Monthly Archives: March 2010

New Possible Knee Arthritis Treatment – Subcutaneous Knee area Injection of Pentosan

Pentosan is marketed in this country as Elmiron, an agent that will help protect bladder lining from interstitial cystitis. Now question is, could knee subcutaneous injections protect knee joint lining and be a “disease modifying osteoarthritis drug (DMOAD)”. Open trial … Continue reading

Posted in Drugs, Injection, Knee | Leave a comment

What Does It Take to Feel Substantially Better In Fibromyalgia?

In order to get significant improvement in quality of life, 30% and preferably 50% improvement of pain needs to be reached. Unless you are a responder, no one medication is guaranteed to do that

Posted in Fibromyalgia | Leave a comment

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

Posted in post herpetic neuralgia, Topical Pain Treatments | Leave a comment

Ulcer Pills and Fractures

People on either Proton pump inhibitors(PPIs) or histamine-2 receptor blockers (H2RAs) have a 1.3 – 1.7 times risk of hip fracture. This risk disappears after stopping the medication for 3-5 years. With PPIs causing bacterial overgrowth, and with it stomach … Continue reading

Posted in Drugs, osteoporosis | Leave a comment

Kids With Chronic Abdominal Pain Have Very High Rates Of Gut Bacterial Overgrowth

Using lactulose breath hydrogen test (LBT) to diagnose Small Intestinal Bacterial Ovewrgrowth (SIBO), 91% of children with chronic abdominal pain had evidence of bacterial overgrowth versus 35% of controls.

Posted in Abdominal pain | 1 Comment

Do Some Victims with Fibromyalgia(FM) and Chronic Fatigue Syndrome(CFS) Have Sleep Genes?

Recent study analysed daytime drowsiness in FM/CFS using abnormally fast time to fall asleep (sleep latency); 80% had abnormal tests. They found gene type HLA DQB1*0602 was obtained in 74 (43%) of subjects – which is 5 times what you … Continue reading

Posted in chronic fatigue, Fibromyalgia, Sleep | Leave a comment

There is More To Chronic Pain Disability Than Just Pain – the Fatigue

Others might content that if it’s just pain – take a pill and move on – but it’s more than that – it includes the fatigue

Posted in chronic fatigue, Insurer issues | Leave a comment

Do Gut Germs Affect Your Mood and What Hath We Wrought With Newer Ulcer PPI Pills That Cause Bacterial Overgrowth?

Study from McMaster University Ontario found oral antibiotic treatment in mice resulted in changes in bacterial flora that increased anxiety-like behaviour. Gut Bacterial Overgrowth found in 50% of people on Proton Pump Inhibitor Ulcer Pills. Are these pills driving us … Continue reading

Posted in Abdominal pain, Fibromyalgia | Leave a comment

Sore Pubic Joint – Osteitis Pubis How Does One Treat It?

Article in press reviews literature and treatment measures for osteitis pubis

Posted in groin pain | 10 Comments

Venlafaxine Helps Non-Cardiac Episodic Sternal Chest Pains in Young People

There is a condition where intermittent sternal chest pains, angina like in character, develop.These develop in young people and workups are negative. Esophageal hypersensitivity has been shown to exist in these cases. Venlafaxine has been shown to help.

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Vitamin C Strikes Again – ?Prevents Post Surgical Wrist Complex Regional Pain and Obviously Post Foot/Ankle Surgery CRPS

Severe pain after trivial injuries or surgery has been a fearful hazard. Now Vitamin C has been shown to perhaps prevent pains after wrist surgery

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At Last – A Treatment For Jaw Osteonecrosis

Osteonecrosis mandible from mostly IV biphosphamates can be a real hazard in cancer treatments – now it looks like teriparatide – human recombinant pararthyroid hormone peptide 1-34 – was able to help recovery

Posted in Drugs, osteoporosis | Leave a comment

Smoking Doubles Chances of Chronic Pancreatitis Problems

Even when adjustments made for age, alcohol consumption, prior acute pancreatitis and other factors, smoking comes out as doubling changes of chronic pancreatitis disease

Posted in Abdominal pain | Leave a comment

Lidocaine Eye Drops For Ophthalmic Postherpetic Neuralgia

Xylocaine 4% eye drops (AstraZeneca) can bring down eye pain in post shingles eye pain from 5.9/10 to 0.9/10 in 15 minutes, and forehead pain from 6.3/10 to 2.6/10. This relief can last 8-96 hours in responders.

Posted in neuropathic, post herpetic neuralgia | 3 Comments

New Treatment For Shoulder Tendonitis – Hyaluronate

In cases without complete tears, FIVE weeks of weekly subacromial injections of Hyaluronate was helpful.

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At Last Some Sense In Shoulder Injections – Three Shots

There have been so many articles describing how shoulder injections fail because they only give one shot. I call this the “One Shot Wonders”. These people would need a medicine man dancing around to get any results because my feeling … Continue reading

Posted in shoulder | 1 Comment

What Can One Expect After a Hysterectomy?

Women after hysterectomy seem alarmed by bleeding. Yet Cervical Stump symptoms can cause persistent bleeding in 17% in the abdominal hysterectomy(SAH) group and 24% in the laparoscopic group(LSH). Chronic pain issues may not go away.

Posted in gynecologic | 1 Comment

Localized Cause of Back Pain – Inter-Spinous Process Bursitis “Baastrup’s Disease”

An MRI found intraspinous processes bursitis in 8.2% of individuals which could be causing segmental back pain.

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Women Suffer More From Chronic Pain Than Men In Canada

As found in a Canadian survey, staggering proportions of people are suffering from chronic pain, and it gets larger as one gets older – and the women twice as much.

Posted in Uncategorized | Leave a comment

Chronic “Back” Pain Missed in Elderly – the Costo-Iliac Impingment Syndrome

With the loss of height from osteoporosis in the elderly, the lowermost side ribs can rub on the side wing of the hip crest, resulting in was patients describe as back pain. To make things worse, this rubbing restricts walking, … Continue reading

Posted in Back Pain, Mechanical aids | 6 Comments

Snapping Sound in Neck

I had a patient with rather audible and palpable snap with neck rotation. She was concerned she had loose joints in neck. It turned out to be coming from a snapping Splenius cervicis muscle.

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Painless Keloid Injections

OK, I’ll bite – how’s that done?

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Successful Treatment of Fresh Post Amputation Phantom Pains – And Maybe Should Be Used in Any Post Surgery Pain Situation?

After a below knee amputation, pain was successfully remitted with combination of duloxetine and pregabalin.

Posted in post herpetic neuralgia | Leave a comment

Cancer Intermittent Bowel Obstruction – Octreotide Injections May Work Well

Intermittent bowel obstruction during end of life is terrible with pain and vomiting. Regular self administered Octreotide injections given at first hint of trouble, controlled this problem.

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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

Posted in neuropathic, Topical Pain Treatments | Leave a comment