Recent Comments
- 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
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
Leave a comment
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
Leave a comment
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
Leave a comment
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
Posted in ENT
Leave a comment
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
Leave a comment
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
Leave a comment
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
Leave a comment
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
Leave a comment
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
Leave a comment
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
Posted in foot
Leave a comment
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.
Posted in TMJ
Leave a comment
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.
Posted in Uncategorized
Leave a comment
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
Leave a comment
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
Leave a comment
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
Leave a comment
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
Posted in Drugs, Fibromyalgia
Leave a comment
Doctors Told To Skip Pain Severity Questions
Pain became the 5th vital sign and doctors were initially told to take tabs on severity through scales out of 10 testing. Now, out of fear severity analysis will over-treat pain with opioids, doctors in USA are being encouraged not … Continue reading
Posted in Uncategorized
Leave a comment
Indication For Gallbladder Removal
Article starts by mentioning how up to 33% of cholecystectomy patients can have persistent abdominal pain so taking out Gallbladder (GB) is a serious decision. Indications however include frequent attacks, large stones, older age, inflamed GB attack(cholecystitis), and pancreatitis from … Continue reading
Posted in Abdominal pain
Leave a comment
Gluteus Medius Tendonitis Injection Treatment and more
Although the question of whether one is dealing with hip bursitis or is this referred from back is important, I wanted to clarify what steroid injection would do for seemingly glutues medius bursitis. One study suggests it was good in … Continue reading
Posted in Back Pain, Hip Pains, Injection
Leave a comment