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View Full Version : Strange Nerve Symptoms When Driving in a Car. Who do I See?


Reannin
01-25-2010, 01:56 PM
I warn you. This will be lengthy, so for whomever reads this and can possibly give me some advice, PLEASE :pray: read all of it in it's entirety and thoroughly so you can see what my symptoms are and how they came about. I just don't want someone to suggest something that might not really be the issue and start scaring me. This IC thing already has me mentally and emotionally drained.

I was wondering if SOMEONE out there has, or has had, an experience like mine, and can point me in the right direction of what doctor I might need to see.

My IC started back in July with JUST unrelenting urgency and frequency. Nothing else. One month later, it progressed to where I was starting to have a painful/tightening ache down in my vaginal, perineum, butt, and anal area. The urgency didn't seem as bad anymore, but the pain was awful. Maybe the pain seemed to stand out more than the urgency....I don't really know. I thought maybe I was forming PFD. Well, ANOTHER month later after the pain started, I was put on Amitriptyline by my new uro who did my hydro and diagnosed me with IC. Almost instantly, my pain level dropped a couple of notches and the pain continued to improve over a couple of months. It got to the point where I was either no longer feeling that tightening/painful ache down there to sometimes feeling it, but it was weak. I could feel myself actually loosening up down there. I was noticing I was unconsciously tensing down there once the Amitriptyline calmed the pain down. Also, as I slowly started to loosen up, I felt like my knees or legs were going to give out at times when I walked. It didn't hurt, it just felt weird. It only lasted a couple of days.

Once I started to feel barely to very mild pain, I started to massage down there because it felt good. I started to notice that when I would massage around that area where I was hurting , I felt sore and sometimes it felt like stinging when I pressed some spots, but not all. Eventually, those spots were no longer sore or stinging, but I was finding other spots that were sore or stinging. Literally, it was like once I worked on my vaginal/perineum area, that would go away and then it would move to my rectal area. Then THAT would go away, and I'd start feeling spots on my butt cheeks.....that went away.....then there's spots on my inner thighs......You see the pattern??? It's like it's slowly moving down my leg. One night in the shower, I was washing my feet with the loofa, and I felt a sharp pin needle feeling right under my left foot on the heel part. It went away the next day, but occassionally, it will pop up every now and then.

But there's more. Suddenly, while I would pee, it was like I could almost feel my bladder emptying inside me. It felt like a tickly/prickly feeling. It didn't hurt, but it concerned me and it was annoying because, after peeing, it would make me still feel like I might still have to go. I also started to realize that I think my IC is primarily a muscle/nerve issue because I noticed that my now mildly painful tightening prickly feeling in my bladder would increase when I stood and walked around (probably holding tension in my pelvis when I walk??). Also, I've been having a wierd mild flicking/tingling in my urethra area. It doesn't hurt, but it tickles and it makes me think I have to pee. Also, when I would drive in the car, I could feel the vibrations vibrate underneath my butt and underneath my hamstring and it literally "jump starts" my bladder like you would jump start a car. I'd just feel a mild-moderate tight pain feeling around primarily ONLY ON my left side of my vagina and high pubic area.....BARELY on my right. It's like it's more sensitive on my left. Occassionally, I'd feel some shooting mild pain feelings down my left leg, inconsistently on my right, and sometimes around my lower back when I'm driving. But it's mainly only when I drive. The vibrations stir everything up. I would sometimes also feel it if I was standing up walking around.

I then went to the Uro to describe what was happening to me (which both him and his NP looked pretty perplexed when I explained this) and that I thought my IC was primarily a nerve issue that needs to get settled down. I requested to increase my Amitriptyline to see if it would settle things down more since it worked so well for me in the beginning. Well, certain things have settled down like that annoying tickly/prickly feeling when I pee or drive in the car. It's not gone, but it's not SO annoying anymore and I was starting to get optimistic that this would do the trick. Well. Now I have new problems. NOW...all of the sudden I've noticed that when I drive, it starts vibrating and stirring up the nerves in that same area I described above, but now the weird nerve sensations are starting to radiate all over my body. Lately, it's been stirring things up in my back area, and it travels up sometimes to the top part of my arm and runs down to my hands and through my fingers, then sometimes it travels in my stomach and around my throat. I start to feel like my stomach and throat is tightening. Then I feel tightening in in my jaw area, and then it goes to my head, causing me a headache. I will also feel soft prickling sensations in my lips. While driving, my arms will get that feeling like I just did an arm workout with weights. None of this really hurts, except for the headache part. When I finally get out of the car, things start to slowly settle down.

There's only been an occassional day here or there that these weird nerve sensations will travel all throughout my body when I'm up standing and walking around. I'm a teacher, so I do that a lot. But, when this is happening, it is not painful, it just feels like prickling all over the areas I talked about, and sometimes I can feel those areas tightening up without me doing it like my jaw and throat area. When I'm off from work, or at home just sitting around, I feel none of those weird nerve sensations except for the nerves sensations in my bladder after I pee, and underneath my butt and underside of my hamstrings just right under the buttcheeks. I have started stretching, and this alone will sometimes take the feeling of my bladder away or make it less noticable. There have been times when I don't feel my bladder at all. There's even a "pressure point" spot on my left butt cheek, that when I knead into it, my bladder feels normal! I wish I had someone permanently massaging there for me so I can feel normal...geez...

