- CASE FILE
atrial fibrillation, have syncopal episodes, had 3 cardiac ablations and have right leg nerve pain with a deep groin and buttock pain.
ABOUT THIS CASE FILE
I am 50 years old and I have a history of a right frontal lobe open head injury. I have a history of atrial fibrillation, supra ventricular tachycardia with syncopal episodes including seizure-like activity. I have had a total of 3 cardiac ablations via the femoral vein. I have been evaluated by several cardiologists. An interventional cardiologist diagnosed me with autonomic nervous system dysfunction. After extensive testing the physicians have ruled out epilepsy and seizure disorder. Currently I have experienced syncopal episodes, a fluctuation in heart rate and blood pressure. I have been prescribed different types of cardiac medications in the past. I am currently taking Metoprolol XR 50 mg every day for atrial fibrillation, and Losartan/HCTZ 50/12.5 mg every day for high blood pressure. For the past 2.5 years I have experienced sharp, stabbing, shooting constant pain in the medial right leg from the groin to the knee, also the skin on the inner thigh is very hypersensitive to touch. I also have a deep pain where the right leg connects with the plevic bone and pain in the top of the right buttock area. The pain worsens with lying and sitting. The pain has altered my sleep habits, social, physical and psycho-social lifestyle. I have taken Neurontin 100-300 mg every day for a short period of time, and had to discontinue the medication due tot he side effects. I have also used Lidocaine 5% topical patches for the hypersensitive skin on the inner thigh area. I have been evaluated by the following physicians: cardiologists, 2 electrophysiologists with 3 cardiac ablations, EEG (negative), hip specialist physician (diagnosed with SI joint dysfunction), orthopedic physician and 2nd hip specialist (diagnosed with a right hip labral tear and injured tendon), rehabilitation physician (negative EMG), neurosurgeon (diagnosed with possible obturator nerve impingement, 2 neurologists (possible obturator nerve impingement, 3 pain management physicians, a neurokinetic therapist and a massage therapist. I have had the following treatments and tests performed: 3 right hip injections, sympathetic, inguinal, femoral, and 3 obturator nerve blocks, SI joint injection, physical therapy for SI joint dysfunction, dry needling in the SI joint and femoral area, physical therapy and dry needling of the obturator nerve area, 2 MRIs of the right hip (2017 - small focal labral tear), (2019 MRI - no issues noted), MRI of cervical and lumbar spine (no significant findings), pelvic floor therapy, and MRI of the pelvis (minimal increased signal withing the obturator internus). I am seeking a physician that will be able to help with the symptoms I am experiencin and I would greatly appreciate information or advice from the physicians. Thank you for allowing me to express my issues with Chasing the Cure.