Category Archives: Injection

Botulinum For Joint Pains

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

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Lateral Patellar Knee Injection Technique Best

I’ve always liked the anterior knee injection using a 2 inch needle but have had to accept the recent statistics put forth by Durolane injectable lubricant that lateral injection mid patellar is better

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Effectiveness of Sacroiliac (SI) Joint Steroid Injection

Steroid injection of SI joints can be very helpful. It is more common than one would think as is seen in post-traumatic cases, in celiac disease, in various colitis, and in certain Fibromyalgia misdiagnosed subgroups. I highlight this study so … Continue reading

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Trigeminal Neuralgia (TN) Botulinum -Updated Treatment

When I first started Botulinum injections I just just injecting intradermally the areas where they felt the pain. Then it became clear the trigger zone needed special treatment and subcut was more done. I used to have a researcher repeatedly … Continue reading

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Chronic Abdominal Pain in Children – Are They Suffering Unnecessarily?

I recently wrote about how they are only now finding certain abdominal wall injections work for chronic abdominal pain in adults – confirming source is the abdominal wall – what already??? I suspect it is even worse with children in … Continue reading

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Gluteus Medius Tendonitis Injection Treatment and more

Although the question of whether one is dealing with hip bursitis or is this referred from back is important, I wanted to clarify what steroid injection would do for seemingly glutues medius bursitis. One study suggests it was good in … Continue reading

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Chronic Severer Abdominal Pain – Why Has It taken So Long To Realize it’s Partly the Abdominal Wall and Treatable?

Early last year I wrote about my experience chronic severe abdominal pain as it being from the abdominal wall: Chronic Severe Abdominal Pain is a Skin Nerve Pain Now, someone has taken it a step further by doing a … Continue reading

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Alternate Cause of Thumb MCP Joint Pain – Sesamoiditis – With Tests

There are small bones surrounding certain joints called sesamoids. In the thumb, they can get inflamed at the thumb MCP joint and respond to 10 mg triamcinolone injection or rarely to surgical removal.

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Pain News – Short Snaps June 2017

June 2017 Pain News: I put them up as short snaps because not going to blog note them – hope you like. You will probably not find many in news elsewhere.

Posted in Abdominal pain, celiac, chronic fatigue, Fibromyalgia, Headaches, Injection, Interstial Cystitis/Gynecologic, Knee, psychology, shoulder | Leave a comment

Epidural Steroid Injection – Pain on Lumbar Extension Determines Extent of Benefit

In Chronic Low Back Pain and Radiculopathy (sciatica) epidurals are used with varying success. “The mean length of relief duration is 38.37 weeks for individuals without painful lumbar extension and 14.68 weeks for individuals with painful lumbar extension.” CONCLUSIONS:: The … Continue reading

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Subdeltoid Hyaluronic Acid Lubricant Injection in Supraspinatus Tendonopathy Helps

Subdeltoid hyaluronic acid injections 2 ml x 2 weekly associated with mild improvement in pain

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What Should Patients be Advised Post Shoulder Injection?

116 patients Forty-one (35.3%) patients experienced post-injection pain. The mean duration of symptoms was 3.9 days. At 6 months, 81 (69.8%) patients were discharged successfully and, at a mean of 23.2 months, did not require re-referral; 29 (25%) had surgery; … Continue reading

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Greater Occipital Nerve Blocks Help Triptan Overuse Headaches

Triptan overuse can exacerbate and well as signify uncontrolled headaches. Use of Occipital nerve blocks can make transition of limiting triptans easier.

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Epidural For Back – Particulate Steroids Work Better than Soluble

For Sciatica & spinal stenosis steroid epidurals are used but controversy exists over whether there is any benefit of particulate over soluble steroids. It would seem obvious that a steroid that last weeks would be better than one that last … Continue reading

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Protocol for Treating Polycystic Kidney Disease Pain

Autosomal dominant polycystic kidney disease (ADPKD) can end up with such severe pain that they wish nephrectomy. I’m hoping this protocol reaches kidney societies that can lobby for aggressive pain treatment to keep things under control.

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Post Dural Headache Treatments

Came across a wonderful list of drugs available for post-dural headaches: p13-14,23 If you can’t reach it, here is the list and more

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Instructions for Dealing With Calcific Tendonitis Shoulder

It has always been vague on the fine points of this techique. A beautiful account for this procedure is available in this newsletter: on pages 14-17 I have included a summary for those who can’t reach it.

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Chronic Migraines – Repeated Occipital Nerve Blocks Cut pain in 1/2 in 3 Months

Earlier I wrote about Nerve blocks controlling headaches. Quick Fix For Headaches – Repeated Nerve Supraorbital, Infraorbital, and Occipital Nerve Blocks – and What To Do For The Very Bad Several protocols had been made up. This present one, … Continue reading

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Vertebroplasty Does Work For Vertebral Back Compression Fractures

Clin Cases Miner Bone Metab. 2016 Sep-Dec;13(3):234-236. doi:10.11138/ccmbm/2016.13.3.234 Safety and efficacy of vertebroplasty in the treatment of osteoporotic vertebral compression fractures: a prospective multicenter international randomized controlled study. Leali PT, Solla F, Maestretti G, Balsano M, Doria C 200 … Continue reading

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New Effective Treatment for Intractable Sore Mouth Mucositis

0.05% Methylene Blue oral rinse therapy was cheap and effective treatment for mucositis from chemotherapy or radiotherapy. Amazing result could be big help.

Posted in Abdominal pain, Drugs, ENT, Injection, neuropathic, skin | 2 Comments

Can Pharyngeal GERD Be Cured?

Reflux into throat has a something in throat “globus “feel, throat clearing and annoying  cough. When ulcer “PPI”pills fail one author suggests injecting T5-6, 1 cm from spine, to influence sympathetic nerve trunks and gradually reset the nervous system – … Continue reading

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TMJ – Upper Joint Injection Technique

I had always thought injecting the TMJ laterally in upward direction would be best. A posterior approach was found more effective in the swine equivalent.

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Chronic Severe Abdominal Pain is a Skin Nerve Pain

Lidocaine freezing, administered rectally, can eliminate bowel pains temporarily. Having done that in a case of severe chronic abdominal pains, I found very tender nerve tracts from back to lower abdomen and pelvis on right side, explaining most of the … Continue reading

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Scar Pains – More Injections to Cure Than Think

I was taught that a simple intradermal injection of local could eliminate scar pains. Now it is becoming clearer that repeated injections are often needed and the addition of cortisone is often necessary for results.

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Missed Back Pains Especially in Elderly – Kissing Spinous Processes – Baastrup’s Disease

Touching spinous processes in back can elicit pain, and may coexist with other problems so be easily missed. Cortisone injection is the first line treatment. I might have seen one lately that was puzzling that it was so localized – … Continue reading

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