Author Archives: admin
Sad News of Hip Replacement – Less Pain and Better Function but No Increase in Physical Activity Seen
J Arthroplasty. 2017 Jul;32(7):2191-2198. doi: 10.1016/j.arth.2017.02.002. Total Hip Arthroplasty Improves Pain and Function but Not Physical Activity. Jeldi AJ et al https://www.ncbi.nlm.nih.gov/pubmed/28285898 30 cases ages 67 +/- 7 yrs Physical Activity of Total Hip Arthoplasty patients was quantified to 12 … Continue reading
Pain in butt and hamstring is not uncommon and usually involves hamstring. However, neuropathic level pain in areas can happen after surgery or injection suggesting nerve damage to Posterior Femoral Cutaneous Nerve. Present article used cryoablation successfully to treat.
June 2017 Pain News: I put them up as short snaps because not going to blog note them – hope you like. You will probably not find many in news elsewhere.
This was the title of a recent article in British Journal of Sports Medicine. It is what my blog is all about – recognizing that there are new things coming out every week that make a difference –
In Chronic Low Back Pain and Radiculopathy (sciatica) epidurals are used with varying success. “The mean length of relief duration is 38.37 weeks for individuals without painful lumbar extension and 14.68 weeks for individuals with painful lumbar extension.” CONCLUSIONS:: The … Continue reading
European study found in RAP syndrome without any alarm features, 57% were found to have organic disease – and treatment of such lead to resolution of symptoms. Things found included: 19 (22.6%) lactose intolerance. 17 patients (20.2%) celiac disease. Two … Continue reading
Venlafaxine (300 mg/d) and Clonazepam (5 mg/d) in Refractory Burning mouth – All responded with a reduction in pain from 8.6/10 to 3.2/10 after 3 months
Subdeltoid hyaluronic acid injections 2 ml x 2 weekly associated with mild improvement in pain
116 patients Forty-one (35.3%) patients experienced post-injection pain. The mean duration of symptoms was 3.9 days. At 6 months, 81 (69.8%) patients were discharged successfully and, at a mean of 23.2 months, did not require re-referral; 29 (25%) had surgery; … Continue reading
New approaches include topical neuromodulation which means “Podophyllotoxin (5 mg/mL) applied locally to tender points of vestibule after 5% acetic acid application. Treated area was covered with a mild estrogen cream and covered with gauze pads until the next day” … Continue reading
Traditionally, an old antidepressant, amitriptyline, has been used for irritable bowel at doses far lower than its antidepressant level, as an aid to stimulating endophin system etc. Now it appears that more up to date SSRI’s work better. This was … Continue reading
Point stimulation has been found helpful in nummular headaches: Small Spot Body Pain Treatment – Pen like Electrical Skin Stimulation http://painmuse.org/?p=704 This case, involved treatment of persistent plantar fasciitis. Using a point probe (like an acupuncture point locator), Spots of … Continue reading
Upper arm pain and swollen and no other likely cause? – combinations of D-dimer testing and compression ultrasounds seem to be the approach.
Study on SI belts for pregnancy back pain found it reduced pain by 2/10.
I’ve treated OA knee patients with various measures, steroids, lubricants and prolotherapy only to find they were excessively walking because they though it would be good for them. Now it’s been shown that limiting walking to 30 minutes at a … Continue reading
One Reason Osteoarthritis Bad in Canadian Prairies – Persistent Low Vitamin D Levels – and Supplements Prevent
I do vitamin D levels on all my patients coming in for physical – they are almost always low. – Recently demonstrated that persistently low levels of Vitamin D associated with accelerated osteoarthritis and helping that helps. …
Failure Back Surgery Post Laminectomy Pain Treatment- New High Frequency or Burst Mode Spinal Stimulation
Spinal stimulation is primarily for the sciatica -only 1/2 of back pains respond.. This leave a subgroup, with predominately back pain, with a need for options. High 10 Kz frequency stimulation and Burst stimulation are two options.
here is poster in pdf format: Poster CPS 2017 ketaminefinal (2) Here is a pic of poster from which study was based as is no longer available online:
70% showed clinical response, and “13 of the 30 (43.3%) patients achieved clinical and endoscopic remission.”
Rather new entity is the stabbing headache – primary stabbing headache (PSH) – often in occipital area, happening 2-100 times a day and more occipital (back of head) in location. Treatment is not all what you’d think – its indomethacin, … Continue reading
Job Rotation reduces wrist and hand pains but doesn’t do much else according to a review.
SI joints generate significant amount of lateral thigh and inguinal area pains. About 1/3 will complain of lateral thigh numbness as well.
Canker sores respond to tetracycline/minocycline rinses – 0.5% minocycline works best
“16 units of incobotulinumtoxinA (100 units diluted in 2 mL of saline), 4 units into each side of the lower lip and 4 units into each anterolateral side of the tongue” – “The beneficial effects lasted up to 16 weeks … Continue reading
I contend antidepressants help very little in back pain and waiting for it to work before starting painkillers is an unethical abomination. Studies showing any benefit in the last century are laughable because dosages used would not be achievable today. … Continue reading