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Monthly Archives: February 2010
Surgery For Diabetic Peripheral Neuropathy – Another Option Not Available Here
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.
Posted in neuropathic
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Diabetic (DM) Neuropathy – Think B12 Deficiency and More so if on Metformin
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 … Continue reading
Posted in neuropathic
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New Painkiller for Back & Knee Pains – Raloxifene (Evista) – a drug for Osteoporosis
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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Patients with Irritable Bowel (IBS) Should Avoid Shift Work
Irregular hours are hard on people with IBS according to one nursing study
Posted in Abdominal pain
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Groundbreaking News – A “Cure” For Chronic Discogenic Back Pain??
A simple procedure injecting 1 ml of 1% methylene blue followed by 1 ml 2% lidocaine into damaged disc has achieved unprecedented results
New Chronic Pain Gene Identified – Beta2-Adrenergic receptor (ADRB2) – and Genes For Achilles and ACL Knee Ligament Problems
Using a British Cohort born in March 1958, over 8000 individuals were blood sampled and nucleotide polymorphism sequenced for ADRB2 and COMT (Catecholamine-O-methyltransferase), the latter previously implicated in pain genetics. Only ADRB2 of certain gene types were associated with increased … Continue reading
Posted in achilles, Fibromyalgia, Knee
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Immunoglobulin Infusion Improves Complex Regional Pain
Longstanding Complex Regional Pain can be incredibly difficult to treat. Now Immunoglobulin Infusions have been shown to drop pains scores by 1.55 units.
Posted in complex regional pain, Drugs
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Opioid Phobia Takes Hit – “Iatrogenic opioid addiction… rare” According to Cochrane Library
With all the courses and Physician college emphasis on opioid addiction detection one would think addiction was highly likely on opioids – a Cochrane review finds quite the opposite.
Severe Chronic Pain Kills
One thing that is never considered in an insurance settlement is the fact that 10 year survival may be less in people with severe pain. A recent article plots a survival decay curve
Posted in Uncategorized
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Breast Cancer Help – Soy helps prevent recurrences and Free Maid Service
JAMA article finds 4 yr mortality rates were 10.3% and 7.4% in low and high soya users and 4-year recurrence rates were 11.2% and 8.0% as well. There is a free maid service for breast cancer victims in certrain communities.
Posted in breast cancer
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New Hope For Chronic Daily Headaches – Continuous Infusions of Dihydroergotamine
Repeated IV infusions of DHE (dihydroegotamine) is the standard treatment for breaking transformed migraines (into chronic daily headaches). Unfortunately, arranging patient to be seen every 8 hours is just not viable in our community. Now a continuous infusion protocol may … Continue reading
Posted in Drugs, Headaches, Injection
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Oxycodone and St. John’s Wort – a bad combination and Oxycodone and Death Rates
St. John’s wort may reduce oxycodone (oxycontin, oxy-IR, etc.) levels by 50%.
Posted in Drugs
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Indigestion – when ulcers Pills don’t work – Think Nocturnal Bile Reflex – Helped by Domperidone
Chronic indigestion “dyspepsia” is a frequent medical problem and gets bad when ulcer pills fail to work. Now nighttime – bile reflux (regurgitation bile into stomach) may account for some. This is helped by agents that help bowel motility like … Continue reading
Posted in Abdominal pain
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