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- Louise B. Andrew MD on Remarkable New Treatment – Injecting Over Tenderized Skin Nerves With Plain 5% Dextrose
- Margreet Hogenbirk on Sore Pubic Joint – Osteitis Pubis How Does One Treat It?
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- Blurge on Vitamin B12 Injections For Chronic Pain
- Janice McBrien on Trigeminal Neuralgia
Category Archives: neuropathic
Does Neuropathy Form a Part of Chronic Shoulder Pain? And Nerve Irritation the Basis to Some Chronic Knee and Tennis Elbow Pains
One dumbed down rhizotomy – 42 degrees centigrade pulse treatment to the suprascapular nerve going to the shoulder can give long term 50% relief of various forms of chronic shoulder pain. The ease of this effect (only one treatment) makes one wonder … Continue reading
Posted in elbow, Knee, neuropathic, shoulder
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Post Hernia Surgery Pain Nerve Blocks No Help In Moron Study
Rather than using a nerve probe to see if needle is in right position to refer to painful area, ultasound was done. In only 1 case was the right nerve area hit by injecting ilioinguinal and iliohypogastric nerves seen so they assumed nerve … Continue reading
Posted in Injection, neuropathic, Post Hernia
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Enbrel Failure – So What Else Can You Do For Chronic Back Sciatica?
Got a recent enquiry of what to do if you are an enbrel failure. I will go over what I can.
Posted in Back Pain, neuropathic, piriformis, radiculitis
7 Comments
Skin Nerve Stimulation (TENS) Could Treat and Prevent Post Shingles Neuropathic Pains
Transcutaneous Nerve Stimulation (TENS = TNS)with one pad paraspinous and one pad front at level of shingles run 30 min daily – 20-40 hertz and 1-5 milliamps ended up with no pain at 6 months one versus 10% postherpetic neuralgia in … Continue reading
Posted in neuropathic, post herpetic neuralgia
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Glossopharyngeal Neuralgia – Treated by Steroid Injection and Amitriptyline
I got a question on what could be done for Glossopharyngeal neuralgia and came across this article on repeated bilateral intraoral glossopharyngeal nerve injections and amitriptyline as an alternative.
Posted in Injection, neuropathic, Trigeminal Neuralgia
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Lithium Reduces Spinal Cord Damage Pain by 35% in 6 Weeks
Case reports have found lithium carbonate an effective in chronic pain but these results have been ignored because of lack of a reliable study, Now a a double-blind, randomized, placebo-controlled clinical trial was done and showed benefit in Chronic Spinal … Continue reading
Posted in Back Pain, central & spinal, Drugs, neuropathic, radiculitis
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Morton’s Neuroma Surgery – severe foot pain option
Morton’ neuroma causes pain in the 3-4th metatarsal head areas with numbness in the corresponding 3rd and 4th toes. The pain, including burning pains in area can become extreme. Surgical removal works well 51-85% of time.
Posted in Leg Pains, neuropathic
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Simple Sciatic Leg Pain Relief – Repeated Simple Knee level Peroneal Blocks
Repeated peroneal nerve blocks can remarkably control sciatica leg pains in most cases and avoid the necessity of surgery .
Posted in Back Pain, Leg Pains, neuropathic, radiculitis
3 Comments
Sciaitica, Bone Cyst in Ilium, and Gluteal Tight Muscles – down right leg – needs help
Chronic sciatica /buttock pain – I recently received a request for help…
Posted in Back Pain, Hip Pains, Injection, myofascial pain, neuropathic, piriformis, radiculitis
1 Comment
The Forgotten Tests For Diabetic Neuropathy – Ankle Jerks and Vibration Testing Sensitive
Pinprick testing is not as accurate as ankle jerks and vibration testing in Diabetic peripheral neuropathy.
