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	<title>neurology &#8211; ME Foggy Dog</title>
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	<title>neurology &#8211; ME Foggy Dog</title>
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		<title>Physio</title>
		<link>https://www.mefoggydog.org/2019/03/31/physio/</link>
		
		<dc:creator><![CDATA[Sally Callow]]></dc:creator>
		<pubDate>Sun, 31 Mar 2019 03:24:47 +0000</pubDate>
				<category><![CDATA[M.E./C.F.S. Issues]]></category>
		<category><![CDATA[disability]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[neurology]]></category>
		<category><![CDATA[physiotherapy]]></category>
		<guid isPermaLink="false">https://www.mefoggydog.org/?p=1161</guid>

					<description><![CDATA[<p>Good morning Foggy Followers! You know when, in the UK, the weather people say &#8216;don&#8217;t forget that you&#8217;ll lose an hour&#8217;s sleep tonight because of the clocks going forward?&#8217;. They could have told my body that, losing one hour&#8217;s sleep would have been lovely! Instead, I was awake at 01:57 (old time)&#8230;.*sob*. I&#8217;m making the ... </p>
<p class="read-more-container"><a title="Physio" class="read-more button" href="https://www.mefoggydog.org/2019/03/31/physio/#more-1161" aria-label="Read more about Physio">Read more</a></p>
<p>The post <a rel="nofollow" href="https://www.mefoggydog.org/2019/03/31/physio/">Physio</a> first appeared on <a rel="nofollow" href="https://www.mefoggydog.org">ME Foggy Dog</a>.</p>
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										<content:encoded><![CDATA[<p>Good morning Foggy Followers!</p>
<p>You know when, in the UK, the weather people say &#8216;don&#8217;t forget that you&#8217;ll lose an hour&#8217;s sleep tonight because of the clocks going forward?&#8217;. They could have told my body that, losing one hour&#8217;s sleep would have been lovely! Instead, I was awake at 01:57 (old time)&#8230;.*sob*.</p>
<p>I&#8217;m making the most of my insomnia and writing a blog!</p>
<p>So much has been going on recently it&#8217;s hard to choose what to write about! Busy-ness has caused all sorts of symptoms to flare &#8211; eye twitching, anyone?! However, I am going to write about my current ongoing issues surrounding trying to get an MRI scan and seemingly non-M.E./C.F.S. aware physios.</p>
<p>I think I&#8217;ve written a blog previously about having my &#8216;nerve&#8217; pain investigated by neurologists, these consultant neurologists have both said (5 years apart) that I need to be referred for an MRI as they suspect that my pain problems all originate from my neck/spine. There is nothing wrong with my nerves &#8211; according to neurology consultants. The first referral suggestion went walkies somewhere never to be seen again (*Foggy* That was careless! Don&#8217;t let me go walkies on my own!).</p>
<p>The second neurologist said &#8221;Well, nothing showed on your last MRI scan so I&#8217;m not sure where we go from here&#8230;.&#8217;</p>
<p>Me &#8211; &#8216;What MRI scan?&#8217;</p>
<p>Neurologist &#8211; &#8216;The one you were sent for after your skin cancer op complications that left you in pain in your right leg but wasn&#8217;t nerve related&#8230;..&#8217;</p>
<p>Me -&#8216;Um&#8230;I didn&#8217;t have an MRI, I didn&#8217;t know that had even been recommended&#8217;.</p>
<p>Neurologist &#8211; &#8216;Ahh. OK. I&#8217;m going to recommend that your GP refers you for an MRI&#8217;.</p>
<p>(Paraphrasing as it was a couple of months ago and I have now had 3 hrs sleep so it&#8217;s a bit foggy but you get the gist).</p>
<p>I waited a week for the notes to transfer over to the GP and made an appointment. I was told that there was nothing in my notes 5 yrs ago about an MRI being recommended (*Foggy* Grrr) and that the best pathway was to self-refer to the physio team at my local hospital as GPs &#8216;can&#8217;t refer for MRIs&#8217;.</p>
<p>Before I go into the next bit, you should all know that the most recent neurologist stated categorically that physio would not help with my current pain issues. He couldn&#8217;t understand why I had been put through 6 weeks of physio 5 years ago for the same pain issue. Physiotherapy didn&#8217;t help 5 years ago.</p>
