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- Monika Theresia Geier on WCB troubles – What Needs to Be Done?
- Louise B. Andrew MD on Remarkable New Treatment – Injecting Over Tenderized Skin Nerves With Plain 5% Dextrose
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- John Waters on Accurate Piriformis Injection
- Blurge on Vitamin B12 Injections For Chronic Pain
Author Archives: admin
Irritable Bowel (IBS) Involves Excessive Permeability of Gut Membranes
For years, IBS has been known as a “psychological disease”, an intestinal spastic disease, and a segmental hypersensitivity syndrome (nerves hyperirritable). Now there is increased gut permeability, particluarly in the diarrhea predominant form. This “leaky gut” creates an immune reaction … Continue reading
Posted in Abdominal pain
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Post-mastectomy Neuropathic Pain Cure – Lymph Node Transplants
Pain post mastectomy can be an important issue. Associated with the pain is swelling called lymphedema. Now it appears transplanting lymph nodes from the groin can resolve the pain and lymphedema
Posted in neuropathic
2 Comments
Costovertebral Joint Pain Referrals
Costovertebral (rib) joints are just starting to be recognized as a source of pain. A recent provocative study demonstrated their referral patterns
Posted in Back Pain, Thoracic
3 Comments
Lumbar Facet Osteoarthritis Not Associated With LBP
I was always bemused by “specialists” that point out facet OA changes and claim to patients these old age changes are responsible for their pains. Now the Framingham study has put a nail in the coffin for that attitude.
Posterior Acromial Injections Need 2″+ Needles
Recent Study did injection by anterior, lateral and posterior portals and checked subacromial penetration arthroscopically. “RESULTS: The mean distance with anterior needle placement was 2.9 +/- 0.6 cm. The mean distance with lateral needle placement was 2.9 +/- 0.7 cm. … Continue reading
Posted in Injection, shoulder
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Older Celiacs With Iron Deficiency Anemia Missed
20% of missed celiac cases are found after age 60 and present with iron deficiency anemia. The gold standard is duodenal scope and biopsy but this might not be the best place to be.
Posted in Abdominal pain
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IV Magnesium Studies
There was recent mention on using IV Magnsium in acute migraines in a previous blog note. I had used it in combination 1-2 gms Magnesium sulphate with lidocaine 100 – 200mg IV for migraines but was not impressed that it … Continue reading
Posted in IV therapy, neuropathic
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Neck Cheap Home Cervical Traction
I have found inflatable neck traction very useful for neck radiculopathy cases. A cheap source is available on ebay
Posted in Neck
2 Comments
Where Can You Get Inexpensive Support Bras?
I recommend good support bras for some of my female patients but have had complaints about $200-300 dollar price tags on some of them. One of my patients, suggested I give this link for decently priced bras. They do have … Continue reading
Posted in Mechanical aids
2 Comments
Sacroiliitis Tests Not Great
Testing MRI/CT imaged Sacroilitis versus clinical testing and comparing it to positivity of tests with Low back pain came up with low sensitivities and specificities.
TMJ Osteoarthritis(OA) – Diclofenac and Splints Work
Study finds in cases that meet the criteria for actual osteoarthritis in TMJ responded equally as well to Diclofenac and splint althought the former worked faster
Chronic Mouth Yeast Infection? – Nuke Your Dentures..
Candida-related denture stomatitis is an annoying chronic concern. Comparison of “topical application of miconazole three times per day for 30 days” versus “upper denture microwaved IN WATER (650 W per 6 min) three times per week for 30 days”. The … Continue reading
Posted in ENT
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Botox For Thrombosed Piles
A blood clot in a hemorrhoid can cause extreme pain. Caught early, it can be surgically evacuated. Once several days old, there is no advantage in doing so. Now it looks like an intrasphincteric injection of 0.6 ml of a … Continue reading
Posted in Abdominal pain, Botox
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New Relief For Chronic One Sided Headaches
A new wonder of technology has created a new suboccipital stimulator at 1/12th the size of previous! It has been found useful for chronic one sided headache called chronic hemicrania for which indomethacin has been the mainstay of treatment
Posted in Headaches, Mechanical aids
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IV meds For Migraine and Approach For Resistant Cases
Recent article found both regimens below equal efficacy: prochlorperazine 10 mg and diphenhydranate 25 mg intravenously metoclopramide 20 mg and diphenhydranate 25 mg intravenously “Three quarters of subjects in both arms would want the same medication for their next migraine.”
Posted in Headaches, IV therapy
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Sleep Disurbance and Pain Severity Predict Chronic Pain
In Burn Cases, both Pain and Sleep Onset Insomnia predicted pain chronicity and their model suggested that the sleep problem was beyond what one would expect from the pain
Whiplash – When Does “Give It Time” No Longer Apply
Recent metanalysis of studies suggests recovery is not great after 3 months
Posted in Neck
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New Hopes for Leg Phantom Limbs
Phantom limb pain is suprizingly resistant to treatment and some articles on the subject have concluded “put them on opioids – perhaps methadone”. Now come two different approaches to treating the leg version of this – memantine and pulsed radioifrequency.
Posted in neuropathic
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Chronic Pain and Sleep Apnea
In 2006, my daughter, Janice Montbriand, and I did a pilot study on selected chronic pain patients looking for sleep apnea. We found a high incidence of nocturnal oxygen desaturations in these cases. Methadone classically has also been known to … Continue reading
Posted in Sleep
4 Comments
PatelloFemoral (Kneecap) Pains – When to Use Orthotics (foot supports)
Certain sore kneecap cases will benefit from foot orthotics.
Posted in Knee, Mechanical aids
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Injecting Subscapularis – How
The subscapularis muscle is the key muscle in shoulder pain. It is strong and pulls the shoulder up to impinge “better”. It is a principle muscle involved in frozen shoulder. The best trigger / Botox injection would perhaps hit the … Continue reading
Osteoarthritis Can Improve With Antibiotics – What Does That Mean -and would this prove safer than NSAID’s?
In osteoarthritics, Doxycycline, a tetracycline, was found to reduce knee joint space narrowing by 40% at 16 months and 33% at 30 months compared to placebo. In another study, after noticing a rapid reduction of inflammation in an OA case … Continue reading
Posted in arthritis, Drugs
2 Comments
Steroid Joint Injection – Efficacy and Long Term Cartilage Effects
Are these legitimate arguments? 1) One shot should fix it and if it doesn’t then that’s it (I call this the “one shot wonder” attitude). I think the only person who could be sure to fix things at one go … Continue reading
Posted in Drugs, Hip Pains, Knee
8 Comments
Knee Mensicus Tears – Accelerate Osteoarthrtis or Bistander?
A Recent Framingham study has demonstrated on MRI: By age 69, 50% have meniscial tears; it is more common in women 61% of these tears were asymptomatic In cases of Osteoarthritis, those with symptoms 63% had cartilage tears, without symptoms … Continue reading
Manitoba Family Practice Snubs Physiotherapy
Recently, there was a workshop on muscle energy techniques. I know the name sounds corny but it is a gentle postitional push- release-stretch technique that has become one of the principle manual spinal techniques now taught to physiotherapists and besides … Continue reading
Posted in Regina Pain News
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