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- 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
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Treatment of Resistant Osteitis pubis with Pamidronate
Back in 2001, 3 subjects with resistant osteitis pubis had monthly infusions of 60 mg pamidronate – one for 3 months and 2 for 6 months. Two had no known cause and one had inflammatory arthritis. All recovered and had … Continue reading
Posted in groin pain
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Osteoarthritis – Does Sierrasil Work? – No
One of my patients started on Sierrasil and said there was literature on its effectiveness – it does not say that it helps pain though..
Posted in Drugs, Knee
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Cytokine Storm – Treatment with Etanercept – Could it Stop Influenza Death?
Mild cytokine reactions give you a flu like situation where achy all over and malaise. Cytokine storm occurs with certain viral infections and can kill. Etanercept (Enbrel) can block that effect some in the mouse model infected with H1N1.
Hip Labral Tear or Impingement – Steroid Injection Not Good
Steroid injection into hip with impingement or labral tear only gave relief for 10 days.
Posted in Hip Pains
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Some Supplements May Aid Cancer Growth – A Few Might Stop
One would naturally assume keeping in good health through supplements would help your fight with cancer. Turns out, cancers may like supplements too…
Posted in breast cancer, cancer
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Aphthous Ulcer/Canker Sore – Pepto-Bismol Treatment
Simply applying pepto-bismol to a canker sore with a q-tip or “swish and spit” for multiple sores can soothe irritated area within minutes
Posted in ENT
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Fibromyalgia – Part of “Software Malfunction” is Dopaminergic/GABAergic Neurotransmission Disruption
Excessive pain due to brain central sensitization has been called a “software malfunction”. Part of that appears to be of Dopa/GABA circuits.
Posted in Fibromyalgia, pain mechanisms
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Sacrococcygeal (SC)Ligaments Look Like Facet Ligaments And May Be Source of Pain
On anatomical study “small nerve fibers were observed adjacent to the ventral aspect of the SC intercornual ligament and piercing the ligament in one specimen” – similar to what is seen in facet joints. Commentary on article speculated they could … Continue reading
Posted in coccygodynia
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Post Herpetic Neuralgia (PHN) Treatments – Lots More Than Just Pills
Pregabalin helps 1 in 4.93 while lidocaine patch helped 1 in 2.. Still, reliance on meds only helped 1/2 then…- there are plenty of alternatives though
Posted in post herpetic neuralgia
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Followup Guidelines For Early Breast Cancer
Primary Care Physician (PCP can do much of followup. Here are guidelines:
Posted in breast cancer
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Chemotherapy Neuropathy – Prevent and Treament
Use of agents to reduce chemotherapy induced peripheral neuropathy confounded by issues of decreased anti-cancer effectiveness. L-Acetyl Carnitine during chemotherapy, and Venlafaxine or Duloxetine after are my choices. Tricyclics, gabapentin, lyrica, and topical agents did not rate well and belie … Continue reading
Posted in cancer, neuropathic
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Bruxism (Teeth Clenching) – At Last a Treatment
Electrically stimulating a masster muscle should pulse go over 110% during night helps suppress bruxism.
Posted in TMJ
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Fibromyalgia (FM) Recommendations Vary By Country
Canada has no alternative (CAM) FM treatment recommendations but Isreali and German Recommendations do..
Posted in Fibromyalgia
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Monotherapy Mediocre in Treating Fibromyalgia (FM)
New Acceptance and Commitment therapy – 8 sessions of 2.5 hours reduced pain by 20% in 1/2 cases but only 50% in 1/48 cases. Fairly maximal drug therapies with pregabalin +/- Duloxetine alone was not great
Posted in Fibromyalgia, psychology
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High Dose Metoclopramide (20 mg IV over 15 min) Beats Subcut Sumitriptan (Imetrix) 6mg For Acute Headache
Metoclopramide 20 gm IV was VAS pain score 0.55/10 better on VAS than Sumitriptan injectable 6 mg. However, the later needed starting an IV and slow infusion over 15 minutes to avoid extrapyramidal oculogyric crisis (0.2% incidence with the 10 … Continue reading
Posted in Drugs, Headaches
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Applying Sleep Hygiene Questionnaire to Chronic Pain Subjects Comes Out With Two Factors
Irregular Sleep -Wake Schedule and Sleep Disturbing Behaviour and Environment factor out as two main sleep issues in chronic pain.
