Thursday, May 31, 2007

Reach out for happiness.

It is very easy to be weighed down by what we face on a daily basis. A wise person posted on the CRPS/RSD google group I created recently that to seek happiness she hugs someone she loves.

This really made me think that because of all we have to deal with, it's not enough to wait for good things to happen to us. I plan to reach out for happiness and focus on the good and beautiful things in life.


If you are interested in joining this group you put your email address in the box at the top of this page or visit us by clicking on the link at the bottom of this page.
Readiness.

Something to think about.

If a lack of mirror neurons can be responsible for a lack of empathy as in the case of autism, then it is possible that varying numbers of neurons is responsible for our degree of empathy. Now some think that having a large number of these empathy sensing mirror neuron might explain the intuitive nature of some people and the ability of some to have "insites".

Questions I'd like answers for are how does this relate to sufferers of crps? Do we possess a large amount of some of these neurons and could this explain how pain spreads? I know this sounds a bit far fetched but think about it. It is not only seeing something that activates mirror neurons. Hearing and smelling can too. It is known that mirror visual feedback activates these mirror neurons and can change a pain message in the brain. Can a pain message be triggered by pain message activating these mirror neurons? Researchers know about the virtual body in the brain. They now know that it isn't a fixed picture but has plasticity. That means it can change.

The next thing I want to know is how does this tie in with oxygen? There's a lot known about tissue hypoxia and crps and antioxidants bringing about homeostasis etc. Is there a connection?

Wednesday, May 30, 2007

The role of the Mirror Neuron System in Rehabilitation with Mirror Therapy.

The Role of the Mirror Neuron System in Rehabilitation with Mirror Therapy following Middle Cerebral Artery Infarction - a pilot fMRI study -was published late last year.
Although it was a small study the results did show that Mirror Visual feedback or mirror therapy seems to recruit the mirror neuron system more than normal movement observation and can facilitate motor recovery. In addition, MVF possibly can modify the body scheme located in the visual cortex.
© 2006 Rothgangel et al; licensee . This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.
http://www.egms.de/en/meetings/gmds2006/06gmds391.shtml

A link to this abstract can be found to the left of this blog under "Articles of interest".

Tuesday, May 29, 2007

Japanese FUNNY Show (Monkey and Dog)

Exercise makes you breathe oxygenating your body.

So does a good laugh!

Manage pain.

These strategies are clear from yesterday's post.
  • Remember to breathe. Our bodies need oxygen.
  • Focusing on breath such as meditation or mindfulness should bring about calm and increase oxygen.
  • Controlled breathing (out twice as long as in) for short periods several times a day should activate the parasympathetic nervous system and oxygenate while bringing about a sense of calm.
  • A diet rich in antioxidants which are oxygen free radical scavengers should reduce the pain of CRPS and help to bring about local oxygen homeostasis.
  • Capsaicin cream, made from chillis, can help inhibit the release of substance p which is a neurotransmitter that helps ramp up the pain.
These are strategies for overall improvement and, although they help in times of major flare ups, I use them daily as part of my management plan.

Monday, May 28, 2007

"Dr Maji Ali believes "oxygen drives chronic pain pathways, primarily by its absence"

Oxygen, or lack of oxygen is involved in chronic pain pathways. Substance p is one of many neurotransmitters involved in clinical pain syndromes such as Complex Regional Pain Syndrome. Neurotransmitters transmit information across synapses. When released neurotransmitters either help or hinder electrical impulses along nerve fibers.

Substance p's relationship with oxygen deficit is well known. Oxygen deficit triggers the release of substance p. Experiments have shown that decreasing tissue oxygen concentrations increases release of substance p. The amount of substance p is relative to the level of hypoxia or put simply, the lower the amount of oxygen, the higher the amount of substance p.

It is already known that tissue hypoxia and an increase in skin lactate levels occur in Complex Regional Pain Syndrome. Oxygen free radical scavengers such as vitamin C reduce the pain of CRPS and bring about local oxygen homeostasis, inhibiting the release of substance p. Topical capsaicin (made from chillis) cream inhibits the release of substance p by increasing oxygen delivery. This, in essence, is merely a simplified explanation. Google "oxygen view of pain Majid Ali" for a more detailed explanation.