WHAT IN THE WORLD IS GOING ON WITH ME?!?! Am I the ONLY person to have these strange symptoms? Ugh! How could something that started off as just urgency/frequency has now blown up to this strange thing? I even was put on a few typical IC treatments (Elmiron, Amitriptyline, Darpaz) only a month and a half into my symptoms. I thought the meds would keep me at base level and just bring me down from there, but I guess not.

Who should I see about this? I've already explained all of this to the uro, but the wierd nerve sensations throughout my entire body didn't start until a week after I saw him and increased the Amitriptyline. Could this be a side effect from Amitriptyline??? That would seem odd to me, but you never know. Should I getting a neurologist in on my IC...???....a physical therapist..???....a chiropractor....???? There are so many things that seem to be going on that sometimes I feel like I need all three. If you were me, which route would you take? If you HAVE been me, which route did you take?
Thank you SO much for taking the time out to read my rather lengthy post. I just can feel it in my body that something is just not right, and I'd rather take care of the problem now then wait and let it get worse.

kadi
01-25-2010, 02:03 PM
If it started with the increase in amitryptiline, I'd probably call the doctor & talk to him about weaning down to see if that's causing the problem. It could be a rare side effect, but we IC patients are more likely than the average person to get the rare ones. If that doesn't resolve the problem or it gets worse, then seeing your primary care doctor & asking what to do next might be a logical next step. I wouldn't let it go.

When I drive, I use an IC seat cushion to minimize vibration and I also put a thick soft scarf between the seat belt & my tummy so the seat belt will still work in case of an accident, but it doesn't press on my bladder so much.

I hope you find some relief soon,

carried_cub
01-28-2010, 10:00 AM
I have had similar issues.

I don't have long to type, but I would recommend an assessment and treatment by a good pelvic floor PT. Find one who is familiar with more than your basic postpartum incontinence and biofeedback/overactive bladder and IC issues. Then find a doctor who understands well that your uro, repro, GI, neuro and muscular systems are connected and how they impact ea other.

Your medicine might very well be messing with you (Elavil makes me dream about desserts all night long), but I have to tell you I sympathize that I have had a series of symptoms that come and go along with others you didn't mention. Once the IC symptoms started, it was something new every month or so, more muscular pain, more nerve pain, then different ones, etc.

I know it's scary and you've probably been looking at the PFD and pudendal nerve forums and sites, which I also did, but don't do that to the point where you scare yourself! Deep breaths!

Why? Because here's the thing...what you have is extremely likely to be treatable and controllable, and things will probably come and go and get better and get worse. You might look for a pattern, but there might not be one, so try not to make yourself nuts. Just because the pain you are describing sounds like nerve pain doesn't doom you to anything in particular.

I do think you are going to have to start taking care of yourself w/ more than just the uro unless that uro is incredibly awesomely informed about women's health. I really think if you work with your uro, and a PT (don't skimp on the PT, even if it's just for an assessment), maybe a pelvic pain gyn/urogyn person, you'll find a halt and gradual improvement. Just think! Some stretches, some exercises, some self care (cushion, cushion, cushion, ice, heat, avoid heels for awhile, whatever), maybe massage or myofascial therapy, and at least you'll be taking the best care of yourself you can. What can it hurt?

I don't honestly think your symptoms are that rare. This stuff might start with your bladder, but your parts are all stuck together, so just for fun it won't stay there. I've seen some nutty stuff people have gone through on these boards, and I go through nutty stuff every day. Every once in awhile brand new nutty stuff comes along. But overall, with time and treatment, the valleys are getting shallower. I don't necessarily know what that means for the future, but I guess we'll see.

Calming thoughts and better days for you.

kellymh
01-28-2010, 11:58 AM
Hi,

I am so sorry your suffering, I get that same pain in the vaginal, anal and inner thigh area. I have tried many drugs and I seem to react to alot of them. I now take ditropan xl 5 mg and when things get bad I switch to enablex for 5 days and then back, it seems to help. I also take zanaflex at bedtime when the pelvic area is extreme tight and I also can feel the sore spots or nerves and massage does help, heat and ice does help also. Sometimes nothing helps.
Good luck on finding the right meds that help.

Kelly

Reannin
01-28-2010, 01:39 PM
Carried Cub. Thank you for your thorough reply, and I COMPLETELY agree with you. I believe I do need to start seeking help outside from my uro, which I still love. I've come to realize it after what I'm feeling with my body, and after thorough research I've done on my part for the past 5 months to help me become knowledgable. I feel like I'm slowly (and hopefully) putting the pieces of my puzzle together. I do believe my IC is primarily a neurologic and muscular issue. The more I feel where my symptoms are stemming from, the more I believe this is the issue for me. I've explained here on the boards that I have about 3 different theories of how my IC started. What I'm thinking is going on is somewhere I have a slipped disc, pinched nerve, or whatever. I used to work out heavily for 2 hrs. straight in the gym. I used to run and lift weights. I'm now wondering if I did some damage to either my pelvic floor or spine from the impact of running or did harm to my back mucles from lifting weights. Something got out of alignment.....I'm not quite sure. But what I DO feel for sure about is that something is going on with my spine or pelvic floor, and one (or both) of those two things have probably caused my IC.

