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Author Archives: admin
Cytokine Inflammation Diseases Will Be the Diseases of the 21st Century
Cytokine (Immune chemical) diseases will become more clear in the ensuing years. Recently Tension headache was associated with higher Interleukin-6 levels.
Posted in Fibromyalgia, pain mechanisms
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High Vitamin D Prevents Pains from Breast Cancer Aromatase Inhibitors – But is Hard to Achieve
Aromatase Inhibitors are used in post menopausal women to prevent breast cancer recurrence. Aching muscles and joints can be a hazard. High Vitamin D levels help prevent this problem but this is harder to achieve then one would think.
Posted in breast cancer
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Shoulder Impingement Much More Than Rotator Cuff – New Treatment Suggestion
A recent study showed diffuse muscle trigger knots about the shoulder in impingement syndrome, highlighting the fact there is considerable peripheral and central sensitization. Measures dealing with this disease must deal with these issues.
Posted in shoulder
2 Comments
Chronic Nonspecific Neck Pain Cut in Half With Just an Epidural Of Local Anesthetic
Chronic neck pain without a disc protrusion or facet indications (negative blocks) gets no respect. One can have pain from internal disc disruptions in a neck disc and have nothing to show for it. Now it looks like the patient’s pain can … Continue reading
Posted in Neck
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Drippy Nose and Nothing Helps? – Soak It With Botox (Botulinum)
Idiopathic rhinitis is a condition where the nose drips for no reason – it can be resistant to treatment though Botox has been found helpful
Posted in Botox
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Use of Transcutaneous Nerve Stimulation and Lyrica for Post Herpetic Neuralgia
TENS became a significant add-on when used with pregabalin for Post-herpetic neuralgia
Posted in post herpetic neuralgia
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Smokers 1.5 times More Back Pain – Does Quitting Become An Effective Treatment?
This was a large Canadian study and results demonstrated “this association remained significant after controlling for sociodemographics and any lifetime anxiety or mood disorder.” If smokers back pain dropped to normal after quitting, this would result in a 33% improvement. … Continue reading
Posted in Back Pain, TMJ
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Miracle Treatment – Low Back Post Herpetic (Post Shingles)Neuralgia Treated With Epidural Steroid and Spinal Midazolam Without Local Can Give Significant Relief For Over 3 Months
Post Herpetic Neuralgia (PHN) is a horrendous disease with limited options. A group with low back version of this were treated with 60 mg methylprednisolone and 2 mg midazolam in saline epidurally. Note – no local anesthtic block was necessary. … Continue reading
Posted in post herpetic neuralgia
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How One May Obtain Significant Relief Pain With Over the Counter (OTC) Meds – Using Dextromethorphan
NOTE – many drugs could be effected by treatment below (and potentially dangerously) and so this should be supervised by your doctor or your pharmacist -especially if on Warfarin. There are rare cases of Dextromethorpan “Benylin cough syrup” dependence mentioned … Continue reading
Posted in Drugs, Fibromyalgia
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Making Your Own Lidocaine Patches
Lidocaine patches are ridiculously expensive and yet ridiculously easy to make – here’s how.
Posted in Topical Pain Treatments
20 Comments
7 day Buprenorphine Patch Lanched in Canada
Purdue has released their 7 day patch painkiller – where it fits in remains to be seen.
Posted in Drugs
5 Comments
Could Minocycline/Doxycycline Help Prevent Post herpetic Neuralgia Post Shingles ?
Glial Cells are immune cells in the nervous system – they have been getting considerable press over their part in activating chronic pain. It has now been suggested that Minocycline (and hence Doxycycline), tetracyclines that suppress glial cells function, could … Continue reading
Posted in post herpetic neuralgia
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Alternate Approaches to Post-Herpetic Neuralgia (PHN)
Post herpetic neuralgia is a terrible disease that can be mitigated by certain measures. There are some old and some new treatments that might be missed:
Posted in post herpetic neuralgia
3 Comments
Glial Cells Effect Obsessive Compulsive Disorder (in Mice Anyway)
Injection of wild type glial brain support cells into mutant OCD grooming mice helps abate the mice’ OCD some.
Posted in pain mechanisms
1 Comment
Steroid Epidurals – Why Some Work And Some Not So Well
Recent findings demonstrate lying patient with bad side down for 15 minutes can almost double its effectiveness.
Posted in Back Pain, Injection
2 Comments
Episopic Burning Feet? – Erythromelalgia They Call It – Newer RX
Erythromelalgia (EM) is a syndrome of burning pain in the feet often accompanied by redness and warmth,and often aggravated by heat and exercise. Cold water soaks are the mainstay of treatment. Painkillers are usually ineffective. IV lidocaine and mexelitine hold … Continue reading
Posted in Leg Pains
9 Comments
Sciatica Pain Is Different and Does NOT Respond Much to Pregabalin (Lyrica)
Recent guidelines for treating Neuropathic pain have drawn extensively from results with Diabetic and Post Herpetic Neuropathy. I have written about how those results cannot be generalized to treatment of Radiculopathy (sciatica either of back or neck). see here: Etanercept … Continue reading
Posted in Back Pain, radiculitis
3 Comments
New Tool For Fibromyalgia Diagnosis Clinically
A series of 6 self-administered questions proved helpful in delineating fibromyalgia risk. A cut-off of 5/6 positive answers “gave the highest rate of correct identification of patients (87.9%), with a sensitivity of 90.5% and a specificity of 85.7%”.
Posted in Fibromyalgia
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What Can One Do For Low Glutathione Levels?
Gluthathione levels decrease by 10-15% per decade – what can one do to help this anti-oxidant?
Posted in pain mechanisms
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Herbals For Diabetic Neuropathy Prevention
Though ignored by chronic pain groups, Alpha Lipoic Acid, and L acetyl Carnitine have shown promise if taken early in course of diabetic peripheral neuropathy
Posted in neuropathic
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Nerve Entrapment in Diabetic (DM) Peripheral Neuropathy – Surgery Helps Foot Ulcers and Charcot Foot Syndrome
Despite repeated studies demonstrating beneficial effects by Dellon and his contemporaries, resistance to idea of entrapment as being part of DM neuropathy continues. Recent studies demonstrate dramatic results from decompression.
Posted in neuropathic
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Intranasal Sufentanyl and Buccal Fentanyl for Breakthrough Cancer Pain
Breakthrough cancer pain occurs at least once in 2/3 of cancer patients. Either morphine sc injections, which require a needle, or fentanyl intranasal, which requires multiple sprays, has been used. Sufentanyl intranasal spray requires much less.
Does Itching Between Shoulder Blades Drive You Nuts? – Botox It
Noctalgia paresthetica is considered nerve damage in between shoulder blades leading to itching in areas. Treatments have not been that satisfactory to date
Posted in skin
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New Treatment of Perineal / Pelvic Pain – Botox to Ganglion Impar
Sometimes chronic perineal pain comes out of the blue and one could certainly use a secret weapon. Botox to ganglion impar reduced one case of perianal and genital pain from 8/10 to 2-4/10 for months.
Posted in pelvic
12 Comments
What Can One Expect From Amitriptyline and Topiramate For Headaches?
Study compared the two agents and found their effects comparable except topiramate offered better some quality of life
Posted in Headaches
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