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
Does Musculoskeletal Pain Cause Stress or Stress Cause the Pain -Studying People over time
A longitudinal – study – studying people before and subsequent to pains is the most reliable study format for figuring out what is going on.. What this study found was that it was the Musculosketal pain that caused the stress … Continue reading
Posted in pain mechanisms, psychology
Leave a comment
Metformin is Mitochondrial Enhancer and Helps Bipolar Depression
A 25 yr old bipolar patient of mine was put on metformin and a weight loss program prior to hip surgery. Her mood was more stable and she noticed particularly fewer manic episodes. There is evidence in literature for metformin helping bipolar … Continue reading
Posted in Depression, Drugs
2 Comments
Hives with Nonspecific Gut symptoms – Consider Blastocystis
Blastocystis is a protozoan thought commensal (normal flora) but actually shown to cause disease in humans. Now a particular subtype is linked to urticaria/hives.
Posted in Abdominal pain
Leave a comment
Endometriosis – Continuous Birth Control Pills- Does it Help?
Review article covered recent literature and found what one would expect – of course.
Posted in gynecologic
Leave a comment
Fibromyalgia (FM) – Mitochondrial Dysfunction Helped by Metformin and Weight Loss
Adenosine Monophosphate activated Protein Kinase (AMPK) regulates cell metabolism i.e “AMPK has a central regulatory role in cell metabolism, mitochondrial biogenesis and oxidative stress response”. Recent study of FM fibroblasts found AMPK downregulated.”AMPK down-regulation [is] at least in part responsible … Continue reading
Posted in Depression, Drugs, Fibromyalgia
1 Comment
Topical B12 helps Canker Sore Pain and what this means for Shingles –
Triamcinolone 0.1% topical oral ointment with 500ug B12/2 mg ointment outperformed plain triamcinolone adding credulance that frequent B12 injections into active shingles area helps. Question is whether it needs to be methylcobalamin – B12 bioactive form for best topical effect.
Posted in ENT, post herpetic neuralgia
Leave a comment
Pine Bark for Migraine?
Only study on Pine bark for migraine I could find used 1200 mg/day and did get impressive results on resistant migraines. But the best price I could get for that was $4/day..
Posted in Drugs, Headaches
Leave a comment
Migraine in Adolescence – Abortive Treatment -But in Canada you’ll Need a Pill Splitter
In the US, a drug combination for treatment of migraines has been released called Treximet – sumatriptan (Imetrix) 10 mg and Aleve (Sodium Naproxen) 25 mg. It has been approved for use in adolescents 12-17. In Canada you’d have to … Continue reading
Posted in Drugs, Headaches
Leave a comment
Diabetic Neuropathy – B12 Helps While Vegan Diet Minimal Effects
Though 20 week vegan diet touted as helping diabetic neuropathy, its pain levels were no different than the B12 control and the foot skin conductance was not different. Only diffence was in McGill Pain questionnaire in the sensory fields. Unfortunately, … Continue reading
Posted in Deficits, neuropathic
Leave a comment
Neck Pains From Atlanto-Occipital Joints
Top joint C0-1 refers to upper neck, face and upper shoulder tips. Exam requires you to grip c1 transverse processes and nod neck sideways. Certain manual techniques might help.
Posted in Headaches, Injection, Manual Med, Neck
Leave a comment
Diabetic Neuropathy: Duloxetine Mediocre Results
For Diabetic Neuropathy – Recent study in China showed statistical significant drop of pain on Duloxetine but not clinically significant. – Have a look.
Posted in Drugs, neuropathic
Leave a comment
Coccygodynia = Tender Coccyx – Inject Ganglion Impar
One Ganglion Impar injection achieved over 50% improvement for 82% of cases that lasted an average of 6 months.
