Information on "Cardiac Adrenal Pain Syndrome"

Radene Marie Cook Community Member May 01, 2009
  • Several have asked me for information on the one condition of mine that acts as an umbrella for all of my others = one that basically describes my overall condition and the condition of those like me who have compounded syndromes telling of pain, damage and injuries. That is Cardiac Adrenal Pain Syndrome. Since the listing of "1) SCI with Adhesive Arachnoiditis 2) Cauda Equina Syndrome 3) Epidural Fibrosis 4) Central Pain Syndrome 5) CRPS, Type II - full body" gets a bit lengthy to list each time. [[After all, that's every nervous sytem in me from inside all the way out having "a cow" about something]] And the listing of symptom after symptom, time after time would take notebook after NOTEBOOK, so it all boils down to this:  When a body has so much pain that numbers 10 or 50 on scales can scarcely describe a person's physical agony - the adrenal glands will flood that body with so many stress hormones that the heart is GOING to "attack" and the brain is GOING to stroke -- the end. That is CARDIAC ADRENAL PAIN SYNDROME in a layman's termed nutshell.

    To be more specific, I have the writings of Dr. Forest Tennant, MD., Ph.D who has authored over 300 scientific articles and books, and currently serves as Editor Emeritus of Practical Pain Management, the nation's most widely circulated pain journal for physicians.He has formerly served as a Medical Officer in the US Army and US Public Health Service. In the past he has been a consultant to the US Food and Drug Administration, National Institute on Drug Abuse, Drug Enforcement Administration, LA Dodgers, National Football League, and NASCAR. 

     

    Here is more on CARDIAC ADRENAL PAIN SYNDROME from Dr. Forest Tennant himself: 

    "Severe pain is well-known to stimulate the cardiac and adrenal systems. Despite this knowledge, there are few reported systematic investigations of these complications in clinical patients. More importantly, clinical treatment of pain's complications on the cardiac and adrenal systems has not heretofore been practically addressed.

    Those chronic pain patients who demonstrate physiologic complications involving the heart and adrenal glands are obviously those who have a most serious pain problem and who must be managed with the most aggressive measures. Reported here are two systematic investigations of some cardiac and adrenal complications in severe, chronic pain patients. The results of these efforts clearly show that some patients demonstrate cardiac and adrenal complications that can be easily diagnosed in an outpatient clinical setting and which can usually be controlled or ameliorated by aggressive pain treatment. The most obvious and easily detectable cardiac complications are tachycardia and hypertension. Severe pain causes the adrenal glands to secrete abnormal levels of catecholamines (e.g., adrenalin) and glucocorticoids (e.g., cortisol). Pain's impact on the adrenal gland is biphasic. Severe pain initially causes an outpouring of catecholamines and glucocorticoids in an effort to neutralize pain's adverse affects (see Figure 1), but the adrenal gland may later exhaust if pain is severe and unremitting.2 At this time, serum testing may demonstrate severe hormonal deficiencies.4 The tachycardia and hypertension observed in severe chronic pain patients is at least partially the result of excess adrenal hormone production, but central nervous system over-stimulation produced by severe pain also contributes to tachycardia and hypertension. Over-stimulation of the pituitary-adrenal axis and other adrenergic centers in the brain appear to act concordantly. It is pain's over-stimulation of the nervous system that is the root cause of most cardiac and adrenal complications, and they can be identified by simple clinical screens."

  • ... (exerpt taken from 9/2006 article in "Practical Pain Management"

     

     

    Thank you for looking into this subject. If you are pain or know someone who is, please fight for their care. And most of all, BELIEVE THEM! 

4 Comments
  • Andrea
    Feb. 26, 2010

    I am grateful for the article you have written.  It has been a fourth of my life that I have been searching for help after a severe brain trauma injury and extensive surgery, and endless years of bedridden pain.   I use this article now to educate my family, doctors, and pharmacists.   I had no idea what the injury and pain had...

    RHMLucky777

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    I am grateful for the article you have written.  It has been a fourth of my life that I have been searching for help after a severe brain trauma injury and extensive surgery, and endless years of bedridden pain.   I use this article now to educate my family, doctors, and pharmacists.   I had no idea what the injury and pain had done to my adrenal glands, let alone my heart.  And, my time was literally running out due to the adrenal failure.  I had a long list of symptoms that I tried to explain to doctors, but it was often mistaken as though I was just "depressed".  This article of education and advocacy for those who, like myself, have been discarded for so many physicians,  is a godsend and I am eternally grateful. 

    • Radene Marie Cook
      Jun. 08, 2010

      Andrea,

      I am delighted to hear that this information helped you though am so sorry for all you have been through.  I know how great it feels to be able to have a name for the MESS that is happening in your body.  It is a validation.  Aside from the obvious need for real pain management, there are other things you need to do for yourself...

      RHMLucky777

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      Andrea,

      I am delighted to hear that this information helped you though am so sorry for all you have been through.  I know how great it feels to be able to have a name for the MESS that is happening in your body.  It is a validation.  Aside from the obvious need for real pain management, there are other things you need to do for yourself when pain is this severe.  Be good to yourself.  Forgive. And remember to notice the little gifts Creator gives all around you everyday -- "Little conicidences" that can bring moments of joy through all the pain can help make life liveable. That's my last little piece of advice. I wish you all the best, Dear One, in everything ahead for you.

  • Anonymous
    kmm
    May. 06, 2009

    I have among other things adhesive Arachnoiditis, Spinal Stenosis, spondylostehtis etc etc. Last May I had a Heart attack and was told it was cause by Takotsubo Syndrome.  This was diagnosed after I had an angiogram. I was told that my left ventricle was weak and due to inadequit pain control caused by all of the above conditions, the weak ventricle...

    RHMLucky777

    Read More

    I have among other things adhesive Arachnoiditis, Spinal Stenosis, spondylostehtis etc etc. Last May I had a Heart attack and was told it was cause by Takotsubo Syndrome.  This was diagnosed after I had an angiogram. I was told that my left ventricle was weak and due to inadequit pain control caused by all of the above conditions, the weak ventricle flipped and caused the attack.What you are talking about here seems liek a much more likely cause. I would appreciate any information you continue to get on this.

    Thank You 

     

    • Radene Marie Cook
      May. 06, 2009

      kmm,

      I am so sorry that you have had to deal with all that you have. I'm so glad that you are researching your conditions and being your own advocate, that's so important and I pray that you find all the answers you need.  To help with that (tada!) I can get you a link that has the whole article that I quoted from.  The site is http://foresttennant.com...

      Read More

      kmm,

      I am so sorry that you have had to deal with all that you have. I'm so glad that you are researching your conditions and being your own advocate, that's so important and I pray that you find all the answers you need.  To help with that (tada!) I can get you a link that has the whole article that I quoted from.  The site is http://foresttennant.com and it has many of this doctor's research articles that come from his own 30 year experience treating pain.  Go to this site and click on the articles tab. Then look up the article entitled "Identification and Management of Cardiac- Adrenal-Pain Syndrome" Sept 2006. I hope this helps and thank you so much sharing your own information with me.

      Creator Bless you loads!Cool

      Radene Marie