In Unilateral Chronic Episodic Headaches – Should Prolactin Levels Be Done?
Recently a series of patients with Prolactinomas (a pituitary prolactin – secreting tumor in brain) was published. They found they often presented with either one sided migraines (often orbital) or SUNCT (short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing). … Continue reading
Posted in Drugs, Headaches
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Hip/Knee Arthritis – Not Satisfied With Acetaminophen? – Using Arthritis Pills (NSAIDs) Instead Helps
When Osteoarhtritis patients were allowed to try NSAID instead of acetaminophen, “proportion of patients on acetaminophen treatment during the study decreased from 74.8 % at baseline to 23.9 %, while the proportion on non-steroidal anti-inflammatory drugs (NSAIDs) increased from 59.8 … Continue reading
Posted in arthritis, Hip Pains, Knee
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Hypnomanic Checklist
Once had a psychiatrist phone me very irritated because I had diagnosed a teeanger as potentially bipolar. Fortunately, I had seen her hypomanic, and run a hypomanic questionnaire at time – adequate documentation despite his hostility (guy needed a holiday). … Continue reading
Posted in Depression, psychology
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Taping Elbow Reduces Tennis Elbow Pains 50% – But Maybe Use a Band?
Taping around a tender tennis elbow can reduce pain from 4/10 to 2.2/10
Posted in elbow, Tennis elbow
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Remarkable New Treatment – Injecting Over Tenderized Skin Nerves With Plain 5% Dextrose
For year I felt the main expression of chronic pain was through activation of myofascial knots – now it looks like tenderized skin nerves is a front runner. Merely injecting D5W overtop tenderized nerve tracts an average of 6 weekly … Continue reading
Posted in Back Pain, Injection, Leg Pains, Neck
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T Wave Inversion in AVL Could be Important – Don’t Always Rely on ECG Computer Diagnosis
In an acute coronary syndrome situation in emergency, ALV inversion had significance. 84.8% of patients had > 50% obstruction of the mid-segment left anterior descending (MLAD) artery. In subjects with >50% obstruction, 84.9% had T wave inversion in one other … Continue reading
Posted in chest pain
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New Daily Persistent Headache Lasting Over 1 Year Responding to Nimodipine (Nimotop)
Case of thunderclap (severe sudden onset) headache associated with inability to do calculations (acalculia) that persisted for 13 months despite interventions. Nimodipine 30 mg, initially bid, then od, relieve headache. It was felt that cytokines and vasospasms persisted the headaches. … Continue reading
Posted in Drugs, Headaches
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Extensor Digitorum Brevis Manus as Cause of Dorsal Hand Pain Myalgias – Botox Rx
This anomalous hand muscle presents as a a “fusiform, soft prominence” between the 2nd and 3rd extensor tendons near the wrist to hand. It can become sore as it is compressed against the extensor retinaculum and possibly irritates the posterior interosseous nerve. … Continue reading
Posted in Botox, hand
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Unresectable Painful Bone Cysts – IV Zoledronic acid For Adults and IV Pamidronate For Children Gives Rapid Relief
Painful large and unresectable bone cysts responded rapidly to IV biphosphonate therapy within first cycle in 88% of cases. Adults received 4 mg of Zoledronic acid (Zometa®, Novartis), and children got IV pamidronate 1mg/kg. Zoledronic acid, if more than one … Continue reading
Posted in Back Pain, children, Drugs, Hip Pains, IV therapy
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