Monthly Archives: October 2008

New Hopes for Leg Phantom Limbs

Phantom limb pain is suprizingly resistant to treatment and some articles on the subject have concluded “put them on opioids – perhaps methadone”. Now come two different approaches to treating the leg version of this – memantine and pulsed radioifrequency.

Posted in neuropathic | Leave a comment

Chronic Pain and Sleep Apnea

In 2006, my daughter, Janice Montbriand, and I did a pilot study on selected chronic pain patients looking for sleep apnea. We found a high incidence of nocturnal oxygen desaturations in these cases. Methadone classically has also been known to … Continue reading

Posted in Sleep | 4 Comments

PatelloFemoral (Kneecap) Pains – When to Use Orthotics (foot supports)

Certain sore kneecap cases will benefit from foot orthotics.

Posted in Knee, Mechanical aids | Leave a comment

Injecting Subscapularis – How

The subscapularis muscle is the key muscle in shoulder pain. It is strong and pulls the shoulder up to impinge “better”. It is a principle muscle involved in frozen shoulder. The best trigger / Botox injection would perhaps hit the … Continue reading

Posted in Injection, shoulder | 1 Comment

Osteoarthritis Can Improve With Antibiotics – What Does That Mean -and would this prove safer than NSAID’s?

In osteoarthritics, Doxycycline, a tetracycline, was found to reduce knee joint space narrowing by 40% at 16 months and 33% at 30 months compared to placebo. In another study, after noticing a rapid reduction of inflammation in an OA case … Continue reading

Posted in arthritis, Drugs | 2 Comments

Steroid Joint Injection – Efficacy and Long Term Cartilage Effects

Are these legitimate arguments? 1) One shot should fix it and if it doesn’t then that’s it (I call this the “one shot wonder” attitude). I think the only person who could be sure to fix things at one go … Continue reading

Posted in Drugs, Hip Pains, Knee | 8 Comments