- Finger Bruising – Recurrent Spontaneous on
- Coccygodynia = Tender Coccyx – Inject Ganglion Impar on
- Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls on
- The Intercostobrachial Nerve(ICBN) -What is it and Why Can’t Breast Cancer Surgeons Deal Better With It? – and What Can You Do With It After. on
- ECG Evidence of Acute MI with Left Bundle Branch Block on
Category Archives: Botox
Study did meta-analysis of multiple article and found at 1 or 2 months will drop pain by 1.1/10 with no difference between 100 or 200 units. Often there is significant inflammation around the knee – anserine bursa being an obvious … Continue reading
People who were given botulinum for migraines found coincidentally that phobia and dry eye symptoms improved as well.
“16 units of incobotulinumtoxinA (100 units diluted in 2 mL of saline), 4 units into each side of the lower lip and 4 units into each anterolateral side of the tongue” – “The beneficial effects lasted up to 16 weeks … Continue reading
Diagnosing early cervical dystonia and using botulinum toxin has been one of the major advances I have seen in my treatment. Sidebend or Rotation to one side can be subtle but very important as one can now get drug coverage … Continue reading
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
Mayo clinic has a review but lacks imagination
This anomalous hand muscle presents as a a “fusiform, soft prominence” between the 2nd and 3rd extensor tendons near the wrist to hand. It can become sore as it is compressed against the extensor retinaculum and possibly irritates the posterior interosseous nerve. … Continue reading
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.
50% reduction of pain was reported in about 1/2 of post shoulder and knee arthroplasty pain cases with Botox injections. This was sustained by repeated injections.
Raynaud’s phenomenon responds to Botulinum injection of neurovascular metacarpal bundles. Can get occasional temporary finger weakness (max 2-3 months) though. Pain relief can last few months to more than 6 year
Review has concluded both subcutaneous and perineural treatments are effective in neuropathic pains.
I had a recent personal experience of back pain that showed me conditions that would multiply pain several times or more. I have patients on opioids that have complained their meds no longer “cuts it” – and I have been able … Continue reading
Bolulinum Works as Well as Steroid in Frozen Shoulder – Isn’t it About Time We Think About Combining The Two?
A recent article shows that botulinum and steroid have similar durations of action in adhesive capsulitis – ie Frozen Shoulder. I have given both triamcinolone and botulinum (at separate times) into knee joints and noticed the combination can cause a profound … Continue reading
I have one desperate case where a good 85 year old was up all night peeing from inability to empty bladder. He had a heart attack less than a year prior and urology consult wasn’t well received. Put 100 u botox into … Continue reading
I had been told that adding local to botulinum toxin might block receptors that pick up the agent and hence decrease its effectiveness. A study using saline only and lidocaine- botulinum combo found no difference.
Repeated OnabotulinumtoxinA shots can reduce chronic migraine headache frequency from 20 headaches/month to 10/month.
In rodents were either afflicted with either: – peripheral nerve injury – string tied about sciatic nerve – sciatica / radiculitis – string tied about a lumbar nerve Botox injections into paw cut senstivity by 50% in the peripheral injury … Continue reading
ºAlthough I have been happy with Rectal Coupled Piriformis Injections, Ultrasound Guided injections are becomeing more popular. Combined with Botulinum, the results can last 6 months or more.
Cases of Surgery failed drug resistant Trigeminal neuralgia were treated with Botox to trigger zones and not only resulted in relief, but also relative cure in some case
Idiopathic rhinitis is a condition where the nose drips for no reason – it can be resistant to treatment though Botox has been found helpful
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
Botox reduced pain in chronic neck pains (average 9.1+ years) for at least 2 month versus placebo -randomized and blind !! 150 – 300 unit was used per sesssion.