and staff don't always treat patients with respect and that's a problem. Many of the symptoms of fibromyalgia are dysautonomia (dysfunction of the autonomic nervous system). Those symptoms and the symptoms of fibro do not include peripheral neuropathy. I also have peripheral neuropathy and other signs and symptoms of Charcot Marie Tooth Disease. I am being evaluated for CMT in the next few months. I learned from an excellent diagnostician to look at all the symptoms and include them all to make a diagnosis. If you exclude any symptoms you will probably misdiagnose the problem. Specialists look at only one body part, which has fragmented the ability to determine a definitive diagnosis. It would be best for you to find a good primary care that can pull the findings all together to make a diagnosis. Thanks for the uptodate link; I will check it out. It sounds as though your symptoms mirror my own. Please let me know how you are doing. I believe many of us have been misdiagnosed . . . I also believe that fibromyalgia is a neurological disorder. Thanks for your comment and for visiting my blog site. Take good care. Warmly, Valda
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