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Author Archives: admin
Post surgical Carpal Tunnel Recurrence – What Does One Do?
Pulsed radiofrequency at the elbow was effective in remitting post- carpal tunnel surgery pain
Posted in Uncategorized
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Women With Severe Irritable Bowel and/or Ovarian Cyst Pain May Have Something Else – and a Test For It
I have seen 2 cases of severe intermittent lower abdominal pain (both more left sided) with a background of lesser pains seen by various doctors with out relief and pain relieved in 1 minute – by pushing their inguinal hernia … Continue reading
Posted in Abdominal pain
3 Comments
Strontium 89 in Breast and Prostate Cancer Metastatic Disease
With SR89 treatment, 72% of metastatic breast and prostate cancer patients reduced or stopped their opiates and/or analgesics – with relief lasting 3 months. Why aren’t they using it more?
Posted in breast cancer
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Unexplained Abdominal Pains & Problems – Could Be Hypermobility
In patients with unexplained abdominal problems referred to a tertiary centre, half had evidence of joint hypermobility syndrome (JHS). Though Hypermobility is noted for its relation to Fibromyalgia, it appears abdominal problems are even more likely – something that would … Continue reading
New Help For Sickle Crisis Pain – Nitric Oxide (NO) Gas Inhalations
When NO gas is mixed with Oxygen and inhaled over matter of hours, sickle crisis pain will gradually remit, dipping below 4/10 pain-wise in 3 hours.
Posted in sickle crisis
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Can’t Get Rid of Shoulder Tip Pain? – Think C4/5 Neck Facet
Various measures have been used for trapezius tip pains but they keep coming back. Now it’s confirmed the neck is a player.
Posted in myofascial pain, Neck, shoulder
2 Comments
Fix For Torn Shoulder Tendons and Pain in Elderly – Loosen Deltoid Muscle
Torn shoulder tendons gimp shoulder mechanics and can lead to “chronic and often unbearable pain, muscular fatigue, and severe functional disability”. A reverse prothesis and latissimus dorsi tendon transfers are a treatment but are extreme measures. A simple and effective … Continue reading
Posted in elderly, shoulder
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Clitoral Pain Following Hysterectomy – Finally an Effective Treatment
This can be a terrible situation to deal with. Had one case many years ago. Went back to the gynecologist who had nothing to offer. Too tender an area for injections. Now it looks like spinal cord stimulation can help.
Breast– (Some Post Mastectomy) & Chest Wall Pains – Easy Fix
Study of Scapulothoracic Bursitis – Though 78.6% presented with the breast/chest pain, a tender area was found posteriorly on the medial aspect of the shoulder blade(scapula). Injection of steroid to area relieved the breast/chest pain as well in 83.5% of … Continue reading
Posted in breast cancer, breast pain, chest pain, shoulder, Thoracic
2 Comments
Chronic Low Back Pain Injection Spot
Lumbar paraspinous muslces and sacroiliac ligaments all attach to sacrum making it a vulnerable site. Dr. Breck McKay has found injection of these ligments (and the sacrospinous ligament) can give significant results. Poster at IASP congress found a sweet spot … Continue reading
Posted in Back Pain, Injection
2 Comments
Neck / Shoulder Tip Pains, Tired and Dizzy When Upright – Maybe Coat-hanger Hypotensive Events
Postural Hypotension (Low Blood Pressure on standing) is associated with neck and shoulder tip pains in what is thought a hypo-perfusion issue. One should notice being dizzy standing up – something that can happen after head injury and also spinal … Continue reading
Posted in chronic fatigue, myofascial pain, Neck
2 Comments
Pain After Inguinal Hernia Repair – What to Do
This is the title of a French article discussing the problem recently.
Posted in Post Hernia
7 Comments
Sudden Peripheral Neuropathy – Beware
Radicular pain [sciatica in arms or legs], painful paresthesiae [ funny feelings], and muscle pains of sudden onset could precede paralyzing Guillain–Barré syndrome by up to 2 weeks in 36% of cases. Preceding diarrhea illness (suggesting connected Campylobacter jejuni infection] … Continue reading
Posted in neuropathic, radiculitis
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Could Isoflavinoids Reduce Prostate Cancer Radiotherapy Problems?
Isoflavinoids may reduce urinary incontinence, urgency, erectile dysfunction, rectal cramping/diarrhea, and pain with bowel movements – while pateints are on radiation. Annoyingly, there weren’t enough cases to be sure of anything…
Posted in prostate cancer
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Knee Cartilage Meniscal Symptom Index
Four questions can improve accuracy of knee cartilage diagnosis
Posted in Knee
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Resistent Interstitial Cystitis (IC) – Sacral Neuromodulation 6 year Confirmed Benefits
Some resistant cases of IC defy treatment options – sacral neuromodulation appears successful.
Cure For Radiation Bladder Irritation Cystitis
Hyaluronate instillations have been used in Interstitial cystitis – now it helps in radiation cystitis
Posted in Uncategorized
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Need For Specific 10 Gram Semmes-Weinstein /Frey Mono-filaments For Diabetic Peripheral Neuropathy Testing Unnecessary
Not wanting to waste money buying expensive monofilaments, I bought a scale and fishline – and now since I have come across a certain article, I realize any 1 cm medium to thick plastic monofilament fishline will do.
Posted in Mechanical aids, neuropathic
2 Comments
Testing For Shoulder AC Joint Pains
I am used to doing an arm raised adduction test (bringing arm over chest) to see if it elicits pain. Alarmingly , this crossed arm adduction test may only be positive 67% of the time. More sensitive tests have been … Continue reading
Posted in shoulder
4 Comments
Topical Ketamine For Post-herpetic Neuralgia
I’m trying to complete my coverage of Post-herpetic Neuralgia (PHN) treatments and felt this was a rather newer innovation. 65% can achieve a significant reduction in pain.
Posted in post herpetic neuralgia
4 Comments
Several Scoliosis Operations and Still Pain – Spinal Cord Stimulation May Help
I have one gentleman with multiple surgical procedures including fusions and Harrington rod placements who is left with chronic pain. He has to stand up most of the time. I’m presuming there is a pseudoarthrosis at one level but there … Continue reading
Posted in Back Pain, Mechanical aids, Stimulation
1 Comment
Lidocaine Patches For Post Surgical Chronic Pains
Recent poster demonstrated how use of lidocaine patches reduced area of pain in traumatic neuropathies about the knee. These were not recent operative cases. Could this work for all post surgical pain problems?
Torn Rotator Cuff Lesions Best Treated in First 4 Months But Single Tendon Tears Are Sneaky
Rotator cuff tendon repairs give good results even with fatty degeneration and muscle atrophy best under 4 months. Single tendon tears – commonly supraspinatus, are sneaky – only 43% can relate any trauma to onset and 90° active abduction is … Continue reading
Posted in shoulder
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Is Fibromyalgia(FM) a Small Fiber Neuropathy?
Recent poster studies shows decreased nerve density peripherally in FM.
Posted in Fibromyalgia, neuropathic
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Are Cold Knees a Bad Sign After Injury?
In a study of women with knee pains, colder knees on exam and thermography were associated with worse condition, suggesting they might be a mild form of Complex Regional Pain.
Posted in complex regional pain, Knee
1 Comment