Category Archives: Uncategorized

Spinal Stimulation Not Working For Pain – Option of Adding Dorsal Root Stimulation to Save the Day

Spinal cord stimulation is often used as a last resort. To start with, that is a mistake. Dr. K Kumar pioneered efforts to use spinal stimulation: Here is a list of some of his articles: https://scholar.google.ca/scholar?q=Kris+Kumar+spinal+cord+stimulation&hl=en&as_sdt=0&as_vis=1&oi=scholart I have been practicing … Continue reading

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Cytokine Pain Diseases

Chronic diseases with negative “blood work” might in fact be  a cytokine inflammation disease. Moderate fibromyalgia has now be found to be a cytokine inspired disease. I wrote about importance of cytokines 12 years ago: Cytokine Inflammation Diseases Will Be … Continue reading

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Mouse Explains Why Some Marijuana Products Not Work Well

I have found for years that pure cannabinoid (CBD) seemed to have little impact in significant = more likely neuropathic pain.  I tired to get subjects to at least have 1/4 portion of THC but elderly subjects would have nothing … Continue reading

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Chronic Back Pain – Antibiotics and Pamidronate +/- Steroids

Now that it looks like Rheumatoid Arthritis could be infection driven, the benefits in a study of Clavulin (amoxicilin + clavulanic acid) needs revisiting. It has been know for a long time that certain antibiotics have “anti-inflammatory properties”. Now it … Continue reading

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Bacteria at Heart of Rheumatoid Arthritis?

Recent Study found a strain of previously unrecognized strain of Subdoligranulum in gut was associated with Rheumatoid arthritis (RA) autoantibodies. This bacterium, if introduced into guts of mice, replicated the arthritis seen in humans. This strain is only seen in RA victims. … Continue reading

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My College is a Pain in the Ass – My Reply to Them and Why They No Longer Call Themselves “Educational”

Our medical college has taken upon themselves the task of antagonizing doctors to point many clinic will no longer even prescribe opioids. They called their program “educational” but demanded doctors respond to them is 2 weeks or else face discipline. … Continue reading

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Buprenophine and Pregabalin Combo For Chronic Back Pain

Most drugs have little effect on back pain or back pain with sciatica. Surprisingly, a combination of Buprenophine and Pregabalin did seem to make a difference in milder back pain cases.

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Testosterone Effective in Widespread Pains/ Fibromylagia

I have tested testosterone levels in my chronic pain female patients and found none of them had any detectable levels; they should have some. Supplementation helps.

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Pamidronate Works Again in the Back – This Time For the Worst – Spinal Stenosis

Spinal stensois is a horrible disease often thought that surgery is the only outlet (though steroid blocks might have some “limited” effect).  Now again pamidronate has been shown to stem tide of pain with a mean improvement of 40%. Not … Continue reading

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Moron Studies in Pain

Studies of too little, too short or too narrow a scope are associated with poor outcome and I am accumulating a list of poorly done studies as I am just fed up. I hope authors take note. I will take … Continue reading

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Why is Metformin’s Magical Effects on Chronic Pain a Secret?

Selecting people with mildly abnormal hemoglobin A1C (prediabetic), authors found the introduction of Metformin 500 mg twice daily could dramatically relieve widespread pains. Article had to be pulled because consents were iffy and they didn’t have enough in “control group” … Continue reading

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Evista / Raloxifen For Fibromyalgia Pain and Fatigue – Why Has No One Confirmed It?

Raloxifen is a estrogen look alike used for osteoporosis. Is is similar to tamoxifen so helps to prevent breast cancer. Like birth control pills, has a slight stroke risk. I have a relative who had been on raloxifen for Osteoporosis. … Continue reading

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Quadratus Lumborum Post IsometricTreatment

Techniques involving post isometric relation stretching of Quadratus Lumborum clinic use.                                                            (Travell & Simon)

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Gabapentin Fails Again – Does Not Work in Chronic Pelvic Pains

While gabapentin might work in post herpetic neuralgia and diabetic neuropathy, it does not work well in spinal pains/sciaticas and so forth. Now it has been shown not to work in chronic pelvic pains as well.

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Bruxism with Antidepressant SSRI’s -Quetiapine Helps

Usually when subjects brux (teeth clench) of antidepressants, one has to stop antidepressants as the alternative is higher dose clonazepam (1 mg) Bruxism – How do You Treat Besides Splints http://painmuse.org/?p=4547 Quetiapine 25-50 mg helps considerably as well.

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Chronic Pain – Doing One Thing at a Time to See What Works is Silly – Need For Critical Mass

Even Opioids, if placebo is removed, can only give you 1/10 reduction in pain. Want to push it for more?  Well, I suspect some opioid deaths are included here. From what I have seen, various approaches ( Tai Chi, acupuncture, … Continue reading

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Phantom Rectal Pain

This is such a trying condition that when I came across this poster abstract I felt I needed to post it here.

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New Opioid “Guidelines” Not Always Work And What do with Opioid Induced Hyperalgesia

Would opioid guidelines always work on cancer patients?The answer is NO. –  13.7% do not respond to usual doses and only half of those will get any benefit from increasing the dose. If one were to extrapolate, this would mean … Continue reading

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Skin Nerve treatment in CRPS

Injecting skin nerves where constricted in the skin can significantly relieve pain in Complex Regional Pain Syndrome – a secret as is only published as a letter

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Vitamin B12 Injections For Chronic Pain

Below is a study poster presented to the Canadian Pain Society showing benefits of frequent B12 Injections. Unfortunately, a study found men with smoking history have a 3 times lung cancer rate so I have now restricted B12 injection use … Continue reading

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Beta-adrenergics Prevent Post Thoracotomy Pains

Post-thoracotomy pains are the worst post-operative pains, occurring in high frequency and can be severe. Surprisingly, asthma beta-adrenergic stimulants greatly reduce any neuropathic pain, though not muscular pains, postsurgery. It suggest beta-adrenergic circuits, thought to be involved in descending inhibition, … Continue reading

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Is It Worth Checking For Anxiety – Depression in Osteoarthritis?

Cost-utility Analysis suggests not. I am not a big fan of attributing chronic pain to anxiety-depression – (sorry Dr. Sarno)… Recent analysis suggests in osteoarthritis it is not cost -effective to spend special time on anxiety depression

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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.

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Nasal Neuralgias – What to Do

A Nose pain issue with pain out of control could represent a nasal neuralgia with  a treatable injection regimen.

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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.

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