Category Archives: Uncategorized

Autosomal Dominant Polycystic kidneys – avoid or keep Estrogens to low dose

Recent review of Polycystic Kidneys states “Because of the proliferative effect of estrogen on hepatic cysts, oral contraceptives containing estrogen and menopausal estrogen therapy should be administered at the lowest effective dose or avoided in patients with ADPKD (autosomal dominant … Continue reading

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Serum Lipase Should Be Test For Pancreatitis

Serum lipase has a sensitivity of 91% while amylase had sensitivity of 61%. Specificity was 92% for lipase and 93% for amylase.  Testing lipase and amylase together changed sensitivity very little – was 93%.

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Bell’s Palsy Treatment Algorithm

Latest algorithm suggests you make sure of diagnosis Use of antivirals doesn’t work Prednisone 1 mg/k x 7 days (why does one need to taper though?) useful

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Drugs for Diabetic Neuropathy

 Should we believe these results?  A study on treatment for diabetic neuropathy pretends one treatment is better than onother because on group starts with more severe pain than the other then claims each treatment can virtually eliminate pains with 7 … Continue reading

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Welcome to Painmuse

ALTHOUGH I WILL NOW UPDATE THIS SITE, FOR PAST 6 MONTHS, BLOG NOTES (about 50) WERE PUBLISHED AT : visit me there! I have a program that tracks where users are from – pain is worldwide: Thanks admin Hit … Continue reading

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“You earn money by suffering pain” – Sickening Commentary of Some Jobs

Interviewing immigrant poultry processing workers re carpal tunnel syndrome – comes up with simple belief – these workers knew that their work cause painful carpal tunnel but persevered to support their families. The repetitive cold working conditions fostered this condition. I have … Continue reading

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Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls

I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.

Posted in arm, Back Pain, Botox, complex regional pain, Drugs, Fibromyalgia, Headaches, Injection, IV therapy, Leg Pains, Manual Med, myofascial pain, Neck, neuropathic, Pain Dystrophy, piriformis, post herpetic neuralgia, radiculitis, shoulder, Uncategorized | 9 Comments

Flossing Saphenous Nerve For Saphenous Neuralgia

saphenous neuralgia is not uncommon – here is how to free it up (floss it)

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Could Fetal Alcohol Syndrome Be Prevented by Supplements Used to Prevent Alcoholic Neuropathy?

B12, coenzyme Q10 and Vitamin E have amiolorative effects on Alcoholic Neuropathy – could they help prevent some brain damage brought on by drinking?

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Antidepressants Just Don’t Work on Descending Inhibition

Neurobiol Dis. 2013 Dec;60:39-50.Antidepressants suppress neuropathic pain by a peripheral β2-adrenoceptor mediated anti-TNFα mechanism. Bohren Y, Tessier LH, Megat S, Petitjean H, Hugel S, Daniel D, Kremer M, Fournel  S, Hein L, Schlichter R, Freund-Mercier MJ, Yalcin I, Barrot M. … Continue reading

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Autologous Whole Blood Almost as Good as Platelet Rich Plasma in Chronic Tennis Elbow – And Alot Cheaper

Went to recent program that stated that though there were studies that showed no difference – there was one that did when injecting Platelet Rich Plasma versus using once spin down plasma (Autologous Whole Blood) The improvement was only statistically … Continue reading

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Would Small Amounts of Lithium Help the Brain- Maybe

In Lancet 2000, it was found that there could be a 3% increase in grey matter with 1 month of of lithium therapy. Sadly, it is not that easy. Some say it would take 300+ mg/day to do anything though … Continue reading

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Parkinsonism – Low Vitamin D Common and Makes It Worse

Vity D deficiency was seen in  in 17.6% of patients with Parkinson Disease versus 9.3% of controls. Deficient cases had higher parkinsonism severity ratings.

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Dyspnea Scale

Simple tool to use in hospital.

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Neurogenic Neurogenic Thoracic Outlet (TOS)- The Existence Killer – Yet Poorly Recognized

Neck and/or arm pain/numbness with progressive disability and many negative evaluations is typical of the disease. Emotional decompensation from pain and poor treatment from others, forms an integral part of the disease. Evaluation is actually quite simple – treatment often … Continue reading

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Post Herpetic Neuralgia – Pulse Radiofrequency to Dorsal Ganglion Treatment -and Various Intercostal and Infraorbital Nerve Blocks and Beyond

To round out my discussion of post herpetic neuralgia, I have included an article on pulse radiofreqency to dorsal root ganglion in spine – a benign, not destructive, resetting of senstivity of the ganglion by 41 degree centrigrade heat. My … Continue reading

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How much relief does one get from lidocaine patches?

Lidocaine patches can drop pains by 1.5-2 points on the pains scale – which is about as much as you get from painkillers.

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Alcohol Blocks Versus Radiofrequency Thermocoagulation For Post-Herpetic Neuralgia

Given that Post shingles pain is restricted to certain nerve root Level(s),  nerve destructive measures could be an option. Cure rates for both were about 85% but thermocoagulation had more adverse events.

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Might Anxiety Be A Form of Pain?

Recently, a dose of Acetaminophen (Tylenol) has been shown to reduce anxiety responses to a surrealistic film. Previously, it had been shown to reduce MRI evidence of the effects of social rejection. Together, it suggests anixety/social rejection is another form of pain.

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Top 10 Pain Web Sites

Recent article scanned the web and catalogued the best pain sites. I’m not on it but I’m not bitter (much)…

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Help For Severe Neck Pains

Three cases of severe neck pain with radiation down arm, not helped by any other measure, were helped with mini-pulse therapy of betamethasone 4 mg twice daily for 4 days and decreasing doses subsequently. In those 3 cases, pain disappeared … Continue reading

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Sony Reader – Exception Error – Invalid Format – Cannot Format

My wife’s PRS-600 sony reader crashed with a rectangular boxed area complaining of  exception error – do you want to format? – and when you say yes (actually a bad idea) – it says cannot format. Information on this was … Continue reading

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Disability After Disc Herniation – What Predicts? -The Pain Of Course

Despite the advent of the fear-avoidance and acceptance psychology, it is becoming abundantly clear that pain level determine disability. This is but the latest article in that regard.

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Physical Activity Prevents Brain Hypersensitivity in Mouse Model

Mice who are not physically active develop “exercise-induced muscle pain by reducing phosphorylation of the NR1 subunit of the NMDA receptor in the central nervous system.” – ie the pain circuits are hyperacute (or less protected depending on which way … Continue reading

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What Does One Do With Gallbladder Polyps?

Guidelines for gallbladder polyps are not readily available. Here at last are some – gallbaldder attacks suggest surgery. Chance of malignancy is slight unless polyps are over 10 mm size and in someone over 50.

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