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Author Archives: admin
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.
Opioids and Tranquilizers/Sedatives Don’t Mix
“Sedative-hypnotic use compared with nonuse was associated with 6.4 times the risk of opioid overdose death. … Even at opioid doses 1-19 mg/d, patients using sedative-hypnotics concurrently had 5.6 times the risk than patients without sedative-hypnotics”. I must admit I have … Continue reading
Posted in Drugs
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Certain Orthopedic Issues over 70 yr Old – Easy Pain Help – low Dose Radiotherapy- But Will you ever see it?
Low dose Radiotherapy over age 70 has minimal risks but can often drop pain by 1.9/10 in following issues – sore heel and achilles pains, knee pains, and trochanteric bursitis.
Posted in achilles, ankle, foot, Hip Pains, Knee, Mechanical aids, Uncategorized
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Depression in Chronic Back Pain? – Twin Study Suggests More Familial Than Related to Pain
Spine J. 2017 Jul;17(7):905-912. doi: 10.1016/j.spinee.2017.02.009. Chronic low back pain and the risk of depression or anxiety symptoms: insights from a longitudinal twin study. Fernandez M https://www.ncbi.nlm.nih.gov/pubmed/28267634 “The relationship between chronic LBP and the future development of depression or anxiety … Continue reading
Posted in Back Pain, Depression, psychology
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Peripheral Neuropathy Pain Unresponsive to Creams – Try 5% Doxepin
Child cancer case where chemotherapy induced peripheral neuropathy pain was not helped by usual topicals was helped by 5% doxepin cream
Posted in neuropathic, Topical Pain Treatments
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Sad News of Hip Replacement – Less Pain and Better Function but No Increase in Physical Activity Seen
J Arthroplasty. 2017 Jul;32(7):2191-2198. doi: 10.1016/j.arth.2017.02.002. Total Hip Arthroplasty Improves Pain and Function but Not Physical Activity. Jeldi AJ et al https://www.ncbi.nlm.nih.gov/pubmed/28285898 30 cases ages 67 +/- 7 yrs Physical Activity of Total Hip Arthoplasty patients was quantified to 12 … Continue reading
Posted in Hip Pains
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Buttock-Posterior Thigh Neuropathic Pain – Posterior Femoral Cutaneous Nerve Injury and Treatment
Pain in butt and hamstring is not uncommon and usually involves hamstring. However, neuropathic level pain in areas can happen after surgery or injection suggesting nerve damage to Posterior Femoral Cutaneous Nerve. Present article used cryoablation successfully to treat.
Posted in neuropathic, Uncategorized
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Pain News – Short Snaps June 2017
June 2017 Pain News: I put them up as short snaps because not going to blog note them – hope you like. You will probably not find many in news elsewhere.
Dispelling Myth That Chronic Pain is Unresponsive to Treatment
This was the title of a recent article in British Journal of Sports Medicine. It is what my blog is all about – recognizing that there are new things coming out every week that make a difference –
Posted in pain mechanisms
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Epidural Steroid Injection – Pain on Lumbar Extension Determines Extent of Benefit
In Chronic Low Back Pain and Radiculopathy (sciatica) epidurals are used with varying success. “The mean length of relief duration is 38.37 weeks for individuals without painful lumbar extension and 14.68 weeks for individuals with painful lumbar extension.” CONCLUSIONS:: The … Continue reading
Posted in Back Pain, Injection
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Recurrent Abdominal Pain (RAP) in Children – More Than it Seems
European study found in RAP syndrome without any alarm features, 57% were found to have organic disease – and treatment of such lead to resolution of symptoms. Things found included: 19 (22.6%) lactose intolerance. 17 patients (20.2%) celiac disease. Two … Continue reading
Posted in Abdominal pain
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Refractory Burning Mouth – Try Clonazepam and Venlafaxine
Venlafaxine (300 mg/d) and Clonazepam (5 mg/d) in Refractory Burning mouth – All responded with a reduction in pain from 8.6/10 to 3.2/10 after 3 months
Posted in Drugs, ENT, neuropathic
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Subdeltoid Hyaluronic Acid Lubricant Injection in Supraspinatus Tendonopathy Helps
Subdeltoid hyaluronic acid injections 2 ml x 2 weekly associated with mild improvement in pain
Posted in Injection, shoulder
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What Should Patients be Advised Post Shoulder Injection?
116 patients Forty-one (35.3%) patients experienced post-injection pain. The mean duration of symptoms was 3.9 days. At 6 months, 81 (69.8%) patients were discharged successfully and, at a mean of 23.2 months, did not require re-referral; 29 (25%) had surgery; … Continue reading
Posted in Injection, shoulder
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Vulvodynia Treatments 2017
New approaches include topical neuromodulation which means “Podophyllotoxin (5 mg/mL) applied locally to tender points of vestibule after 5% acetic acid application. Treated area was covered with a mild estrogen cream and covered with gauze pads until the next day” … Continue reading
SSRI Antidepressants Work Better Than older TCA Antidepressants in Irritable Bowel
Traditionally, an old antidepressant, amitriptyline, has been used for irritable bowel at doses far lower than its antidepressant level, as an aid to stimulating endophin system etc. Now it appears that more up to date SSRI’s work better. This was … Continue reading
Posted in Abdominal pain, Drugs
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Persistent Plantar Fasciitis – TENS Like Stimulation of Low Impedance Spots Helps Resolve
Point stimulation has been found helpful in nummular headaches: Small Spot Body Pain Treatment – Pen like Electrical Skin Stimulation http://painmuse.org/?p=704 This case, involved treatment of persistent plantar fasciitis. Using a point probe (like an acupuncture point locator), Spots of … Continue reading
Posted in foot, Stimulation
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Pain and Swollen Arm? – Upper Arm DVT Protocol
Upper arm pain and swollen and no other likely cause? – combinations of D-dimer testing and compression ultrasounds seem to be the approach.
Posted in arm
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Do Pelvic Belts Help Back Pain? – Yes
Study on SI belts for pregnancy back pain found it reduced pain by 2/10.
Posted in Back Pain, Mechanical aids
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Osteoarthritis (OA) Knee Suffers Should Limit Walking to 30 min at a Time
I’ve treated OA knee patients with various measures, steroids, lubricants and prolotherapy only to find they were excessively walking because they though it would be good for them. Now it’s been shown that limiting walking to 30 minutes at a … Continue reading
Posted in Knee
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One Reason Osteoarthritis Bad in Canadian Prairies – Persistent Low Vitamin D Levels – and Supplements Prevent
I do vitamin D levels on all my patients coming in for physical – they are almost always low. – Recently demonstrated that persistently low levels of Vitamin D associated with accelerated osteoarthritis and helping that helps. …
Posted in Deficits, Knee, pain mechanisms
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Failure Back Surgery Post Laminectomy Pain Treatment- New High Frequency or Burst Mode Spinal Stimulation
Spinal stimulation is primarily for the sciatica -only 1/2 of back pains respond.. This leave a subgroup, with predominately back pain, with a need for options. High 10 Kz frequency stimulation and Burst stimulation are two options.
Posted in Back Pain, Stimulation
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Office Ketamine For Chronic Pain Poster
here is poster in pdf format: Poster CPS 2017 ketaminefinal (2) in word format: Pilot Study
Posted in Drugs
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