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Author Archives: admin
Multiple Sclerosis (MS) Help – Biotin (Vitamin B7) High Dose – and What More Could You Take?
In MS cases, 1/6 noted clinical improvement over 2-8 months with Biotin 300 mg/day This is exciting not just for the improved people but potentially for a group that might not further deteriorate. Suggestion was to take 100-300 mg/day which … Continue reading
Posted in Uncategorized
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Post-Herpetic Neuralgia – Transforaminal Epidural Steroid Injection Might “Cure” And New Injection Rules
Several case studies have shown that transforaminal steroids could relieve Post Herpetic neuralgia (PHN) but that procedure is under heavy scrutiny because of rare strokes, paralysis and death so use of soluble dexamethasone has been edicted.
Posted in Injection, post herpetic neuralgia
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Sacroiliac Joint Injection Proposal
Given that I do not have Ultrasound (got rid of old one – filled a room), I have developed a SI joint technique and would like opinion re such. Also I will refer to article using SI injections.
Chronic Back Pain Is a Painful Vertebral Body Problem
One study demonstrates that chronic back pain is associated not so much with plain disc degeneration but with disc degeneration combined with end plate or vertebral body schmorl nodes. Another study found that people with back pain and modic type … Continue reading
Posted in Back Pain, Injection, Insurer issues, pain mechanisms
3 Comments
Is Sensitive Skin Neuropathic?
Study in Dermatology journal suggests 1/5 of subjects test positive with quiz DN4 for neuropathy
Posted in mast cell disease, neuropathic
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Pseudofolliculitis cutis – ingrowing facial hair Treatments
Ok this is not a pain condition but I wanted to put advice where patients can find it.
Posted in Uncategorized
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Complex Regional Pain Syndrome (CRPS) – Finding Immune Mechanims Offers New Treatments
Finding high levels of beta2 adrenergic receptor autoantibodies in CRPS cases might explain why steroids, tumour necrosis factor (TNF)-alpha antagonist Adalimumab, IV Immmunoglobulins, and in present article Plasmapheresis can help in selected cases. In present study, these antibody titres fell … Continue reading
Posted in Botox, complex regional pain, Drugs, Injection, IV therapy, neuropathic, Pain Dystrophy, Stimulation
1 Comment
Headache Just At Night – Try Indomethacin
Hyponic (night only) solely headaches are uncommon. In some ways they are distinct from migraines as the drug of choice is Indomethacin 50 mg twice daily.
Posted in Headaches, Uncategorized
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Low Dose Neuropathic Pain Drugs Only Work in Combo – and then only a Bit
Neuropathic pain drugs by self have mediocre effects – often dropping pain by </= 2/10 points. At low dose Imipramine 75 mg/day and Pregabalin 300/day did not have significant benefit but the combo dropped VAS by One more than placebo … Continue reading
Posted in Drugs, neuropathic
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Irritable Bowel – Hypnosis helps
Hypnosis is a useful adjunct to IBS treatment.
Posted in Abdominal pain, psychology
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Chronic Scrotal Pain Algorithm
Chronic scrotal pain can be an enigma – this new article gives detailed options for investigation and treatment. I have spent a great deal of time trying to give a clear view for people – let me know if you … Continue reading
Fibromyalgia Look Alike – Myotonia Congenita
Myotonia Congenita is a rare neuromuscular disease manifest by “painful muscle cramps or myalgia as well as transient muscle weakness following myotonic stiffness”. Article describes 2 cases – one that got worse with pregnancy which is what Fibromyalgia also does. … Continue reading
Posted in Fibromyalgia
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Vitamin D – Could High Doses Help Pains?
4000 u/d vitamin D lessening Chronic Musculoskeletal Pains
Posted in Back Pain, Deficits, Drugs, Fibromyalgia, myofascial pain, pain mechanisms
4 Comments
Post Herpetic Neuralgia – Peripheral Nerve Stimulators
I have heard of peripheral nerve stimulators used in cases before but this additional one makes it more mainstream. This one captured control with high frequency
Burning Mouth Syndrome – Early? – Get treated For Herpesvirus
Case Burning Mouth Syndrome under 6 month old was found to have high herpesvirus DNA in saliva, and improved with herpesvirus treatment (which also cleared the DNA from saliva)
Posted in ENT, neuropathic
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Lumbar Spinal Stenosis – German View
With a recent negative American view, it is nice to have a more encouraging German perspective. Though 2/3 go to surgery, 1/3 can be managed with physiotherapy, cycling exercise, psychotherapy, and injections – epidural, paraspinal, facet and sacroiliac.
Posted in Back Pain, Injection
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Neuropathic Pain 2015 and…
Mayo clinic has a review but lacks imagination
Posted in Botox, Drugs, Fibromyalgia, neuropathic
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Pain and Depression – Consider Brain Inflammation With Tumor Necrosis Factor (TNF) – and What About Brain Aging
Prior, I published a belief that depression in some cases was a manifestation of chronic pain for which ketamine could temporarily block. In this 21 page article they make clear connections between brain cytokine inflammation especially TNF (Tumor Necrosis … Continue reading
Posted in Depression, pain mechanisms, Uncategorized
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Chest Wall Cancer Treatments
Very clearly defined treatments for chest wall cancer makes it easy to know what to do.
Posted in cancer, Thoracic
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Fibromyalgia (FM) Falls – Stiff Ankles Contribute
A study found falls in FM related to reduced dorsiflexion (bringing toes and foot up). The question is how does one fix that.
Posted in ankle, Fibromyalgia, Leg Pains, Manual Med, myofascial pain
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Use of Bio Skin Q Brace in Patellofemoral Arthritis
Bio Skin® Q Brace™ reduced pain in knee patellofemoral OA and reduced bone marrow edema seen http://www.ossur.co.uk/injury-solutions/products/knee/knee-sleeves-wraps/bioskin-q-brace-patella-tracking-brace
Posted in Knee
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Simple Neck Treatment For Headaches
The neck gets involved in headaches and can make them worse. You can tell neck may be involved because end rotation is restricted. A simple technique to encourage rotation has benefits.
Posted in Headaches, Mechanical aids, Neck
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Caudal Block- Just Going Thru Sacrococcygeal Ligament only Works 68% of Time But…
It has been suggested just going thru sacrococcygeal ligament is enough to get into epidural space. Imaging shows it works 68% of time, while advancing up 1 cm works 95.8% of time. However, intravascular injection occurred 25% of time where … Continue reading
Posted in Back Pain, Injection
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Phantom Limb -tDCS Scalp Stimulation Reduced it 40% -Immediate and Sustained
A sustained 40% improvement was obtained from direct current 1.5 milliamp voltage – about what a 9 volt battery hooked up with a 10 k potentiometer resistor could furnish.
Posted in Mechanical aids, neuropathic, Pain Dystrophy
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Methylene Blue Disc injection for Chronic Disc disease
Methylene blue injections were an exciting option after a Chinese article was published in PAIN glowingly detailed great responses to intradisc injections. Dr. N. Bogduk, at time, wrote an editorial suspicious that Chinese patients might be reluctant to admit they … Continue reading
Posted in Back Pain, Injection
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