Recent Comments
- Monika Theresia Geier on WCB troubles – What Needs to Be Done?
- Louise B. Andrew MD on Remarkable New Treatment – Injecting Over Tenderized Skin Nerves With Plain 5% Dextrose
- Margreet Hogenbirk on Sore Pubic Joint – Osteitis Pubis How Does One Treat It?
- John Waters on Accurate Piriformis Injection
- Blurge on Vitamin B12 Injections For Chronic Pain
Author Archives: admin
Post Breast Surgery Pains – Nerve Blocks Help
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.
Posted in breast cancer, breast pain, Injection
Leave a comment
Chronic Headache Tragically Missed Cause – Intracranial Hypotension – And Poor Imaging Issues
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 … Continue reading
Posted in Headaches, Insurer issues, Uncategorized
Leave a comment
Calcinosis Cutis – Under Skin Painful Deposits and Ulcers
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, … Continue reading
Posted in skin, Topical Pain Treatments
Leave a comment
Lipoedema – Pain Relief With Liposuction
With Liposuction, Lipoedema pains dropped from moderate to near none and relief persisted, on 8 year followup.
Posted in Leg Pains, skin
Leave a comment
Predicting Response to SSRI Antidepressants (Not SNRI’s though)
Less than 30% patients respond to antidepressants. Study cataloged depression scale and other features and came up with predictors of depression response particularly to Escitalopram. They included Demographics like black, unemployed, and uneducated; Depression severity and persistence all day ; … Continue reading
Posted in Uncategorized
Leave a comment
Rash under Breasts -Swoobie helps
Have a lady use hemp pads under her breasts to wick away moisture and relieve under breast rashes with considerable success. The are called Swoobies and pink lady in Regina have them
Posted in breast pain
Leave a comment
Could Marijuana Help Headaches?
With Medical Marijuana, migraine frequency dropped from 10.4 to 4.6 headaches per month.
Posted in Drugs, Headaches, Uncategorized
Leave a comment
Arthritis /NSAID Allergy – Want Can You Take?
Odd as it sound people allergic to aspirin and arthritis pills can tolerate Sodium salicylate and is non- acetylated. Pharmacy College assures me it is still available as Dodd’s sodium salicylate which is still available through pharmacy suppliers so pharmacy … Continue reading
Posted in Uncategorized
Leave a comment
Resistant Depression – Does Folic acid Prevent Lamotrigine From Working?
Recent study added lamotrigine to depressed subjects already under treatment. Folic acid supplementation appeared to prevent any improvement versus those not on supplementation.
Posted in Depression, Drugs
Leave a comment
Canadian Marijuana Presciption Steps
I am trying to put together a list of steps for prescribing Marijuana. This is version 1.1 – please provide additional steps. Our province dos not cover this drug even for palliative care patients (yes, we are in a bible … Continue reading
Nocturnal Rib Impingement
Found several options: 1) Lay on your back – while on your back, it helps to be in a recliner chair or hospital bed – I found it rubbed the least maybe up two feet at end. 2) I use … Continue reading
Posted in Uncategorized
Leave a comment
More Painful Bladder Syndrome Non-invasive Treatments
I have painful bladder victims that do not want instillations – multiple allergies that would make infections impossible to treat is one issue. There are some other options mentioned in a recent review that are not common.
Topical Clonidine or Capsaicin For Diabetic Neuropathy and Mannitol
Both clonidine 0.1% gel and capsaicin 0.75% cream three times daily can drop pain by 40% in 12 weeks though clonidine causes less skin irritation.
Posted in neuropathic
Leave a comment
Frozen Shoulder – Just a Little Cortisone But More Blocks Help
Study found 20 mg Kenalog worked as well as 40 mg and another found you don’t even need to hit the joint. I supplement suprascapular and quadrilateral space blocks as well as subscapularis working out.
Posted in Injection, myofascial pain, shoulder
Leave a comment
Prostate Cancer – Does Early NSAID (Arthritis Pill) Use Help?
Early NSAID use in prostate cancer could potentially cut death risk to 1/3 though high dose late use, thought related to bone pain use, shows opposite.
Posted in cancer, prostate cancer
Leave a comment
Twin Chronic Pain Study – Low DHEA Metabolite and High BMI and ?Cortisone
Twin study shows low Epiandrosterone, a metabolite of dehydroepiandrosterone (DHEA). Could supplementation help?
Posted in Fibromyalgia, pain mechanisms
Leave a comment
Morphine Does Not Facilitate Breast Cancer in Animal Model
Frequent concern is whether meds someone is taking is making their cancer worse. In the animal model, morphine does not help breast cancer.
Posted in breast cancer, cancer
Leave a comment
Hurt until Pain = Overdoing; Avoiding Things That Hurt = Avoidance – Can’t Win
Study found many overdo things resulted in significant pain flareups after. However, if they have periods where they avoid things that hurt, they are then categorized as avoidant – can’t seem to win though a paced life would be obvious.
Posted in psychology
Leave a comment
Bruxism – How do You Treat Besides Splints
Review on Bruxism Rx suggests splints, particularly mandibular advancement splints, clonidine or clonazepam, maybe botulinum, and nocturnal clenching biofeedback.
Posted in ENT, TMJ
2 Comments
Suffering is a Distinct Pain Feature
Simple study zapping volunteers drew distinction between unpleasantness ratings and suffering to point it considered it a distinct pain factor. This is not new news to anyone whose life has been changed by pain.
Posted in psychology
1 Comment
Celiac is More Painful Than Thought – and What Does That Mean?
In seeing new pain patients, I became painfully aware that Celiac or at least gluten sensitivity has a definite presence- so much so that I always looked for it. Now, it looks like “anybody is fair game” now that even … Continue reading
Posted in Abdominal pain, celiac, Fibromyalgia, Leg Pains, neuropathic
1 Comment
Severe or Neuropathic Groin Pain – Obturator Neuropathy
Have and elderly fellow that just persevered with severe left groin pain as was just something he should put up with. He had not been sleeping and daughter noted cognitive decline with it. Exam of hip was a bit sore … Continue reading
Posted in groin pain, Hip Pains, Injection, neuropathic
1 Comment
Migraine – How much Help From Herbals
The top 3 herbals I recommend for migraines include B2 400 mg/day, Coenzyme q10 >120 mg and magnesium. Now a proprietary med has put in all 3 and got 30% less headache days.
Posted in Headaches
Leave a comment
When Irritable Bowel is not Irritable Bowel Syndrome (IBS)
Had patient in today with dark blood stools previously diagnosed with Irritable bowel but more much likely now colitis. Had another case recently worked up by a gastroenterologist with nothing organic found – yet fact subject eats a lot of … Continue reading
Posted in Abdominal pain
Leave a comment
Why are Pain Severity Readings Omitted From Recent Fibromyalgia(FM) Studies?
Two important studies on approaches to help Fibromyalgia (FM) have omitted changes in Visual Analog Scale (VAS) readings in their results. Giving reading of skin tenderness adds differences with each muscle site tested and can exaggerate total difference. Suspicion is, … Continue reading
Posted in Fibromyalgia, Manual Med
Leave a comment