1 month ago today...

I know I haven’t posted anything in ages but I am going to try and start blogging regularly again. As probably most of you know, I have been wanting to have my leg amputated for the last 18 months or so. This is because for the last 2 years I had been suffering with severe ulceration on my CRPS foot which has meant I had to have in a plaster cast and dressed under general anaesthetics, sometimes as regularly as once a week. I had CRPS for 4 years but it wasn’t until August 2014 when it became much more than just the excruciating pain. My skin broke down into deep ulcers and despite skin grafts and many other operations (53 to be precise) and nothing would keep my foot healed.

On the 18^th July 2016, I had my leg amputated below the knee and today is exactly 1 month since my operation. It’s crazy to think about all the things that have happened in that month.

I don’t think I will ever forget the day of my amputation. When it finally came around I was so excited, I actually couldn’t wait to get to the hospital and at this point I wasn’t at all nervous. I just couldn’t wait, after such a long build-up to the operation I was so happy that there was an end in sight. When we arrived at the hospital it was around 12 noon. Mum, Dan and I were taken to my room and I was admitted. Both the surgeon and the anaesthetist came to see me and explained all their plans and once they had left was when the countdown to the operation began. It was an extremely long 5 hours of waiting and because my leg was infected I had to go last. It was so long in fact I think I fell asleep around 3pm because I was so excited I woke up at 5am that morning. Before I fell asleep, we did some Lego, watched some TV and just generally talked about how excited that it was going to be over and done with. I wasn’t nervous at all until at 5:30pm the nurses came and told me it was time to go. I got on the theatre trolley and went down the corridor and down in the lift to the operating theatres, during this time I was starting to worry about what might happen. I was taken straight into the anaesthetic room and the nurses were trying to make general chit chat but I can’t say it really took my mind off it that much. I can’t have been in the anaesthetic room more than 5 minutes before they told me that they were going to start the anaesthetic, I remember a few seconds of panic and then nothing…

…When I woke up, the first time I looked at the clock I think it was about 9pm. I was so relieved it was over and my leg was gone. The following day, the recovery nurse came to see me and said, ‘Do you know the first thing you said when you woke up was?’ and I replied no. She told me, ‘You asked me if it was gone?’ I think that pretty much sums up how I felt about the whole thing really. I spent that night in intensive care to make sure that everything was ok and then I was moved back to my room the following morning. I spent 6 nights in hospital, I had an epidural after the amputation for 4 days and that was then taken out but after that the pain was so much less than I had before from the CRPS. I had intensive physiotherapy with a lovely lady called Jenni, trying to relearn my balance, being able to get out of bed, going up and downstairs and being able to get up off the floor.

The first week at home was difficult, getting used to doing more and more things for myself, having to tackle the stairs and things but I spent a lot of the time making more Lego models, including a VW campervan which looks amazing but too mum and I about 3 full days. 11 days after my operation I got my stump shrinker and since then but stump has lost 3cm in circumference.

I started having regular physiotherapy and just 16 days after my operation, I started walking on a PPAM aid (inflatable and metal pre-prosthetic leg). It felt amazing to be upright walking for the first time in 2 years. It was the simple things that surprised me the most at first, immediately after I was able to put a duvet over both my legs, I was able to shower my leg, able to sleep the whole night through without waking up and most importantly I am PAIN FREE!

Just over 2 weeks after the operation, I was able to get back on a handcycle and cycle about 8km. It felt so good to be going so quick again. 3 weeks after, I was able to get in the swimming pool and start swimming again, something I had been unable to do because of my condition for the last 4 years (since I was 15). I had always loved swimming and not being able to go was so frustrating but when I first sat on the side with my legs dangling in the water it just stopped any phantom tingling that I used to get. I've been going to the gym and in the next couple of weeks I hope to be getting back in my racing wheelchair too.

I have also managed to reduce quite a lot of the medication that I was taking which has helped me overall, I am a lot less tired and more with it.

