Category Archives: IV therapy

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

Posted in central & spinal, complex regional pain, Drugs, IV therapy, neuropathic, Pain Dystrophy, post herpetic neuralgia, radiculitis | 1 Comment

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 | 1 Comment

Unresectable Painful Bone Cysts – IV Zoledronic acid For Adults and IV Pamidronate For Children Gives Rapid Relief

Painful large and unresectable bone cysts responded rapidly to IV biphosphonate therapy within first cycle in 88% of cases. Adults received 4 mg of Zoledronic acid (Zometa®, Novartis), and children got IV pamidronate 1mg/kg.  Zoledronic acid, if more than one … Continue reading

Posted in Back Pain, children, Drugs, Hip Pains, IV therapy | Leave a comment

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 | 4 Comments

Do IV “Cocktails” work in Fibromyalgia?

At a recent conference, I was given free samples of Myer’s Cocktail. Unfortunately, placebo controlled trial of 8 weekly infusions showed no benefit over placebo in Fibromyalgia. A trial of IV magnesium failed as well. Neither used glutathione so can’t … Continue reading

Posted in Fibromyalgia, IV therapy | Leave a comment

Chronic Back Pain May Be a Pamidronate Infusion Treatable Disease – And Why Did It take 10 Years to Replicate That?

For Chronic back pain – Pamidronate 90 mg diluted in 250 mls saline and given over 4 hours – initially and in 4 weeks resulted in 85% getting 100% relief at 6 months versus very little response in the placebo … Continue reading

Posted in Back Pain, Drugs, IV therapy, pain mechanisms, Sask Pain Advice | 1 Comment

Severe Neuropathic Pain – Only 1/4 Respond to Standard Drug Protocols – What Else Is There?

Presentation at Canadian Pain Society Winnipeg 2013 found only 23.7%  of severe neuropathic pain victims responded to Canadian Pain Society drug protocols for neuropathic pain. It is time to look outside the box for treatment measures.

Posted in Drugs, Fibromyalgia, Injection, IV therapy, Manual Med, myofascial pain, neuropathic, Pain Dystrophy, piriformis | 7 Comments

Simplest Ketamine Technique Ever for CRPS – Low Dose 10 mg Ketamine Subcut Weekly

Ketamine use is complicated – it is a restricted drug that is abused as “special K”, it can cause dysphoria and hallucinations at higher doses; It is a general anesthetic at high dose. A pain anesthetist tells me it is just too … Continue reading

Posted in complex regional pain, IV therapy | 2 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

IV Ketamine – Pain Rescue For Refractory Pain Flareups

Not a Pain Meeting Goes By Without someone extolling the virtues of IV Ketamine in refractory patients. Its use has been thwarted by preceived side effects. Now it appears these fears have been over-rated.  Here are some protocols I have … Continue reading

Posted in Drugs, IV therapy | 1 Comment

Confirmed – IV Vitamin C During Acute Shingles Has Effect

Recent blognote was written showing significant decreases in acute shingles pain with Vitamin C: Helping Prevent and Treat Post Shingles Pain / Post Herpetic Neuralgia – Can It Be as Simple as Vitamin C to Help?  Now two further cases … Continue reading

Posted in Drugs, IV therapy, post herpetic neuralgia | Leave a comment

IV Magnesium Studies

There was recent mention on using IV Magnsium in acute migraines in a previous blog note. I had used it in combination 1-2 gms Magnesium sulphate with lidocaine 100 – 200mg IV for migraines but was not impressed that it … Continue reading

Posted in IV therapy, neuropathic | Leave a comment

IV meds For Migraine and Approach For Resistant Cases

Recent article found both regimens below equal efficacy: prochlorperazine 10 mg and diphenhydranate 25 mg intravenously metoclopramide 20 mg and diphenhydranate 25 mg intravenously “Three quarters of subjects in both arms would want the same medication for their next migraine.”

Posted in Headaches, IV therapy | 1 Comment

Pamidronate and Clodronate – hope for Reflex Sympathetic Dystrophy (aka CRPS) and Back Pain

Pamidronate can significantly help over 3/4 of RSD and reduce chronic back pain through a series of simple infusions. It is expensive and because of a poorly designed negative study, has not reached full acceptance for the good it can … Continue reading

Posted in complex regional pain, IV therapy, neuropathic | 12 Comments

Is Crushed Vertebrae a RSD? – New RX

It is not unusual to find asymptomatic compression fractures in the spine, while it has also been demonstrated that the same can cause disabling persistent pain. Now, with evidence of rapid pain response to IV Pamidronate, a drug found helpful … Continue reading

Posted in Back Pain, complex regional pain, IV therapy | 2 Comments