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.

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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.

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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 | 1 Comment

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Now that Kyphoplasty has become widespread, these techniques might be outdated.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 | Leave a comment

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

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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.

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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

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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

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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 | 2 Comments