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Article starts by mentioning how up to 33% of cholecystectomy patients can have persistent abdominal pain so taking out Gallbladder (GB) is a serious decision. Indications however include frequent attacks, large stones, older age, inflamed GB attack(cholecystitis), and pancreatitis from … Continue reading
Although the question of whether one is dealing with hip bursitis or is this referred from back is important, I wanted to clarify what steroid injection would do for seemingly glutues medius bursitis. One study suggests it was good in … Continue reading
A Canadian study on full thickness tears found the no-op subgroup did well over 5 years. A Netheraland study found removing bursa (B) and taking off acromium(A) not any better than just removing bursa alone in chronic subacromial shoulder pain. … Continue reading
People who were given botulinum for migraines found coincidentally that phobia and dry eye symptoms improved as well.
Some years ago, Neuropathic study demonstrated meaningful reduction in neuropathic pain occurred in only 23.7% of cases. Severe Neuropathic Pain – Only 1/4 Respond to Standard Drug Protocols – What Else Is There? http://painmuse.org/?p=2640 Subject of present article was case … Continue reading
3 cases submitted where the anterior tongue was sore because of the Sodium Lauryl Sulphate in toothpaste
Literature reviews suggest neuropathic pain in 1/4-1/3 of post breast cancer surgery patient. A review of the effectiveness of neuropathic pain found only 23.7% achieved any significant relief from usual pyramid schemes of treatment for neuropathic pain Severe Neuropathic Pain … Continue reading
I was always suspicious that soft knee sleeves just cover up the pain area without helping. However multiple studies show benefit and presence of “stay” supports does not add any benefit.
Looking for cheap and easy techniques to treat pain, I came across a treatment for back pain using the slump test. Sitting with legs out straight and your feet flat against a wall, you slump forward and put your head … Continue reading
metanalysis of studies shows positive effects of cervical traction.
For years people were told they needed 400 u/day; Now it looks like 8000 is more like it. There are all sorts of cures for disease’s with taking vit d which is probably just making up for deficiency.
NSAID/arthritis pills have painkilling action centrally and this now appears to be related to its effect on opioid system. Unfortunately it means you can develop tolerance either because you are on an opioid or because its effects on descending inhibitory … Continue reading
I have a patient with psoriatic arthritis that had widespread pains. His rheumatologist told him it was “fibromyalgia” He developed such bad bronchitis I had to put him on steroids – at which point his “fibromyaglia” pains went away. He … Continue reading
35% could bring on their SVT by flexing trunk – a sign they called “sign of lace-tying.”
At a recent conference, it was stated that the Infraspinatus muscle was key to all pain in the upper quadrant. He advised rolling a lacrosse ball back and forth it over it. You either sit or stand against a wall … Continue reading
I have used frequent B12 shots as an analgesic for resistant pain cases. For men over 40, 10 yr. use of injectable B12 is linked to doubling lung cancer risk.
Chronic Severer Abdominal Pain – Why Has It taken So Long To Realize it’s Partly the Abdominal Wall and Treatable?
Early last year I wrote about my experience chronic severe abdominal pain as it being from the abdominal wall: Chronic Severe Abdominal Pain is a Skin Nerve Pain http://painmuse.org/?p=4840 Now, someone has taken it a step further by doing a … Continue reading
Spinal stimulators are often used in resistant pain cases. Where there is a peripheral source like CRPS of knee, a dorsal root ganglion stimulator was much preferred over spinal stimulator
Diffuse idiopathic skeletal hyperostosis (DISH) is were you get extensive ossification of ligaments and entheses(endings of tendons and ligaments). It is relatively common (10% of people over 50). If you get boney bridging of vertebrae you can get a very … Continue reading
A vegetarian who develop Sjogren’s has zerostoma and sicca treated with B12 and Vit D without effect for 1 year. Adding bovine clostrium Lactobin improved things gradually.
A review of studies on topical NSAID’s did not find strong reason to use. Agents included 0.1% indomethacin, 1% indomethacin, 0.03% flurbiprofen, 0.5% ketorolac, 0.1% diclofenac). The article was only an abstract; they grudgingly admitted used of oral painkillers might … Continue reading
Close proximity of pelvis side wall (Ischium) and lesser trochanter of hip can cause pains in groin or buttocks. This ischiofemoral-impingement might required trimming or lesser trochanter. This is new to me.
Several years ago I listened to a talk on using nerve “flossing” mobilizations to help victim with hypermobility issues. This would stretch the nerve in their “tracts” and help reduce pain. They were taught to do a routine -repeated like … Continue reading
There are small bones surrounding certain joints called sesamoids. In the thumb, they can get inflamed at the thumb MCP joint and respond to 10 mg triamcinolone injection or rarely to surgical removal.
I have a case of long term piriformis syndrome that I have been whittling away for some time. To be fair, she has seen multiple specialists and is some better but not enough to improve quality of life, (old sad … Continue reading