Office Ketamine For Chronic Pain Poster

here is poster in pdf format:

Poster CPS 2017 ketaminefinal (2)

Here is a pic of poster from which study was based as is no longer available online:

 

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Please suggest help for this case of post back and post hip back-hip pain

A case in desperate need of help wrote and I have put it in a patient discussion forum:

http://painmuse.org/?topic=post-laminectomy-post-hip-pains/

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Welcome to Painmuse

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

 

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

Thanks admin

 

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Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls

I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.

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Posted in arm, Back Pain, Botox, complex regional pain, Drugs, Fibromyalgia, Headaches, Injection, IV therapy, Leg Pains, Manual Med, myofascial pain, Neck, neuropathic, Pain Dystrophy, piriformis, post herpetic neuralgia, radiculitis, shoulder, Uncategorized | 4 Comments

Finger pressure can relieve many migraine headaches

Over three minute pressure to occipital arteries can greatly relieve migraine pain in over 1/2 of cases; almost sounds too good to be true. Continue reading

Posted in Headaches | 11 Comments

Persistent Hiccups in Cancer – 0.1 ml Vinegar Squirted Into Nose and What Else

Using vinager for hiccups is a Japanese folk medicine treatment. After testing in regular subjects for safety, 0.1 ml; of vinerger (4.2% acetic acid) was used in a cancer patient with persistent hiccups with effect.

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Diabetic Medication Aids

Putting together info on using newer agents. Note: DPP4 and SGLT2 combo not allowed by EDS

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Cervical Radiculitis Without a Cause ? Chickenpox Zoster Virus History High

If you take cases of cervical radiculitis – if imaging shows possible reason for it, they give a history of having had shingles at about 18.4%. In cases with normal imaging, the prior incidence jumps to 81.6%  (p<0.01) – most of them not within the last 24 months. This leaves one to wonder if the virus had some input into this disease or whether abnormal autoantibodies contributes to some autoimmune syndrome.
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Mucositis Help by Zinc Sulphate 220 mg /day

Patients were followed during various stages of chemotherapy. and had 1/4 or less significant mucositis compared to control if took Zinc  Sufate 220 mg/day

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A Multisystem Disease Problem Case

Below is a recent email of someone with multisystem undiagnosed problems that would be daunting to say the least;

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On Methotrexate? – Take Vitamin C

In rat model, vitamin C prevents oxidative stress on liver and kidney

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Acute Neck Pain and Pain on Swallowing – Longus Colli Tendonitis

Though often confused with an abscess, acute  anterior neck pain and stiffness associated with swallowing pain or globus, can be longus colli tendonitis. Calcificatrions might be seen on xray. Fortunately it last only a couple weeks on average

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In Sleep Deprived? Naps and Caffeine Might Help Pain

in the Animal model if animal sleep deprived ( Not fragmented sleep though) , they animals become more sensitive to noxious stimuli.  Yet sleep would restore things and Caffeine would also reduce pain reaction.

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How Can You Tell If Duloxetine (Cymbalta) or Pregabalin (Lyrica) will Work?

Both duloxetine and pregabalin work by restoring brain down pain inhibition. Hence the work in people who have deficits in this system. There is a simple test to confirm functioning.

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Friedrich Nietzsche – What I got out of his Sayings

Friedrich Nietzsche  – What I got out of his Sayings

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Office Factors Related to Chronic Neck Pain

Keyboard too close, too long in one job position, and muscle tension are 3 factors found in one study

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Sedentary Lifestyle Only Weakly related to Chronic Back Pain – and Only in Women – Twin Study

Twin study found only a weak relationship between sedentary lifestyle and chronic back pain – and found it only in women and when corrected for genetics -was only weak.

Spine J. 2017 Jul;17(7):933-942. doi: 10.1016/j.spinee.2017.02.004.
Does sedentary behavior increase the risk of low back pain? A population-based co-twin study of Spanish twins.
Amorim AB et al
https://www.ncbi.nlm.nih.gov/pubmed/28232052

  • “There were 2,148 twins included in the cross-sectional analysis whereas 1,098 twins free of persistent LBP at baseline were included in the longitudinal analysis.”
  • No association of sedentary lifestyle and back pain in men
  • “sedentary behavior was slightly associated with an increased prevalence of persistent LBP in females but not in males.’
  • when genetics taken into account the association in women was even weaker

Comment – people with chronic pain are automatically labelled as weak, out of shape and so forth as a cause for their disability. There appears to be little evidence for that once genetics taken into account. To add insult to injury, chronic back pain sufferers are subjected to exercise regimens that may be only weakly associated with relief. For some this amounts to torture and when the drop out of the program, insurers use this as an excuse to terminate their coverage. This this despite a WCB case that concluded patients could terminate exercise program. (lancaster house has it listed). I call that a racket…

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Ibuprofen an Alternative For Preventing High Altitude Sickness

  • “Severe high altitude headache  occurred in 3% treated with ibuprofen and 10% with placebo”

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Fibromyalgia Common in Thyroid Disease

In Hashimoto’s thyroiditis, quoted FM rate is 30-40% ; present study found 62%.  Thyroid antibodies, abdominal girth, and duration disease among other things, contribute to FM possibility.

