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Category Archives: Pathophysiology
Burn Pain – Limited in Animals by IV Minocycline
Tweet 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.
Angiogenesis (new blood vessel growth) the root of all pain?
Tweet Angiogensis and its accompanying nerves are evident in disc disease with the formation of neurovascular growth in the High Intensity Zone facing the spinal cord. Similarly, I have written how chronic tendonitis is associated with neurovascular growth. Now it … Continue reading
Posted in Pathophysiology
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Neuropathic Pain More Spinal and there are potentially better treatments
Tweet Recent Japanese article hilights spinal sensitization in neuropathic pain suggesting lidocaine and ketamine maybe should play bigger role
Posted in Pathophysiology, neuropathic
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Microglia Key to Neuropathic Pain
Tweet While much is written about gimped NMDA receptors in chronic pain, the innocuous support tissues in the spinal cord, the “glial cells”, turn out to be a big player. An inhibitor of these cells, clopidogrel – known as Plavix … Continue reading
Posted in Pathophysiology, neuropathic
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Estrogenic Effects on Pain Blocked by ACE Inhibitors?
Tweet Quoted article starts by saying: “Many painful conditions occur more frequently in women, and estrogen is a predisposing factor. Estrogen may contribute to some pain syndromes by enhancing axon outgrowth by sensory dorsal root ganglion (DRG) neurons.” This effect … Continue reading
Posted in Drugs, Pathophysiology
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Is Asthma a form of Pain?
Tweet Carbamazepine and Valproic acid have been found to be effective in bronchial asthma begging the question whether asthma involves neurological mechanisms similar to migraines or Trigeminal Neuralgia
Posted in Pathophysiology
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NMDA receptors are king
Tweet NMDA receptors play a vital role in memory NMDA dysfunction is of course key to chronic pain, though there are non-NMDA pathways though the thalamus in mice…. NMDA blockage 2 days in a row with ketamine will cause temporary … Continue reading
Posted in Pathophysiology
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CARP Conference Slides
Tweet Presentation at Canadian Association of Rehabilitation Professionals June 2007. Summation (version 1) here: Power points are here. 1) Disc disease(especially chronic) can often not be imaged and the worst chronic cases just show disc bulges. Disc disease and sciatica … Continue reading
Posted in Insurer issues, Pathophysiology
5 Comments
Does Abrupt Estrogen Withdrawal trigger Pain?
Tweet Does sudden withdrawal of Estrogen cause a “aromatase inhibitor pain syndrome” leading to increased musculoskeletal pain? One author thinks so.
Posted in Drugs, Pathophysiology
3 Comments
Chronic cough might be sensory neuropathy
Tweet Ever have a patient with a chronic cough unresponsive to anti-reflux, allergic rhinitis, and asthma treatment? Sensory Neuropathy might be the problem and Amitriptyline the answer.
Posted in Pathophysiology
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Does Pain “Grow” at Tendon injury sites? -and Treatment tennis elbow
Tweet Studies on Achilles, Patellar and Lateral epicondylar (tennis elbow)tendonitis have demonstrated the ultrasound demonstrable appearance of a “vasculo-neural growth” that corresponds to the site of pain. In long-term resistant cases, treating these lesions with sclerosing agent, polidocanol, under ultrasound … Continue reading
Posted in Pathophysiology, tendonitis
10 Comments
Sodium Channel effects in Fentanyl vs Morphine
Tweet Sodiums channels are important in central and peripheral neuropathic pains. Morphine has no effect but Fentanyl (in Duragesic), Tramadol (in Tramacet), and Sufentanil (10 more potent fentanyl) do. This highlights there is a rationale for switching to a different … Continue reading
Posted in Drugs, Pathophysiology
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Meditation Reduces Pain’s Thalamic Firing
Tweet Transcendental Meditation can reduce thalamic response to pain by 40-50% – highlighting how relaxation training needs to be an integral part of chronic pain treatment
Posted in Pathophysiology, psychology
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