Category Archives: Uncategorized

Series on Reviews puts post root canal chronic pains >6 months anywhere from 5% to over 7%.  Cases have been treated with Botulinum.

Mixing Lidocaine and 8.4% sodium bicarbonate to ph 8 can be a puzzler and difficult given the propensity of lidocaine to precipitate at neutral ph’s. Putting in spinal lidocaine (5% lidocaine in 5% dextrose) first and then an equal volume … Continue reading →

Serum Serotonin levels are not low in Fibromyalgia; they are only low in FM subjects on antidepressants. This would explain why antidepressants do not have a major effect on FM.

In 91% of severe persistent groin pains, adductor tenotomy was found beneficial

Recent review encourages a positive optimism about dementia prevention. They point out that hip fracture rates have dropped 25% from 1995 to 2005,  and age-adjusted stroke rates have dropped 25%  in both USA and Australian studies as well. Dementia rates could do the … Continue reading →

13 MS cases with chronic pain versus 10 without pain did not show any associations with plaque in certain areas of the brain

Pulsed radiofrequency at the elbow was effective in remitting post- carpal tunnel surgery pain

Hyaluronate instillations have been used in Interstitial cystitis – now it helps in radiation cystitis

Agents that block opioid effects on bowel but can’t enter the brain to block things there – is a new upcoming option in opoiod induced constipation – something that can be severe and hard to find acceptable alternatives

I usually only deal with chronic pain subjects now but was begged by a Grandmother patient to see a 3 year old Grandson with recurrent croup symptoms. He had been going to medicenters much like the child in the movie … Continue reading →

Recent article suggests there is no evidence basis for giving oxygen to heart attack patients. So we should wait until there is, and deny patients access?  -Not likely This,  however,  happens all the time in Pain issues and is blatantly … Continue reading →

Men with prostate cancer live in fear that surgery or radiation will induce incontinence. Recent review confirms a simple outpatient mesh sling easily works 62-80% of time to cure situation.

A new canadian university study finds 86% of mobile device users have musculosketal issues.

Laryngeal spasms are a frightening life threatening condition in anesthesia.  Bilateral Pressure behind the ears at TMJ level might release this spasm in kids. Hiccups can be relieved by lifting the “thingy” uvula in the back of your throat’s palate.

Though study of high potency 8% capsaicin patches reached statistical significance (p=0.044), they did not show a clinical difference from control patches. (dropped pain scores 0.39/10 more than control)

Cytokines are small chemicals released by immune system to help fight infection. They make one achy and tired, as some feel after they have had a vaccine shot. I have written how many  diseases (chronic pain, diabets, alzheimer’s) are going … Continue reading →

Sorry, Naltrexone works so-so in MS at 4.5 mg/day (about 1/10 a 50 mg pill)

Certain operations are fraught with neuroma issues – the classic being phantom limb. Measures to prevent that have not been entirely successful – – but who would have thought about End-to-Side Neurorraphy “pruning” cut nerves to intact ones.

Last year at the CPS meeting, there was a poster presentation on how progesterone can prevent post injury nerve damage. When asked if men should take it at time of surgery, the student answered yes… There are more reports of … Continue reading →

Oxytocin nasal spray (18 or 24 IU) improved emotional recognition in autistic children. This is not the first time it has been shown to have social effects. May not last long so might be relegated to emergencies..

Contagious crying – where one baby cries when hears another cry is now considered the first signs of empathy development.

There is a growing tendency to separate out responders and non-responders in studies and report on the success of responders. This stinks like fish…