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Simple Test For Medication Overuse Headaches
Medication overuse (not opioids in this study) is implicated in chronic daily headaches. A simple screening questionnaire has been devised to suggest this is a problem.
Posted in Headaches
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Obscure Groin Pain Could Be Lumbar Disc Even if Back Not Painful
Five cases of groin pain that refused deliniation and had NO back pains. They all turned out to be L4/5 or L5/S1 disc pain found on discogram/discoblock. They all got relief with anterior intrabody fusion.
Posted in Back Pain, central & spinal, neuropathic
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Parkinsonism – Low Vitamin D Common and Makes It Worse
Vity D deficiency was seen in in 17.6% of patients with Parkinson Disease versus 9.3% of controls. Deficient cases had higher parkinsonism severity ratings.
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Acromegaly Peripheral Neuropathy Responded to 5% Baclofen
Subject treated for acromegaly developed peripheral neuropathy and could not tolerate oral meds. Though pain was 9/10; 5% baclofen once daily, profoundly reduced pains in legs.
Posted in neuropathic, Topical Pain Treatments
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Tryptan Plus NSAID – Not as Great as One Would Like For Migraine Relief
Sumatriptan (Imetrix) 85 mg plus Sodium Naproxen (like Aleve or Anaprox) 500 mg gave 29% – 2 hour painfree response and 24% sustained 24 hour painfree response yet 62% were satisfied/very satisfied.
Posted in Headaches
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Think Sinus Headache? – Try a Tryptan and See
82% of cases diagnosed as sinus headahces will respond significantly to tryptans.; but take heart – I think it could be a double crunch
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Tremor In Inflammatory Neuropathy
Non-diabetic painful numbness in hands/feet is often caused by inflammatory neuropathy. Tremor is common in these disorders and does not respond to usual treatments
Posted in neuropathic
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Proof of Cervical- Trigeminal Convergence
Two cases of cluster headahces with drropy eye. Droopy eye rapidly disappeared with occipital nerve block confirming association of cervical and trigeminal systems
Posted in Headaches
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Chronic Back Pain May Be a Pamidronate Infusion Treatable Disease – And Why Did It take 10 Years to Replicate That?
For Chronic back pain – Pamidronate 90 mg diluted in 250 mls saline and given over 4 hours – initially and in 4 weeks resulted in 85% getting 100% relief at 6 months versus very little response in the placebo … Continue reading
Posted in Back Pain, Drugs, IV therapy, pain mechanisms, Sask Pain Advice
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Neurogenic Neurogenic Thoracic Outlet (TOS)- The Existence Killer – Yet Poorly Recognized
Neck and/or arm pain/numbness with progressive disability and many negative evaluations is typical of the disease. Emotional decompensation from pain and poor treatment from others, forms an integral part of the disease. Evaluation is actually quite simple – treatment often … Continue reading
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Lipoderm Superior to PLA Gels
I found PLO gels irritating but not Lipoderm. At a recent conference they bragged about their ability which can be seen at: http://www.pccarx.com/pcca-products/pcca-exclusives/bases/lipoderm Disclaimer – don`t get squat from anybody
Posted in Drugs, Topical Pain Treatments
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How Much Relief Does One Get From NSAIDs in Tennis Elbow
You can get abut 1/3rd reduction in pain on 2 weeks of Naproxen 500 mg bid.
Posted in Drugs
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Adding Famotidine 26.6 mg tid to Ibuprofen 800 TID Cut GI Bleed 50%
Combo pill with ibuprofen 800 mg and 26.6 mg famotidine when given tid has 50% Stomach bleed reduction – marketed in US as Duexis. In Canada probably famotidine (pepcid) 20 mg tid with ibuprofen 800 tid would make a good … Continue reading
Posted in Drugs
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Human Chorionic Gonadotrophin (HCG) Touted as Only Curative Agent For Pain That Has Centralized
When pain becomes severe, constant, and unremitting – chances are high the pain has imprinted on the brain and centralized. This is a tragic disease with poor treatment options. In those that persisted with treatment (failures may have dropped out?) … Continue reading
Botulinum For Post Herpetic Neuralgia (PHN)
I had a recent question on treatments for PHN…I felt I needed to add more info on Botox for PHN. (Using equivalents) Putting equivalent of 6 units Botox INTRADERMAL per 3.56 cm diameter (1.4 of an inch) diameter area, could … Continue reading
Posted in post herpetic neuralgia
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Back Pain Worsening? – Look For Back Pain Multipliers – They Are Treatable.
I had a recent personal experience of back pain that showed me conditions that would multiply pain several times or more. I have patients on opioids that have complained their meds no longer “cuts it” – and I have been able … Continue reading
Posted in Back Pain, Botox, neuropathic
3 Comments
New Rx For Chronic Abdominal Pain – Pulse Radiofrequency to Bilateral T10-T11
Patient with abdominal wall pain and no distinct triggers had bilateral pulse radiofrequency to T10 and 11. This brought pain levels down from 6/10 to 1/10 at 10 weeks by procedure and still relief after 10 months. Though their case … Continue reading
Posted in Abdominal pain, Injection, neuropathic
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Quick Fix For Headaches – Repeated Nerve Supraorbital, Infraorbital, and Occipital Nerve Blocks – and What To Do For The Very Bad
Series of 3 simple eyebrow, just below eye and bottom of skull posterior injections can give long-lasting relief of headaches. Now, just to get family doctors to pick up a syringe…
Posted in Headaches, Injection
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Post Herpetic Neuralgia – Pulse Radiofrequency to Dorsal Ganglion Treatment -and Various Intercostal and Infraorbital Nerve Blocks and Beyond
To round out my discussion of post herpetic neuralgia, I have included an article on pulse radiofreqency to dorsal root ganglion in spine – a benign, not destructive, resetting of senstivity of the ganglion by 41 degree centrigrade heat. My … Continue reading
Posted in Uncategorized
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How much relief does one get from lidocaine patches?
Lidocaine patches can drop pains by 1.5-2 points on the pains scale – which is about as much as you get from painkillers.
Some Recurrent Abdominal Pains (RAP) in Kids are Missed Protozoan Infection
Some 6-11% of recurrent abdominal pains in children are protozoan infections. Those cases “did not show a characteristic presentation when compared with patients with other causes of abdominal pain” – so you can’t tell by looking at them.
Posted in Abdominal pain
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What Determines Severity of Neuropathic Pain – The Neuropathicity, Not the Mood – and Good-Bye Fear Avoidance Model(FAM)
Factors such as pain on light touch (allodynia) and excessive pain on pinprick (hyperpathia) were strong indicators of pain severity. “Female gender, age, and history of serious mental disorders were found to be weaker indicators.” Psychological factors are played up … Continue reading
Posted in Insurer issues, neuropathic, pain mechanisms, psychology
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Need Help with Headache Sufferer – and Headache Convergence Site Good Pic
Good pic on how neck, scalp, occipital nerves, trigeminal nerves and face all impact on migraines and lady with nummular headache in posterior scalp ended up activating this convergence.
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Neurogenic Thoracic Outlet Syndrome – Diagnosis Concensus
Though Thoracic Outlet Syndrome (TOS) with vascular findings can be more easily resolved by disappearance of pulse, neurogenic TOS remains more controversial. Now there has arrived a concensus of opinion on diagnositic criteria.
Posted in thoracic outlet syn
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