Dr Majid Ali recommends what he calls limbic breathing which he describes as a "vigorous type of breathing with a long out breath". My physiotherapist and my intergrative medicine doctor also recommend a the type of breathing where the out breath is longer or twice as long as the in breath. This type of breathing, I believe, activates the parasympathetic nervous system bringing about a sense of calm and thus helping us to better
cope with pain. Now I also realise that this style of breathing has the added benefit of encouraging increased oxygen intake.

For chronic pain sufferers it's important to remember to breathe.

Rachelle Sings with Words and Mirror Neurons

Watch this. A novel way of telling us about mirror neurons.

Sunday, May 27, 2007

Mirror therapy not a just a case of mind over matter.

© 2006 Rothgangel et al; licensee . This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

"Mirror therapy or Mirror Visual Feedback (MVF) has shown positive effects in several diseases, as phantom pain, stroke, complex regional pain syndrome (CRPS).
During movement observation using MVF a significant increase in cerebral blood flow was observed in the ventral premotor cortex and, activation in the visual cortex was lateralized opposite to the seen hand.This led to the conclusion that MVF seems to recruit the mirror neuron system more than normal movement observation and can facilitate motor recovery. In addition, MVF possibly can modify the body scheme located in the visual cortex."

These cells or "mirror neurons" were discovered around 1990 in the laboratory of Giacomo Rizzolatti, a neuroscientist at the University of Parma, Italy. Researchers in the laboratory had been studying brain activity in macaque monkeys.
The monkey brain contains a special class of cells, called mirror neurons, that fire when the animal sees or hears an action and when the animal carries out the same action on its own. Monkey see, monkey do.

The human brain has multiple mirror neuron systems that specialize in carrying out and understanding not just the actions of others but their intentions, the social meaning of their behavior and their emotions and pain. Have you ever "felt" it when you saw someone take a rough tackle in football?

It is this aspect of motor neuron activity that is thought to come into play when mirror therapy is used to treat pain and symptoms in CRPS.

The success of Mirror Therapy is not a just a case of mind over matter but a measurable change in neural activity.

The discovery of mirror neurons is revolutionising understanding of how the mind works.

CRPS/RSD explained.

In my opinion it's a shitty diagnosis. Complex regional pain syndrome, formally known as reflex sympathetic dystrophy, is the name given to a collection of symptoms the worst of which is continuing pain out of the ordinary for the event that caused it.

Abnormal changes in temperature, colour, sweating, hair and nail growth, in addition to ongoing pain set crps apart from other pain syndromes. The initiating event may be as simple as hitting your elbow. Light touch is unpleasant or painful, touch that might normally be painful is excessively so.

Early diagnosis and treatment usually results in a better outcome. In many sufferers pain persists for years. This blog is an attempt to remind myself about what works for me to help in relieving the pain and symptoms.

Saturday, May 26, 2007

My list of what works for me has come in handy again with more flare ups.

As other sufferers know, symptoms can vary from day to day and throughout the day. As well as an overall plan to erode back the symptoms, I need to have strategies in place to help with the day to day problems.
Some of the things that help me are

  • mirrors (August archives photos)
  • essential oils (still experimenting but amazed so far)
  • breathing out twice as long as in (August) I now do it for a few minutes 5 times a day instaed of once for 15 minutes.
  • resperate machine could be used to control breathing(November)
  • distraction (September archives)
  • magnesium for muscle spasm (September)
  • fish/fish oil for inflamation (September)
  • beetroot for liver protection and antidepressant (September)
  • isometric exercises to reduce pain (September)
  • epson salts warm bath (September)
  • chili cream (capsaicin)
  • heat pack (September)
  • graduated repetition of movements (September)
  • pacing
  • move it or lose it
  • deflated ball gives a great massage (see photo Sept)
  • butterball bath bomb (Sept)
  • water relaxes, calms,slows and improves breathing, helps sleep (Sept)
  • Caring Doctors (Sept)
  • Letting go of worries and avoiding stress (Oct)
  • Actively seeking happiness (Oct)
  • I will take vitamin C if I must have surgery as a precaution. (Nov)
  • eat nutrient rich antioxidant foods. Eas smart. (Nov)
  • use Prantal powder for hyperhydrosis (Nov)
  • make a list what works for me as a quick reference. (Nov)
  • don't despare when I have flare up. Refer to the list. (Nov)
  • Doing the same movement in different ways to reinforce that "it's ok"
  • Following a dental procedure which works for me (Nov)
  • Changing thinking, not "what can be done for me" but "what I can do for myself" (Nov)
  • Eating smart - increasing antioxidants especially vitamin C in my diet. (January )
  • Eating smart - making sure I eat a variety of high antioxidant foods including vitamin C. (March 07)
  • Understanding that while it hurts it's not necessarilly harmful!!!

