New Measures For Treatment of Chronic Pancreatitis – Anti-oxidant Micronutrient Therapy and Spinal Cord Stimulation

Posted on March 14, 2010 by admin

Combination of Selenium 300 – 600 mcg, Vitamin C 540 – 600 mg, Beta Carotene 12 – 54 mg, Vitamin E 100 – 188 mg, and perhaps methionine 1.6 – 2 gm can lead to considerable reduction in chronic pancreatitis pain and attacks. It had lead to a new theory of pathogenesis of chronic pancreatitis pain. Spinal cord stimulation can result in good relief of pain in chronic pancreatitis. Continue reading →

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Lower Dose Gabapentin and Imipramine work in Neuropathic Pain

Posted on March 13, 2010 by admin

Tested in Cancer Neuropathic pain, Gabapentin 200 mg and Imipramine 10 mg every 12 hours was found to be a superior combination Continue reading →

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People with Multiple Functional Somatic Symptoms May Had Defunct Pain Modulating Circuits

Posted on March 13, 2010 by admin

People with multiple sensitivities and somatic complaints may actually be experiencing untoward pains from what others would not find painful. Recent article finds this may be do to inability to muffle these sensory stimuli due to defunct pain muffling system Continue reading →

Posted in pain mechanisms | 1 Comment

What Does One Do To Prevent Post Surgery Pains?

Posted on March 13, 2010 by admin

Significant numbers of people are surprised to find themselves living in chronic pain after surgery. There are a growing number of options found helpful Continue reading →

Posted in breast cancer, neuropathic, Post Hernia | Leave a comment

Good Free Review of Testicular Pain Management

Posted on March 13, 2010 by admin

This new article in press:
Urol Int. 2010;84(2):125-131. Epub 2010 Mar 4.
Clinical Management of Chronic Testicular Pain.
Kumar P, Mehta V, Nargund VH.

Karger, the publisher, is allowing free access  Continue reading →

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New Tennis Elbow Treatment – Inject Lubricant (Hyaluronate)

Posted on March 12, 2010 by admin

New Study form London, Ontario: Subjects with 3 month + tennis elbow. Injection of 1% Hyaluronate into “into the subcutaneous tissue and muscle 1 cm. from the lateral epicondyle toward the primary point of pain” twice a week apart led to persistent improvement. Continue reading →

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Post-Chest Surgery (Post – Thoracotomy) Shoulder Pain Cure But Only in Those With Sore Shoulder Muscles – Suprascapular Block and New Way to Do Block

Posted on March 11, 2010 by admin

Of 92 cases of post-thoracotomy muscular only shoulder pain, 83.5% obtained satisfactory pain relief from suprascapular nerve block Continue reading →

Posted in chest pain, neuropathic | 1 Comment

Frozen Shoulder Simple Test – Coracoid Tenderness

Posted on March 11, 2010 by admin

People with frozen shoulders have more sore coracoids versus with rotator cuff tear, calcifying tendonitis, glenohumeral arthritis, acromioclavicular arthropathy and asymptomatic subjects Continue reading →

Posted in shoulder | 4 Comments

Prior Motor Vehicle Accident (MVA) Doubles Chance Persistent “Troublesome Neck Pain” .

Posted on March 11, 2010 by admin

A Saskatchewan Study found people with previous MVA had twice the rate of persistent neck problems. Insurers like to play down this association but in fact this is real. Continue reading →

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New Cure For Untreatable Warts – Inject Them With MMR vaccine

Posted on March 11, 2010 by admin

Study involving treatments of warts- some multiple and recalcitrant (mean ~8 months), found a 81% cure rates (versus 27.5% in control saline injection group) with intralesional injections of measles-mumps-rubella vaccine. Continue reading →

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Botulinum For Scalene Based Thoracic Outlet Syndrome (TOS)

Posted on March 10, 2010 by admin

After a car accident, TOS can pinch nerves in the neck and cause neck and arm pain with arm/hand numbness that nobody can seem to find a reason for. A simple injection into the anterior scalene muscle can prove the source and Botulinum injection some relief Continue reading →

