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
Shoulder Operation -More Confusion
A Canadian study on full thickness tears found the no-op subgroup did well over 5 years. A Netheraland study found removing bursa (B) and taking off acromium(A) not any better than just removing bursa alone in chronic subacromial shoulder pain. … Continue reading
Posted in shoulder
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Botulinum Helps Photophobia and Dry Eyes
People who were given botulinum for migraines found coincidentally that phobia and dry eye symptoms improved as well.
Posted in Botox, eyes
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Want Do You Do For Desperate Neuropathy? – Implantable Pain Pump
Some years ago, Neuropathic study demonstrated meaningful reduction in neuropathic pain occurred in only 23.7% of cases. Severe Neuropathic Pain – Only 1/4 Respond to Standard Drug Protocols – What Else Is There? http://painmuse.org/?p=2640 Subject of present article was case … Continue reading
Posted in neuropathic
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Anterior Tongue Sore? – Consider Tooth Paste
3 cases submitted where the anterior tongue was sore because of the Sodium Lauryl Sulphate in toothpaste
Posted in ENT
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Post Breast Surgery Pain – Clearer Reason It’s Bad – High Prevalence of Neuropathic Pain
Literature reviews suggest neuropathic pain in 1/4-1/3 of post breast cancer surgery patient. A review of the effectiveness of neuropathic pain found only 23.7% achieved any significant relief from usual pyramid schemes of treatment for neuropathic pain Severe Neuropathic Pain … Continue reading
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Do Soft Knee Sleeve Help Knee Pain? – Yes
I was always suspicious that soft knee sleeves just cover up the pain area without helping. However multiple studies show benefit and presence of “stay” supports does not add any benefit.
Posted in Knee, Mechanical aids
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Back Pain -Easy Help -Slumping
Looking for cheap and easy techniques to treat pain, I came across a treatment for back pain using the slump test. Sitting with legs out straight and your feet flat against a wall, you slump forward and put your head … Continue reading
Posted in Back Pain
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Does Cervical Traction Help Radiculitis of Neck? – Yes
metanalysis of studies shows positive effects of cervical traction.
Posted in Manual Med, Neck, Uncategorized
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Vitamin D Mistake – Actual requirement Ten Times More
For years people were told they needed 400 u/day; Now it looks like 8000 is more like it. There are all sorts of cures for disease’s with taking vit d which is probably just making up for deficiency.
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Tolerance to Arthritis Pill Mediated by Opioid Tolerance System
NSAID/arthritis pills have painkilling action centrally and this now appears to be related to its effect on opioid system. Unfortunately it means you can develop tolerance either because you are on an opioid or because its effects on descending inhibitory … Continue reading
Posted in Drugs, pain mechanisms
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Some Fibromyalgias are Treatable Arthritis
I have a patient with psoriatic arthritis that had widespread pains. His rheumatologist told him it was “fibromyalgia” He developed such bad bronchitis I had to put him on steroids – at which point his “fibromyaglia” pains went away. He … Continue reading
Supraventicular Tachycardia (SVT) – New Predisposing Initiation Process
35% could bring on their SVT by flexing trunk – a sign they called “sign of lace-tying.”
Posted in Uncategorized
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Chronic Nonspecific Shoulder Pain -Look For Infraspinatus Trigger
At a recent conference, it was stated that the Infraspinatus muscle was key to all pain in the upper quadrant. He advised rolling a lacrosse ball back and forth it over it. You either sit or stand against a wall … Continue reading
Posted in arm, Manual Med, myofascial pain, shoulder
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Extra B12 – Lung Cancer Link for Men
I have used frequent B12 shots as an analgesic for resistant pain cases. For men over 40, 10 yr. use of injectable B12 is linked to doubling lung cancer risk.
Posted in Drugs, Uncategorized
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Chronic Severer Abdominal Pain – Why Has It taken So Long To Realize it’s Partly the Abdominal Wall and Treatable?
Early last year I wrote about my experience chronic severe abdominal pain as it being from the abdominal wall: Chronic Severe Abdominal Pain is a Skin Nerve Pain http://painmuse.org/?p=4840 Now, someone has taken it a step further by doing a … Continue reading
Posted in Abdominal pain, Injection, neuropathic
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Will Dorsal Root Ganglion Stimulation Surpass Spinal Stimulation re Pain RX?
Spinal stimulators are often used in resistant pain cases. Where there is a peripheral source like CRPS of knee, a dorsal root ganglion stimulator was much preferred over spinal stimulator
Posted in complex regional pain, Stimulation
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Diffuse idiopathic skeletal hyperostosis (DISH) -Stiffness Disease
Diffuse idiopathic skeletal hyperostosis (DISH) is were you get extensive ossification of ligaments and entheses(endings of tendons and ligaments). It is relatively common (10% of people over 50). If you get boney bridging of vertebrae you can get a very … Continue reading
Posted in Back Pain
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Sjogren’s Dry Mouth Syndrome Responded to Bovine Clostrium and vitamin D
A vegetarian who develop Sjogren’s has zerostoma and sicca treated with B12 and Vit D without effect for 1 year. Adding bovine clostrium Lactobin improved things gradually.
Posted in ENT
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Topical NSAID’s Don’t Work Much for Corneal Abrasions
A review of studies on topical NSAID’s did not find strong reason to use. Agents included 0.1% indomethacin, 1% indomethacin, 0.03% flurbiprofen, 0.5% ketorolac, 0.1% diclofenac). The article was only an abstract; they grudgingly admitted used of oral painkillers might … Continue reading
Posted in eyes
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Persistent Groin/Buttock Pain Oft Post Hip Surgery Cause and Treatment
Close proximity of pelvis side wall (Ischium) and lesser trochanter of hip can cause pains in groin or buttocks. This ischiofemoral-impingement might required trimming or lesser trochanter. This is new to me.
Posted in Hip Pains, piriformis
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Median Nerve Flossing for Neck- Arm Pains
Several years ago I listened to a talk on using nerve “flossing” mobilizations to help victim with hypermobility issues. This would stretch the nerve in their “tracts” and help reduce pain. They were taught to do a routine -repeated like … Continue reading
Posted in arm, Neck, neuropathic, radiculitis
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Alternate Cause of Thumb MCP Joint Pain – Sesamoiditis – With Tests
There are small bones surrounding certain joints called sesamoids. In the thumb, they can get inflamed at the thumb MCP joint and respond to 10 mg triamcinolone injection or rarely to surgical removal.
Posted in hand, Injection
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Resistant Piriformis Syndrome – Could We be Missing the Boat? – Obturator Internus
I have a case of long term piriformis syndrome that I have been whittling away for some time. To be fair, she has seen multiple specialists and is some better but not enough to improve quality of life, (old sad … Continue reading
Posted in Back Pain, piriformis, Uncategorized
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Resistant Tennis Elbow – Open Release or Radiofrequency Microtenotomy – and More
Randomized trial of open release (OR) or radiofrequency microtenotomy (RFMT) for tennis elbow. Article suggests: “As a result of the extra expense of RFMT, we therefore recommend that OR is offered as the standard surgical management.”
Posted in Tennis elbow
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AC Joint Treatments
Recent article defines treatments as steroid injection or distal clavicle excision. It found little evidence of persistent benefits of AC steroid injection and found arthroscopic distal clavicular excision satisfactory in 92.5% of cases on average.
Posted in shoulder
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