Monthly Archives: March 2010

Post-Chest Surgery (Post – Thoracotomy) Shoulder Pain Cure But Only in Those With Sore Shoulder Muscles – Suprascapular Block and New Way to Do Block

Of 92 cases of post-thoracotomy muscular only shoulder pain, 83.5% obtained satisfactory pain relief from suprascapular nerve block

Posted in chest pain, neuropathic | 1 Comment

Frozen Shoulder Simple Test – Coracoid Tenderness

People with frozen shoulders have more sore coracoids versus with rotator cuff tear, calcifying tendonitis, glenohumeral arthritis, acromioclavicular arthropathy and asymptomatic subjects

Posted in shoulder | 4 Comments

Prior Motor Vehicle Accident (MVA) Doubles Chance Persistent “Troublesome Neck Pain” .

A Saskatchewan Study found people with previous MVA had twice the rate of persistent neck problems. Insurers like to play down this association but in fact this is real.

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New Cure For Untreatable Warts – Inject Them With MMR vaccine

Study involving treatments of warts- some multiple and recalcitrant (mean ~8 months), found a 81% cure rates (versus 27.5% in control saline injection group) with intralesional injections of measles-mumps-rubella vaccine.

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Botulinum For Scalene Based Thoracic Outlet Syndrome (TOS)

After a car accident, TOS can pinch nerves in the neck and cause neck and arm pain with arm/hand numbness that nobody can seem to find a reason for. A simple injection into the anterior scalene muscle can prove the … Continue reading

Posted in thoracic outlet syn | 12 Comments

Platelet Rich Plasma(PRP) Treatment Takes a Hit – Doesn’t Work For Achilles Tendonopathy or Maybe It Does…

Recent Study in JAMA found PRP didn’t work more than saline injections for Achilles midportion tendonopathy.

Posted in achilles | 2 Comments

New Hope For Uncontrolled Visceral Abdominal Pain

One out of eight people with abdominal pain are uncontrolled with medication. This can be debilitating and affect quality of life. 66 out of 70 people had substantial symptom relief with spinal cord stimulation.

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Post Hernia Surgery Pain Protocol and Other Options

Recent Article gives a flow chart for dealing with post hernia pains – all leading to a surgical nerve removal procedure called Endoscopic retroperitoneal neurectomy.

Posted in Post Hernia | 1 Comment

Yes, Virginia, Steroid Caudal Blocks Are Effective (At least For Spinal Stenosis)- and So Older People With Back Pain After Two Blocks Walking Are Better.

Article in Press Finds Caudal Epidural Steroid injection work for degenerative lumbar spinal stenosis. This condition is the bane of older individuals that can’t walk more than a 2-3 blocks without getting back – leg pain. The pain remits with … Continue reading

Posted in Back Pain, Injection | Leave a comment

Is Cervical Spondylotic Myelopathy Genetic?

Old age change in the neck leading to narrowing of the spinal canal is the bane of older subjects. A Chinese study suggests, in their population, it is related to Vitamin D receptor polymorphisms

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? Sciatica Option – Drug For Pulmonary Hypertension Gives Relief

Case study of patient on Sitaxsentan, a selective endothelin-A antagonist used in pulmonary hypertension, found his sciatica got better while on the drug and worse when off.

Posted in Back Pain, radiculitis | Leave a comment

Telling If Your Cat Is Using Opioids

Cashing in on recent opioid phobia, I offer this synopsis on how you can tell if your cat is using drugs…

Posted in Uncategorized | 2 Comments

Thoracic Intra-Articular Meniscoid Folds – A Plaisable Pain Generator

Detailed dissection of Thoracic Facets has found 62% of them hold and intra-joint mensicoid fold(s) – some with blood vessels. The addition of craggy clefts, cartilage damage, ulcers and hemmorhage all suggest they could be pain generators.

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Does Chronic Pain Cause Cancer? – The Answer is NO

Article in press found no increase in cancer in chronic pain patients

Posted in Uncategorized | Leave a comment

Prolotherapy to Mid Tendon Achilles Tendonopathy – Only Mildly Better Results When Compared to Eccentric Loading Exercises – How Could That Be Better?

Article in Press found at 12 months, Relief scores were 73% for Eccentric Loading Exercises (ELE), 79% for prolotherapy and 86% for combined treatment in treatment of achilles tendonitis.

Posted in achilles, tendonitis | 1 Comment