Posted in thoracic outlet syn | 12 Comments

Platelet Rich Plasma(PRP) Treatment Takes a Hit – Doesn’t Work For Achilles Tendonopathy or Maybe It Does…

Posted on March 9, 2010 by admin

Recent Study in JAMA found PRP didn’t work more than saline injections for Achilles midportion tendonopathy. Continue reading →

Posted in achilles | 2 Comments

New Hope For Uncontrolled Visceral Abdominal Pain

Posted on March 7, 2010 by admin

One out of eight people with abdominal pain are uncontrolled with medication. This can be debilitating and affect quality of life. 66 out of 70 people had substantial symptom relief with spinal cord stimulation.

Continue reading →

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Post Hernia Surgery Pain Protocol and Other Options

Posted on March 6, 2010 by admin

Recent Article gives a flow chart for dealing with post hernia pains – all leading to a surgical nerve removal procedure called Endoscopic retroperitoneal neurectomy. Continue reading →

Posted in Post Hernia | 1 Comment

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.

Posted on March 6, 2010 by admin

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 with rest – especially with sitting, which opens up the spinal canal. Surgery is an option; so is steroid injections given through the tailbone. Continue reading →

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Is Cervical Spondylotic Myelopathy Genetic?

Posted on March 4, 2010 by admin

Old age change in the neck leading to narrowing of the spinal canal is the bane of older subjects. A Chinese study suggests, in their population, it is related to Vitamin D receptor polymorphisms Continue reading →

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? Sciatica Option – Drug For Pulmonary Hypertension Gives Relief

Posted on March 4, 2010 by admin

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. Continue reading →

Posted in Back Pain, radiculitis | Leave a comment

Telling If Your Cat Is Using Opioids

Posted on March 4, 2010 by admin

Cashing in on recent opioid phobia, I offer this synopsis on how you can tell if your cat is using drugs… Continue reading →

Posted in Uncategorized | 2 Comments

Thoracic Intra-Articular Meniscoid Folds – A Plaisable Pain Generator

Posted on March 4, 2010 by admin

Detailed dissection of Thoracic Facets has found 62% of them hold and intra-joint mensicoid fold(s) – some with blood vessels. The addition of craggy clefts, cartilage damage, ulcers and hemmorhage all suggest they could be pain generators. Continue reading →

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Does Chronic Pain Cause Cancer? – The Answer is NO

Posted on March 2, 2010 by admin

Article in press found no increase in cancer in chronic pain patients Continue reading →

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Prolotherapy to Mid Tendon Achilles Tendonopathy – Only Mildly Better Results When Compared to Eccentric Loading Exercises – How Could That Be Better?

Posted on March 1, 2010 by admin

Article in Press found at 12 months, Relief scores were 73% for Eccentric Loading Exercises (ELE), 79% for prolotherapy and 86% for combined treatment in treatment of achilles tendonitis. Continue reading →

Posted in achilles, tendonitis | 1 Comment

Surgery For Diabetic Peripheral Neuropathy – Another Option Not Available Here

Posted on February 28, 2010 by admin

Diabetic peripheral neuropathy with pain, and numb feet and toes could be the result of an entrapment like carpal tunnel and hence potentially treatable. However considerable controversy follows it. Continue reading →

Posted in neuropathic | 2 Comments

Diabetic (DM) Neuropathy – Think B12 Deficiency and More so if on Metformin

Posted on February 26, 2010 by admin

According to one article, low B12 (<200 mcg) occurs in 1/2 of non-metformin using diabetics. According to another recent article, “Chronic metformin use results in vitamin B12 deficiency in 30% of patients”. This could eventually lead to B12 deficiency neuropathy which unlike DM neuropathy is treatable. Continue reading →

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New Painkiller for Back & Knee Pains – Raloxifene (Evista) – a drug for Osteoporosis

Posted on February 23, 2010 by admin

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. Continue reading →

Posted in Back Pain, Drugs, Knee, osteoporosis | 2 Comments

Patients with Irritable Bowel (IBS) Should Avoid Shift Work

Posted on February 22, 2010 by admin

Irregular hours are hard on people with IBS according to one nursing study Continue reading →

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