Category Archives: Injection

Groundbreaking News – A “Cure” For Chronic Discogenic Back Pain??

A simple procedure injecting 1 ml of 1% methylene blue followed by 1 ml 2% lidocaine into damaged disc has achieved unprecedented results

Posted in Back Pain, Injection | 1 Comment

New Hope For Chronic Daily Headaches – Continuous Infusions of Dihydroergotamine

Repeated IV infusions of DHE (dihydroegotamine) is the standard treatment for breaking transformed migraines (into chronic daily headaches). Unfortunately, arranging patient to be seen every 8 hours is just not viable in our community. Now a continuous infusion protocol may … Continue reading

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Shingles – For God’s Sake Give a Block Update

The first question I ask a shingles / herpes zoster patient is whether they would mind if what pain they currently had persisted. This is because efficacy of anti-virals could be limited…They are still fighting over whether anti-virals prevents post-herpetic … Continue reading

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New Hope For Complex Regional Pain Syndrome I – 5 days Magnesium Infusions

Type I CRPS is a vague syndrome of inordinate pain with variable – vague neurologic weakness or numbness features (unlike type II in which the nerve has definely been cut). Typical scenario is after a wrist fracture in patients with … Continue reading

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Posterior Acromial Injections Need 2″+ Needles

Recent Study did injection by anterior, lateral and posterior portals and checked subacromial penetration arthroscopically. “RESULTS: The mean distance with anterior needle placement was 2.9 +/- 0.6 cm. The mean distance with lateral needle placement was 2.9 +/- 0.7 cm. … Continue reading

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Injecting Subscapularis – How

The subscapularis muscle is the key muscle in shoulder pain. It is strong and pulls the shoulder up to impinge “better”. It is a principle muscle involved in frozen shoulder. The best trigger / Botox injection would perhaps hit the … Continue reading

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Is Facet Injection Better Than Medial Branch Block?

Facet injection appeared to be superior to medial branch block of SPECT scan positive facet joints

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