I am a sufferer not a professional. These things work for me about which I am very thankful. If you think something may help you check first with your treating practitioners.

Thursday, May 24, 2007

Remember to pace.

Knowing what to do doesn't mean you always do it. We have visitors coming tonight for dinner. The water's been cut off for hours and won't come back on until some time tonight. I've been doing things non stop for too long and now I really know it. Oh well. Sometimes the choices we make may not be the best choices but are made for the best reasons. I would like to take a warm bath about this point. I wrote about the importance of water recently but it's not until you don't have something that you really miss it.

Wednesday, May 23, 2007

free Hugs - World

Free Hugs!

Hugs ease pain.

Much research has been undertaken to prove what we have always suspected, hugs make us feel good. Touch has long been part of traditional healing. Now it's benefits are the subject of research in mainstream medicine.

Touch and warmth release oxytocin which helps us cope better with pain. Work at the Swedish University of Agricultural Sciences has examined the way oxytocin can induce anti-stress-like effects such as reduction of blood pressure and cortisol levels. It promotes growth and healing and it increases pain thresholds. Oxytocin can be released by various types of non-noxious sensory stimulation, for example by touch and warmth.

Other research findings suggest that not only does touch lower stress levels, but that it can boost the immune system and halt or slow the progress of disease.

The Touch Research Institute at the University of Miami School of Medicine has carried out studies into touch and found evidence of significant benefits.

Work at Duke University in Durham, North Carolina supports other findings that touch and massage can cut levels of stress hormones. Touch many also increase levels of melatonin and the feel-good hormone, serotonin.

Good reasons to keep hugging.

Looking for a good wave.
Click on photo for a better look.

Tuesday, May 22, 2007

Mirror box therapy.

If you google "mirror therapy" you come up with a range of therapies all calling themselves "mirror therapy". Some mirror therapy has been developed to combat body image problems and involves face on examination of yourself in a mirror and "telling yourself" that this or that body part is OK. This, I believe, is a form of training and psychologically based.

It is not the same as the mirror therapy which was invented by Vilayanur S Ramachandran (see link to left of page) to help alleviate "phantom limb" pain. Further studies in the UK and in Australia have proven this type of mirror therapy to help allieviate the pain and symptoms of complex regional pain syndrome. Just as the brain keeps responding with pain messages in the case of phantom limb so too does the brain send pain and pain response messages in the case of CRPS. These messages are not in response to something being wrong (eg dropping a hammer on your foot). The messages are brain driven or created in the brain in the same way as the brain creates the message to tell you heart to beat. You cannot consciously tell your heart to stop beating any more than you can tell yourself to stop the pain. It isn't just pain messages that the brain sends out in CRPS, it's protective messages because of pain eg inflamatiom, swelling, sweating, vascular messages, colour and temperature changes. Thes things are under the control of the autonomic nervous system - out of our conscious control.

It hurts and our learned behaviour is to protect the hurting part by stopping things touching it and moving less or resting. This is the best thing to do if the pain was from an injury but it's not. I know that I need to override the normal pain response and move normally and not protect the hurt part. It isn't easy. That's where the mirrors come in. The brain message is wrong. I cannot take pain medicine but even if I could I'd only be treating the symptoms of pain not the cause. The cause is these false messages. By looking at the mirror image of the body part opposite to the one that hurts moving, the brain gets visual stimulus of a moving pain free limb. For me there is usually no instant difference. About 10 minutes after I've finished I notice that I don't feel quite as bad. I do it again and again. It takes effort and I need to keep doing it for several days or weeks. I treat each flare up immediately before it spreads (as it very quickly does for me). Doing this gives the best result. Mirror therapy isn't the whole answer. I do physical therapy every day in small amounts throughout the day. I try not to over do it (very hard). I breath out twice as long as in for 15 minutes every day to activate the parasympathetic nervous system. I eat foods high in antioxidants (prunes are highest) to deal with the free radicals caused by stress of coping with CRPS. I am looking at ways to change my diet so that I have 1 gram of Vitamin C a day. Remember Vitiman C demolishes the free radicals involved in inflamation. I refer to my list of things that work for me when I have flare ups. My plan is to persist until the symptoms of CRPS resolve. I take one day at a time. If interested look through my blog under archives to see explanations of what I do and photos. I'm posting new links now. See CRPS/RSD related articles to the left of the blog.