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Chemotherapy Induced Sore Mouth Mucositis – Cut Pain in Half with Topical Ketamine

Must be horrible to have a sore mouth with chemotherapy – ketamine  20 mg/5ml used four times daily reduced pain from 6 to 3 within days.

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Posted in ENT | 1 Comment

Opioids and Tranquilizers/Sedatives Don’t Mix

“Sedative-hypnotic use compared with nonuse was associated with 6.4 times the risk of opioid overdose death. … Even at opioid doses 1-19 mg/d, patients using sedative-hypnotics concurrently had 5.6 times the risk than patients without sedative-hypnotics”. I must admit I have found clonazepam helpful for restless legs and sleep but cannot bring myself to allow sedative use with these sort of statistics.

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Certain Orthopedic Issues over 70 yr Old – Easy Pain Help – low Dose Radiotherapy- But Will you ever see it?

Low dose Radiotherapy over age 70 has minimal risks but can often drop pain by 1.9/10 in following issues – sore heel and achilles pains, knee pains, and trochanteric bursitis.

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Posted in achilles, ankle, foot, Hip Pains, Knee, Mechanical aids, Uncategorized | Leave a comment

Depression in Chronic Back Pain? – Twin Study Suggests More Familial Than Related to Pain

Spine J. 2017 Jul;17(7):905-912. doi: 10.1016/j.spinee.2017.02.009.
Chronic low back pain and the risk of depression or anxiety symptoms: insights
from a longitudinal twin study.
Fernandez M
https://www.ncbi.nlm.nih.gov/pubmed/28267634

“The relationship between chronic LBP and the future development of depression or anxiety symptoms is not causal.”

Shared familial factors was considered more likely

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Peripheral Neuropathy Pain Unresponsive to Creams – Try 5% Doxepin

Child cancer case where chemotherapy induced peripheral neuropathy pain was not helped by usual topicals was helped by 5% doxepin cream

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Sad News of Hip Replacement – Less Pain and Better Function but No Increase in Physical Activity Seen

J Arthroplasty. 2017 Jul;32(7):2191-2198. doi: 10.1016/j.arth.2017.02.002.
Total Hip Arthroplasty Improves Pain and Function but Not Physical Activity.
Jeldi AJ et al
https://www.ncbi.nlm.nih.gov/pubmed/28285898

  • 30 cases ages 67 +/- 7 yrs
  • Physical Activity of Total Hip Arthoplasty  patients was quantified to 12 months postoperation
  • “Physical activity did not change from presurgery to 12 months postsurgery despite improvement”

Comment – my brother dislocated his artificial hip just bending down so there are certain restrictions. People need to be warned about their function after surgery not being associated with more activity

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Buttock-Posterior Thigh Neuropathic Pain – Posterior Femoral Cutaneous Nerve Injury and Treatment

Pain in butt and hamstring is not uncommon and usually involves hamstring. However, neuropathic level pain in areas can happen after surgery or injection suggesting nerve damage to Posterior Femoral Cutaneous Nerve. Present article used cryoablation successfully to treat.

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Pain News – Short Snaps June 2017

June 2017 Pain News: I put them up as short snaps because not going to blog note them – hope you like. You will probably not find many in news elsewhere.

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Posted in Abdominal pain, celiac, chronic fatigue, Fibromyalgia, Headaches, Injection, Interstial Cystitis/Gynecologic, Knee, psychology, shoulder | Leave a comment

Dispelling Myth That Chronic Pain is Unresponsive to Treatment

This was the title of a recent article in British Journal of Sports Medicine. It is what my blog is all about – recognizing that there are new things coming out every week that make a difference –

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Epidural Steroid Injection – Pain on Lumbar Extension Determines Extent of Benefit

In Chronic Low Back Pain and Radiculopathy (sciatica) epidurals are used with varying success.
“The mean length of relief duration is 38.37 weeks for individuals without painful lumbar extension and 14.68 weeks for individuals with painful lumbar extension.”

CONCLUSIONS:: The mean length of relief following a caudal injection is reduced by 62% in patients who exhibit pain with lumbar extension.

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Recurrent Abdominal Pain (RAP) in Children – More Than it Seems

European study found in RAP syndrome without any alarm features, 57% were found to have organic disease – and treatment of such lead to resolution of symptoms.

Things found included:

  • 19 (22.6%)  lactose intolerance.
  • 17 patients (20.2%)  celiac disease.
  • Two (2.4%) cow milk allergy.
  • 9 (10.7%) ureteral calculosis.
  • One (1.2%) was affected by teniasis = tapeworm

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