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- Louise B. Andrew MD on Remarkable New Treatment – Injecting Over Tenderized Skin Nerves With Plain 5% Dextrose
- Margreet Hogenbirk on Sore Pubic Joint – Osteitis Pubis How Does One Treat It?
- John Waters on Accurate Piriformis Injection
- Blurge on Vitamin B12 Injections For Chronic Pain
- Janice McBrien on Trigeminal Neuralgia
Author Archives: admin
Capsaicin 8% Patch in Peripheral Neuropathy Not Diabetic but at a Cost…
Capsaicin 8% patch was compared to pregabalin (lyrica) for effects on non-diabetic peripheral neuropathy. A treatment with Capsaicin can cut skin sensitivity (dynamic mechanical allodynia) in half and render 29% free of sensitivity. Was embarrassed to publish this once I … Continue reading
Posted in neuropathic, Topical Pain Treatments
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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
Posted in Injection, Trigeminal Neuralgia
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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.
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
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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
Posted in cancer
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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.
Posted in ENT, neuropathic
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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.
Posted in Headaches, neuropathic
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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
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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
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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
Posted in ENT
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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.
Posted in ENT
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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.
Posted in Fibromyalgia
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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
Posted in Abdominal pain, Injection
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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
Posted in neuropathic
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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.
Posted in neuropathic
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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
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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
Posted in foot
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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
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Masseter Facial Myofascial Pain – Botulinum Treatment
Treatment of Masseter Mysofascial pain with botulinum was successful in 64% of cases.
Posted in TMJ
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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
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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
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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.
Posted in Uncategorized
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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.
Posted in neuropathic
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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
Posted in Neck, neuropathic
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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
Posted in Drugs
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