Posted in coccygodynia, Injection
3 Comments
DN4 Outperforms In Diagnosis of Cancer Neuropathy
Douleur Neuropathique in 4 Questions (DN4) proved more sensitive to neuropathic pain in cancer than the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) – 87.5% for DN4 versus 68.1% for LANSS in sensitivity. However LANSS had slightly better specificity … Continue reading
Posted in cancer, neuropathic
Leave a comment
Widespread Pain and Dizzy – Ear Canalithiasis? (rocks) and Repositioning Them Helps Whiplash, TMJ, and Fibromylagia
Study suggests dizzy whiplash and widespread pain cases could respond well to middle ear grit repositioning measure. This is being able to see way outside the box…
Posted in Fibromyalgia, Manual Med, Neck, TMJ
Leave a comment
Benign Positional Vertigo? – Modified Canalith Repositioning Maneuver (CRP)
Effectiveness of Treatments for Benign Paroxysmal Positional Vertigo of the Posterior Canal Helen S. Cohen, Kay T. Kimball Otol Neurotol 26: 1034–1040, 2005 Modified Canalith Repositioning Maneuver (CRP) technique: The head was held in each position as follows: The subject … Continue reading
Posted in Uncategorized
Leave a comment
Duloxetine For Fibromyalgia – Mixed Results
Initial study showed benefit only in first 6 weeks more than placebo and not after: Study glowingly mentions early effects but fails to mention lack of lasting effects Comment – I recently reviewed a back study that cleverly disguised their … Continue reading
Posted in Drugs, Fibromyalgia
Leave a comment
Fibromyalgia – Responses to Methotrexate and Steroids
Old McGill study found initial impressions of doctors and rheumatologist were wrong 2/3 of time and in particular inflammatory arthritis cases are missed. Fitzcharles, M‐A et al. “Inaccuracy in the diagnosis of fibromyalgia syndrome: analysis of referrals.” Rheumatology 42.2 (2003): … Continue reading
Posted in Fibromyalgia
2 Comments
Amitriptyline – Not Much For Neuropathy Really
The initial study of use of Amitriptyline was a study with diabetic neuropathy where patients were subject to impressive coaching (calls from nurse and pharmacist) . That way doses of 75-150 mg were obtained. They were able to show benefits. … Continue reading
Posted in Drugs, neuropathic
Leave a comment
New Help for Some Fibromyalgia (FM) – Gluten Sensitivity Management
Over the past couple years there is growing evidence that maybe 1/3 of Fibromyalgia patients with IBS actually suffer from non-celiac gluten sensitivity and respond to gluten free diet – some within a few month, and some “gradually… over many … Continue reading
Posted in Fibromyalgia
3 Comments
Algorithm For Post Hernia Pains
Concise choice selections for what to do with nerve damage level post hernia pains. I love algorithms – they are so practical.
Posted in neuropathic, Post Hernia
Leave a comment
Uncontrolled Post-Herpetic Neuralgia (PHN) in Elderly subject – New Measures
Using 6% gabapentin, 4% amitriptyline, ketoprofen 10%, lidocaine 5%, and ketamine 10% probably in Lipoderm could give some relief topically. Ketamine 100 mg/ml with 0.1 ml spray nasally could give additional relief. 30% mannitol might be good here.
Patellofemoral (PF) pain – New Hope – Femoral Nerve Stretching Helps Half
Another looking out of the box study. Supposed part of PF pain is neurologic and stretched femoral nerves. In cases that tested as having “tight” femoral nerves (positive femoral slump test) which was about 1/2 of cases, treatment resulted in … Continue reading
Posted in Knee
Leave a comment
Needling Lower Trapezius Helps Unilateral Neck Pains
Needling the lower trapezius muscle was found beneficial in chronic neck pain. I was so taken with the approach then had to injecting lower trap(with muscle relaxed rather than stretched) that I had to include a pic of actual treatment … Continue reading
Posted in Manual Med, Mechanical aids, myofascial pain, Neck, Thoracic
Leave a comment
Resistent Post Herpetic Neuralgia Treatments – IV Magnesium for Neuropathic Pains
Three IV Magnesium 1mg /k in 100 mls saline infusions over 1 hour – one every other day or Three 1 mg/kg Ketamine in 100 mls saline infused in over 1 hour ketamine one EOD resulted in 7/15 magnesium and … Continue reading
Fibromyalgia Hypervigilance May Exist – and My Model
With help of EEG (scalp)sensors, one can measure a brain response to a stimulus- often auditory. Often the brain reaction diminishes with a repeat stimulus – called sensory gating. If one were hypervigilant, you would expect the brain response to … Continue reading
Posted in Fibromyalgia
Leave a comment