Posted in neuropathic
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Epicrania fugax – Like a Trigeminal Neuralgia of the Scalp
Have a case of lancinating severe jabs to right top of head. She had them before but they have recently returned. There was no trigger zone, no tenderness, and occipital, temporal and supraorbital nerve trunks were nontender. Write up on subject … Continue reading
Posted in Headaches, neuropathic, Trigeminal Neuralgia
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Glossopharyngeal Neuralgia (GN) Relief Manouver
GN causes sharp sudden pain in one side of pharynx (anterior neck) and lower jaw. It can be initiated by drinking cold drinks and food and by yawning. Enclosed is a case who found relief by “earlobe hyperextension and ear … Continue reading
Posted in ENT, Neck, neuropathic, Trigeminal Neuralgia
2 Comments
Pain Post Carpal Tunnel Surgery – Not So Simple
Recent study found an 8.3% incidence of regional pain following carpal tunnel surgery regardless of anesthetic technique.
Posted in complex regional pain, neuropathic, wrist
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Depression is a Form of Pain and Ketamine May be a Cure if One Can Make It Last
Recent studies has demonstrated short infusions of ketamine can quickly and perhaps completely remove depression for up to 1 week (who says there is no happy pill?). Infusions for neuropathic pain can give significant improvements for time periods as well. … Continue reading
Posted in complex regional pain, Depression, Drugs, neuropathic
3 Comments
Injecting Painful Scars
Intradermal injections of local and subcutaneous injections of steroid have been used for scar pain. This study compared intradermal dexamethosone and botox and got 25% and 30% relief repectively lasting 4 and 8 weeks respectively.
Posted in Injection, neuropathic, Post Hernia
1 Comment
Clitoral Pain Following Hysterectomy – Finally an Effective Treatment
This can be a terrible situation to deal with. Had one case many years ago. Went back to the gynecologist who had nothing to offer. Too tender an area for injections. Now it looks like spinal cord stimulation can help.
Sudden Peripheral Neuropathy – Beware
Radicular pain [sciatica in arms or legs], painful paresthesiae [ funny feelings], and muscle pains of sudden onset could precede paralyzing Guillain–Barré syndrome by up to 2 weeks in 36% of cases. Preceding diarrhea illness (suggesting connected Campylobacter jejuni infection] … Continue reading
Posted in neuropathic, radiculitis
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Need For Specific 10 Gram Semmes-Weinstein /Frey Mono-filaments For Diabetic Peripheral Neuropathy Testing Unnecessary
Not wanting to waste money buying expensive monofilaments, I bought a scale and fishline – and now since I have come across a certain article, I realize any 1 cm medium to thick plastic monofilament fishline will do.
Posted in Mechanical aids, neuropathic
2 Comments
Lidocaine Patches For Post Surgical Chronic Pains
Recent poster demonstrated how use of lidocaine patches reduced area of pain in traumatic neuropathies about the knee. These were not recent operative cases. Could this work for all post surgical pain problems?
Is Fibromyalgia(FM) a Small Fiber Neuropathy?
Recent poster studies shows decreased nerve density peripherally in FM.
Posted in Fibromyalgia, neuropathic
3 Comments
Treatment Plan For Fresh Osteoporotoc Compression Fractures
Now that Kyphoplasty has become widespread, these techniques might be outdated. However, there are cases where you cannot do kyphoplasty, and these techniques would apply – they involve caudal or epidural catheter blocks, intercostal nerve blocks, trigger injections, and near infrared radiation … Continue reading
Posted in Back Pain, Injection, Mechanical aids, neuropathic, osteoporosis, Stimulation
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Small Spot Body Pain Treatment – Pen like Electrical Skin Stimulation
In the scalp, when there are small spots of severe pain, they call it nummular headache areas – they are remarkably resistant to treatments (botox helps though). Similar painful areas the size of the palm were treated with a 2 … Continue reading
Spinal Cord Stimulation – Good Control of Post Hernia Pains
15 Cases of intractable chronic post-operative groin pain post hernia surgery had spinal cord stimulation leads implanted. All experience >75% reduction in pain and in some cases back pain was covered some as well. 11 stopped painkillers; the other 4 … Continue reading
Posted in neuropathic, Post Hernia, Stimulation
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New Hope For Some Chronic Migraine Sufferers – Occipital Nerve Stim
39% of chronic migraine cases will achieve over a 50% improvement with adjustable occipital stimulation – but not with static stim
Posted in Headaches, Neck, neuropathic
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MRI’s Don’t Help in Post Hernia Surgery Pain Management
Though faith runs high in MRI’s – in Post hernia pain issues they do not help
Posted in neuropathic, Post Hernia
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