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Category Archives: neuropathic
Diabetic Peripheral Neuropathy – Sciatic Nerve Treatment
Sciatic nerve stretch treatments help diabetic peripheral neuropathy pain and vibration sense further confirming nerve entrapments in diabetes
Posted in Manual Med, neuropathic
4 Comments
No Hope Severe Neuropathic/CRPS Pain?- 4-5 Day IV Lidocaine to Rescue
One study found a 5 day courses of IV lidocaine useful in both Complex Regional Pain and Peripheral nerve injury neuropathic pain. Other used 1 hour sessions of increasing dose daily for 4 days. Each got good results. When all … Continue reading
Posted in complex regional pain, Drugs, IV therapy, neuropathic
1 Comment
LANSS Neuropathic Scale
This is my favorite neuropathic scale- for your use – it’s 2 pages from: The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs Michael Bennett Pain 92 (2001) 147-157 free article here
Posted in neuropathic
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Electrodiagnostically, Tarsal Tunnel Syndrome Rampant in Diabetics
I have written how tarsal tunnel syndrome is commonly missed in Dabetic Peripheral Neuropathy: Surgery For Diabetic Peripheral Neuropathy – Another Option Not Available Here Now it appears that Tarsal Tunnel syndrome enerve slowing is to be expected in Diabetes.
Posted in neuropathic
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Topiramate So-So in Diabetic Peripheral Neuropathy and Radiculopathy
I often say I hate the term neuropathy because it assumes they can all be treated similarly. Now three trials using Topiramate in Diabetic peripheral neuropathy have failed to show benefit. – yet one using less strick response criteria has…
Posted in neuropathic
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Burn Pain – Limited in Animals by IV Minocycline
Minocycline is an IV tetracycline antibiotic known to inhibit glial cell changes at spinal cord level post injury and hence reduce post-injury nerve pain. In the rat model it reduces post burn pains.
Immunoglobulin Helps Multifocal Diabetic Neuropathy
There seems to be two distinct types of Diabetic Neuropathy (DM) – Multifocal and Symmetrical. The former “showed a marked improvement in severe pain”; the symmetrical did not.
Posted in neuropathic
2 Comments
Herbals For Diabetic Neuropathy Prevention
Though ignored by chronic pain groups, Alpha Lipoic Acid, and L acetyl Carnitine have shown promise if taken early in course of diabetic peripheral neuropathy
Posted in neuropathic
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Nerve Entrapment in Diabetic (DM) Peripheral Neuropathy – Surgery Helps Foot Ulcers and Charcot Foot Syndrome
Despite repeated studies demonstrating beneficial effects by Dellon and his contemporaries, resistance to idea of entrapment as being part of DM neuropathy continues. Recent studies demonstrate dramatic results from decompression.
Posted in neuropathic
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IntraNasal Low Dose Ketamine For Neuropathic Pain
I have reluctant to use ketamine because of undesirable side effects including hallucinations. Now it looks like much can be achieved even with low dose using S isomer form.
Posted in Drugs, neuropathic
1 Comment
Dextromethophan For Diabetic Neuropathy, Fibromyalgia, and even Uncontrollable Crying
Technique was devised to beef up dextromethorphan (DM cough syrup) ) by combining it with quinidine sulfate which prevents the former from being metabolized
Posted in Drugs, Fibromyalgia, neuropathic
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Hurt After Cancer Chemotherapy? – Check Out Chemotherapy Neuropathy Scale
Article in press offers chemotherapy neuropathy scale.
Posted in breast cancer, neuropathic
1 Comment
Lidocaine Eye Drops For Ophthalmic Postherpetic Neuralgia
Xylocaine 4% eye drops (AstraZeneca) can bring down eye pain in post shingles eye pain from 5.9/10 to 0.9/10 in 15 minutes, and forehead pain from 6.3/10 to 2.6/10. This relief can last 8-96 hours in responders.
Posted in neuropathic, post herpetic neuralgia
3 Comments
Neuropathic Foot Pain That Nothing Else Works – New Foot Cream Mix
Recent article found relief of resistent neuropathic foot pain with a combination of 3% lidocaine, 0.075% capsiacin, and isosorbide dinitrate (ISDN) 0.4% in cream format
Posted in neuropathic, Topical Pain Treatments
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Pregabalin (Lyrica) For Post Nerve Damage Pain
Nerve injury pain can be bad – What results can you expect for Pregabalin? Recent study concludes it helps some.
Posted in neuropathic
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Lower Dose Gabapentin and Imipramine work in Neuropathic Pain
Tested in Cancer Neuropathic pain, Gabapentin 200 mg and Imipramine 10 mg every 12 hours was found to be a superior combination
Posted in Drugs, neuropathic
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What Does One Do To Prevent Post Surgery Pains?
Significant numbers of people are surprised to find themselves living in chronic pain after surgery. There are a growing number of options found helpful
Posted in breast cancer, neuropathic, Post Hernia
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Post-Chest Surgery (Post – Thoracotomy) Shoulder Pain Cure But Only in Those With Sore Shoulder Muscles – Suprascapular Block and New Way to Do Block
Of 92 cases of post-thoracotomy muscular only shoulder pain, 83.5% obtained satisfactory pain relief from suprascapular nerve block
Posted in chest pain, neuropathic
1 Comment
Surgery For Diabetic Peripheral Neuropathy – Another Option Not Available Here
Diabetic peripheral neuropathy with pain, and numb feet and toes could be the result of an entrapment like carpal tunnel and hence potentially treatable. However considerable controversy follows it.
Posted in neuropathic
2 Comments
Diabetic (DM) Neuropathy – Think B12 Deficiency and More so if on Metformin
According to one article, low B12 (<200 mcg) occurs in 1/2 of non-metformin using diabetics. According to another recent article, “Chronic metformin use results in vitamin B12 deficiency in 30% of patients”. This could eventually lead to B12 deficiency neuropathy … Continue reading
Posted in neuropathic
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Botulinum / Botox for Neuralgia/Neuropathic Pain
I recently had the following letter: “I am doing research on use of botulinum toxin type-a in trigeminal neuralgia.so, I will be highly obliged if you will send me some details with references about dosage and techniques used in injecting … Continue reading
Posted in Botox, Drugs, neuropathic
4 Comments
Severe New Pain With No Right to be There – Zoster Sine Herpete?
Over the years, I have had patients come in with severe one-sided regional pains with no good reason for it to be there. In each case, I have suspected Herpes Zoster prodrome and initiated antivirals with resolution without rash. I … Continue reading
Posted in neuropathic, post herpetic neuralgia
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Pain Inhibiting Circuits – Neuropathic Pain – Good Gone Bad?
Your body has a set of circuits to shut off pain – your endophin circuits, except in the spinal cord the endophins are called “enkaphalins” and are chemically built a bit different. The pain inhibiting spinal circuits i.e. the “descending … Continue reading
Posted in neuropathic, pain mechanisms
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Diabetic Have More Muscle Pains
Diabetics are 1.6 times more likely to have chronic musculoskeletal complaints yet in non-diabetics, a high random glucose is associated with less complaints.
Posted in myofascial pain, neuropathic
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? Obturator Neuralgia Needing Help
(email kept anonymous) I have had 4 inguinal hernia surgerys an nerves where cut I have chronic pain, all day long . I have burning sharp tender pain where I was cut in my iner thigh. My right testicle is … Continue reading
Posted in neuropathic, post herpetic neuralgia
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