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Author Archives: admin
Treatment Plan For Fresh Osteoporotoc Compression Fractures
Now that Kyphoplasty has become widespread, these techniques might be outdated. However, there are cases where you cannot do kyphoplasty, and these techniques would apply – they involve caudal or epidural catheter blocks, intercostal nerve blocks, trigger injections, and near infrared radiation … Continue reading
Posted in Back Pain, Injection, Mechanical aids, neuropathic, osteoporosis, Stimulation
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Shingles Vaccine if On Immunosuppressive Agents
I had a patient on Methotrexate want the shingles vaccine. Had to look this one up…as people with Rheumatoid arthritis and related diseases are on immunosuppressives…
Posted in post herpetic neuralgia
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Bad Thoracic Back Pain and Desperate? -Early Case of Peripheral Nerve Field Stimulation
Some cases of thoracic back pains can get horrendous – partially because there are pain generators coming form both thoracic spine and neck, and because postural and instability effects are rampant there as well. It seems that measures may only … Continue reading
Posted in Back Pain, Mechanical aids, Stimulation, Thoracic
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Post Herpes Zoster – Repeated Nerve Blocks within 100 days Works
Repeated nerve Blocks work within 100 days of Herpes zoster – quicker results if before the first 20 days
Posted in Injection, post herpetic neuralgia
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New Options For Opioid Induced Constipation
Agents that block opioid effects on bowel but can’t enter the brain to block things there – is a new upcoming option in opoiod induced constipation – something that can be severe and hard to find acceptable alternatives
Posted in Uncategorized
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Biochemical and Hormonal Abnormalites Suggest Possible Treatments for Fibromyalgia
Fibromyalgia posters at the IASP congress in Montreal highlighted abnormalities in DHEA and tryptophan. Treatments of these conditions could help. Testosterone could be a concern as well.
Posted in chronic fatigue, Drugs, Fibromyalgia
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Does Family Physician Access Make a Difference? – Any Suggestions?
I usually only deal with chronic pain subjects now but was begged by a Grandmother patient to see a 3 year old Grandson with recurrent croup symptoms. He had been going to medicenters much like the child in the movie … Continue reading
Posted in Uncategorized
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Prostatitis Symptom Index – For Your Use
The Prostatitis Symptom Index can be used to clock improvements with therapy and document severity
Posted in prostatitis / prostatism
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Small Spot Body Pain Treatment – Pen like Electrical Skin Stimulation
In the scalp, when there are small spots of severe pain, they call it nummular headache areas – they are remarkably resistant to treatments (botox helps though). Similar painful areas the size of the palm were treated with a 2 … Continue reading
Spinal Cord Stimulation – Good Control of Post Hernia Pains
15 Cases of intractable chronic post-operative groin pain post hernia surgery had spinal cord stimulation leads implanted. All experience >75% reduction in pain and in some cases back pain was covered some as well. 11 stopped painkillers; the other 4 … Continue reading
Posted in neuropathic, Post Hernia, Stimulation
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Simplest Ketamine Technique Ever for CRPS – Low Dose 10 mg Ketamine Subcut Weekly
Ketamine use is complicated – it is a restricted drug that is abused as “special K”, it can cause dysphoria and hallucinations at higher doses; It is a general anesthetic at high dose. A pain anesthetist tells me it is just too … Continue reading
Posted in complex regional pain, IV therapy
2 Comments
New Hope For Some Chronic Migraine Sufferers – Occipital Nerve Stim
39% of chronic migraine cases will achieve over a 50% improvement with adjustable occipital stimulation – but not with static stim
Posted in Headaches, Neck, neuropathic
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Bad Signs in Whiplash
Besides WAD level, there are multiple findings that predict bad whiplash outcome.
Posted in Neck
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Let’s Not Give Oxygen To Heart Attack Patients – No Evidence Based Validity
Recent article suggests there is no evidence basis for giving oxygen to heart attack patients. So we should wait until there is, and deny patients access? -Not likely This, however, happens all the time in Pain issues and is blatantly … Continue reading
Posted in Uncategorized
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Botulinum (Botox) in Animals – Works on Peripheral Nerve Injury and Not Radiculitis
In rodents were either afflicted with either: – peripheral nerve injury – string tied about sciatic nerve – sciatica / radiculitis – string tied about a lumbar nerve Botox injections into paw cut senstivity by 50% in the peripheral injury … Continue reading
Accurate Piriformis Injection
ºAlthough I have been happy with Rectal Coupled Piriformis Injections, Ultrasound Guided injections are becomeing more popular. Combined with Botulinum, the results can last 6 months or more.
Posted in Back Pain, Botox, Injection, piriformis
3 Comments
Epidural Primarily Work on Side Needle Tip is Closer To
At the IASP congress in Montreal, it was stated metanalysis show epidural steroid block do not work. I mentioned the fact putting the bad side down can near double its effectiveness: Steroid Epidurals – Why Some Work And Some Not … Continue reading
Treatment of Opthalmic Branch Post-Herpetic Neuralgia with Blocks
I hate forehead/eye Post-herpetic Neuralgia. Upper facial Post herpetic Neuralgia has to be the worst case scenario. Local eye drop make a difference for eye. See: Lidocaine Eye Drops For Ophthalmic Postherpetic Neuralgia A case study highlights the benefits of … Continue reading
Posted in post herpetic neuralgia
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Pain Worsening From Opioids Rare
Pain Hyperalgesia is a condition where “allegedly” you become more sensitive to pain once on opioids. This is used by opioid-haters that tell of doom to those on opioids. A Stanford associated study couldn’t find any and another failed to … Continue reading
Posted in Drugs, pain mechanisms, psychology
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Casting Without Fracture Can Initiate CRPS in Animals – Cause of CRPS
CRPS is induced by a constriction event like a too tight cast. Capillaries in affected area collapse and develop endothelial protrusions that do not allow red blood cells through. Pro-inflammatory cytokines likie Interleukin – 6 and TNF alpha are increased. … Continue reading
Posted in complex regional pain
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Cheap Infrared Treatment of Chronic Regional Pain
There have been various reports of Infared spot treatment for limb CRPS. The Infrared laser machine is very expensive – there is a cheap substitute that seems to help
Posted in complex regional pain, Mechanical aids
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People With Longstanding Lumbar Nerve Root Problems Have “MRI Invisible” Lesions
Radiculopathy (sciatica) cases were categorized by their pain diagrams and physical findings. Only 16- 37% of cases showed MRI findings. If there is an MRI-visible issues – only 22-78 % cases have symptoms (positive predictive values of MRI-visible nerve involvement). … Continue reading
Posted in Back Pain, Insurer issues, Neck, radiculitis
3 Comments
MRI’s Don’t Help in Post Hernia Surgery Pain Management
Though faith runs high in MRI’s – in Post hernia pain issues they do not help
Posted in neuropathic, Post Hernia
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Diabetic Peripheral Neuropathy – Sciatic Nerve Treatment
Sciatic nerve stretch treatments help diabetic peripheral neuropathy pain and vibration sense further confirming nerve entrapments in diabetes
Posted in Manual Med, neuropathic
4 Comments
Possible Curative Treatment For Post Mastectomy Pain
Continuous multithoracic level paraspinous blocks for 5 days lead to relative cure in certain post-mastectomy patients.
Posted in breast cancer, chest pain, complex regional pain
3 Comments