Monthly Archives: April 2010

IlioInguinal Neurectomy For Persistent Post Hernia Pain

Of those post hernia pain cases that responded to ilioinguinal nerve freezing block, “complete or partial pain relief was achieved in 66.7%”

Posted in Post Hernia | 2 Comments

Shoulder Pain at Night – What Can You Do?

What can be worse than not being able to sleep because your shoulders are sore – what can you do? Am trying to put together a list. One author advises people to sleep on one’s back.

Posted in shoulder | 32 Comments

IntraNasal Low Dose Ketamine For Neuropathic Pain

I have reluctant to use ketamine because of undesirable side effects including hallucinations. Now it looks like much can be achieved even with low dose using S isomer form.

Posted in Drugs, neuropathic | 1 Comment

Intranasal Oxytocin For Autism

Oxytocin nasal spray (18 or 24 IU) improved emotional recognition in autistic children. This is not the first time it has been shown to have social effects. May not last long so might be relegated to emergencies..

Posted in Uncategorized | 1 Comment

Short Functional Capacity Evaluation (FCE) Predicts Can Work Today But Not Reinjury Rates

FCE study shows it can predict working in short term but reinjury 

Posted in Insurer issues | Leave a comment

Does Vitamin K Have a Role in CRPS (Complex Regional Pain)?

Medical Hypotheses generated makes a case for that scenario

Posted in complex regional pain | Leave a comment

Sacroiliits Totally Unthought of Treatment – Filter Out White Blood Cells – Filtration Leukocytapheresis

Lady with ulcerative colitis and sacroiliitis improved after leukocytapheresis (LCAP).

Posted in Back Pain, Rheumatic | Leave a comment

Is Low Vitamin D Related to Rheumatoid Arhritis?

Recent study found variations of RA by latitude and suggested low vitamin D might be cause. I don’t think it’s that simple

Posted in Rheumatic | 1 Comment

Dextromethophan For Diabetic Neuropathy, Fibromyalgia, and even Uncontrollable Crying

Technique was devised to beef up dextromethorphan (DM cough syrup) ) by combining it with quinidine sulfate which prevents the former from being metabolized

Posted in Drugs, Fibromyalgia, neuropathic | Leave a comment

What Concerns People on Work Disability With Low Back Pain

Recent Article takes a survey of concerns of low back pain patients sent for rehab. The results are no surprise.

Posted in Back Pain, Insurer issues | 2 Comments

Do Probiotics Work In Diverticular Disease Pains ?

Answer appears to be yes according to one study

Posted in Abdominal pain | Leave a comment

Babies Show Empathy

Contagious crying – where one baby cries when hears another cry is now considered the first signs of empathy development.

Posted in Uncategorized | Leave a comment

Vitamin C in Press Again – Low Contributes to Disc Disease?

Recent Hypothesis forwarded that low Vitamin C sets the stage for disc disease and once disc degeneration started, it is a self fueling inflammatory disease.

Posted in Back Pain, Drugs | Leave a comment

How Effective Are Forearm Straps And Wrist Splints For Tennis Elbow ?

Looks like extension wrist splint straps help a bit but tennis elbow bands don’t do much

Posted in Mechanical aids, Tennis elbow | 3 Comments

Higher Doses Opioids Doubles Fall Rates In Elderly

Epidemiological study found aged on over 50 mg morphine equivalents had double the fracture rates. Question is why…

Posted in Drugs | Leave a comment

Would Magnesium Help Depression ?

Recent article suggests Magnesium might help depression but has more theoretical than actual data to prove it

Posted in Depression | 1 Comment

Something is Fishy With Reporting Pain Results

There is a growing tendency to separate out responders and non-responders in studies and report on the success of responders. This stinks like fish…

Posted in Uncategorized | Leave a comment

Chronic Fatigue Syndrome +/- Joint Aches Associated With Parvovirus Antibiodies

Recent study found 41.5% of chronic fatigue cases had abnormal parvovirus antibodies versus 7% of controls and with these antibodies. 73% of the positive CF cases had problems with joint pains. Actual Parvovirus B19 DNA was found in 5.5% of … Continue reading

Posted in chronic fatigue | Leave a comment

What To Do With Hip Metastases (Cancer Spread To Hip)

Have a patient with this problem. Recent article goes over  an option.

Posted in Hip Pains | Leave a comment

How Can One Sleep On One’s Stomach ?

I have a patient who has widespread pain and can’t sleep on her sides. What is most comfortable is my massage table with a hole for the face. I have looked for portable versions of that and came across a … Continue reading

Posted in Mechanical aids, Sleep | 1 Comment

Pamidronate Works Again – For Childhood Leg Pain – Complex Regional Pain

Pamidronate has been show to work in Complex Regional Pain – Often triggered by fractures. Now severe pain after a leg fracture was helped by pamidronate in a child

Posted in complex regional pain, Drugs | 2 Comments

Inguinal Groin Pain They Can’t Figure Out – Consider Femoroacetabular Syndrome Hip

Recent article found 10-15% of inguinal groin pain actually comes from an abnormality of the front of the hip joint. These people often are involved in multiple investigations when, injection of hip joint with local, proves the diagnosis.

Posted in groin pain, Hip Pains | 2 Comments

Milnacipran For Fibromyalgia – Only Good On Paper?

Article in press using large number of cases, demonstrates statistical superiority of Milnacipran in Fibromyaglia. Although thoroughly disguised, absolute results don’t look that great.

Posted in Drugs, Fibromyalgia | Leave a comment

Large Painful Legs Is Not Necessarily Obesity – Could be Lipedema – Blame Your Parents

Large legs, with little pitting, is an abnormal accumulation of fat in the legs, often hereditary in nature and very often mis-diagnosed. The pain is treatable.

Posted in Leg Pains | 4 Comments

Ergonomics For Office Neck Pains? – Get an Arm Board

A Review of ergonomic studies was able to (?gleefully) trounce all studies as having inadequate design but could not ignore that an arm board could help office neck pain.

Posted in Mechanical aids | Leave a comment