Hi tgirl,
My story is extensive! I have spent SO much time over the past 1.5 years talking about it and obsessing over my symptoms. I am now FINALLY beginning to reach a point where I need to just accept that they are there and cope the best that I can, trusting they will go away.
Here is a post I wrote in October when I was beginning therapy with a TMS therapist, to give him a summary of my experience: (forewarning: there is a lot of complaining and some emotionally intense experiences described)
In 2012, when I was a sophomore in college, I sustained a mild nerve contusion injury on my right foot playing basketball. (Basketball was a significant part of my life growing up). The injury really scared me, despite reassurance from my podiatrist that it would recover on its own, and I found myself constantly worrying and obsessing about the injury. It was around this time that I began to experience a strange, near-constant buzzing sensation on the sole of my right foot. This began to worry me more, and soon afterwards I began to develop the buzzing on my left (uninjured) foot. This was the beginning of a spiral of constant worry and fretting about my health. The more I worried, the worse my symptoms became. The buzzing then transformed into diffuse tingling, “crawly”, prickly sensations on both of my feet, and they persisted 24/7. I went to visit numerous physicians during this time and tried alternative therapies including acupuncture and herbal supplements. I went to UCLA where I received an MRI of my brain, C-spine, and L-spine, as well as nerve conduction studies, which all returned negative for disease or neuropathy. I visited probably 5 different doctors/specialists during this encounter. I received numerous blood tests and physical exams. No one could diagnose me definitively, but most assumed my symptoms were stress/anxiety related. I also experienced a few panic attacks during this ordeal (the first time I had had a panic attack in my life). I was placed on Cymbalta which I took for about half a year. To make a very long story short, I began to accept my symptoms (as uncomfortable as they were) as best as I could; since I was in school, I had many other commitments and I simply didn’t have the time or energy to constantly think about my symptoms. They were very troublesome, but somehow (I suppose because I was so obsessive about studying and achievement) I was able to divert my attention to my academics, and the symptoms disappeared after constantly affecting me for about 5-6 months. For the next couple of years, the symptoms would return very intermittently, but the longest they would last would be a week or two at a time, and then disappear again. I felt pretty normal again for a while.
Things spiraled rapidly out of control in the spring/summer of 2014. Prior to these following events, I was symptom-free and enjoying my life to its fullest. Then, a few traumatic events occurred:
1) In May 2015, my girlfriend (who I was absolutely obsessed with) abruptly broke up with me. In my entire life, this was the most emotionally painful event I had ever experienced.
2) In May 2015, I graduated from college and relocated back home to live with my parents. My college experience was the most phenomenal and amazing time of my life. I had an extremely tight group of friends and I absolutely loved college. Suddenly, I found myself back home, alone and without friends around.
3) From June-July 2015, I began to study for the biggest exam of my life, the MCAT. I studied for 8 hours each day, which was extremely difficult for me to do, as I was still reeling from the break-up and really struggling with the transition back home.
In the midst of these occurrences, in July 2015 the physical symptoms in my feet returned one day when I was studying. They were so distracting and so debilitating that I could not focus on studying anymore. I was already struggling so much with the break-up and with the loneliness accompanying my transition back home, that the reoccurrence of the physical symptoms was the straw that broke the camel’s back. I began having massive panic attacks in which my chest and head would catch on fire and I would become utterly paralyzed by fear, unable to think or speak. They were so severe that I could no longer study. I ended up cancelling my MCAT and putting my life on hold indefinitely.
Over the next few months, I stayed at home by myself, the first time in my life without any goal or objective ahead of me. This was also a traumatic time for me because, for the first time, I put all my effort into something and failed (namely, the break-up and studying for the MCAT). I could not rectify these problems no matter how hard I tried. I also could not rectify my health no matter how hard I tried. I began to suffer massive panic attacks and depression, which only aggravated my physical symptoms. I was a zombie at home, paralyzed by fear and unable to move or do anything except worry about my symptoms. I had several nervous breakdowns where my brain would shut off completely and I would vegetate, laying on my couch for hours while allowing the panic and fear to have its way with me. I began receiving CBT counselling from a therapist at anxietycentre.com beginning July 2014 and was put back on Cymbalta, which I took for about 7 months this time around. To make another very long story short, I somehow found a job as a scribe working in the emergency room which preoccupied me for some time. Around December 2014, I regained enough confidence to begin studying for the MCAT again. From December 2014 until about August 2014, I had many ups and downs but I was able to function. I could go to work and study, but on the inside I still felt miserable the whole time. I was anxious and had some panic attacks here and there. My physical symptoms in my feet remained 24/7, every second of every day. My only respite was when I was asleep at night. Throughout these months, I did everything I could to get better – I practiced daily deep relaxation/meditation, saw my therapist regularly, and tried to reduce stress in my life as much as possible.
After I took my MCAT in August 2015, my physical symptoms in my feet magnified and transformed into painful stinging and stabbing. At this time I saw another neurologist who specializes in neuropathy, who performed a repeat nerve conduction study and once again told me that my nerves are fine and that my symptoms are simply due to stress/anxiety. Nevertheless, the symptoms became so severe that I had to resign from my job, because I was having panic attacks at my job. Since August 2015, my life has been a constant living hell. Words cannot express the degree of discomfort of my symptoms and the accompanying despair and dread I experience on a constant basis. I am no longer able to do many of the things I used to do because of fear. I am jolted awake in the early mornings every day with a tremendous sense of fear and panic in my chest and stomach. I struggle to face each day, and I count down the hours until I can go back to sleep at night in order to escape the physical and emotional torment, if only for a few hours. I have multiple crippling panic attacks during the day, where I am so consumed by fear that I can’t do anything except sit on my couch in total mental paralysis. During these episodes I experience many troubling thoughts of despair and hopelessness. My symptoms became so severe that this past week I contemplated suicide, or at least admission to a psychiatric hospital. I spoke with several therapists and close friends and family who are fully aware of my situation. My psychiatrist, once again, placed me back on Cymbalta, which I started taking again last week.
Description of Physical Symptoms:
On both my feet, everywhere (diffusely), I experience a variety of symptoms and sensations. These have been occurring on a constant basis since July 2014, following the series of traumatic experiences as described above. I describe these sensations as best as I can as the following:
Tingling (bugs/worms crawling under the skin), buzzing (cell phone on vibrate, bees under the skin), prickly, stinging, hot sparks, burning, sharp/pin-stabbing, electric shocks, pulsating (like a heartbeat in my feet), hot/cold flashes in the feet, feeling of phantom water droplets, twitching, itchy.
Very recently, I also began to experience some (but not all) of these sensations as well as involuntarily muscle twitching in my legs and (rarely) in my upper arms. However, the symptoms are still 90% in my feet.
The symptoms occur every minute of every day, but they are much more pronounced and troublesome when I am sitting idly without distraction. These also tend to be the times when I have my worst panic attacks and feelings of despair.
I notice that the symptoms either abate slightly or are not as noticeable when I am walking/exercising, or when I am in very deep meditation (right before falling asleep). I also do not feel them when I am fast asleep. However, at any other point during the day, as long as I am conscious, I feel the symptoms every second.