Connective Tissue and the Pineapple De-Back-le

“Daddy, daddy, I want pineapple, please?” My three-year-old daughter has recently become obsessed with Costco’s fresh pineapple spears soaked in coconut juice. I’m a proud papa when pineapple is the preferred snack, so I gladly grab a new jar from the cabinet and twist the lid to try and open it. Nothing. So, I grasp again and put my whole forearm … More Connective Tissue and the Pineapple De-Back-le

Biologics Part 1: Pre-Gaming with Specialists and NSAIDs

Photo by José Boj on Unsplash Step 1: The Specialist Carousel  How many medical specialists does it take to treat a chronic pain patient? Long before obtaining an autoimmune diagnosis and investigating biologics, I pre-gamed with an extensive group of specialists. After a hip injury in 2002 sent me to physical therapy, it started a specialist carousel that lasted the next 22 years before I received a diagnosis of axial spondyloarthritis (AS). Although I can’t remember them all, I saw approximately seven to eight massage therapists, ranging from deep tissue to myofascial to craniosacral, six to seven physical therapists, three … More Biologics Part 1: Pre-Gaming with Specialists and NSAIDs

Dysautonomia and the Stress Test

Photo by Ty Tomlinson on Unsplash  As I lie on my back on an exam table, electrocardiogram wires entangled across my wrists and ankles, I scan the room of my new rheumatologist for clues to his methods. This is the second specialist I have seen in over a year after receiving a diagnosis for a second joint disease, coupling my hypermobile Ehlers Danlos Syndrome (hEDS) with a fresh Spondyloarthritis (SpA).  On the walls hang the standard doctoral certificates, artwork of joints describing how they function, and an unorthodox shadowbox with an aged and … More Dysautonomia and the Stress Test

Delayed Diagnosis

Summary: Diagnosing the causes of chronic pain can be significantly delayed for patients, sometimes for years. Read about David’s experience at an imaging clinic obtaining a long-awaited diagnosis after almost thirty years of managing pain. As a nurse glides ahead of me through the clinic, I feel an intense, interior wind drag my left leg … More Delayed Diagnosis