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- Chronic “Back” Pain Missed in Elderly – the Costo-Iliac Impingment Syndrome on
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Category Archives: Injection
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
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
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 http://painmuse.org/?p=4840 Now, someone has taken it a step further by doing a … Continue reading
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.
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.
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
Subdeltoid hyaluronic acid injections 2 ml x 2 weekly associated with mild improvement in pain
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
Triptan overuse can exacerbate and well as signify uncontrolled headaches. Use of Occipital nerve blocks can make transition of limiting triptans easier.
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
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.
Came across a wonderful list of drugs available for post-dural headaches: https://www.asra.com/content/documents/aug-14.pdf p13-14,23 If you can’t reach it, here is the list and more
It has always been vague on the fine points of this techique. A beautiful account for this procedure is available in this newsletter: http://www.asra.com/content/documents/nov-13_asra_news.pdf on pages 14-17 I have included a summary for those who can’t reach it.
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 http://painmuse.org/?p=2886 Several protocols had been made up. This present one, … Continue reading
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 https://www.ncbi.nlm.nih.gov/pubmed/28228788 200 … Continue reading
0.05% Methylene Blue oral rinse therapy was cheap and effective treatment for mucositis from chemotherapy or radiotherapy. Amazing result could be big help.
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
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.
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
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.
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
Post breast cancer surgery Pains are often do to injury to the Intercostobrachial nerve. Up to now, there has been little literature on whether blocking nerve actually helps – now a pilot study suggests pain can be cut in half.
Study found 20 mg Kenalog worked as well as 40 mg and another found you don’t even need to hit the joint. I supplement suprascapular and quadrilateral space blocks as well as subscapularis working out.
Have and elderly fellow that just persevered with severe left groin pain as was just something he should put up with. He had not been sleeping and daughter noted cognitive decline with it. Exam of hip was a bit sore … Continue reading
Top joint C0-1 refers to upper neck, face and upper shoulder tips. Exam requires you to grip c1 transverse processes and nod neck sideways. Certain manual techniques might help.