Author Archives: admin

Spinal Stenosis – Biased Report Ignores Benefits of Epidurals

Epidural injections can reduce pain from spinal stenosis but fact is, very little of the effect is from the steroid. It can reduce pain from 6.6-6.7 to lower 4’s in 3 and 6 weeks – this is a drop of … Continue reading

Posted in Back Pain, Injection | Leave a comment

Vulvodynia in Young Can Be Helped by Treating Hip

6/7 women aged 20-29 with vulvodynia and hip pain experienced significant relief by having therapeutic arthroscopy for hip femeroacetabular syndrome. None of the 19 older cases sustained any benefit.

Posted in gynecologic, Uncategorized | Leave a comment

Facial Ramsay-Hunt Shingles -Paralysis Maybe Adverted by Stellate Ganglion Block

Ramsay Hunt syndrome shingles affects ear canal and associated area about ear, and is very painful and can be associated with facial nerve damage. Two stellate ganglion blocks with “local anesthetic 0.25% bupivacaine and triamcinolone 40 mg were given daily … Continue reading

Posted in post herpetic neuralgia | Leave a comment

Donepezil reduces stress induced widespread pain in mice so…

Donepezil (aricept) is used as an anticholinergic to help dementia. In the animal model repeated use can “cure” “ICS[Intermittent Cold Stress]-induced hyperalgesia [increased pain] and allodynia[touch pain] even after the cessation of drug treatments”

Posted in Drugs, elderly, Fibromyalgia | Leave a comment

Breathtaking Option for Treatment Resistant Fibromyalgia

A Water pill, Spironolactone 100-200 mg/day, can dramatically relieve pain in potentially 1/2 of Fibromyalgia cases and reduce morphine needs. -NOT CONFIRMED

Posted in Drugs, Fibromyalgia, neuropathic | 2 Comments

Opioids Affect Immunity

Opioids can lower resistance to infections. Had on lady get couple of pneumonias which  made me reconsider which types of opioids to use in these cases.

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Smart Phones Not So Smart

Leaning over reading smart phones linked to neck problems.

Posted in Neck | Leave a comment

Nocturnal Calf Cramps – Trigger Injections Help

Injections into gastrocnemius not only helped nocturnal calf cramps – they helped the insomnia as well

Posted in Injection, Leg Pains, myofascial pain | Leave a comment

Low Vitamin D associated with Osteoarthritis

This is not necessarily new – Framingham study found that low vitamin D was associated with with “an increased risk for progression of osteoarthritis of the knee” back in 1996. This seems to have been forgotten.  Now a new study … Continue reading

Posted in arthritis, Knee | 1 Comment

New Treatment for Scabies – and even bad Rosacea, Blepharitis, and Scalp Folliculitis

Scabies has become increasingly resistant to Nix and Kwelleda leaving people with attempts to get Ivermectin orally by emergency release from the US (not easy – they kept sending me repeated letters with more questions to answer). It is easy … Continue reading

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Pamidronate in Severe Knee Pain

Filling in my contention that pamidronate is very useful in Complex Regional Pain Syndrome, is an older article using it for CRP of the kneecap.

Posted in complex regional pain, Drugs, Knee | Leave a comment

Inflammatory Back Pain (IBP) – MRI’s Use depends on when you do it.

In IBP – MRI could be negative or positive at one point and then the opposite later on. Make MRI imaging more dubious than people think.

Posted in arthritis, Back Pain | Leave a comment

Are You Sick of Health Web Sites?

I am sick of health websites that: – don’t give links to what they discuss – are filled with commercial ads – make you go though multiple pages, each with various ads – just repeat what you see elsewhere. It … Continue reading

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Desimpramine For Neuropathic Pain a Myth

Use of  Tricyclic antidepressants (TCA)’s for neuropathic pain was based on an article for diabetic neuropathy where, through frequent phoning and support, authors were able to get patients up to 150 mg. No one has succeeded in getting people up … Continue reading

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Autosomal Dominant Polycystic kidneys – avoid or keep Estrogens to low dose

Recent review of Polycystic Kidneys states “Because of the proliferative effect of estrogen on hepatic cysts, oral contraceptives containing estrogen and menopausal estrogen therapy should be administered at the lowest effective dose or avoided in patients with ADPKD (autosomal dominant … Continue reading

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Acetaminophen (paracetamol) does not work in acute Back Pain

Double blind study found Paracetamol (acetaminophen) at average dose of 3500 mg/day in week 1 and 2800 mg/day in week 2 for the regular group was not better than placebo.  It had `no eff ect on pain, disability, function, global … Continue reading

Posted in Drugs | 1 Comment

No Evidence of Hypervigilance in Fibromylagia (FM)

Implications have been made that victims of FM are nuts and think too much of their pain. Now it seems that subjects with FM are no better in awareness of changes in tactile stimulation – suggesting hypervigilance is not present.

Posted in Fibromyalgia | Leave a comment

Serum Lipase Should Be Test For Pancreatitis

Serum lipase has a sensitivity of 91% while amylase had sensitivity of 61%. Specificity was 92% for lipase and 93% for amylase.  Testing lipase and amylase together changed sensitivity very little – was 93%.

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Bell’s Palsy Treatment Algorithm

Latest algorithm suggests you make sure of diagnosis Use of antivirals doesn’t work Prednisone 1 mg/k x 7 days (why does one need to taper though?) useful

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Stellate Radiofrequency Neurolysis for upper limb CRPS

Severe pains in various locations in arms can respond to burning the stellate ganglion in the neck.  67.6% of radiofrequency destruction  cases obtained  >50 % pain inprovement for over 2 years while those with just anesthetic block got 21.2% for 2 year … Continue reading

Posted in complex regional pain | Leave a comment

Case of Wrist Complex Regional Pain (CRPS) Helped by Dextroamphetamine

While dealing with infertility with dextramphetamine, patient’s wrist CRPS pains issues subsided

Posted in complex regional pain, Drugs | Leave a comment

Methotrexate for Knee Osteoarthritis

On methotrexate up to 25 mg/week orally, 53% had over a VAS drop of  2.0/10 while only 24% had in control group.

Posted in arthritis, Drugs | Leave a comment

Venous Leg Ulcer? – Simvastatin 40 mg/day Speeds Healing

With  leg ulcers less that 5 cm size, all healed in simvastatin group versus 50% control. With ulcers over 5 cm, 67% of simvastatin group closed versus none of control group.

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Drugs for Diabetic Neuropathy

Should we believe these results?  A study on treatment for diabetic neuropathy pretends one treatment is better than onother because on group starts with more severe pain than the other then claims each treatment can virtually eliminate pains with 7 … Continue reading

Posted in neuropathic, Uncategorized | Leave a comment

Welcome to Painmuse

ALTHOUGH I WILL NOW UPDATE THIS SITE, FOR PAST 6 MONTHS, BLOG NOTES (about 50) WERE PUBLISHED AT : newpainmuse.org visit me there! I have a program that tracks where users are from – pain is worldwide: Thanks admin Hit … Continue reading

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