Background: female 54, 100 lb overweight, weight gain started @ age 42, childhood physical and emotional abuse, in 4th marriage.
Test Results: chronic Serratia Marcescens sinus staff infection-sphenoid sinusitis, C herniated disk, T spinal scoliosis, L-5 spinal stenosis, mild bilateral carpal tunnel, elevated C-Reactive Protein, severe obstructive sleep apnea, mild increase in beta globulins, all alergy testing has been negative, routine blood pressure tests=135/80
Physicians' Diagnosis: chronic intractable sinusitis, degenerative disk disease, thoracic scoliosis, spinal stenosis, sever obstructive sleep apnea, carpal tunnel syndrome, fibromyalgia, arthritis, chronic fatigue syndrome, sickle syndrome, suggestion of Sjogren's syndrome - labs have been unable to confirm by blood or saliva tissue, mild depression, severely obese, myalgias and arthralgias, sicca complex
Prior Treatments: various sinus saline rinse methods, five sinus surgeries to enlarge and clean out spenoid and maxillary - extensive oral antibiotic therapy - IV and nebulizer vancomycin therapy, various spinal epidurals, L 4-5 lumbar discectomy for herniated disk, tonsillectomy w/uvula & partial palital tissue removal (unable to tolerate c-pap machine due to claustrophobia) and addition of mouth orthotic to thrust my chin forward while sleeping (which tripled my airway), physical therapy for T scoliosis and fibromyalgia, heated pool water exercise & therapy, elimination of sugars and caffeine in diet for 6 months to evaluate change in fibromyalgia pain
Current Meds: Arthrotec, Cymbalta, Nexium, Zanaflex, Estradiol, Restoril
QUESTION: The arthritis in my hands have become more painful and I have started having sudden urination urges. When these urges hit, the joints and/or nerves in my hands become very painful. I am having lots of accidents while trying to get my pants down! I have asked my rheumatologist if he knew what the connection was and how to treat this problem. He does not have an answer or even a guess. He doesn't want to change anything about my treatment until my sinus issues are resolved. My ENT has tried aggresive treatment for the sinusitis, but I don't have much hope after going through this for five years. My PCP has been very helpful getting me to specialists, but now hesitates about any treatment that might interfere with the other doctors. How can I have a hand pain connection to a sudden urination urge?