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Knee Arthroscopic Surgery – NEJM Needs to Get Their Story Straight
Quite some years ago, NEJM published an article saying flushing of the knee did not help knee pains, putting an end to that procedure. Now an article has been published by same journal says that partial arthroscopic meniscetomy does not … Continue reading
Teenage Chronic Headaches – 1/2 Might Be Chewing Gum
Isreali article found in teeenagers with chronic headaches, 19/30 cases resolved by quiting gum chewing
Posted in Headaches
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“You earn money by suffering pain” – Sickening Commentary of Some Jobs
Interviewing immigrant poultry processing workers re carpal tunnel syndrome – comes up with simple belief – these workers knew that their work cause painful carpal tunnel but persevered to support their families. The repetitive cold working conditions fostered this condition. I have … Continue reading
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Is Hip Arthritis a Bone Disease?
Serial MRI images were able to detect either broad band or localized signal changes in proximal femur during a period of hip pains. Subsequently, the hip pains may resolve but hip OA changes appeared on imaging. This chronologs the process – bone … Continue reading
Posted in arthritis
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Is Anti-CCP -Any Good at Early Rheumatoid Arthritis Detection? – Not Really
Anti-cyclic citrullinated peptide (CCP) antibody is a blood test for Rheumatoid Arthritis. I have used it in hopes it would help with early detection but it seemed to always come back negative.. A recent study suggested it has a 35% sensitivity. … Continue reading
Posted in Rheumatic
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Can a CT Diagnose Pericarditis? – About as Good as Flipping a Coin…
Pulmonary embolism CT protocol for pericarditis has a sensitivity of 54-59% and specificity of 91-96%. A+cta Radiol. 2013 Dec 10. [Epub ahead of print] Accuracy of computed tomography findings in acute pericarditis. Hammer MM, Raptis CA, Javidan-Nejad C, Bhalla S. … Continue reading
Posted in chest pain
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Trigeminal Neuralgia (TN) – How Good is the Gamma Knife?
Radiation “knifing” trigeminal nerve appears to be a safe and effective alternative in Trigeminal Neuralgia – though used more in people unable to tolerate microvascular decompression.
Posted in Trigeminal Neuralgia
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Chest Pains After Implanted Pacemaker – Moving Leads Resolves It
4 cases of chest pains that developed after pacemaker lead implantation resolved by moving the leads in heart!
Posted in chest pain
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Troubling Throat Pain – Lateral Thyrohyoid Ligament Syndrome – and There Really Must be a God…
Moderate pain over the upper lateral end of Thyroid cartilage in ligament between that point to hyoid bone has recently been written up. It is an obscure syndrome and I have not found anything on it before. The topic was … Continue reading
Posted in ENT
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De Quervain’s Tenosynovitis – Needs injection Plus Splinting
Having a Dequervain’s wrist tenosynovitis fail injection means surgery is a distinct possiblity; thumb spica increased success rates. Injection alone was successful in 69% without and 93% with splinting.
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Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls
I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.
Dry Eyes ?Cured by Peri- Lacrimal Injection of Platelet Rich Plasma
Dry eyes was significantly improved by repeated injections of platelet rich plasma around lacrimal gland
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How Much Relief Will Celecoxib Give in Frozen Shoulder?
A drop of 1.5/10 does not seem like much though they do say 71.4% got rid of night pain
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Failed Knee or Shoulder Arthroplasty? – Intra-articular Botox Injections Help
50% reduction of pain was reported in about 1/2 of post shoulder and knee arthroplasty pain cases with Botox injections. This was sustained by repeated injections.
Posted in Botox, Injection, Knee, shoulder
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Migraines – More and Longer Attacks Might Mean Early Hardening of Arteries
Intimal carotid artery thickening was seen in migraine sufferers with more and longer attacks.
Posted in Headaches
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Hip Osteoarthritis referral Patterns in Hip Dysplasia
Distribution of pain originating in the hip was 89 % to the groin, 38 % to the buttock, 33 % to the anterior thigh, 29 % to the knee, 27 % to the greater trochanter, 17 % to the low … Continue reading
Posted in Hip Pains
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Widespread Pains Common in Post Breast Cancer Patients
20.8% of post breast cancer sufferers were diagnosed with widespread pain and 10% with frank Fibromylgia.
Posted in Fibromyalgia
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Fibromylagia (FM)- Does Magnesium Help?
Study finds erythrocyte magnesium levels are low in Fibromyalgia though adding it to amitriptyline had no additional benefit on pain. By self, pain reduction was not clinically significant.
Posted in Fibromyalgia
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Bad Raynaud’s? – Botox It.
Raynaud’s phenomenon responds to Botulinum injection of neurovascular metacarpal bundles. Can get occasional temporary finger weakness (max 2-3 months) though. Pain relief can last few months to more than 6 year
Posted in Botox, hand
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Carpal Tunnel Syndrome and Vitamin B6
For years, it was suggested that people with carpal tunnel should take B6, but it fell out of favour ( in my mind) when excessive B6 was found to be neurotoxic. Now a recent study has confirmed use of B6 … Continue reading
Posted in Drugs, hand, neuropathic
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Flossing Saphenous Nerve For Saphenous Neuralgia
saphenous neuralgia is not uncommon – here is how to free it up (floss it)
Posted in Leg Pains, neuropathic, Uncategorized
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Fibromyalgia Brain – Brain Loss in Elderly – but Growth in Younger
Brain loss with Fibromyalgia (FM) is well known in elderly. What is new is the finding of brain growth in younger subjects – in Insula and basal ganglia – perhaps in attempt to control pain.
Posted in Fibromyalgia
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Is Nortriptyline Any Good? – Maybe – but Maybe Only a Bit
Recently, nortriptyline has been touted as good anti-neuropathic drug but thoughts of its use have extended into use for chronic pain in general. Well, it doesn’t work for back pain, sciatica or migraines so that might need reanalysis.
Posted in Back Pain, Drugs, neuropathic
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What Have We Really Learnt About Opioid Overuse – Part is Over-Reliance on Pills to Treat Chronic Pain
Over-reliance on opioids is due to poor training of physicians in manual medicine and injection techniques. What techniques? – look at my blog and at the proliferation of chiropractors. Most of chronic pain has a major myofascial component that is … Continue reading
Posted in Drugs, Manual Med
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Weightbearing Pains with Wrist in Extension: – Self Treatment
If get pains in wrist in extension – especially with pressure – then a strap self-mobilization technique could help.