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Subtle ECG Finding of Heart Attack
An upright T wave in V1 can be an indicator of Coronary artery disease and a bigger T wave in V1 than V6 suggsts Left Anterior Descending (the widow maker) blood vessel disease.
Posted in chest pain
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Chiari Help
Have had a vaiety of emails wanting to know where to go for help with chiari. Have a patient who intially was treated badly by various specialists in Canada (Regina, Calgary, Toronto) and found great help from contacts with sites … Continue reading
Posted in chiari syringomyelia
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Polymyalgia Rheumatica (PMR) Score – Using It for Steroid Dose
Had a complaint that Doctors leave patient’s in agony with PMR without thought of their needed prednisone dose – here’s how to figure needed dose out by calculating their disease activity.
Posted in Drugs, Rheumatic
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Cheapest SAD Light Ever
My bipolar patients are coming in droves now that it is fall. Found a way to make a cheap Seasonal Affective Disorder light – have made a couple for my wife to use as plant lights as well…
Posted in Depression
2 Comments
At Last – Treatments For Supraspinatus Tendonitis – Platelet Rich Plasma (PPP) or Dry Needling or Deep Frictions
Because (noncalcific)supraspinatus tendons can tear, I tend to avoid steroid injection. This leaves deep frictions that may work 1/2 time but are painful and labor intensive – Though Platelet Rich Plasma needling/injection worked well, dry needling by self did not work … Continue reading
Interstitial Cystitis – Good and Bad Foods
90% of Victims with Interstitial Cystitis will report food triggers. A recent article did a survey and summarized which are good and bad.
Workplace Neck/Shoulder Pains – Does Strength Training Work? – Maybe Not Unless You Are a Responder
Neck and shoulder tip/shoulder pains are common in the workplace and are not easily eliminated. A program of strength training only worked in those that are doing well and likely to continue program until end (I call them responders). Influence … Continue reading
Posted in Uncategorized
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New Treatments For Coccygodynia (sore Coccyx)
Radiofrequency to coccyx interdisc, pulsed radiofrequency to ganglion impar, and coccyx removal are all being used in recalcitrant cases.
Posted in coccygodynia
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Bad Prostate Leading to Urinary Cather Use? -Botox Might Fix It
I have one desperate case where a good 85 year old was up all night peeing from inability to empty bladder. He had a heart attack less than a year prior and urology consult wasn’t well received. Put 100 u botox into … Continue reading
Posted in Botox, prostatitis / prostatism
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Upper Facial Post Shingles Pains – Blocks
A Patient wrote: “My husband has been suffering with “Opthalmic Branch Post-Herpetic Neuralgia” for more than 4.5 years. The area describe here is exactly same as his PHN area. Currently he is taking 600mg Gabapentine 3 times a day and … Continue reading
Posted in neuropathic, post herpetic neuralgia
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Ingrown Toenails – Is Simple Wedge Resection Obsolete?
Recent article concludes simple wedge resection for ingrown toenail leads to nail bed damage and unacceptable recurrence rates – and should be considered obsolete.
Posted in Uncategorized
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Does Neuropathy Form a Part of Chronic Shoulder Pain? And Nerve Irritation the Basis to Some Chronic Knee and Tennis Elbow Pains
One dumbed down rhizotomy – 42 degrees centigrade pulse treatment to the suprascapular nerve going to the shoulder can give long term 50% relief of various forms of chronic shoulder pain. The ease of this effect (only one treatment) makes one wonder … Continue reading
Posted in elbow, Knee, neuropathic, shoulder
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Neck Pains and Widespread Problems like Fibromyalgia(FM) – When and Where To get an Upright Flexion/Extension MRI..
