Arterial pain back

For the last week or so, my arterial sites have been paining. I have been using a local anesthetic before cannulation. So, the cannulation is all right. However, a few hours into dialysis, the arterial sites have started paining. I am unable to sleep properly too.

Last night, around 3 a.m. the pain had become quite severe. I tried carrying on. I was unable to sleep. I woke Jayaram, the tech and told him about the pain. I actually asked him to close the dialysis session. The pain was that bad. But I had got only about three and half hours of dialysis. So, he suggested that we push in a little local anesthetic. He did that and there was immediate relief. But that would only last about 10-15 minutes. So, he gave me an IV painkiller - trammadol. This allowed me to pull along for another hour or so. Around 5:15 in the morning, the pain was quite bad again. I woke him up and asked him to close the session immediately.

My arterial sites have always been problematic. I had written about it here, here, here, here and here. The last week has been quite bad. I am planning to use a sharp needle and change the arterial site today. Let's see how it goes.