Monthly Archives: July 2009

Muscle-Joint Pains, Dry Mouth and Eyes? – Maybe You Have DEMS/SAPS with Thyroid Antibiodies

Posted on July 17, 2009 by admin

DEMS – dry eyes and mouth syndrome; SAPS – sicca asthenia polyalgia syndrome These cases do not qualify for sjogren’s syndrome but have “Sicca [dryness] symptoms and “nonspecific musculoskeletal pain”. They were found to have 59.2% thyroid peroxidase antibody rate … Continue reading →

Posted in myofascial pain, Rheumatic | Leave a comment

Vulvodynia Therapy Patient Resource

Posted on July 17, 2009 by admin

As a male doctor, I have trouble imparting all the info needed for someone with vulvodynia. Fortunately, Corrie Anne Goldfinger did her Master’s thesis at Queen’s University on the subject. It is available free here (~2+ MB) Since it is … Continue reading →

Posted in Interstial Cystitis/Gynecologic | 2 Comments

New Hope For Complex Regional Pain Syndrome I – 5 days Magnesium Infusions

Posted on July 17, 2009 by admin

Type I CRPS is a vague syndrome of inordinate pain with variable – vague neurologic weakness or numbness features (unlike type II in which the nerve has definely been cut). Typical scenario is after a wrist fracture in patients with … Continue reading →

Posted in complex regional pain, Drugs, Injection | 3 Comments

New Hope For Refractory Neck Pain – Botulinum “Botox” – But Not Cheap

Posted on July 17, 2009 by admin

Botox reduced pain in chronic neck pains (average 9.1+ years) for at least 2 month versus placebo -randomized and blind !! 150 – 300 unit was used per sesssion.

Posted in Botox, Neck | 1 Comment

Hyaluronan for Base Thumb Osteoarthritis (OA)

Posted on July 16, 2009 by admin

Injectable “lubricant” hyaluronan gives some relief of Carpal-metacarpal OA Thumb. One ml was injected weekly over 3 weeks.

Posted in hand | Leave a comment

Polymyaglia Rheumatica(PMR) – A New Look – Not as Easy as Seems

Posted on July 16, 2009 by admin

Due to lack of rheumatists in Regina, I have been forced to deal with complex pain cases that in part have an inflammatory nature. Some fit a PMR profile that requires more difficult management than I am used to. Below … Continue reading →

Posted in Rheumatic | 2 Comments

You Need to Do Local Work to Get a Feel for Pain – Tragic Hip Example

Posted on July 9, 2009 by admin

Much of the work I do is treating the “peripheral sensitization” – the tissues that become locally sensitive and knotted. Working these areas allows me to get a feel for how much is coming from the spine or other sources, … Continue reading →

Posted in Hip Pains | 1 Comment