Hi Sally,

I agree with you that suppressing the nerves from firing may possibly hinder their recovery. Thats why I didnt even start looking at pain killers until I was about a year and a half into recovery. By that time, I suspect the majority of the recovery had occurred.

I have to say I've not noticed any reduction in feeling after starting on the Gabapentin (or Amytryptyline for that matter). But then I never lost "touch" feeling, just hot/cold & sharp/dull. As far as walking - well, I'm gonna be stuck with a limp for good now, but other than that I'm pretty mobile.

I think if I did start experiencing obvious numbness or lack of feeling, I'd probably just stick with it - if the pain was reduced. Providing obviously that it didnt start impacting on walking or balance...

But it seems to me that each person's experience of TM is completely unique, and what holds for me obviously doesnt for you.

Still, interesting to know how other people are affected and how they're dealing with things.

Good luck....

James


[EMAIL PROTECTED] wrote:
James, I already thanked you for your question about GABA, but I want to do so again! Because in writing the explanations, it made me think of something that has helped me.

I have this picture in my mind of a toddler trying to learn to walk, but of course he keeps stumbling and falling down. The parent gets impatient with him and yells at him saying, "If you can't walk without stumbling, just don't walk at all!" So of course, the child never learns to walk, b/c he was never allowed to practice until he could do it perfectly!

I have wondered if meds that relieve nerve pain don't work in a similar fashion. Our nerves have been damaged by the inflammation of the myelin in our spinal cords. Now they are struggling to 're-learn' how to fire. In doing so, they are making a lot of mistakes - they over-fire a lot, giving us weird, irritating, and sometimes just plain painful sensations. So we grab a pill, saying to our damaged nerves, "If you can't fire correctly, then just don't do it at all!" So they stop firing and they never get the practice they needed to become strengthened enough to eventually re-learn how to fire /correctly./

Okay. I may be way off. Or if I'm even close, this is surely an over-simplification. And the real problem would still come for those people for whom the pain is just unbearable. But I /still /wonder if /STOPPING/ the source of that pain is really beneficial to our healing??? So when you asked me about GABA, I remembered my little theory, and realized that if there's any truth to it, GABA would have the same effect as meds. However, it would be better in one way - it's not so dangerous as it is with meds, to increase and decrease the dose, ourselves, in order to find the minimal amount needed to be helpful to us.

As for my own problem, about the time I answered the question, I was wondering to myself why, when a few weeks earlier, my legs seemed to be getting more feeling, and healing a lot, they were now (then) seeming to get more numb again and I was feeling way less functional, physically. Then I realized that I had been increasing my GABA from 1/4 to sometimes 3/4 a day. (You have to note here, that I'm super-sensitive to meds - I can usually take about 1/6 of what is prescribed.) Anyway, when I realized that, I cut back, and started getting more of those weird nerve feelings - but then my legs seemed to improve and I can walk better again! And in thinking back, I also remember a night when I hardly slept for all the nerve pain. It was pretty discouraging, but then I was surprised to find that the next day, even though I was sleepy, I could walk so much closer to normal than I ever had since I got TM!

Let me know what you think here.

Sally



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