Monthly Archives: March 2010

Celiac Disease Could Mean Pain and What About Iron For Restless Legs?

Celiac Disease is associated with multiple problems – migraines, restless leg syndrome (RLS), and now prevalent subclinical sacroliitis. Low iron is implicated in RLS but results on iron supplementation is mixed.

Posted in celiac, Leg Pains | Leave a comment

What Is the Fibromyalgia (FM) & Depression Connection?

Most Fibromyaglia Victims are Not Depressed, yet study after study has shown it to be higher than in comparable populations. Why is that? I suggest it is: the uncertainly that goes with the diagnosis (do I have something more serious?) … Continue reading

Posted in Depression, Fibromyalgia | 1 Comment

So How Does One Really Test For Carpal Tunnel?

One speaker I heard made very big about how eliciting a Tinel’s sign at the wrist was worthless for diagnosing carpal tunnel – so how does one do that? Given that sensitivities of Nerve Conduction sutdies can be from 49% … Continue reading

Posted in wrist | Leave a comment

Pregabalin (Lyrica) For Post Nerve Damage Pain

Nerve injury pain can be bad – What results can you expect for Pregabalin? Recent study concludes it helps some.

Posted in neuropathic | Leave a comment

Doctors Embracing Biopsychosocial Model For Chronic Pain Still Missing Boat?

Recent British study found doctors using Biopsychosocial Model For Chronic Pain were actually concentrating on psychological approaches even when it was inappropriate

Posted in psychology | 1 Comment

Self Questionnaire For Inflammatory Arthritis

Group is in process of putting together a self administered inflammatory arthritis questionnaire – this is what they have come up with so far…

Posted in arthritis | Leave a comment

Chronic Pain, Depressed, and Desperate? Consider Medical Supervised Fasting

Article in press summaries findings that medically supervised modified fasting (200–500 kcal nutritional intake/day) with periods from 7 to 20 days “is associated with mood enhancement and substantial pain relief.”

Posted in Depression | Leave a comment

Hypnotherapy and Biofeedback For Irritable Bowel Syndrome (IBS) – and for Functional Abdominal Pains in Kids

Both Hypnosis and heart rate variability biofeedback are useful in irritable bowel and, in children and adolescents, functional bowel disease

Posted in Abdominal pain, psychology | Leave a comment

Chronic Severe Pain – For Gd’s Sake Don’t Forget Peripheral Pain Generators

I have spent my adult life treating peripheral pain generators in conditions where it is impossible to get the central generators treated (failed backs for example). It dismays me to see people told there is nothing to be done because … Continue reading

Posted in pain mechanisms | Leave a comment

Shoulder Joint Arthrtis – Don’t Forget Lubricants

Recent Review of Hyaluronate in Shoulder joint arthritis found it effectve for control

Posted in shoulder | Leave a comment

Neck Pain Not Synonymous With Anxiety

Examination of a chronic neck pain group found no association of pain and anxiety – So don’t call them nuts!

Posted in Neck, psychology | Leave a comment

Newer Treatment For Ingrown Toenails – Once Spicule Out and Healed, Metal Brace It Straight = Orthonyxia

Spicule removal and later, metal bracing nail straight, has been shown equivalent to partial matrix excision

Posted in skin | 3 Comments

Latest in Skin Piercings

Not to Miss in the Trend For Body Piercing, I Offer This Technique of Nail Piercing

Posted in skin | Leave a comment

Determining If Veretbral Compression Fracture

Various new approaches help define vertebral compression fracture so can be earlier diagnosed.

Posted in Back Pain | Leave a comment

Anterior Shoulder Dislocation – Putting It in Yourself

Recent article describes how to relocate your own shoulder dislocation using modified Milch technique

Posted in shoulder | Leave a comment

Shingles Vaccine Finally Available in Regina

Zostavax vaccine has to be held frozen at -15 degrees C and only set in batches of 5. Now, Lakeshore Drugs (584-0717) has gotten in a Fridge specially set and so it is available there. Catch is, it cannot be … Continue reading

Posted in post herpetic neuralgia | 1 Comment

Article: A sterile, simple, effective & pain free method of removal of adhesive dressings

OK – I’ll bite – how does one do that?…

Posted in skin | Leave a comment

Renal Colic? – Try Desmopressin Nasal Spray Plus NSAID Suppository

Combination Desmopressin Nasal Spray (DDAVP nasal) and diclofenac Suppository brought prompt relief renal colic in 62.7% cases vs 30.7% in the group with suppository alone

Posted in Abdominal pain | Leave a comment

Intra-Bladder Lidocaine Freezing to Diagnose Bladder Pain Syndromes and Lidocaine Treatments for Bladder Pain

20 mls of 2% Lidocaine Intravesically (into bladder) wil cause over a 50% relief of pain in patients with bladder pain syndromes – distinguishing it from other pelvic pain diseases.

Posted in Interstial Cystitis/Gynecologic | 1 Comment

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

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 … Continue reading

Posted in Abdominal pain | Leave a comment

Lower Dose Gabapentin and Imipramine work in Neuropathic Pain

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

Posted in Drugs, neuropathic | Leave a comment

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

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

Posted in pain mechanisms | 1 Comment

What Does One Do To Prevent Post Surgery Pains?

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

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

Good Free Review of Testicular Pain Management

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 

Posted in testicular | Leave a comment

New Tennis Elbow Treatment – Inject Lubricant (Hyaluronate)

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 … Continue reading

Posted in elbow | Leave a comment