Welcome to new Painmuse

GOOGLE TRANSLATE NOW ANY LANGUAGE ———————————————>

I’ve upgraded WordPress to include a twitter account where we can discuss blog entries. Hope to see you there..     http://twitter.com/painmuse
I hope to be  active there this year.

I have a program that tracks where users are from – pain is worldwide:

 Thanks admin

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Skin Nerve Stimulation (TENS) Could Treat and Prevent Post Shingles Neuropathic Pains

Transcutaneous Nerve  Stimulation (TENS = TNS)with one pad paraspinous and one pad front at level of shingles run 30 min daily – 20-40 hertz and 1-5 milliamps ended up with no pain at 6 months one versus 10% postherpetic neuralgia in drug treated or no treatment groups. Bizarrely, addition of anti-viral drugs to TNS prevented the beneficial effects.

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Glossopharyngeal Neuralgia – Treated by Steroid Injection and Amitriptyline

I got a question on what could be done for Glossopharyngeal neuralgia and came across this article on repeated bilateral intraoral glossopharyngeal nerve injections and amitriptyline as an alternative.

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Sciatica Back Epidural or Caudal – 40 mg Steroid as Good as 80 mg.

In two separate studies, there seemed to be no advantage to using 80 mg steroid over 40 mg. If one stuck to 40 mg, then one could have a shot every 6 weeks, rather than having to wait 3 months for another shot.

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Mixed Drug Treatment Of Interstitial Cystitis(IC)/Painful Bladder (PB) Syndrome

With an increased drug sensitivity, subjects with IC/PB do not handle medications very well. Drugs specifically designed for their condiition (like Elmiron and intra-bladder DMSO)) do not work well. The beauty of this therapy was low does of multiple medications that seem to make a difference. 

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Interstitial Cystitis/Painful Bladder – What are the Genetic Correlates?

Twin studies have found genetic linkages  of IC/painful bladder syndrome with several diseases – Irritable bowel,  prior physical abuse,  frequent headaches,  multiple drug allergies, and self reported bladder infections.

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Confirmed – Alkalanized lidocaine works for Interstitial Cystitis – and Better Yet With Heparin

In a controlled trial,”a combination of 50,000 units of heparin (Baxter), 200 mg lidocaine hydrochloride (Hospira), and 420 mg sodium bicarbonate in 15 mL of water”  instilled in the bladder, using a “hydrophilic LoFric 10 French catheter was used to minimize urethral trauma” gave significant relief of symptoms over the 12 hours of the trial.

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Dengue Fever Scale

  Always a risk in some developing countries  – but never had a clear picture of the features like this. More for my reference… 

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Confirmation of Nerve Growth in Tendonopathy – in Shoulder Too

I have previously written:
Does Pain “Grow” at Tendon injury sites? -and Treatment tennis elbow

Now for shoulder tendonopathy, “increases of newly grown nerve fibers and blood vessels ” inside tendons has been found

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Lithium Reduces Spinal Cord Damage Pain by 35% in 6 Weeks

Case reports have found lithium carbonate an effective in chronic pain but these results have been ignored because of lack of a reliable study, Now a a double-blind, randomized, placebo-controlled clinical trial was done and showed benefit in Chronic  Spinal cord injuries.

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COMT Pain Genes Wreak Havok – Finally a Good Study

Had a pateint with severe pains out of proportion to what one would expect. He has a couple of pain conditions that ran in family and I felt probably had pain genes that augmented the condition. Insurers treated him with complete disdain because of their ignorance. COMT genes have inconsistently showed hypersensitivity to pain stimuli. In order to get consistent results,  the pain system had to be repeatedly stimulated – and then results were obvious. I guess I can add one stimulation studies to my “one – injection shot MORON studies” [expecting one shot to cure or control a pain condition] list.

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