Category Archives: Uncategorized

As you get older (and shorter,  your ribs can end up under you hip crests  If they rub there, you can get serious back pains referring to buttocks/hips. This can activate spasm in your back quadratus lumbori and buttock piriformis … Continue reading →

A call to Kenalog company office confirmed for me that it is the white precipitate that is the active ingredient.  Letting the powder precipitate, and taking off the supernatant was shown to reduce preservatives by 43%. Simply adding Normal saline … Continue reading →

Came across case in reddit/chronic pain that wanted to know what to do for undetermined chronic anal pain. Well there is lots but if constipation is also an issue, then anal biofeedback is treatment of choice. In Byrnes, Kevin Gerard, … Continue reading →

6 months of 20 mg Methotrexate can improve significant early hand OA by 25%.

Patients on gabapeninoids (gabapentin and pregabalin) for pain or epilepsy that have COPD are up to 1.5 times more likely to have a severe exacerbation. This scares me.

Amoxicillin-clavulanic acid 100 day treatment was shown to have significant effect on chronic low back pain yet straight penicillin did not. Recent works on clavulanic drugs has demonstrated it can lower brain glutamate levels (pain transmitter) and help with withdrawal … Continue reading →

Eradicating your bone marrow stem cells, and replacing with gene edited cells can cure the disease but leaves one sterile.  Preemptive egg and tissue freezing and sperm banking  saves the day but can cost up to $20,000 US dollars ( … Continue reading →

Anxiety /GAD levels reduced to HALF with stellate ganglion blocks- better results with bilateral,

In 41 case, right sided stellate block gave rapid relief of brain fog and  fatigue often within 15 minutes of injection. Magical.

In my younger days, there was a group of pain experts that used opioids as their linchpin. Then studies came our showing only 1/2 can tolerate them and only 1/4 will stay on them. Opioid abuse reared its head. Pain … Continue reading →

Saccharomyces boulardii supplement for four months reduced pain by 31% versus 12.5% by placebo. Fatigue reduced by 19% versus 8% by placebo. Asghari, K.M., Dolatkhah, N., Ayromlou, H. et al. The effect of probiotic supplementation on the clinical and para-clinical … Continue reading →

Fasting promotes growth of Clostridium sporogenes which elevates levels of indole-3-propionic acid (IPA).  In mouse model, improves “promotes neutrophil infiltration into the dorsal root ganglia (DRG), which enhances the regeneration of sciatic nerve fibers”. Nerve growth is contingent on a … Continue reading →

For years now, stellate ganglion blocks have been found to help anxiety and PTSD. Some are spectacular and some not. Most have been right sided stellate blocks only. Now a case with BILATERAL stellate blocks has been done with initial … Continue reading →

It has been widely shown that neuropathic pain to include significant changes in spinal support cells called Microglia. Now it’s been shown that “newly identified CD11c-positive microglia as a subset that increases during the remission phase of neuropathic pain”. Jeff … Continue reading →

61% of Ehlers-Danlos (EH) syndromes cases have small fiber neuropathy Fibromyalgia(FM) is now, in the worser forms, considered a small fiber neuropathy and in the milder forms with evidence of skin nerve immune attack. Hence EH could be said to … Continue reading →

Diffuse idiopathic skeletal hyperostosis (DISH) disability should be ameliorated, by use of IV pamidronate, Vitamin D 3 4000 u/day and  methyl f0rm B12 3000 mg/day.  HCG shots are helpful. Mood could be relieved with Transcranial magnetic stimulation and hyperbaric oxygen … Continue reading →

Despite some thinking there is nothing that could be done for plantar fasciitis, combination of fascia exercises (prior post) and plantar stretches combined with high dose arthritis pills (often combined with an ulcer pill) can lead to satisfactory relief.  Regular … Continue reading →

Put foot on stairs (or a block of wood would do) and drop heel down – NOT really a stretch but strengthening and revising the plantar fascia has good effect on plantar fasciitis

Good news is a recent meta- analysis concluded that steroid injections did not result in plantar fascia thinning. Bad news is that though it is effective, it wears off in 4-12 weeks. Rare plantar fascia ruptures can occur just like … Continue reading →

Exciting discovery! Hydroxymethylglutaryl-CoA (HMG-CoA) Reductase is involved in cholesterol metabolism and cholesterol pills block that enzyme. People with a less functioning version of that enzyme ended up with statin induce myopathy according to one study. Another study found it implicated … Continue reading →

I’m a big advocate of B12 for nerve damage pain but have added B6 to my regimen as came across article using it for drug induced neuropathy. Been previously shown to help carpal tunnel symptoms. B6 is touchy as 400 … Continue reading →

Dogs cannot make vitamin D – not even from sun and hence are totally dependent on diet. Osteoarthrtis in humans is only  protected in humans with HIGH vitamin D levels. Might this apply to my dog as well? Below article … Continue reading →