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Category Archives: neuropathic
MRI God Fails Again – Peroneal Neuropathy
Peroneal neuropathy is a symptom complex of shin weakness, atrophy and foot drop, and knee pain. A common cause is a cyst in the nerve as it wraps around fibula. However, this will be missed in 64% of MRI negative … Continue reading
Posted in Knee, Leg Pains, neuropathic
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Chronic Rectal Perineal Pain Helped by Simple Caudal Block
80 year old with sharp, intermittent, burning pain worsened on sitting down relieved by simple steroid caudal block when all other measures failed.
Posted in Back Pain, neuropathic, pelvic
2 Comments
Hopeless Case Of Lower Leg CRPS Helped by Pulsed Radiofrequency of Sciatic Nerve at Knee
Pulsed radiofrequency to dumb down treated nerve is becoming a useful adjunct to treating untenable pain CRPS states. Post hip fracture leg painv pain state left patient with VAS 6-7/10 with breakthru of 9/10. Following dropped to 3/10 – after … Continue reading
New Effective Treatment for Intractable Sore Mouth Mucositis
0.05% Methylene Blue oral rinse therapy was cheap and effective treatment for mucositis from chemotherapy or radiotherapy. Amazing result could be big help.
Posted in Abdominal pain, Drugs, ENT, Injection, neuropathic, skin
2 Comments
Vulvodynia or Pudental Neuralgia -Simple Repeated Injection Breakthrough Treatment
A simple perivulvar way to do pudental like blocks, if repeated, can lead to astounding improvement in pain in perineal areas – either vulvodynia or pudental neuralgia. I have achieved control in one case of either but don’t know yet … Continue reading
Posted in gynecologic, neuropathic, pelvic
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Shooting Trigeminal Neuralgia – Facial Epicrania Fugax – and a New Treatment
6-8 years ago a brief neuralgic pain in the scalp that radiated to front or back of head was described. I wrote about it here: http://painmuse.org/?p=1516 Now a facially originated version has been defined and sounds very much like trigeminal … Continue reading
Posted in Drugs, neuropathic, Trigeminal Neuralgia, Uncategorized
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Topical Clonidine or Capsaicin For Diabetic Neuropathy and Mannitol
Both clonidine 0.1% gel and capsaicin 0.75% cream three times daily can drop pain by 40% in 12 weeks though clonidine causes less skin irritation.
Posted in neuropathic
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Celiac is More Painful Than Thought – and What Does That Mean?
In seeing new pain patients, I became painfully aware that Celiac or at least gluten sensitivity has a definite presence- so much so that I always looked for it. Now, it looks like “anybody is fair game” now that even … Continue reading
Posted in Abdominal pain, celiac, Fibromyalgia, Leg Pains, neuropathic
1 Comment
Severe or Neuropathic Groin Pain – Obturator Neuropathy
Have and elderly fellow that just persevered with severe left groin pain as was just something he should put up with. He had not been sleeping and daughter noted cognitive decline with it. Exam of hip was a bit sore … Continue reading
Posted in groin pain, Hip Pains, Injection, neuropathic
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Diabetic Neuropathy – B12 Helps While Vegan Diet Minimal Effects
Though 20 week vegan diet touted as helping diabetic neuropathy, its pain levels were no different than the B12 control and the foot skin conductance was not different. Only diffence was in McGill Pain questionnaire in the sensory fields. Unfortunately, … Continue reading
Posted in Deficits, neuropathic
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Diabetic Neuropathy: Duloxetine Mediocre Results
For Diabetic Neuropathy – Recent study in China showed statistical significant drop of pain on Duloxetine but not clinically significant. – Have a look.
Posted in Drugs, neuropathic
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DN4 Outperforms In Diagnosis of Cancer Neuropathy
Douleur Neuropathique in 4 Questions (DN4) proved more sensitive to neuropathic pain in cancer than the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) – 87.5% for DN4 versus 68.1% for LANSS in sensitivity. However LANSS had slightly better specificity … Continue reading
Posted in cancer, neuropathic
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Amitriptyline – Not Much For Neuropathy Really
The initial study of use of Amitriptyline was a study with diabetic neuropathy where patients were subject to impressive coaching (calls from nurse and pharmacist) . That way doses of 75-150 mg were obtained. They were able to show benefits. … Continue reading
Posted in Drugs, neuropathic
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Algorithm For Post Hernia Pains
Concise choice selections for what to do with nerve damage level post hernia pains. I love algorithms – they are so practical.
Posted in neuropathic, Post Hernia
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Resistent Post Herpetic Neuralgia Treatments – IV Magnesium for Neuropathic Pains
Three IV Magnesium 1mg /k in 100 mls saline infusions over 1 hour – one every other day or Three 1 mg/kg Ketamine in 100 mls saline infused in over 1 hour ketamine one EOD resulted in 7/15 magnesium and … Continue reading
Is Sensitive Skin Neuropathic?
Study in Dermatology journal suggests 1/5 of subjects test positive with quiz DN4 for neuropathy
Posted in mast cell disease, neuropathic
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Complex Regional Pain Syndrome (CRPS) – Finding Immune Mechanims Offers New Treatments
Finding high levels of beta2 adrenergic receptor autoantibodies in CRPS cases might explain why steroids, tumour necrosis factor (TNF)-alpha antagonist Adalimumab, IV Immmunoglobulins, and in present article Plasmapheresis can help in selected cases. In present study, these antibody titres fell … Continue reading
Posted in Botox, complex regional pain, Drugs, Injection, IV therapy, neuropathic, Pain Dystrophy, Stimulation
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Low Dose Neuropathic Pain Drugs Only Work in Combo – and then only a Bit
Neuropathic pain drugs by self have mediocre effects – often dropping pain by </= 2/10 points. At low dose Imipramine 75 mg/day and Pregabalin 300/day did not have significant benefit but the combo dropped VAS by One more than placebo … Continue reading
Posted in Drugs, neuropathic
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Post Herpetic Neuralgia – Peripheral Nerve Stimulators
I have heard of peripheral nerve stimulators used in cases before but this additional one makes it more mainstream. This one captured control with high frequency
Burning Mouth Syndrome – Early? – Get treated For Herpesvirus
Case Burning Mouth Syndrome under 6 month old was found to have high herpesvirus DNA in saliva, and improved with herpesvirus treatment (which also cleared the DNA from saliva)
Posted in ENT, neuropathic
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Neuropathic Pain 2015 and…
Mayo clinic has a review but lacks imagination
Posted in Botox, Drugs, Fibromyalgia, neuropathic
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Phantom Limb -tDCS Scalp Stimulation Reduced it 40% -Immediate and Sustained
A sustained 40% improvement was obtained from direct current 1.5 milliamp voltage – about what a 9 volt battery hooked up with a 10 k potentiometer resistor could furnish.
Posted in Mechanical aids, neuropathic, Pain Dystrophy
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Breathtaking Option for Treatment Resistant Fibromyalgia
A Water pill, Spironolactone 100-200 mg/day, can dramatically relieve pain in potentially 1/2 of Fibromyalgia cases and reduce morphine needs.
Posted in Drugs, Fibromyalgia, neuropathic
2 Comments
Desimpramine For Neuropathic Pain a Myth
Use of Tricyclic antidepressants (TCA)’s for neuropathic pain was based on an article for diabetic neuropathy where, through frequent phoning and support, authors were able to get patients up to 150 mg. No one has succeeded in getting people up … Continue reading
Posted in Drugs, neuropathic
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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
Posted in neuropathic, Uncategorized
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