Water - more than just a drink.

Water
  • relaxes
  • calms the nervous system by balancing the symapthetic/parasympathetic
  • slows breathing unless exercising
  • decreases pain by raising endorphins
  • improves circulation and skin colour
  • releases muscle spasm and cramp
  • helps us breathe deeper
  • decreases feelings of anxiety
  • helps with sleep
  • increases self satisfaction and sense of well being
Good reasons to get wet.

Going without a drink can make you more sensitive to pain, a study has found.

Rain on my google support group recently brought up the subject of drinking water. As mentioned in September archives to the left of this blog, water breaks the pain cycle by helping to bring back a balance between the sympathetic and the parasympathetic nervous systems and decreases dysfunction by making movement easier. Water is important for pain sufferers in another way. Going without a drink can make you more sensitive to pain, a study by Australian pain expert Dr Michael Farrell of the Howard Florey Institute in Melbourne and his team have found. They reported their findings in February's issue of the Proceedings of the National Academy of Sciences. Other studies support this claim. Dr Fereydoon Batmanghelidji, an internationally renouned researcher and author also advocates the natural healing power of water. He mentions drinking water before food can help with reflux. My clever GP has already mentioned a connection but I'd forgotten. I'm planning to give it a go. See a link to the left under articles of interest to read more. I know that drinking a large glass of water helps me to settle whole body nerve firing. I seems to act as a distraction also and reduces pain in a similar way to easting, but with less calories.

Thanks Rain. I'd forgotten about this till I looked through my old posts.

Spa therapy warms and relaxes.

We shared drinks and nibblies on a rug at the beach with our wonderful neighbours. As it was cool when we returned they invited us in for a hot spa under the Milky Way.

My physiotherapist had told us that pressure of water activates the parasympathetic
nervous system. I have to tell you that the movement of water gives a gentle massage that helps to take away the pain of activity (doing too much and overstimulating), and the pain of inactivity (after a night in bed).

Spa
  • pressure is calming
  • gentle massage eases pain
  • heat warms the cold parts
  • it's fun

Monday, May 21, 2007

Gate theory - wikipedia explain well.

Wikipedia provides an explanation of the Gate theory of pain. I believe this theory has led the way to novel treatments of chronic pain such as the mirror and virtual reality treatments.

Before this theory was presented the one-way action/reaction or "alarm system" response as proposed by Descartes was accepted as an explanation of pain. This theory did not explain phantom limb pain let alone the pain of CRPS/RSD. The role that the brain plays in pain was simply not considered.

In the Gate theory the failure to control pain can be seen as "the brain being unable to deal with the challenges that a body faces."

In the article this is stated to be a "mental illness". It is widely accepted and has been proven that CRPS is not a "mental illness" in the accepted term. What the article seems to say is that the mental aspect is the unconscious brain which has the problem. Unfortunately in this instance I believe that there has been a poor choice of words. However, that aside it is a good explanation and worth reading.

If interested go to the link under "articles of interest" to the left of this blog and click on the link.

Google advanced search.

I've put a link to google advanced search to the left of this blog at the top. It's an excellent search facility which gives a much more refined way of searching.

Sunday, May 20, 2007

Mindfulness video on How to Cope with Pain website worth watching.

The How to Cope with Pain website has a great short video by Dr Bob Stahl. In it he explains mindfulness and in particular how it helps with pain. Go to the direct link under "crps/rsd related articles" to the left of this blog and click on the link.
Pippies beach cafe does Yum Cha Cha on a lazy Sunday afternoon.
Tugs at the heart strings.

Saturday, May 19, 2007

Keeping up physical therapy is very important.

Recently I've been away from home in a place without an available mirror. I didn't think it would matter for a week or so. Things went well for a day or two. Then I had a flare up on the right lower side and back. I was still dealing with this when the left shoulder flared up again as well.

I used chili cream, heat pack, exercises and stretches, controlled breathing etc. They helped a little but I was very pleased when we got home to use mirror therapy again. Thankfully the response time for improvement is getting shorter. So far my right side has improved. I'm still working on it and my left shoulder.

