I had a severe bout with AIDP in 1995 beginning 12
days following a flu shot.
The bulk of the attack seemed to be to the feet
and though I never felt any pain as such, it did feel like blood flow
across the feet had ceased and there was a buildup of pressure, as
if from blood pressure in the feet.
Though my gbs attack was severe (30 days in ICU, mostly
on the vent), I was able to walk (poorly) unassisted from the hospital
after 21 days of rehab. My feet were most severely affected, and though
there was a lot of improvement with regrowth of the myelin about one
year into recovery, problems left were more than ideal.
I was left with wild, tingling sensations in the
toes, back to front of the foot, and almost numbness from
there back to the anklebone and heel. Because I had learned to lean
backward in rehab to counteract weak ankles, I was able to walk fairly
well and left the hospital after 21 days of rehab under my own power.
From toe-base to heel I could feel pressure from lower tendons
shortened by the condition and following soreness from resulting
tendonitis. Had no feel for where the ground was as I walked, and
just stepped out in faith that it was there, but had at least become
able to stiffen the ankle enough to discard the backward leaning.
The fact that the neuro persisted with plasmapheresis
rather than going for IVIG is, in my opinion, why the feet were so
badly affected. Initial attack was to the Myelin (nerve coatings of
the feet), but when IVIG was withheld so long, attack apparently got
into the central nerve (Axon) and recovery there runs from slow to
never. This is why I am so amazed, when a lot of recovery returning
more natural feeling to the feet occurs, in my seventh year of recovery.
I was 63 when the original attack occurred and was
left in bad straits because of 30 days with no food (other than the
drip). I had lost 60 lbs. Of course, the muscles are consumed first
in starvation and I was extremely weak and dissipated by the time
I entered rehab.
Too strenuous outpatient therapy resulted in my
one relapse in the third recovery month and 7 IVIG infusions were
required to put me on the comeback trail. I took all recovery therapy
unto myself after that. I did very little in hard physical effort
for the next year, not wanting to bring on another relapse. Then I
purchased a one-year membership at a local gymnasium and went to work
on the feet and legs which were my worst problems.
They were wasted by 30 days in ICU with no food other than the IV.
Still awkward, with continuous feeling of cold in the feet. Foot sensations
were jangling in the toes followed by almost no sensation back to
the anklebone area. Worked out 30 minutes, 3 days weekly for that
year and regained ability to rise "no hands", which was so necessary
to maintain my house and car.
Then, a few months ago, I was walking down the driveway
to check the mail and discovered my stride had returned!!
Recently, the entire mid-foot area has regained most
sensation and reflexes in the feet seem to be getting much better.
Over the past few weeks I slowly began to realize that the soles of
my feet (approximately 1/4" thick) were becoming sensitive to pressure
again and presenting a "normal" feel.
Later, I began to notice feelings of warmth beginning to move
between heel area and toe base. I can also feel the upper skin areas
on top of the feet from ankle to toe. This is especially noticeable
when I tilt the toes upward.
I still am not good on ladders. Legs are still somewhat
stiff and still under-strength, but I recently climbed the disappearing
staircase into the attic and replaced the high-temperature limit switch
in my overhead furnace.
For someone younger, recovery would probably be more rapid and complete
(I become age 70 in February) but I believe that if I live long enough,
I may someday see complete return of foot function!!
Ray Chidester
written in 2002
©
Copyright 2001-2007 S. Marcussen. All rights reserved.
Jsmarcussen.com/gbs takes no responsibility for any errors, omissions
or misinterpretations. These pages should be used for information
only and you are strongly advised to seek professional help particular
to your circumstances. For more information, please visit the website
http://www.jsmarcussen.com/gbs or e-mail
jsmarcussen@mail.tele.dk