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Category Archives: osteoporosis
What is Time Course of Vertebral Fracture Pain?
At least in low back, it looks like after 3 months, it gets as good as it gets.. Almost 1/3 might end up poorly so thoughts of IV pamidronate or vertebro/kypho plasty might need consideration.
Posted in Back Pain, osteoporosis
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Vertebral Compression Fracture Pain And Nothing Helped – Other Option
Effectiveness of Kyphoplasty has been disputed, and other are left without it; this leave a proportion wondering what to do. Medial branch rhizotomy (like a facet rhizotomy) has been found helpful.
Posted in Back Pain, osteoporosis
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Low Vitamin D and Chronic Pain – What is the Evidence?
In 2006, My Daughter, Janice Montbriand, published a poster called Commonly Missed Factors in Chronic Pain. Vitamin D deficiency was one of them. Since the there have been a variety of confirmatory studies – with some negative ones as well. I … Continue reading
Posted in Back Pain, Deficits, Fibromyalgia, myofascial pain, osteoporosis, Rheumatic
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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Now that Kyphoplasty has become widespread, these techniques might be outdated.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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Sacral Insufficiency Fractures – Hard to Make – a Possible Examination Technique
One elderly lady, I recently saw, fell and multiple fractured her left humerus. Was seen, put in a sling, kept briefly in hospital and discharged. Because she could not walk, she was reassessed and found to have a pubic ramus … Continue reading
Posted in Back Pain, osteoporosis
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Actonel Improves Osteoporosis Back Pain Without Fracture – on 5 mg/day
In Osteoporosis, not only did Risedronate 5 mg/day cut back pain to 1/3 in 4 months, it cut the disability rating in half – despite the fact there were no fractures.
Posted in Back Pain, osteoporosis
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Ulcer Pills and Fractures
People on either Proton pump inhibitors(PPIs) or histamine-2 receptor blockers (H2RAs) have a 1.3 – 1.7 times risk of hip fracture. This risk disappears after stopping the medication for 3-5 years. With PPIs causing bacterial overgrowth, and with it stomach … Continue reading
Posted in Drugs, osteoporosis
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At Last – A Treatment For Jaw Osteonecrosis
Osteonecrosis mandible from mostly IV biphosphamates can be a real hazard in cancer treatments – now it looks like teriparatide – human recombinant pararthyroid hormone peptide 1-34 – was able to help recovery
Posted in Drugs, osteoporosis
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New Painkiller for Back & Knee Pains – Raloxifene (Evista) – a drug for Osteoporosis
There is a connection between osteoporosis and arthritis with arthritis settling in more in osteoporotic joints. Now an osteoporotic drug can not only help that but seems to have analgesic properties to back and knee pains if used regularly.
Posted in Back Pain, Drugs, Knee, osteoporosis
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