is this a strange reaction to prednisone/solu-medrol?
i'm having a big pain flare, since 6/21. post-surgical 2.5 years, fused front and back c3-7, with corpectomy at c5.
big bad tremors/spasms in both arms at times, weakness in either at times, sharp stabbing pains, up to 80% numb in one or both arms at any given time, up from my normal 10-20% post-surgically.
i went to ER 6/22 after i flared up, after simply cutting a block of cheese to make a cheese platter around 6pm on 6/21. ugh. ER decided to give me 4 5/325 percosets, and 15 flexeril, and refer to my neurosurgeon for followup.
my neurosurgeon wasn't on my new hmo plan, so i went to the plan's guy last week 7/7. he pooh-poohed my symptoms, and sent me for xrays just in case. had xrays that day, then booked an appt with my actual surgeon, who i'd trust with my life.
saw my trusted surgeon 7/14, and he took it really seriously. he said my Xrays still looked great, but that my new symptoms seem to worsen with flexion, and are eminating from one of the surgical levels (c3-4), affecting the insides of my forearms, thumbs and first two fingers. he was concerned, and ordered a CT. he also prescribed what used to be a solu-medrol Pak (6 day course of prednisone, gradually tapering off).
i'm saying all that to tell you how i got here.
i've had this short course of prednisone once before, when the radiologist nicked my sciatic nerve during the myelogram i had pre-surgery. it helped, a bit, and then i took gabapentin for about 6 weeks, which also helped.
but...this time...(started it last night)...what i noticed almost immediately was that my NUMBNESS has decreased, at first a little, and then significantly. unfortunately, as the numbness went down, the PAIN level has gone WAY up. i mean, not quite as bad as it was when i went to the ER on 6/22, but almost. big spikey pains in my forearms, wrists, hands, fingers and thumbs, even occasionally in my biceps, trapezoids. i probably haven't done total rest as i maybe should have, but i have rested as needed, and today even escalated to putting ice pack on one or both forearms and my neck. i have not iced my neck since oh 2006, post-disc nucleoplasty. ice usually makes my neck/shoulder muscles spasm, but the pain was so bad today, i tried it.
has anyone else had this kind of INCREASED pain reaction to prednisone? i guess it kind of makes some sense, if it has decreased the inflammation, it might thereby decrease the numbness caused by the swelling...allowing the nerves to process the pain signals more properly.
your thoughts are appreciated.
---p, gonna rest so my CT in the morning is not obscured by patient movement 8-P