Author Archives: admin

Trigeminal Neuralgia (TN) Botulinum -Updated Treatment

When I first started Botulinum injections I just just injecting intradermally the areas where they felt the pain. Then it became clear the trigger zone needed special treatment and subcut was more done. I used to have a researcher repeatedly … Continue reading

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Nonspecific pain in the Little Finger Hypothenar Eminence Hand – Pisiform Instability

Pisiform instability can cause nondescript pain over lateral hand eminence, and in some cases present with ulnar nerve damage. It is little recognized.

Posted in hand | 1 Comment

Colitis Flare-ups Might be Temporary Sensitivity to Gluten Foods

Growing evidence that some gluten sensitivity is actually sensitivity to the carbohydrates in Gluten Foods rather than to gluten. None the less, avoiding gluten foods during colitis flareups, helps suggesting a temporary sensitivity.

Posted in Abdominal pain | 1 Comment

Poor Pain Treatment – Here We Go Again

Back in the 1984, I listened to Dr. John Bonica admonishing Doctors over the poor treatment of cancer pain. I felt ashamed. Now, with the war of Chinese based Fentanyl washing over all use of opioids, cancer patients are again … Continue reading

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Upper Facial Pain Treatment- Home Based Sphenopalatine Block

About eye, forehead, and temple pains from headache source, or surgery can be disabling yet responsive to blocks of the back of nose. The description is laid out in an online article at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545953/ or you can read my version.

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Post Craniotomy Headache Local Treatments

Post-Craniotomy Headaches are annoyingly common – “Headaches following craniotomies are reported in up to 91% of neurosurgical cases”.  Injecting craniotomy edge defect triggers,  scar neuromas, and botulinum to temporalis muscle are local treatment options.

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What can One Do For Severe Limb Pain? Epidural Motor Cortex Stimulation

Severe limb pain unresponsive to treatment ends up a surgical problem with spinal or ganglion stimulation becoming more common. A pain pump is an option. Motor cortex stimulation is as well, if pain is localized.  This is technically more difficult … Continue reading

Posted in complex regional pain, neuropathic, Stimulation | Leave a comment

Using the Pain System to Treat Depression – Buprenorphine

I have published on the use of ketamine to treat pain/depression/suicidality. Now a weak painkiller / partial painkiller blocker has been shown to help depression, not with one study, but with findings from twelve studies.

Posted in Depression, Drugs, pain mechanisms | 1 Comment

Dental Nerve Injury

Yanking out a 3rd molar can damage the associated nerve, but done inferiorly, this just seems to create a numb chin most of the time. Dental implants however, can damage the nerve and leave persistent pain. Article found that early … Continue reading

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Does Gargling with Probiotic Align Help Persistent Sore Throat – and what else you can do.

Had one patient with persistent sore throat gargle with Align Probiotic with rapid improvement in pain – just used it once/day, Would be interested in anyone with similar response.

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Fibromyalgia and Going For Surgery Advice.

This advice is being circulated and I’m putting it here so it won’t be lost in ensuing weeks.

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Chronic Abdominal Pain in Children – Are They Suffering Unnecessarily?

I recently wrote about how they are only now finding certain abdominal wall injections work for chronic abdominal pain in adults – confirming source is the abdominal wall – what already??? I suspect it is even worse with children in … Continue reading

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What are the Causes of Polyneuropathy?

Recent study gave a breakdown of what they found re cause. Frank diabetes was eliminated from selection as the cause would be obvious? Top 4 were Idiopathic 47%, Chronic Demyelinating Inflammatory Polyneuropathy(CIDP) 38%, Pre-diabetes 16%, and Charcot Marie Tooth syndrome … Continue reading

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Does Small Fiber Neuropathy Progress?

Approximately 40% of “Fibromyagia” cases are actually small fiber neuropathy (SFN). There is now evidence of how this type of neuropathy progresses. 75% remain stable and 25% progress into large fibers.

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Intramuscular Stimulation (IMS) Works Even in Rats

Intramuscular Needle electrical needling of trigger knots in rat gastrocnemius(calf)  results in less irritable sites. I use IMS for areas I wish to avoid use of local (neck, about hip where need to be able to walk after etc.).  I … Continue reading

Posted in Manual Med, Mechanical aids, myofascial pain | Leave a comment

Plantar Fasciitis – New Helps – Simple PRP and Nerve Ablation

Results from simple measures such as heel cup and ankle dorsiflexion night splint are not vigorous so am forced to look further. Steroid injection in the 21st century is out because it thins the heel pad making further problems more … Continue reading

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Does Ritalin Help Traumatic Brain Injury Mental Fatigue and Mental Functioning? -Yes

Two year study found methylphenidate, average 60 mg /day, improved mental functioning in TBI.

Posted in psychology, Uncategorized | Leave a comment

Masseter Facial Myofascial Pain – Botulinum Treatment

Treatment of Masseter Mysofascial pain with botulinum was successful in 64% of cases.

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Nasal Neuralgias – What to Do

A Nose pain issue with pain out of control could represent a nasal neuralgia with  a treatable injection regimen.

Posted in ENT, neuropathic, Uncategorized | Leave a comment

Lateral to Upper Eyelid Lacrimal Neuralgia

Poorly known pain condition affecting outer eyelid and temple area. Such conditions I thought no one would care about but have had thank you’s in past so here it is.

Posted in eyes, neuropathic | 1 Comment

Might Need Magnesium to Make Vit D Work Well – and Great Effects on BP.

Vitamin D is helpful in pain control and reduces cancer esp colorectal cancer – and recurrence rates.  Article makes a plausible case for magnesium needed for  Vitamin D to work.

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Cheek Pain – New Zygomaticofacial Neuralgia

The  Zygomaticofacial Foramen  is 2 cm lateral and 2 cm inferior to the lateral canthus  (edge)  of the eye. A case of neuropathic pain from there that responded well to injection is documented.

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New Test for Neck Radiculitis

I have now seen 2 cases of idiopathic cervical “sciatica”/radiculitis with stickingly bad pains in triceps. This arm muscle pains can help distinguish this from intrinsic shoulder pains and one author some years ago came up with the arm “squeeze” … Continue reading

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Cutting Opioid Dose Does What? And Why is Tapering so Difficult?

Opioid deaths seem to be fueling more by Chinese derived illicit fentanyl. However, massive efforts are made to lower opioid dose. One study was successful at getting opioid consumption down  from 288 mg to 150 mg. They weren’t any better … Continue reading

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Opioid and Tranquilizer Deadly Mix- How Did We End Up That Way? – Bipolar and/or PTSD

It has been said Opioids and tranquilizers can increase risk of overdose death five fold. In my population, there is a subgroup of cases with bipolar disorder. Indeed, a meta-anlysis found 21 – 25% of Fibromyalgia disorder have it and … Continue reading

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