The only traumatic cause of Fibromylagia is Motor Vehicle Accidents . see Fibromyalgia Is Only Induced by Motor Vehicle Trauma ?Whiplash Disease Makes one think whiplash and neck damage are involved in FM. Neurolgical findings of neck spine damage (cervical … Continue reading
Posted in chiari syringomyelia, Fibromyalgia, Neck
1 Comment
Commonly Missed Problems in Chronic Pain
Back in 2006, Janice Montbriand and I wrote a poster about “Often Missed Treatable Co-Morbidities in Patients with Treatment Resistant Chronic Pain”. They included Bipolar disease, B12 and Vitamin D deficiencies, and sleep disorders. Each one of these is still … Continue reading
Posted in Uncategorized
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Post Hernia Surgery Pain Nerve Blocks No Help In Moron Study
Rather than using a nerve probe to see if needle is in right position to refer to painful area, ultasound was done. In only 1 case was the right nerve area hit by injecting ilioinguinal and iliohypogastric nerves seen so they assumed nerve … Continue reading
Posted in Injection, neuropathic, Post Hernia
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Will MRI Localize the Site of Back Pain? – Epiduroscopic Study Suggests No – What this means for Insurers
Cases of chronic back pain with or without non-radicular leg referrals (in leg but not classic sciatica) were examine clinically, with MRI and by using a “keyhole” scope instrument in the spine called an Epiduroscope. Scoping and probing area during … Continue reading
Posted in Back Pain, Insurer issues, Neck
2 Comments
Could Sickle Cell Pain Be Low Vitamin D Induced?
Recent studies have shown a correlation between low Vitamin D levels and sickle pains. Case studies have shown significant relief of sickle pain with Vitamin D supplementation.
Posted in Uncategorized
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Low Vitamin D and Chronic Pain – What is the Evidence?
In 2006, My Daughter, Janice Montbriand, published a poster called Commonly Missed Factors in Chronic Pain. Vitamin D deficiency was one of them. Since the there have been a variety of confirmatory studies – with some negative ones as well. I … Continue reading
Posted in Back Pain, Deficits, Fibromyalgia, myofascial pain, osteoporosis, Rheumatic
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Interstitial Cystitis and Back Pain – Should a Steroid Caudal Block Be Tried? And More on Tarlov Cysts
Two Cases of Cystoscopy proven Interstitial Cystitis (with granulations) attained 100% relief of bladder pain with 3 mls 1% lidocaine and 40 mg kenalog injected caudally. Both had obvious tarlov cysts in sacrum casing sacral nerve irritation but makes one wonder … Continue reading
Cyclosporin A for Interstitial Cystitis
I had not researched Cyclosporin A for Interstitial cystitis prior so felt I should..
Enbrel Failure – So What Else Can You Do For Chronic Back Sciatica?
Got a recent enquiry of what to do if you are an enbrel failure. I will go over what I can.
Posted in Back Pain, neuropathic, piriformis, radiculitis
7 Comments
What Can I Say About Etanercept/Enbrel for chronic neck/back “Sciatica”?
Various desperately in pain cases have written me wondering how useful it actually is. The answer is not easy and runs like this – “It depends”. Firstly, I feel sick to find that people are being gouged $2,000 – 5,000 dollars … Continue reading
Posted in Uncategorized
8 Comments
Chronic Facial Pain Needs Help
Is there anyone who can help me, please??? I am a 49-year-old woman who was diagnosed with an infected dental implant almost 3 years ago. Unfortunately, the Oral surgeon who removed the infected 3rd molar implant & cadaver bone in … Continue reading
Posted in Trigeminal Neuralgia
7 Comments
Is The US FDA Guilty of International War Crimes?
After causing extreme shortages of drugs in US, the US FDA came to Canada and shut down production of 90% of injectables from a Sandoz site in Quebec. This was not based on any finding of injury; merely because they … Continue reading
Posted in Uncategorized
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Vitamin C Lowers Painkiller Needs After Surgery
I have published various article on how vitamin C reduced pains for shingles, wrist sugery, and preventing Complex Regional Pain. Now shown to reduce pain after surgery – cut opioid needs.
Posted in Drugs
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