I read a very interesting article on www.rsds.org about the possible correlation between Ehlers-Danlos Syndrome (EDS), a connective tissue disorder, and CRPS - complex regional pain syndrome that I thought might be of interest to some of us on this forum who have biomechanical issues like SIJD/hip pathology and nerve pain/central sensitization. Here is a link to the article http://www.rsds.org/pdfsall/Stoler_Pain_2010.pdf
From the abstract:
The association of these two diagnoses leads us to hypothesize that EDS might contribute to the development of CRPS in one or more of the following ways: via stretch injury to nerves traversing hypermobile joints, increased fragility of nerve connective tissue, or nerve trauma from more frequent surgery
Of course there are currently no known treatments specifically for EDS, but this might help some understand the "why" of how they developed PN and why some people seem to have poorer outcomes to surgery and develop CRPS post-op while others do not. In order to be diagnosed with EDS it is best to see a geneticist- usually one must see a pediatric geneticist at a larger teaching hospital. From my research you should ask specifically if they diangose adult-onset EDS.
Connective Tissue Disorders & Nerve Stretch Injuries
Connective Tissue Disorders & Nerve Stretch Injuries
-11/08 vulvodynia began around conception of first & only pregnancy
-3/10 sacral/sitting pain began after SIJD manipulation
-Progressive widespread pain- central sensitization
-PT, meds, injections, botox, ESWT = debilitated.
-5/12 Potter MRI - scarring of left ST, coccygeous & posterior alcock
-12/12 - left FAI/labral hip tear surgery
2014-2019 managed w/ gabapentin, massage, and lifestyle mod
2020 - big flare up
www.thepurposeofpain.blogspot.com
-3/10 sacral/sitting pain began after SIJD manipulation
-Progressive widespread pain- central sensitization
-PT, meds, injections, botox, ESWT = debilitated.
-5/12 Potter MRI - scarring of left ST, coccygeous & posterior alcock
-12/12 - left FAI/labral hip tear surgery
2014-2019 managed w/ gabapentin, massage, and lifestyle mod
2020 - big flare up
www.thepurposeofpain.blogspot.com
Re: Connective Tissue Disorders & Nerve Stretch Injuries
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
- helenlegs 11
- Posts: 1779
- Joined: Fri Sep 17, 2010 9:39 am
- Location: North East England
Re: Connective Tissue Disorders & Nerve Stretch Injuries
Thanks Faith (and Violet) Very Interesting.
I score 4 on the hypermobility test but one thumb isn't completely 'passive' (touching forearm) so maybe only 3 and 1/2 so no EDS.
I know that my hypermobility is genetic as my son is ridiculously 'flexible' and his son, Rufus has been diagnosed as hypermobile now too.They would both score more than me I know.
Rufus gets very tired with it and seems clumsy because of it. He's 4. At least there is this explanation now, I just put my Ben's (son's) clumsiness, 'lethargy' and positively no sporting prowess whatsoever, down to his dominating academic capabilities while he was growing up. Thankfully we have no EDS proper (skin etc)but it is good to be aware of this problem and it's possible consequenses. I am never surprised that people who suffer pelvic pain (especially piriformis associated) say they have some hypermobility, so many have mentioned it. I don't think that you need true EDS to be more tissue injury prone.
My party trick was a back bend, from standing, although I have to say that I would simply fall on my head these days if tried .
I also think that because I am more flexible I am more likely to do tissue damage rather than break a bone through falls etc. Just a theory, but I was told that I would have had to have broken my pelvis (and obviously I haven't) to have the pelvic pain I have (that was back in my early days of PN discovery, in that I didn't know it existed!) although this particular Dr wasn't PN or PS aware so this wouldn't help of course.
Are you hypermobile or do you have EDs?
Thanks again for this,
Helen
I score 4 on the hypermobility test but one thumb isn't completely 'passive' (touching forearm) so maybe only 3 and 1/2 so no EDS.
I know that my hypermobility is genetic as my son is ridiculously 'flexible' and his son, Rufus has been diagnosed as hypermobile now too.They would both score more than me I know.
Rufus gets very tired with it and seems clumsy because of it. He's 4. At least there is this explanation now, I just put my Ben's (son's) clumsiness, 'lethargy' and positively no sporting prowess whatsoever, down to his dominating academic capabilities while he was growing up. Thankfully we have no EDS proper (skin etc)but it is good to be aware of this problem and it's possible consequenses. I am never surprised that people who suffer pelvic pain (especially piriformis associated) say they have some hypermobility, so many have mentioned it. I don't think that you need true EDS to be more tissue injury prone.
My party trick was a back bend, from standing, although I have to say that I would simply fall on my head these days if tried .
I also think that because I am more flexible I am more likely to do tissue damage rather than break a bone through falls etc. Just a theory, but I was told that I would have had to have broken my pelvis (and obviously I haven't) to have the pelvic pain I have (that was back in my early days of PN discovery, in that I didn't know it existed!) although this particular Dr wasn't PN or PS aware so this wouldn't help of course.
Are you hypermobile or do you have EDs?
Thanks again for this,
Helen
Fall 2008. Misdiagnosed with lumber spine problem. MRN June 2010 indicated pudendal entrapment at Alcocks canal. Diagnosed with complex variant piriformis syndrome with sciatic, pudendal and gluteal entrapment's by Dr Filler 2010.Guided piriformis botox injection 2011 Bristol. 2013, Nerve conduction test positive; new spinal MRI scan negative, so diagnosed for the 4th time with pelvic nerve entrapment, now recognised as Sciatic, pudendal, PFCN and cluneal nerves at piriformis level.