There are two things that happened here. While we were away I did not do strengthening exercises and was generally slack with physical therapy. I justified this because we did other physical things. This was not wise. Secondly I now realize the importance of continuing mirror therapy. It reinforces the "ok" message which is so important with complex regional pain syndrome.
Perhaps the Noi Group who makes mirror boxes will make a folding large mirror. A pop out one would be great.

I could also have done with a copy of my list of what works as, when things are worse, it's really hard to think what helps to relieve pain and symptoms.
Rain drops.
Reflections.
Gone fishin'.
Brahminy Kite on surveying.

Gull on the rocks.

Friday, May 18, 2007

Eat smart - a safe and healthy option.

Originally my plan plan was to increase Vitamin C in my diet. I've changed that plan a bit and here's why.

This much is known
  • Complex Regional Pain Syndrome can be prevented by taking Vitamin C after a colles wrist fracture.
  • Professor Scott Reuben now uses Vitamin C as part of their protocols for preventing CRPS developing or worsening of symptoms after orthopeadic surgery etc.

I thought that
  • as Vitamin C is an antioxidant that demolishes the free radicals that cause inflamation
then
  • as CRPS has an inflamatory component
Vitamin C could be used as a treatment for CRPS.

As mentioned in a previous post, research into this is now being done.

I suspected that it is better to get nutrients such as Vitamin C from food. (my unique packages theory)
To support this I now have learned that Vitamin C is a stable antioxidant that gives an electron to a reactive substance such as a free radical.
Vitamin C then is an electron short and so itself becomes a free radical.
As electrons like to be in stable pairs Vitamin C then needs an electron to make it a stable antioxidant again. The antioxidant that gives Vitamin C it's electron then itself becomes a free radical and so it goes.

  1. Vitamin C antioxidant - gives electron to free radical (reactive substance)
  2. Vitamin C free radical - gets electron from antioxidant A which becomes free radical A.
  3. Free radical A - gets electron from antioxidant B which becomes free radical B.
  4. Free radical B - gets electron from antioxidant C which becomes free radical C.
And so it goes.

The process of giving and receiving electrons works well when there are a large number of different antioxidants working together. Too much of one thing puts the balance out.

That said I now am planning a diet rich in a variety of antioxidants. By doing this I am also making sure I'm getting much more Vitamin C than I have from my food till now.

CRPS/RSD taking control support group.

Just an update on CRPS/RSD taking control google group.

We've added a few new pages now as well as discussions such as what works for you and moving your mind. Here's what we have at present
  • Crafts & Hobbies
  • Happy Space
  • Budgeting Ideas
  • Let's write a story page
  • Links to articles, video and research
  • Quotes
  • Recipes, eating smart
  • Something to make us laugh
  • Nutritional Spotlight
  • Tell us about yourself
  • Meditation
  • Poetry & writing
  • Compassion page
  • Game page
  • Ideas for coping with limitations
  • Ideas for making money
  • Let me read your leaves - the art of tea
  • Physical therapy page
  • Super juices - have they worked for you?
  • Tips & tricks
and a very important one
  • Our Stories
You can visit our group by clicking on the box at the end of this page. We would like you to join us and make it your group too. You can join us by inserting your email in the box at the top of this page and clicking on subscribe, or visit first and join on the site. There's also a link under crps/rsd related articles to the left of this blog.
Until recently you needed to join to view the site. We've fixed that problem now so feel free to take a look around.

Unfortunately I closed this group.

Thursday, May 17, 2007

Interview with "How to cope with pain" website .

I was interviewed by How to Cope with Pain recently. It 's on their website today. In the interview I was asked about my experiences and how I cope with pain.

If you're interested you can read the interview by clicking on the link to the left of this blog, under "crps/rsd related articles".
Algae covered rocks.
Life abounds in the rock pools.
Wave fire works!
Trawlers masts tower over the wall.

Laughing kookaburra.
Osprey - nesting time.
Pelicans at Iluka, a small fishing village on the East Coast.

Wednesday, May 16, 2007

Mindfulness seems to improve circulation.

While I've been away recently I practised mindfulness meditation as I was taught in a pain clinic some years ago. Again, as so long ago, my hands went from very cold and gray to warm and pink. This happened every time and after only about 10 minutes. I think what happens is that the parasympathetic nervous system might be activated. Certainly there is a vascular change and I think circulation is improved. If this is the only benefit I get from mindfulness it makes practising worth while.