This Monday (22^nd August), I am going to the prosthetic limb centre and I will be casted for my new prosthetic leg which I should get about 3 weeks later.

I know amputation is not appropriate for most people with CRPS for one reason or another but I think it should be a treatment that could be paid for by the NHS in the right circumstances. My amputation has been amazing and completely got rid of my pain, I am now pain free. I also know a couple of others it has worked for. The problem is no one can tell you whether it will work for you before the operation and it is a gamble. I also know some people who have had CRPS and had amputation who still have the same CRPS pain or some pain.

So much has happened in the last month and to tell you every single thing, I would be going on forever so I have tried to make it as concise as possible. I am annoyed that the NHS refused to pay for my amputation because they deemed it ‘not essential’ but for me, it was essential and it was the only option I had. All I kept being told was that it might not cure the pain, which I was aware was a risk anyway but for me it was a risk worth taking and it has really paid off. I have freedom, I am pain free, ulcer free, infection free, my stump has totally healed and I will be able to walk again. I cannot thank the surgeon who did my amputation enough, without him I would still be trapped in the horrendous cycle I was in. He has given me my life back and I am now able to do whatever I like.

November is CRPS Awareness Month!

You probably don't know that November is the international awareness month for CRPS. During this month, people are being urged to spread awareness more than ever. Many people wear orange during CRPS month as it is supposed to represent the burning pain felt by many sufferers. This year Dan and I, along with other sufferers took part in a 12 hour static cycle at Bath Univeristy's training village to raise money for CRPS UK. It felt great to be involved in such a big event even though I couldn't stay to the end because my leg started to swell inside the cast and I had to get up at 5am the next morning to go to the hospital in London.

More about CRPS:- 

Complex Regional Pain Syndrome (CRPS, also known as Reflex Sympathetic Dystrophy, RSD) is an uncommon condition first observed during the American civil war, then called Causalgia. CRPS is usually triggered by an injury or surgery but can occur spontaneously. CRPS is characterised by severe pain, swelling, temperature and colour changes and motor dysfunction. CRPS pain continues long after the original injury has healed. 

CRPS is poorly understood and a cause has not yet been found although there are some promising areas of research. It is generally agreed that the body produces a faulty response to an injury where normal inflammatory responses such as pain, swelling and temperature changes do not stop once the damage is repaired. This leads to a ‘feedback loop’ within the nervous system making the body more and more sensitive to pain. It is not known why some people get CRPS and others do not.

CRPS is difficult to treat but pain medications and physiotherapy are used to limit the effects of CRPS, often in conjunction with other therapies and treatments. More research
is needed to develop better medications and treatments for CRPS.

Complex Regional Pain Syndrome (CRPS) is a rare neurological disorder, which causes chronic pain that cannot be controlled and can affect all areas of the body but most commonly occurs in the limbs. It is a debilitating and disabling inflammatory condition that can be caused by minor injury (sprain), broken/fractured bones, surgery or can appear spontaneously without known cause. 

CRPS is believed to be the result of dysfunction in the central or peripheral nervous systems where the signals between the affected limb or body part and the brain are misinterpreted resulting in the following:

• “burning” pain (can be hot or cold feeling)
• hypersensitivity of the skin.
• changes in skin temperature: warmer or cooler compared to the opposite extremity.
• changes in skin colour: often blotchy, purple, pale, or red.
• changes in skin texture: shiny and thin, and sometimes excessively sweaty.
• changes in nail and hair growth patterns.
• swelling and stiffness in affected joints.
• motor disability, with decreased ability to move the affected body part.

CRPS can strike anyone at any age and affects both men and women, but statistics show it is more common in young women than any other category. 

Currently in the UK, there is no funded research into CRPS. This means that we are reliant on America and Australia for breakthroughs in science. CRPS is widely misunderstood in both in everyday and amongst professionals themselves. There is currently no cure for this condition, however we are ever hopeful.

Information from: www.crps-uk.org