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- Margreet Hogenbirk on Sore Pubic Joint – Osteitis Pubis How Does One Treat It?
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Category Archives: Injection
Steroid Epidurals Results Might Be Minimized By Fact Steroid Mineralcorticoid Effects are Pro-Inflammatory and Nociceptive
Steroids effect two processes/receptors – a glucocorticoid pathway, and a mineralcorticoid one. The glucocorticoid pathway has strong anti-inflammatory and immunosuppressive effects. The mineralcorticoid pathway works more on retaining salt. The latter has been found to have pro-inflammatory effects which might have … Continue reading
Posted in Back Pain, Injection
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Post Hernia Surgery Pain Nerve Blocks No Help In Moron Study
Rather than using a nerve probe to see if needle is in right position to refer to painful area, ultasound was done. In only 1 case was the right nerve area hit by injecting ilioinguinal and iliohypogastric nerves seen so they assumed nerve … Continue reading
Posted in Injection, neuropathic, Post Hernia
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Glossopharyngeal Neuralgia – Treated by Steroid Injection and Amitriptyline
I got a question on what could be done for Glossopharyngeal neuralgia and came across this article on repeated bilateral intraoral glossopharyngeal nerve injections and amitriptyline as an alternative.
Posted in Injection, neuropathic, Trigeminal Neuralgia
1 Comment
Sciaitica, Bone Cyst in Ilium, and Gluteal Tight Muscles – down right leg – needs help
Chronic sciatica /buttock pain – I recently received a request for help…
Posted in Back Pain, Hip Pains, Injection, myofascial pain, neuropathic, piriformis, radiculitis
1 Comment
Chronic Migraines – Botulinum Helps
Repeated OnabotulinumtoxinA shots can reduce chronic migraine headache frequency from 20 headaches/month to 10/month.
Posted in Botox, Headaches, Injection
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Ganglion Impar Injection For Tailbone Coccydynia
Previously for ganglion injection, , injection through the sacrococcygeal joint has been suggested. Recent information has found the ganglion is actually lower in the first intracoccygeal joint level. Injection of this ganglion is an important treatment for coccydynia.
Posted in coccygodynia, Injection
6 Comments
Injecting Painful Scars
Intradermal injections of local and subcutaneous injections of steroid have been used for scar pain. This study compared intradermal dexamethosone and botox and got 25% and 30% relief repectively lasting 4 and 8 weeks respectively.
Posted in Injection, neuropathic, Post Hernia
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Resistent Tennis Elbow – Platelet Rich Plasma May be No Better Than Whole Blood Injection
Both whole blood and platelet rich plasma work in resistent tennis elbow – but it takes 3 month for most improvement. There is no statistical difference between the 2 therapies.
Posted in elbow, Injection, Uncategorized
4 Comments
New Hope For Severe Knee Arthritis – Burn Nerves to Joint (Radiofrequency Neurotomy of 3 out of 5 Genicular nerves)
Article referred in press describes how radiofrequency to 3/5 of Genicular nerves could induce over 50% improvement in 59% of cases over the 3 months followup.
Posted in Injection, Knee
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Post Stroke Hemiplegic Shoulder Pain – Plain Local Suprascapular Block as Good as Steroid Injection in Shoulder
Beefing up my contention that suprascapular nerve blocks have therapeutic shoulder effects, is a new article finding it works as well as steroid injections into shoulder – without having to use steroids.
