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Author Archives: admin
Sacroiliac Supports
Sacroiliac instability is common and contributes to back pain and maybe even headaches. Where can you get good SI supports?
Posted in Manual Med
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Omega 3 – Anti-inflammatory Effects
Having a load of steroid response “Fibromyaglias” (as diagnosed by rheumatologists), I have been accumulating a list of anti-inflammatory agents. Omega 3 appears to have some promise.
Posted in Drugs
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Canadian Celebrity Takes World by Storm – Humor Me
First Seen in Banff, The character has been making appearances worldwide…
Posted in Uncategorized
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It’s Official – Swearing Helps Pain – but don’t overdo it
Pain Clinics are becoming very big into psychological coping – well, they better teach patients to swear more – as swearing has now shown to alleviate pain.
Posted in psychology, Uncategorized
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Medial Knee OsteoArthritis (OA)- What Else Can You Do? – Unload it and more
Waiting for a knee replacement and the quality of life is poor? Most often the inner knee cartilage wears out first. Measures to take the load off the inner knee are helpful.
Posted in Knee, Mechanical aids
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Ultrasound and TENS for Back Pain
I have found home ultrasound helpful in chronic back pain but there has been little research in its effectivenesss. Now there is a study in low back pain combining it with exercise that found it useful. TENS worked well to … Continue reading
Muscle-Joint Pains, Dry Mouth and Eyes? – Maybe You Have DEMS/SAPS with Thyroid Antibiodies
DEMS – dry eyes and mouth syndrome; SAPS – sicca asthenia polyalgia syndrome These cases do not qualify for sjogren’s syndrome but have “Sicca [dryness] symptoms and “nonspecific musculoskeletal pain”. They were found to have 59.2% thyroid peroxidase antibody rate … Continue reading
Posted in myofascial pain, Rheumatic
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Vulvodynia Therapy Patient Resource
As a male doctor, I have trouble imparting all the info needed for someone with vulvodynia. Fortunately, Corrie Anne Goldfinger did her Master’s thesis at Queen’s University on the subject. It is available free here (~2+ MB) Since it is … Continue reading
Posted in Interstial Cystitis/Gynecologic
2 Comments
New Hope For Complex Regional Pain Syndrome I – 5 days Magnesium Infusions
Type I CRPS is a vague syndrome of inordinate pain with variable – vague neurologic weakness or numbness features (unlike type II in which the nerve has definely been cut). Typical scenario is after a wrist fracture in patients with … Continue reading
Posted in complex regional pain, Drugs, Injection
3 Comments
New Hope For Refractory Neck Pain – Botulinum “Botox” – But Not Cheap
Botox reduced pain in chronic neck pains (average 9.1+ years) for at least 2 month versus placebo -randomized and blind !! 150 – 300 unit was used per sesssion.
Hyaluronan for Base Thumb Osteoarthritis (OA)
Injectable “lubricant” hyaluronan gives some relief of Carpal-metacarpal OA Thumb. One ml was injected weekly over 3 weeks.
Posted in hand
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Polymyaglia Rheumatica(PMR) – A New Look – Not as Easy as Seems
Due to lack of rheumatists in Regina, I have been forced to deal with complex pain cases that in part have an inflammatory nature. Some fit a PMR profile that requires more difficult management than I am used to. Below … Continue reading
Posted in Rheumatic
2 Comments
You Need to Do Local Work to Get a Feel for Pain – Tragic Hip Example
Much of the work I do is treating the “peripheral sensitization” – the tissues that become locally sensitive and knotted. Working these areas allows me to get a feel for how much is coming from the spine or other sources, … Continue reading
Knee Pain After Hernia Surgery – Any Ideas?
I received the following message: “Very interesting read, i’m on 4 days after left side inguinal hernia repair with incision and mesh. No full anesthesia. 2 mornings after surgery, after waking up the 2nd time, the back of left knee … Continue reading
Posted in Knee
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Attenuation of Pain After Spinal Injury May be Possible
Microglia spinal support nerves become activated after nerve and spinal injury an greatly potential the pain. Animal experiments show minocycline, a tetracycline antibiotic known to inhibit microglia, can reduce post spinal pain in animal subjects.
Posted in Drugs, pain mechanisms
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Self Help Book Resources in Chronic Pain
Let me first apologize to those with good books I have not mentioned. Please let me know and I will add them to the list:
Posted in Uncategorized
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Knee Osteoarthrtis(OA) – Arthritis Pills Don’t Work That Well -What Else?
A New England Journal Medicine article several years ago demonstrated that compared to placebo not much by pills worked well for OA knee. This leaves one looking for options.
Part of Failed Back is Overactivity of Sympathetic Nervous System
Failed back sydrome – post-laminectomy syndrome has multiple origins. Now it appears some sympathetic overload is present as well.
Posted in Back Pain
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Biphosphonates (bone building meds) and Jaw Necrosis – Not Seen in Oral Doses
Lon-term bone building meds intravenously (like Pamidronate) are associated with occasional oseonecrosis of jaw. Now there appears to be some hysteria that this can occur with oral medication. What are the facts?
Unresolved Shoulder Pain – Look at the neck
Came across a good power point presentation of a case of shoulder pain not helped by surgery and how the neck should have been considered: Available here
Posted in Neck, shoulder
3 Comments
Fibromylagia, Bad Neck (and perhaps arm pains)but Normal MRI? – Need a Functional MRI
In the neck, imaging can be next to useless in many cases of unresolved neck pain. Incredibily, some people are told nothing showed on imaging so it has to be in their head. Now functional (multipositional) upright MRI is demonstrating … Continue reading
Posted in Insurer issues, Neck
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Resistant Shoulder Tendonitis Treatments
Having come across a case of resistant rotator cuff (supraspinatus) impingment syndrome, I have been looking for answers. Some treatments include:
Posted in shoulder
6 Comments
Upper body “Fibromyaglia” Misdiagnosis
Cervical (neck) disc disease can mimic or cause Fibromyalgic symptoms. Certain porportion of post whiplash “Fibromylagia” will fit here.
Posted in Fibromyalgia, radiculitis
3 Comments
BASDAI resource
In Ankylosing Spondylitis, the The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Spinal Pain Visual Analog Scale (VAS) are used to obtain coverage for Etanercept. These forms are available here unprotected.
Posted in Rheumatic
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Ischial Tuberosity Off – Loading When sitting for pain relief
Seat adjustments that take the pressure off the ischial tuberosities help relieve back pain sitting
Posted in Mechanical aids
3 Comments