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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nerve Pain From Head To Toe While Having Fuchs Dystrophy?

My 50-year old daughter has Fuchs dystrophy. Recently she has been having nerve pain throughout her left side from head to toe, severe headaches & this morning couldn t even get out of bed. All of her blood tests, xrays, MRIs, EMGs have come back normal. The thought occurred to me that it could be the Fuchs dystrophy causing the problem. Is that possible? She also has fibromyalgia & all of her trigger points in her neck & back are flared up right now.
Tue, 24 Apr 2018
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Diabetologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Fuchs dystrophy is an eye disease in which the innermost layer of cells in the cornea undergoes degenerative changes. This cell layer, called the endothelium, is responsible for maintaining proper amount of fluid in the cornea.

The endothelium keeps the cornea clear for good vision by pumping out excess fluid that could cause corneal swelling. Fuchs dystrophy symptoms include:

- Glare and sensitivity to light
- Eye pain
- Foggy or blurred vision
- Seeing colored halos around lights
- Difficulty seeing at night
- Poor vision upon awakening that may improve later in the day
- A feeling that something is in your eye (foreign body sensation)

(source- http://www.allaboutvision.com/conditions/fuchs-corneal-dystrophy.htm)

Therefore, I do not think that she has the suspected condition.

However, I think she may be facing fibromyalgia, a nerve condition associated with severe myalgia and pains and headaches. And all the tests are considerably normal in this condition. So, I think you are dealing with fibromyalgia.

This may be a flare-up of the existing fibromyalgia that you have already said she has. Duloxetine amitriptyline cyclobenzaprine are some very good medicines for fibromyalgia. Please meet your neurologist for an adequate prescription.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Saumya Mittal
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What Causes Nerve Pain From Head To Toe While Having Fuchs Dystrophy?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Fuchs dystrophy is an eye disease in which the innermost layer of cells in the cornea undergoes degenerative changes. This cell layer, called the endothelium, is responsible for maintaining proper amount of fluid in the cornea. The endothelium keeps the cornea clear for good vision by pumping out excess fluid that could cause corneal swelling. Fuchs dystrophy symptoms include: - Glare and sensitivity to light - Eye pain - Foggy or blurred vision - Seeing colored halos around lights - Difficulty seeing at night - Poor vision upon awakening that may improve later in the day - A feeling that something is in your eye (foreign body sensation) (source- http://www.allaboutvision.com/conditions/fuchs-corneal-dystrophy.htm) Therefore, I do not think that she has the suspected condition. However, I think she may be facing fibromyalgia, a nerve condition associated with severe myalgia and pains and headaches. And all the tests are considerably normal in this condition. So, I think you are dealing with fibromyalgia. This may be a flare-up of the existing fibromyalgia that you have already said she has. Duloxetine amitriptyline cyclobenzaprine are some very good medicines for fibromyalgia. Please meet your neurologist for an adequate prescription. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Saumya Mittal