Posted in Injection, shoulder
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Chronic Low Back Pain Injection Spot
Lumbar paraspinous muslces and sacroiliac ligaments all attach to sacrum making it a vulnerable site. Dr. Breck McKay has found injection of these ligments (and the sacrospinous ligament) can give significant results. Poster at IASP congress found a sweet spot … Continue reading
Posted in Back Pain, Injection
2 Comments
Treatment Plan For Fresh Osteoporotoc Compression Fractures
Now that Kyphoplasty has become widespread, these techniques might be outdated. However, there are cases where you cannot do kyphoplasty, and these techniques would apply – they involve caudal or epidural catheter blocks, intercostal nerve blocks, trigger injections, and near infrared radiation … Continue reading
Posted in Back Pain, Injection, Mechanical aids, neuropathic, osteoporosis, Stimulation
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Post Herpes Zoster – Repeated Nerve Blocks within 100 days Works
Repeated nerve Blocks work within 100 days of Herpes zoster – quicker results if before the first 20 days
Posted in Injection, post herpetic neuralgia
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Accurate Piriformis Injection
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.
Posted in Back Pain, Botox, Injection, piriformis
3 Comments
Epidural Primarily Work on Side Needle Tip is Closer To
At the IASP congress in Montreal, it was stated metanalysis show epidural steroid block do not work. I mentioned the fact putting the bad side down can near double its effectiveness: Steroid Epidurals – Why Some Work And Some Not … Continue reading
Close is Close Enough in Steroid Injections of Shoulder
Just got back from a course showing how to give ultrasound guided injections so you can hit the right spot. Now it appears you don’t need to be close at least for shoulders…
Posted in Injection, shoulder
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Lumbar Radiculopathy Paraspinous Blocks Simple and Effective
Author devised a 3.5 cm out for L4-5, 3.5 cm down from there, for L5-S1 – 2 mm down for each model for injections. Injected 60 mg Depomedrol each level needed for radiculopathy. Got excellent results without image intensifier in 100 … Continue reading
Confirmed – Intrathecal (Spinal) Midazolam Gives 1-3 Months Relief in Chronic and Failed Back Pain
Those who have epidural steroid injections for back pain know they are limited often to injections every 3 months (except for initial 3 shots). When the pain comes back in 3-6 weeks – what can one do? Now it looks … Continue reading
Posted in Back Pain, Injection
3 Comments
Sodium Hyaluronate Injection For Supraspinatus Tendinitis Rotator Cuff
Both Hyaluronate Injection and physiotherapy work for isolated simple supraspinatus tendonitis though the former would be easier – but more expensive…
Midazolam Augmentation of Lumbar Steroid Injections – Use, in Just Mechanical Back Pain
Recent article demonstrated that a combination of steroid and midazolam worked well for post herpetic neuralgia: Miracle Treatment – Low Back Post Herpetic (Post Shingles)Neuralgia Treated With Epidural Steroid and Spinal Midazolam Without Local Can Give Significant Relief For Over … Continue reading
Steroid Epidurals – Why Some Work And Some Not So Well
Recent findings demonstrate lying patient with bad side down for 15 minutes can almost double its effectiveness.
Posted in Back Pain, Injection
2 Comments
Post Dural Puncture Headache Relieved by Occipital Nerve Blocks
After having a spinal, persistent headaches can occur from leaking spinal fluid through the hole requiring an injection of partient’s blood to be injected to “dural patch” the hole. Now was case resolved by just injection local into back scalp … Continue reading
Posted in Headaches, Injection
2 Comments
New Possible Knee Arthritis Treatment – Subcutaneous Knee area Injection of Pentosan
Pentosan is marketed in this country as Elmiron, an agent that will help protect bladder lining from interstitial cystitis. Now question is, could knee subcutaneous injections protect knee joint lining and be a “disease modifying osteoarthritis drug (DMOAD)”. Open trial … Continue reading
Posted in Drugs, Injection, Knee
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Yes, Virginia, Steroid Caudal Blocks Are Effective (At least For Spinal Stenosis)- and So Older People With Back Pain After Two Blocks Walking Are Better.
Article in Press Finds Caudal Epidural Steroid injection work for degenerative lumbar spinal stenosis. This condition is the bane of older individuals that can’t walk more than a 2-3 blocks without getting back – leg pain. The pain remits with … Continue reading
Posted in Back Pain, Injection
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