Category Archives: Topical Pain Treatments

Peripheral Neuropathy Pain Unresponsive to Creams – Try 5% Doxepin

Child cancer case where chemotherapy induced peripheral neuropathy pain was not helped by usual topicals was helped by 5% doxepin cream

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Recurrent Aphthous Ulcers – Minocycline 0.5% Mouth Rinse Treatment

Canker sores respond to tetracycline/minocycline rinses – 0.5% minocycline works best

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Neuropathic Pain – Phenytoin Topical Augments Ketamine or Baclofen

It is all very well to say a drug works topically. However it is easy to assume they work on similar mechanisms so one does not add to the other. Phenytoin (Dilantin) augmented both ketamine or Baclofen so might be … Continue reading

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Topical NSAID Ketophen or Diclofenac – Poor Showing

Topical anti-inflammatory drug would be the safest way to go in knee arthritis for example. Yet the number of patients needed to treat to help one case was Ketoprofen – one in 6.9 cases Diclofenac (Voltaren) – one in 9.8 … Continue reading

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Hand Sanitizer Proves Cheap Ultrasound Gel

Regular ultrasound gel bottle may not be sterile and individual packets are costly so hand sanitizer was tried with success.

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Calcinosis Cutis – Under Skin Painful Deposits and Ulcers

Calcinosis Cutis is a disease of abnormal calcium skin deposits. Found in Connective tissue diseases like Dermatomyositis and CREST syndrome, in some  cancers, in genetic disorders,  and with infections and injury.  It presents with hard nodules that can be painful, … Continue reading

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Uncontrolled Post-Herpetic Neuralgia (PHN) in Elderly subject – New Measures

Using 6% gabapentin, 4% amitriptyline,  ketoprofen 10%,  lidocaine 5%, and ketamine 10% probably in Lipoderm could give some relief topically.  Ketamine 100 mg/ml with 0.1 ml spray nasally could give additional relief.  30% mannitol might be good here.

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Acromegaly Peripheral Neuropathy Responded to 5% Baclofen

Subject treated for acromegaly developed peripheral neuropathy and could not tolerate oral meds. Though pain was 9/10;  5% baclofen once daily, profoundly reduced pains in legs.

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Lipoderm Superior to PLA Gels

I found PLO gels irritating but not Lipoderm. At a recent conference they bragged about their ability which can be seen at: http://www.pccarx.com/pcca-products/pcca-exclusives/bases/lipoderm Disclaimer – don`t get squat from anybody

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How much relief does one get from lidocaine patches?

Lidocaine patches can drop pains by 1.5-2 points on the pains scale – which is about as much as you get from painkillers.

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Topical Lidocaine for Coccydynia

I hate tailbone pains and failure to respond to steroid injections happens. One approach I noticed recently was use of a topical patch.

Posted in coccygodynia, Topical Pain Treatments | 4 Comments

Easy Control For Bad Menstrual Cramps, Restless Legs in Fibromyalgia, and Occipital Migraines – Using Ivory Scent Oil

Ivory Scent oil patches were found to give quick relief for menstrual cramps and when applied to leg, for restless legs My Daughter and I are doing a survey of women with Fibromylagia. If you have Fibromyalgia, could you be … Continue reading

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Making Your Own Lidocaine Patches

Lidocaine patches are ridiculously expensive and yet ridiculously easy to make – here’s how.

Posted in Topical Pain Treatments | 18 Comments

Concentrated Red Pepper Patch For Post Herpetic Neuralgia – 60 Min Use -Some Better For a 1-3 Months

8% Capsaicin patch NGX-4010, now marketed as Qutenza, and was approved in the USA for treatment of Post herpetic Neuralgia (post shingles pain). One application can give some relief for a  1-3 months

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Neuropathic Foot Pain That Nothing Else Works – New Foot Cream Mix

Recent article found relief of resistent neuropathic foot pain with a combination of 3% lidocaine, 0.075% capsiacin, and isosorbide dinitrate (ISDN) 0.4% in cream format

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Diclofenac Patch for Neck Pain – Could One Make Their Own Patches?

A weeks worth of patch wear was associated with a significant relief of neck pain though the deeper trigger knots were still sore

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New Treatment For Vulvodynia – 6% Gabapentin in Lipoderm

6% Gapapentin in Lipoderm is helpful in vulodynia. Interesting how they made it up.

Posted in gynecologic, Interstial Cystitis/Gynecologic, Topical Pain Treatments | 4 Comments

Super Capsaicin for Neuropathic Pain Control Looks Promising

The use of a SINGLE application of a 8% (vs 0.025 – 0.075 usually used) capsaicin patch (NGX-4010) resulted in significant relief for over 12 weeks in HIV neuropathic pain. Given the old technique (4 X/day gel application for two … Continue reading

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Gabapentin makes Topical Diclofenac Better

Life Sci. 2006 Aug 2; [Epub ahead of print] Examination of the interaction between peripheral diclofenac and gabapentin on the 5% formalin test in rats. Picazo A, Castaneda-Hernandez G, Ortiz MI. Putting 5 capsules of 300 mg gabapentin in a … Continue reading

Posted in Topical Pain Treatments | 6 Comments