<p>I self-referred to my local physio department. Foggy&#8217;s Twitter Followers will know how wary I <img decoding="async" class="alignright size-full wp-image-1162" src="https://www.mefoggydog.org/wp-content/uploads/2019/03/download-1.jpg" alt="" width="275" height="183" />was of being given an exercise schedule (GET anyone?!) but saw it as the only way to get access to an MRI scan. In my opinion, it&#8217;s just hurdle jumping.</p>
<p>I had the initial assessment, was reassured that I wouldn&#8217;t be forced into doing any exercise that I felt I couldn&#8217;t cope with and made another appointment to start &#8216;treatment&#8217; the following week.</p>
<p>Oh boy.</p>
<p>I was going through slight payback on the day of the appointment, not enough to cancel but bad enough to mention it when I arrived at the appointment. I was under the care of a student physio, with a senior physio listening in from behind the curtain (doing paperwork, I think). I didn&#8217;t feel that my M.E./C.F.S. was taken seriously as the exercises I was being instructed to do didn&#8217;t take into account my dizziness, feeling off balance, muscle fatigue or my general feeling of whole body weakness. I was doing the &#8216;Superman&#8217; on a treatment table. I even joked that I hoped she would catch me if I toppled over!</p>
<p>I was given core strengthening exercises to do. 4 different exercises to do for a couple of minutes twice a day. I had to give up 2 of them during the appointment as it was too much. I left with &#8216;let&#8217;s give it 6 weeks and then we&#8217;ll think about if you need an MRI&#8217;.</p>
<p>This is when it gets interesting&#8230;..</p>
<p>The next day, I attempted the exercises. I managed a third of it before my body said &#8216;no way Jose!&#8217;.  I listened to my body and stopped when it told me to. I didn&#8217;t push through.</p>
<p>I tweeted about it and &#8216;met&#8217; a fantastic person who is now retired but used to be a senior physiotherapist/lecturer. I won&#8217;t name her now (I&#8217;ll call her Lisa in this blog (not her real name!)) but if she is reading this, I am so grateful for her intervention. I am not doing the &#8216;official&#8217; physio exercises now.</p>
<p>I shared my exercises with Lisa, she was surprised that I hadn&#8217;t been given written instructions/print outs/stick drawing instructions by my physio. That was her first observation.</p>
<p>Her second observation was that the exercises I had been given were M.E./C.F.S. inappropriate. They were &#8216;advanced&#8217;. A private Twitter thread ensued and Lisa was getting more and more angry on my behalf. It resulted in her apologising on behalf of her profession. I am very grateful for her expertise and understanding of M.E./C.F.S.</p>
<p>Lisa has given me alternative gentler exercises to try with the strict instruction to stop if I feel they are too much for me. I had 4 days of payback after attempting the &#8216;official&#8217; physio exercises, didn&#8217;t want to risk payback when Stripy launched so didn&#8217;t attempt any exercises last week and have had payback from my London trip. I will be starting the new gentle physio today or tomorrow.</p>
<p>I have decided to forget about getting an MRI scan. Even if something shows up, there won&#8217;t be treatment for it in the UK! I&#8217;m going to try and tighten core muscles to support my neck and spine but that will be the limit now.</p>
<p>I feel thoroughly let down by my local NHS &#8216;machine&#8217;, each cog doesn&#8217;t seem to want to play fairly with other cogs or with me as a patient!</p>
<p>FYI &#8211; Neck braces. I asked Lisa if my idea of wearing one for a couple of hours a day to relieve pressure on my neck would cause muscles to weaken even further. She advised that neck braces are ok if temporary and only used for a few hours each day. Ebay here I come!</p>
<p>Love</p>
<p>Sally</p>
<p>and Foggy (OBVIOUSLY)</p>
<p>xxx</p>
<p>The post <a rel="nofollow" href="https://www.mefoggydog.org/2019/03/31/physio/">Physio</a> first appeared on <a rel="nofollow" href="https://www.mefoggydog.org">ME Foggy Dog</a>.</p>
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