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Author Archives: admin
Adding Lidocaine to Botox Might Not Affect Potency
I had been told that adding local to botulinum toxin might block receptors that pick up the agent and hence decrease its effectiveness. A study using saline only and lidocaine- botulinum combo found no difference.
Posted in Botox
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Rubbing Medial Shin Point Bilaterally 20 Minutes Total Significantly Relieves Menstrual Pain
Rubbing Lateral Shin Acupuncture point SP* 5 minutes clockwise on one leg and 5 minutes counterclockwise on other dropped pains from 6.8/10 to 4.5/10.
Posted in gynecologic
1 Comment
MSM for Knee Arthritis Disappointing by Self
Use of MSM (methylsulfonylmethane) for knee arthritis barely reached significance and did not reach clinical usefulness by self – maybe better if combined with NSAID’s?
Posted in arthritis, Drugs, Knee
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Ketamine For Depression Confirmed
Press release by A. Shah from Baylor College confirms that ketamine works well for depression. Press release makes a statling comment: “Prozac and other treatments each improve conditions for only about 30 to 40 percent of the patient population, barely outperforming … Continue reading
Posted in Depression
6 Comments
Cynical Sayings
I got a recent piece of spam that said: God must love stupid people. He made SO many. (My inner self is telling me I don’t need to go to the gym so I think there is a little of … Continue reading
Posted in Uncategorized
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Menstrual Cramps – “Marked Reduction” Following 3 Month Omega 3
Omega 3 improved menstural cramp pains and need for ibuprofen after 3 months use.
Posted in Uncategorized
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Skin Nerve Stimulation (TENS) Could Treat and Prevent Post Shingles Neuropathic Pains
Transcutaneous Nerve Stimulation (TENS = TNS)with one pad paraspinous and one pad front at level of shingles run 30 min daily – 20-40 hertz and 1-5 milliamps ended up with no pain at 6 months one versus 10% postherpetic neuralgia in … Continue reading
Posted in neuropathic, post herpetic neuralgia
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Glossopharyngeal Neuralgia – Treated by Steroid Injection and Amitriptyline
I got a question on what could be done for Glossopharyngeal neuralgia and came across this article on repeated bilateral intraoral glossopharyngeal nerve injections and amitriptyline as an alternative.
Posted in Injection, neuropathic, Trigeminal Neuralgia
1 Comment
Sciatica Back Epidural or Caudal – 40 mg Steroid as Good as 80 mg.
In two separate studies, there seemed to be no advantage to using 80 mg steroid over 40 mg. If one stuck to 40 mg, then one could have a shot every 6 weeks, rather than having to wait 3 months … Continue reading
Posted in Uncategorized
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Mixed Drug Treatment Of Interstitial Cystitis(IC)/Painful Bladder (PB) Syndrome
With an increased drug sensitivity, subjects with IC/PB do not handle medications very well. Drugs specifically designed for their condiition (like Elmiron and intra-bladder DMSO)) do not work well. The beauty of this therapy was low does of multiple medications … Continue reading
Interstitial Cystitis/Painful Bladder – What are the Genetic Correlates?
Twin studies have found genetic linkages of IC/painful bladder syndrome with several diseases – Irritable bowel, prior physical abuse, frequent headaches, multiple drug allergies, and self reported bladder infections.
Confirmed – Alkalanized lidocaine works for Interstitial Cystitis – and Better Yet With Heparin
In a controlled trial,”a combination of 50,000 units of heparin (Baxter), 200 mg lidocaine hydrochloride (Hospira), and 420 mg sodium bicarbonate in 15 mL of water” instilled in the bladder, using a “hydrophilic LoFric 10 French catheter was used to … Continue reading
Dengue Fever Scale
Always a risk in some developing countries – but never had a clear picture of the features like this. More for my reference…
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Confirmation of Nerve Growth in Tendonopathy – in Shoulder Too
I have previously written: Does Pain “Grow” at Tendon injury sites? -and Treatment tennis elbow Now for shoulder tendonopathy, “increases of newly grown nerve fibers and blood vessels ” inside tendons has been found
Posted in Rheumatic, shoulder, tendonitis
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Lithium Reduces Spinal Cord Damage Pain by 35% in 6 Weeks
Case reports have found lithium carbonate an effective in chronic pain but these results have been ignored because of lack of a reliable study, Now a a double-blind, randomized, placebo-controlled clinical trial was done and showed benefit in Chronic Spinal … Continue reading
Posted in Back Pain, central & spinal, Drugs, neuropathic, radiculitis
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COMT Pain Genes Wreak Havok – Finally a Good Study
Had a pateint with severe pains out of proportion to what one would expect. He has a couple of pain conditions that ran in family and I felt probably had pain genes that augmented the condition. Insurers treated him with complete disdain … Continue reading
Posted in Uncategorized
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Morton’s Neuroma Surgery – severe foot pain option
Morton’ neuroma causes pain in the 3-4th metatarsal head areas with numbness in the corresponding 3rd and 4th toes. The pain, including burning pains in area can become extreme. Surgical removal works well 51-85% of time.
Posted in Leg Pains, neuropathic
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Midfoot Pains – Response to Injection
Over 1/2 of patients will get sustained relief of midfoot pain for 3 months with steroid injection
Simple Sciatic Leg Pain Relief – Repeated Simple Knee level Peroneal Blocks
Repeated peroneal nerve blocks can remarkably control sciatica leg pains in most cases and avoid the necessity of surgery .
Posted in Back Pain, Leg Pains, neuropathic, radiculitis
3 Comments
Sciaitica, Bone Cyst in Ilium, and Gluteal Tight Muscles – down right leg – needs help
Chronic sciatica /buttock pain – I recently received a request for help…
Posted in Back Pain, Hip Pains, Injection, myofascial pain, neuropathic, piriformis, radiculitis
1 Comment
Chronic Post Root Canal Pain Happens and What Can Be Done?
Series on Reviews puts post root canal chronic pains >6 months anywhere from 5% to over 7%. Cases have been treated with Botulinum.
Posted in Uncategorized
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Severe Ankle Pain – No Cause – Ankle CRPS and Oral Biphosphamates Might Fix and Anterolateral impingement
Recently had a cause of severe ankle pain in a pain prone patient. Complex Regional Pain Syndrome (CRPS) – aka. Reflex Sympathetic Dystrophy might be a possibility and it now appears oral risedronate 2.5mg per day, or alendronate at 35mg per … Continue reading
Posted in ankle, complex regional pain
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Chronic Back Pain Help – Forgotten B12 Injections and What Else Good For…
Double blind, randomised, placebo – controlled trial of daily 1000U IM/day B12 for 14 days found significant benefit for people with chronic Low Back Pain. Cochrane review thought it was not high quality but sounded good to me; and for … Continue reading
Posted in Back Pain, Deficits, Drugs
7 Comments
The Forgotten Tests For Diabetic Neuropathy – Ankle Jerks and Vibration Testing Sensitive
Pinprick testing is not as accurate as ankle jerks and vibration testing in Diabetic peripheral neuropathy.
Posted in neuropathic
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Endometriosis Involves Nerve Fiber Growth Disease – Not In Head
Womb lining (Endometrium)of those with endometriosis (those with womb lining outside the womb) have six times the nerve fivers in the emdometrial lining. This is got to hurt…
Posted in gynecologic
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