In simple terms, which symptoms ought one to look out for. Thank you.
See for a symptom list: https://www.me-pedia.org/wiki/Craniocervical_instability
But I'd also read Jeff and my stories.
In simple terms, which symptoms ought one to look out for. Thank you.
One possible link between weakened connective tissues and the viruses in ME/CFS that infection can up-regulate production of connective-tissue degrading enzymes. Coxsackievirus B for example ramps up production of various matrix metalloproteinases (MMPs), which is a whole family of enzymes that destroy connective tissue proteins like collagen, elastin and gelatin.
Dear Jen,See for a symptom list: https://www.me-pedia.org/wiki/Craniocervical_instability
But I'd also read Jeff and my stories.
In simple terms, which symptoms ought one to look out for. Thank you.
The over-the-door pulley traction has helped others with CCI. It didn't seem to help me much. .... I just needed more force than 20 lbs.
If/when you have the time, please do add info on matrix metalloproteinases + Coxsackie to the collagen page (even if brief). Or share any citations you might have.
How frequent were your headaches?See for a symptom list: https://www.me-pedia.org/wiki/Craniocervical_instability
But I'd also read Jeff and my stories.
In theory, if it were bad enough, this could be a spinal fluid leak. Bad leaks can cause your brain to sink (think foramen magnum == drain) and actually compress the brainstem from above. Leaks always get worse with standing.
Thank you for sharing the video of Dr. Carroll and it sounds like he is talking about CSF leaks with chronic headaches versus CCI that could affect breathing/diaphragm muscle strength when standing (unless I misunderstood)?
@JenB From your excellent article/blog, it sounded like your breathing problems were predominantly when you were lying flat vs. standing? Or did they also occur when you were standing?
I am 99.99% certain that CCI is not my diagnosis (but lately several people from PR have asked me why I ruled it out when I had a car accident/neck injury as one of the first triggers and had cervical stenosis on an MRI around 2010)?
But I ruled it out b/c I do not have headaches
I do not have EDS
and my severe muscle and breathing weakness 100% resolved from treatments for autoimmunity without any kind of traction, neck brace, or treatment for CCI (which would not be logical if that was the core problem).
I have the same doctor as Jeff (who is extremely familiar with these cases) but he has never at any point even mentioned this to me as a possible diagnosis to test for and he knows I have chronic neck pain.
But several people have now asked me why I ruled out CCI when I'd had a car accident and neck injury so I don't want to leave any stone un-turned (in case my remission should not last).
I guess I am wondering if headaches are a required symptom for this diagnosis or if neck pain and shortness of breath (in the absence of headaches) are an equal part of the diagnostics?
Jen, it's very interesting to me that these symptoms started after the thyroidectomy. Do you think that this was because of the direct physical trauma of surgery, or do you think that there's a relationship between this kind of structural problem and metabolism? The reason I ask is a lot of my muscle pain symptoms improve temporarily with thyroid treatment. I wasn't a classic hypothyroid case for most of my illness but tried it despite normal TSH levels, and then got retested around the same time I started thyroid treatment and realized that my TSH levels had raised to "officially hypothyroid" levels. A lot of people here have had some symptomatic relief with thyroid treatment but I wonder if it is at all connected to collagen or structural issues...Hi @Hip. I believe I had a mild case of this for a very long time (perhaps since my onset or at latest, 14-18 months later), but never associated my symptoms with my neck or my head position. It was only after the thyroidectomy that the positional nature of the symptoms (that turning my head or laying on it made everything worse) became clear. There are several papers re: general anesthesia in rheumatoid arthritis and Down Syndrome and their relationship to CCI/AAI (two communities in which this is common). Surgery is a common trigger that can make everything worse.
CCI/AAI is also *very* common in the Ehlers-Danlos Syndrome community and you'll see many cases similar to mine and Jeff's. Although, I do think the difficulty breathing is a less common symptom and is associated with more severe cases of CCI as I believe you need to have significant cranial settling to cause that particular symptom. The other diagnoses you mention that cause compression (excluding the stenosis) are also common in EDS and are all associated with faulty connective tissue: https://onlinelibrary.wiley.com/doi/full/10.1002/ajmg.c.31549
Here are some pages you might add all this new wisdom
https://www.me-pedia.org/wiki/Brainstem (would be good to have both the inflammation studies and the discussion of brainstem deformation on the same page).
https://www.me-pedia.org/wiki/Collagen (bonus if you can find any papers on enteroviruses and collagen. I could not, but haven't looked very hard).
Thank you! No, I hadn't and I will read it now.@Forçe e Honra Tagging you in case you had not seen this thread yet (which we were discussing in another thread )
How long did that last?I had my own experience of probable increases in connective-tissue degrading enzymes after catching my virus: about 12 to 18 months after I caught the Coxsackie B4 virus which triggered my ME/CFS, I developed a sudden-onset crêpe paper-like wrinkling of the skin all over my body, but most prominently on the top of my hand. Here is a picture I took years ago of these sudden-onset fine wrinkles on my hand:
https://www.me-pedia.org/wiki/Collagen (bonus if you can find any papers on enteroviruses and collagen. I could not, but haven't looked very hard).
How long did that last?
Mitral valve prolapse involves the ill effects of MMP-2 on the extracellular matrix of this valve. Mitral valve prolapse is not uncommon, found in around 2-3% of the population.
Just want to mention that I also developed this on the back of my hands after getting sick. I tested positive for exposure to Coxsackie B4 and Echo 30 through ARUP and had been taking Equlibrant for at least six months.The fine skin wrinkling is still present some 15 years after I first caught the virus. And not just in me: this crêpe paper-like skin wrinkling is still present in everyone who had it triggered by the virus.
Very good work @Hip !
I may look to try some of these things in future but I am not so sure about the high dose of fish oil.
Do you think taking collagen could help rebuild these structures faster than they are taken down, or perhaps provide fodder for the MMPs?
Just want to mention that I also developed this on the back of my hands after getting sick. I tested positive for exposure to Coxsackie B4 and Echo 30 through ARUP and had been taking Equlibrant for at least six months.