Vulvodynia or Pudental Neuralgia -Simple Repeated Injection Breakthrough Treatment

Posted on February 18, 2017 by admin

A simple perivulvar way to do pudental like blocks, if repeated, can lead to astounding improvement in pain in perineal areas – either vulvodynia or pudental neuralgia. I have achieved control in one case of either but don’t know yet the long term story.

Continue reading →

Posted in gynecologic, neuropathic, pelvic | Leave a comment

Sweet Epidural Caudal Sugar-Water Injections Cut Back Pain Longterm

Posted on February 16, 2017 by admin

Re back  pain and sciatica – Astoundingly, you can get 50% back pain reduction short term and 30% relief long term with repeated simple injection of D5W sugar water given caudally. Caudal injection has been dumbed down to a simple vertical injection into hiatus.

I considered this article so important that although you can see in in referred site I have reproduced it in total because referred sites often disappear:

Continue reading →

Posted in Back Pain | 1 Comment

Dry Eyes More Common In Certain Chronic Pains and Made Worse by Low Vitamin D – Replacement Helps

Posted on December 29, 2016 by admin

Prior I wrote about a Dry Eye- Mouth Syndrome (DEMS) that has some joint involvement. DEMS is associated with thyoid antibodies suggesting an autoimmune process (1).

Now It was found more commonly in irritable bowel, chronic pelvic pain and irritable bowel. But most interestingly, low Vitamin D worsens the symptoms and supplementation helps

Continue reading →

Posted in Drugs, eyes, Fibromyalgia | Leave a comment

Low Vitamin C Linked to Chronic Pain

Posted on September 27, 2016 by admin

Nationwide survey found low vitamin C highly prevalent in population and increases risks of chronic pain.

Continue reading →

Posted in Deficits | Leave a comment

Simulating Ketamine Infusions with Repeated Deltoid Muscle Injections

Posted on September 15, 2016 by admin

Protocol from Anodyne Headache and Pain Care in Texas gave 0.3 mg – 0.4 mg/kg ketamine divided into 3 deltoid IM shots separated by 15 minutes for headache and neuropathic pain.  A remarkably successful ketamine IV treatment for depression gave 0.5 mg/kg iv over 1oo minutes. Could they be different flavours of the same thing?

Continue reading →

Posted in Uncategorized | 2 Comments

Shooting Trigeminal Neuralgia – Facial Epicrania Fugax – and a New Treatment

Posted on September 11, 2016 by admin

6-8 years ago a brief neuralgic pain in the scalp that radiated to front or back of head was described. I wrote about it here:
http://painmuse.org/?p=1516

Now a facially originated version has been defined and sounds very much like trigeminal neuralgia except it shots up or down the face. The same superior cerebral artery compression was found on MRI as you see in Trigeminal neuralgia.

Facial epicrania fugax

Continue reading →

Posted in Drugs, neuropathic, Trigeminal Neuralgia, Uncategorized | Leave a comment

Hand Sanitizer Proves Cheap Ultrasound Gel

Posted on September 1, 2016 by admin

Regular ultrasound gel bottle may not be sterile and individual packets are costly so hand sanitizer was tried with success.

Continue reading →

Posted in Topical Pain Treatments | Leave a comment

I Stand Corrected- CT Do Help Problems – Alzheimer’s and Asthma Treatment -and Radiation Could be Good

Posted on July 7, 2016 by admin

Some specialists will leave patients in abject pain with the implication that the imaging they have ordered will in some way help their pain. It does not.  However, an Alzheimer victim was subjected to 4 head CT and has made some recovery. It was suspected the excessive radiation had anti-inflammatory properties. A 5th CT temporarily set her back and was assumed to be beyond the acceptable radiation dose. There is good evidence radiation can control asthma and perhaps improve lifespan. Continue reading →

Posted in Uncategorized | Leave a comment

TMJ – Upper Joint Injection Technique

Posted on June 13, 2016 by admin

I had always thought injecting the TMJ laterally in upward direction would be best. A posterior approach was found more effective in the swine equivalent.

Continue reading →

Posted in Injection, TMJ | Tagged | Leave a comment

Post Lobectomy Persistent Chest Pains Prevented by Kinesiology Taping(KT)

Posted on May 14, 2016 by admin

Presently there is a battle in attempt to find measures to prevent persistent post-operative pain.  Persistent pains after chest surgery can approach up to 50%.  Post-operative, Kinesiology Taping (KT) was done over  three areas: at the chest access site pain trigger point; over the ipsilateral deltoid/trapezius; and lower anterior chest. In control group 30 day persistent pain was 30% versus only 7% in the KT group.

Continue reading →

Posted in post-surgery persistent | Leave a comment

New Acute Headache – ? Cause

Posted on May 6, 2016 by admin

Eliminating chronic headaches and “cephalic illnesses” (stroke, seizures, cranial lesions, sinusitis, or central nervous system infections” left a group with new moderate- severe headaches that attended emergency. These people could have comorbid serious health issues such as heart failure, worsening asthma or  emphysema, hypertension and pneumonia or something as trivial and an acute viral illness.

Continue reading →

Posted in Headaches | Leave a comment

Foot Morton’s Neuroma – New Treatment – Capsaicin Injection

Posted on April 17, 2016 by admin

Mortons’s Neuroma can cause severe foot pains often between the bases of the 3rd-4th toes. Cortisone injection may lead to atrophy of tissues and more rubbing of area as result so options are needed. Injection 0.5 mls of 0.1% Capsaicin lead to pain reduction from 5.9 to 2.4/10
mortonsneuromainject Continue reading →

Posted in foot | 1 Comment

Gabapentin Fails to Help Back Pain With or Without Sciatica

Posted on April 17, 2016 by admin

Not all that long ago, Canadian Indian Affairs mandated that native pain sufferers had to try  gabapentin/cymbalta like drugs first before certain opioids. I wrote about how poorly cymbalta worked:
http://painmuse.org/?p=2179

Now even gabapentin failed to help back pain with or without sciatica. One wonders about the ethics of such sweeping proclamations.

