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
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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New Ion Channel Abnormality Found in Diabetic Neuropathy
Hyperpolarization-activated cyclic nucleotide-gated (HCN2) channels have been found to cause issues in animal models of diabetic neuropathy and the rush is on to find a drug safe to use to block them. An Ion Channel That Perpetuates Pain in Diabetic … Continue reading
Posted in neuropathic
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Neuropathic Treatment Failure -The Greatest Issue In Treatment of Chronic Pain
I was asked to put a letter in a time capsule for my great nephew. I reflected over the near 40 years I have been working on chronic pain and my wishes for 2034. The treatment of neuropathic pain is … Continue reading
Posted in neuropathic
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Imipramine and Pregabalin – Little correlation Effect with plasma concentration
Imipramine drops polyneuropathy pain by one and has no increasing effect with dosage suggesting most effect is placebo. Pregabalin drops pain by 0.4 and marginal/not significant drug dosing effects suggesting neither is much use alone.
Posted in Drugs, neuropathic
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Magnesium Oxide Better Absorbed Than Citrate
Magnesium oxide is (surprisingly) better absorbed than citrate –
Posted in Uncategorized
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Complex Grief or PTSD – New Treatment – Mirror Neuron Network Activation
It is proposed that PTSD and abnormal grief reactions are due to mal-wired brain connections that loop painful recollections. In phantom limb, abnormal circuit changes potentiate the pain. Some of these connections can be over-written by “mirror therapy” where a … Continue reading
Posted in psychology
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Supratrochlear Neuralgia
This is a newly described condition. Ignored as a possible cause of head pain (astoundingly, 6/15 had a prior supraorbital nerve block but not trochlear). Tip off is it’s near midline location. Pressing or … Continue reading
Posted in Headaches, neuropathic
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Persistent Hiccups in Cancer – 0.1 ml Vinegar Squirted Into Nose and What Else
Using vinager for hiccups is a Japanese folk medicine treatment. After testing in regular subjects for safety, 0.1 ml; of vinerger (4.2% acetic acid) was used in a cancer patient with persistent hiccups with effect.
Posted in Uncategorized
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Diabetic Medication Aids
Putting together info on using newer agents. Note: DPP4 and SGLT2 combo not allowed by EDS. Lectures from Dr. Sue Petersen 2017
Posted in Uncategorized
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Cervical Radiculitis Without a Cause ? Chickenpox Zoster Virus History High
If you take cases of cervical radiculitis – if imaging shows possible reason for it, they give a history of having had shingles at about 18.4%. In cases with normal imaging, the prior incidence jumps to 81.6% (p<0.01) – most of … Continue reading
Posted in Neck, radiculitis, shoulder, Uncategorized
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Mucositis Help by Zinc Sulphate 220 mg /day
Patients were followed during various stages of chemotherapy. and had 1/4 or less significant mucositis compared to control if took Zinc Sufate 220 mg/day
Posted in ENT
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A Multisystem Disease Problem Case
Below is a recent email of someone with multisystem undiagnosed problems that would be daunting to say the least;
Posted in Uncategorized
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On Methotrexate? – Take Vitamin C
In rat model, vitamin C prevents oxidative stress on liver and kidney
Posted in Drugs, Rheumatic
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Acute Neck Pain and Pain on Swallowing – Longus Colli Tendonitis
Though often confused with an abscess, acute anterior neck pain and stiffness associated with swallowing pain or globus, can be longus colli tendonitis. Calcificatrions might be seen on xray. Fortunately it last only a couple weeks on average
Posted in ENT, Neck
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In Sleep Deprived? Naps and Caffeine Might Help Pain
in the Animal model if animal sleep deprived ( Not fragmented sleep though) , they animals become more sensitive to noxious stimuli. Yet sleep would restore things and Caffeine would also reduce pain reaction.
Posted in Sleep
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How Can You Tell If Duloxetine (Cymbalta) or Pregabalin (Lyrica) will Work?
Both duloxetine and pregabalin work by restoring brain down pain inhibition. Hence the work in people who have deficits in this system. There is a simple test to confirm functioning.
Posted in Drugs, Fibromyalgia, pain mechanisms
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Friedrich Nietzsche – What I got out of his Sayings
Friedrich Nietzsche – What I got out of his Sayings
Posted in Uncategorized
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Office Factors Related to Chronic Neck Pain
Keyboard too close, too long in one job position, and muscle tension are 3 factors found in one study
Posted in myofascial pain, Neck
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Sedentary Lifestyle Only Weakly related to Chronic Back Pain – and Only in Women – Twin Study
Twin study found only a weak relationship between sedentary lifestyle and chronic back pain – and found it only in women and when corrected for genetics -was only weak.
Ibuprofen an Alternative For Preventing High Altitude Sickness
“Severe high altitude headache occurred in 3% treated with ibuprofen and 10% with placebo”
Posted in Drugs, Headaches
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Fibromyalgia Common in Thyroid Disease
In Hashimoto’s thyroiditis, quoted FM rate is 30-40% ; present study found 62%. Thyroid antibodies, abdominal girth, and duration disease among other things, contribute to FM possibility.
Posted in Fibromyalgia
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Chemotherapy Induced Sore Mouth Mucositis – Cut Pain in Half with Topical Ketamine
Must be horrible to have a sore mouth with chemotherapy – ketamine 20 mg/5ml used four times daily reduced pain from 6 to 3 within days.