Category Archives: Uncategorized
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
Dysfunction of Hydroxymethylglutaryl-CoA (HMG-CoA) Reductase behind some Limb Girdle Muscular Dystrophy and Statin Muscle Problems and Treatable
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
Since it was found that high dose B12 shots can almost double life expectancy of victims with ALS, the use of B12 shots has taken a new life
There can be a significant depression issue in chronic pain in which, if you scratch the surface, you find significant underlying anger is actually the issue. Inability to deal with the anger leads to significant depression and self-flagellation and increase … Continue reading
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
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
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
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
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
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
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.
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.
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
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
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
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
Techniques involving post isometric relation stretching of Quadratus Lumborum clinic use. (Travell & Simon)
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.
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.
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
This is such a trying condition that when I came across this poster abstract I felt I needed to post it here.
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
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