Continue reading →

Posted in Back Pain, Drugs | Tagged | 1 Comment

Chronic Severe Abdominal Pain is a Skin Nerve Pain

Posted on April 17, 2016 by admin

Lidocaine freezing, administered rectally, can eliminate bowel pains temporarily. Having done that in a case of severe chronic abdominal pains, I found very tender nerve tracts from back to lower abdomen and pelvis on right side, explaining most of the pain.

Continue reading →

Posted in Abdominal pain, Injection | 2 Comments

Does Etanercept Nerve Irritation Limit Use?

Posted on April 16, 2016 by admin

Many years ago I was injecting enbrel paraspinously near the nerve exit of sciatica nerve location. I was using a full 25 mg and found it had minimal effects. I wrote E. Tobinick at times and wondered if it was irritating the nerve. He wrote back “Who are you?” and that was the end of it. Now they have found that any more than 0.5 mg injected near nerve transforaminally gave reduced benefits for treatment of sciatica. This irritative effect of higher doses could explain reduced effects in some studies.

transforaminal

Continue reading →

Posted in Back Pain, Drugs | Leave a comment

Pregnancy Gone Badly – needs Quick Diagnosis and Treatment

Posted on April 16, 2016 by admin

Came across this while searching pain. It is so deadly, I had to write it up.

Catastrophic antiphospholipid syndrome (CAPS) is a rarely occurring condition leading to death in up to to 1/3 of cases. It can be confused with several other conditions like hemolysis   elevated   liver enzymes low platelets syndrome (HELLP), thrombotic thrombocytopenic purpura(TTP), and hemolytic uremic syndrome (HUS); so easily missed. It can present with generalized malaise,  abdominal  pain,  chest  pain,  shortness of breath and  hypertension,  altered mental status and seizures. Immediate  triple treatment with heparin, IV methylprednisone, and  IV immunoglobulins or plasmaphoresis can save lives.

Continue reading →

Posted in Uncategorized | Tagged | Leave a comment

Finger Bruising – Recurrent Spontaneous

Posted on April 16, 2016 by admin

There is a subgroup of people who will spontaneously develop bruising in the palm side fingertip of a finger. It is a known syndrome – so don’t think you are crazy..

bruise_finger Continue reading →

Posted in skin | 1 Comment

Sleep Bruxism Temporarily responds to repetitive Transcranial Magnetic Stimulation (rTMS)

Posted on April 12, 2016 by admin

Stimulating the primary motor cortex representation of masseter muscle “bilaterally for 20 min per side each day for 5 consecutive days”  significantly reduced bruxism and opened up a new avenue of treatment.

bruxism_rTMS

Continue reading →

Posted in TMJ | Leave a comment

Scar Pains – More Injections to Cure Than Think

Posted on April 8, 2016 by admin

I was taught that a simple intradermal injection of local could eliminate scar pains. Now it is becoming clearer that repeated injections are often needed and the addition of cortisone is often necessary for results.

Continue reading →

Posted in Injection, skin | Leave a comment

Center Disease Control 2016 Recommendations For Using Opioids

Posted on March 18, 2016 by admin

CDC 2016 has put out a checklist for opioid use. It does not emphasize much on  use of injection, manual medicine and other alternative techniques but does give some guidelines.

Continue reading →

Posted in Drugs | Leave a comment

Missed Back Pains Especially in Elderly – Kissing Spinous Processes – Baastrup’s Disease

Posted on March 13, 2016 by admin

Touching spinous processes in back can elicit pain, and may coexist with other problems so be easily missed. Cortisone injection is the first line treatment. I might have seen one lately that was puzzling that it was so localized – in an elderly patient that I was more concerned about rib impingement.

baastrups Continue reading →

Posted in Back Pain, Injection | 1 Comment

Chronic Prostatitis – Are Gut Germs Involved?

Posted on March 2, 2016 by admin

People with Chronic prostatitis have much less diversity of gut flora and particularly lack Prevotella – enough so, researchers think it is a biological marker.

Continue reading →

Posted in prostatitis / prostatism | Leave a comment

Post Breast Surgery Pains – Nerve Blocks Help

Posted on February 1, 2016 by admin

Post breast cancer surgery Pains are often do to injury to the Intercostobrachial nerve. Up to now, there has been little literature on whether blocking nerve actually helps – now a pilot study suggests pain can be cut in half.

Continue reading →

Posted in breast cancer, breast pain, Injection | Leave a comment

Chronic Headache Tragically Missed Cause – Intracranial Hypotension – And Poor Imaging Issues

Posted on January 24, 2016 by admin

New cases series of patient twith chronic headache that oft went thru a litany of doctors without success with a clearly treatable disease. Each gave a history of  headache on arising and relieved by lying down that was discounted because intracranial hypotension is so rare.

Continue reading →

Posted in Headaches, Insurer issues, Uncategorized | Leave a comment

Calcinosis Cutis – Under Skin Painful Deposits and Ulcers

Posted on January 23, 2016 by admin

Calcinosis Cutis is a disease of abnormal calcium skin deposits. Found in Connective tissue diseases like Dermatomyositis and CREST syndrome, in some  cancers, in genetic disorders,  and with infections and injury.  It presents with hard nodules that can be painful, ulcerated and non-healing. Therapy can be problematic but a recent study showed topical 25% sodium metabisulfite could be effective.

Continue reading →

Posted in skin, Topical Pain Treatments | Leave a comment