Monthly Archives: October 2010

Cure For Radiation Bladder Irritation Cystitis

Hyaluronate instillations have been used in Interstitial cystitis – now it helps in radiation cystitis

Posted in Uncategorized | 3 Comments

Need For Specific 10 Gram Semmes-Weinstein /Frey Mono-filaments For Diabetic Peripheral Neuropathy Testing Unnecessary

Not wanting to waste money buying expensive monofilaments, I bought a scale and fishline – and now since I have come across a certain article, I realize any 1 cm medium to thick plastic monofilament fishline will do.

Posted in Mechanical aids, neuropathic | 2 Comments

Testing For Shoulder AC Joint Pains

I am used to doing an arm raised adduction test (bringing arm over chest) to see if it elicits pain.  Alarmingly , this crossed arm adduction test may only be positive 67% of the time. More sensitive tests have been … Continue reading

Posted in shoulder | 4 Comments

Topical Ketamine For Post-herpetic Neuralgia

I’m trying to complete my coverage of Post-herpetic Neuralgia (PHN) treatments and felt this was a rather newer innovation. 65% can achieve a significant reduction in pain.

Posted in post herpetic neuralgia | 4 Comments

Several Scoliosis Operations and Still Pain – Spinal Cord Stimulation May Help

I have one gentleman with multiple surgical procedures including fusions and Harrington rod placements who is left with chronic pain. He has to stand up most of the time. I’m presuming there is a pseudoarthrosis at one level but there … Continue reading

Posted in Back Pain, Mechanical aids, Stimulation | 1 Comment

Lidocaine Patches For Post Surgical Chronic Pains

Recent poster demonstrated how use of lidocaine patches reduced area of pain in  traumatic neuropathies about the knee. These were not recent operative cases.  Could this work for all post surgical pain problems?

Posted in breast cancer, complex regional pain, Mechanical aids, neuropathic, Post Hernia | 2 Comments

Torn Rotator Cuff Lesions Best Treated in First 4 Months But Single Tendon Tears Are Sneaky

Rotator cuff tendon repairs give good results even with fatty degeneration and muscle atrophy best under 4 months. Single tendon tears  – commonly supraspinatus, are sneaky – only 43% can relate any trauma to onset and 90° active abduction is … Continue reading

Posted in shoulder | Leave a comment

Is Fibromyalgia(FM) a Small Fiber Neuropathy?

Recent poster studies shows decreased nerve density peripherally in FM.

Posted in Fibromyalgia, neuropathic | 3 Comments

Are Cold Knees a Bad Sign After Injury?

In a study of women with knee pains, colder knees on exam and thermography were associated with worse condition, suggesting they might be a mild form of Complex Regional Pain.

Posted in complex regional pain, Knee | 1 Comment

Treatment Plan For Fresh Osteoporotoc Compression Fractures

Now that Kyphoplasty has become widespread, these techniques might be outdated. However, there are cases where you cannot do kyphoplasty, and these techniques would apply – they involve caudal or epidural catheter blocks, intercostal nerve blocks, trigger injections, and  near infrared radiation … Continue reading

Posted in Back Pain, Injection, Mechanical aids, neuropathic, osteoporosis, Stimulation | Leave a comment

Shingles Vaccine if On Immunosuppressive Agents

I had a patient on Methotrexate want the shingles vaccine. Had to look this one up…as people with Rheumatoid arthritis and related diseases are on immunosuppressives…

Posted in post herpetic neuralgia | Leave a comment

Bad Thoracic Back Pain and Desperate? -Early Case of Peripheral Nerve Field Stimulation

Some cases of thoracic back pains can get horrendous – partially because there are pain generators coming form both thoracic spine and neck, and because postural and instability effects are rampant there as well. It seems that measures may only … Continue reading

Posted in Back Pain, Mechanical aids, Stimulation, Thoracic | Leave a comment