I took it upon myself to go to my PCP earlier this week. I've been pondering it for weeks and weeks, so I finally went. The doctor did a blood test (and was surprised no one thought to take a blood test back when my IC started), he x-rayed my spine, which, apparently, I have slight scoliosis at the low part of my spine closer to my pelvic muscle. He didn't seem TOO TERRIBLY concerned, so I really don't understand if this slight scoliosis is considered bad or good. I'm wondering if that slight scoliosis has something to do with the lower back aches (not painful) I've always had (even before IC) when I'm standing for too long. Hmmm??? Either way, he said that the x-rays give us a general overview of the spine, but it is a possibility I might need an M.R.I. to get a better look into the back, spine, pelvis, whatever. We just did a nerve conductor test today, and tomorrow I'm going to go get an ultrasound. I don't know why I'm getting that. By tomorrow when I go in for my ultrasound, I will get the nerve test results, and hopefully my blood test results. I'm very interested to see what these tests show. I have just enough hope left in my heart that these tests will explain a lot and help us get to the root of my problem.

I have made up my mind and I'm going to request to be referred to a PT. I believe that will help me out a lot. I think I've found a couple that I might want to try. If he tells me he also wants me to see a neuro., so be it. At this point, I'll do what I can to get my normal happy, healthy life back.

carried_cub
02-01-2010, 12:22 PM
It sounds like you are on the right track, and I hope very much you will both figure out if you are having med side effects and find a knowledgeable PT that can help you out. Please at a minimum get an assessment by a very good pelvic floor PT, you can look on here, on the Pelvic Pain Society site, on the National Vulvodynia Assoc, many places if the ones you are thinking of don't work out.

Don't get discouraged if you have to see more than one to find the right person; in fact, if your doctor is willing to do this and your insurance will cover it, you might ask for one referral that will work for multiple practitioners or make initial appointments w/ more than one person so the wait time for a new patient appt isn't so far apart if you realize you aren't in the right place.

Just be patient and take the long view and don't worry yourself so much you make it worse (from experience) :-) Come back and let us know how you are doing, too.

Right now, for example, I'm in a valley. I had a bilateral pudendal nerve block done in Dec and the distribution area for that is now sore and unhappy. I was taking 10 mg of Elavil a night (this is not much) and I cut it to five and am trying a compounded ointment that will both take some time to work and seems to have an irritating ingredient in it. So I have a pain uptick. But you know what? My morning emails aren't in Sanskrit anymore and I don't do things like put the key in the car trunk and take the package that was supposed to go in the trunk with me. And two weeks ago, I worked a week of fourteen hour days. I couldn't take Elmiron, but I can do instillations if I need them, and I'm at 3.5 months of CystoProtek. Tradeoffs.

I can sympathize that this is very upsetting to you, but with your workout history you might consider doing a little research in the books like those sold on this site and on the pudendal nerve distribution area. The lady who runs that section on this site is very knowledgeable and patient. But please, please understand there is a lot of scary stuff about pudendal nerve issues on the internet so just like here what you see is one person's take on it/experience. When you see a PT, you'll be able to explain better your symptom history and where you have pain. Just don't let your research talk you into feeling things that aren't there. I recommend you keep a diary, of food/medicine/activity and voiding/pain, so you can answer questions and track your progress.

I don't have a listing on my signature, but just so you know, I have some of everything except endo. Bladder lining pain (but normal cysto/hydro), PFD, vulvodynia, VV, yeast issues, pudendal nerve issues, sacroiliac joint dysfunction, all kinds of entertainment. I've probably had frequency issues and provoked vulvodynia my entire life, but I grew up in a family of women where somebody was always in the bathroom so nobody thought it unusual. Since then I've discovered much of what I have is hereditary in some fashion. I've always had severe pain with pelvic exams and attempted intercourse, which no doctor ever considered unusual. Also low back and SI issues for about 12 years. But the major stuff listed above, it's been a little over a year, and it was just one surprise after another. Every month or two some new thing would happen and it would feel like another kick downhill. There's a song by Pink that says something like "this used to be a funhouse, but now it's full of evil clowns." ;-)

But you know what? So far, and I pray every night this keeps up, as new things pop up something older usually is improving. It takes work, time and finding the right treatment/PT for you. So patience, and take the very best care of yourself you can, because you deserve it!

fmcbride
02-01-2010, 02:22 PM
It sounds to me like you could be having spasms from that area.
I have that and my dr prescribed meds for it. It will just drive you crazy and perhaps is worse than the pain. It can make my leg jerk so that my husband notices in bed.It will wake you from a deep sleep also.
My best to you and I hope you find relief.