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Category Archives: Back Pain
Confirmed – Intrathecal (Spinal) Midazolam Gives 1-3 Months Relief in Chronic and Failed Back Pain
Tweet 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 … Continue reading
Posted in Back Pain, Injection
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Sacral Insufficiency Fractures – Hard to Make – a Possible Examination Technique
Tweet 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 … Continue reading
Posted in Back Pain, osteoporosis
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Midazolam Augmentation of Lumbar Steroid Injections – Use, in Just Mechanical Back Pain
Tweet 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 … Continue reading
Posted in Back Pain, Drugs, Injection
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Actonel Improves Osteoporosis Back Pain Without Fracture – on 5 mg/day
Tweet 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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Smokers 1.5 times More Back Pain – Does Quitting Become An Effective Treatment?
Tweet This was a large Canadian study and results demonstrated “this association remained significant after controlling for sociodemographics and any lifetime anxiety or mood disorder.” If smokers back pain dropped to normal after quitting, this would result in a 33% … Continue reading
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Steroid Epidurals – Why Some Work And Some Not So Well
Tweet Recent findings demonstrate lying patient with bad side down for 15 minutes can almost double its effectiveness.
Posted in Back Pain, Injection
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Sciatica Pain Is Different and Does NOT Respond Much to Pregabalin (Lyrica)
Tweet Recent guidelines for treating Neuropathic pain have drawn extensively from results with Diabetic and Post Herpetic Neuropathy. I have written about how those results cannot be generalized to treatment of Radiculopathy (sciatica either of back or neck). see here: … Continue reading
Posted in Back Pain, radiculitis
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Sacroiliits Totally Unthought of Treatment – Filter Out White Blood Cells – Filtration Leukocytapheresis
Tweet Lady with ulcerative colitis and sacroiliitis improved after leukocytapheresis (LCAP).
Posted in Back Pain, Rheumatic
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What Concerns People on Work Disability With Low Back Pain
Tweet Recent Article takes a survey of concerns of low back pain patients sent for rehab. The results are no surprise.
Posted in Back Pain, Insurer issues
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Vitamin C in Press Again – Low Contributes to Disc Disease?
Tweet Recent Hypothesis forwarded that low Vitamin C sets the stage for disc disease and once disc degeneration started, it is a self fueling inflammatory disease.
Posted in Back Pain, Drugs
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Localized Cause of Back Pain – Inter-Spinous Process Bursitis “Baastrup’s Disease”
Tweet An MRI found intraspinous processes bursitis in 8.2% of individuals which could be causing segmental back pain.
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Chronic “Back” Pain Missed in Elderly – the Costo-Iliac Impingment Syndrome
Tweet With the loss of height from osteoporosis in the elderly, the lowermost side ribs can rub on the side wing of the hip crest, resulting in was patients describe as back pain. To make things worse, this rubbing restricts … Continue reading
Posted in Back Pain
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Determining If Veretbral Compression Fracture
Tweet Various new approaches help define vertebral compression fracture so can be earlier diagnosed.
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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.
Tweet 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 … Continue reading
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? Sciatica Option – Drug For Pulmonary Hypertension Gives Relief
Tweet Case study of patient on Sitaxsentan, a selective endothelin-A antagonist used in pulmonary hypertension, found his sciatica got better while on the drug and worse when off.
Posted in Back Pain, radiculitis
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New Painkiller for Back & Knee Pains – Raloxifene (Evista) – a drug for Osteoporosis
Tweet 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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Groundbreaking News – A “Cure” For Chronic Discogenic Back Pain??
Tweet 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
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Ultrasound and TENS for Back Pain
Tweet I have found home ultrasound helpful in chronic back pain but there has been little research in its effectivenesss. Now there is a study in low back pain combining it with exercise that found it useful. TENS worked well … Continue reading
Part of Failed Back is Overactivity of Sympathetic Nervous System
Tweet Failed back sydrome – post-laminectomy syndrome has multiple origins. Now it appears some sympathetic overload is present as well.
Posted in Back Pain
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Advanced Disc Degeneration Still Very Painful
Tweet Article states “there has been a belief that DD initially causes pain because of the penetration of fluid nuclear material through annular fissures, and that pain eventually resolves as the nucleus becomes fibrotic and can no longer penetrate the … Continue reading
Posted in Back Pain, Neck
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