Thursday, May 03, 2007

CRPS/RSD comments are in RED.

You probably realize by now that any comments relating to crps are in red. That is to remind you of my first post in August about crps being like a burning ring of fire.Go to Archive on the left of this page and click on August.

Not everyone feels the pain caused by crps in the same way.
I now have burning in my back and sometimes the backs of my legs but for a long time I didn't have burning pain at all. I have nerve firings like a nerve being prodded. Think being stuck with a pin. My bones sometimes ache. I can ache all over as if I have a fever and have what Dr Wilkie calls "free-floating" anxiety. You just can't pin down what's making you anxious. (I strongly recomment Dr Wilkie's books The Home Psychiatrist and Understanding Stress Breakdown.)

Pain varies in type and intensity all the time. When I read about others with crps, I thought I couldn't have this condition. However, things we all have in common are the vascular signs, (cold/hot, colour changes, and pain from light touch or excessive pain for the type of touch.)

If you haven't read my notes on mirror therapy yet, look for the leg pictures. I am amazed each day at the response I get from such a simple cost free pain, free technique.

Heat and pressure lesson perception of pain.

Heat or pressure override pain messages which is why you can fell in less pain when using a heat pack. This phenominon is called the Gate Theory. Google "gate theory" to learn more.

Benefits of water.

It
  • relaxes
  • calms the nervous system by balancing the symapthetic/parasympathetic
  • slows breathing unless exercising
  • decreases pain by raising endorphins
  • improves circulation and skin colour
  • releases muscle spasm and cramp
  • helps us breathe deeper
  • decreases feelings of anxiety
  • helps with sleep
  • increases self satisfaction and sense of well being
Good reasons to get wet.

Wednesday, May 02, 2007

My list of what works for me to ease pain and symptoms of CRPS/RSD.

As other sufferers know, symptoms can vary from day to day and throughout the day. As well as an overall plan to erode back the symptoms, I need to have strategies in place to help with the day to day problems.
Some of the things that help me are

  • mirrors (August archives photos)
  • essential oils (still experimenting but amazed so far)
  • breathing out twice as long as in (August) I now do it for a few minutes 5 times a day instaed of once for 15 minutes.
  • resperate machine could be used to control breathing(November)
  • distraction (September archives)
  • magnesium for muscle spasm (September)
  • fish/fish oil for inflamation (September)
  • beetroot for liver protection and antidepressant (September)
  • isometric exercises to reduce pain (September)
  • epson salts warm bath (September)
  • chili cream (capsaicin)
  • heat pack (September)
  • graduated repetition of movements (September)
  • pacing *********
  • move it or lose it
  • deflated ball gives a great massage (see photo Sept)
  • butterball bath bomb (Sept)
  • water relaxes, calms,slows and improves breathing, helps sleep (Sept)
  • Caring Doctors (Sept)
  • Letting go of worries and avoiding stress (Oct)
  • Actively seeking happiness (Oct)
  • I will take vitamin C if I must have surgery as a precaution. (Nov)
  • eat nutrient rich antioxidant foods. Eas smart. (Nov)
  • use Prantal powder for hyperhydrosis (Nov)
  • make a list what works for me as a quick reference. (Nov)
  • don't despare when I have flare up. Refer to the list. (Nov)
  • Doing the same movement in different ways to reinforce that "it's ok"
  • Following a dental procedure which works for me (Nov)
  • Changing thinking, not "what can be done for me" but "what I can do for myself" (Nov)
  • Eating smart - increasing antioxidants especially vitamin C in my diet. (January )
  • Eating smart - making sure I eat a variety of high antioxidant foods including vitamin C. (March 07)
  • Understanding that while it hurts it's not necessarilly harmful!!!

I am a sufferer not a professional. These things work for me about which I am very thankful. If you think something may help you check first with your treating practitioners.

Remember to pace.

Again I am reminded of how hard it is not to overdo things. Again I am paying the price of doing too much. It's not as if I don't know that overdoing things is counterproductive. The time taken to recover is longer than the time spent overdoing things.
Now I will look at my list for ways of coping with the consequences.

Tuesday, May 01, 2007

Bella, obedient, beautiful as her name implies.
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Gadget by The Blog Doctor.
http://www.blogdoctor.me/2009/01/random-rotating-post-gadget-with.html#ixzz0KYNw8qB2&D