Monthly Archives: July 2011

Primary Care Back and Leg Neuropathic Pain (thought sciatic) common. – MRI, and Straight Leg Raise Useless.

Posted on July 31, 2011 by admin

Recent study of neuropathic pain in leg associated with back pain, in a primary care setting, found MRI evidence of nerve root impingement unlikely and straight leg testing useless. Their conclusion:  “[the] neuropathic pain may be caused by irritation of nervous … Continue reading →

Posted in Back Pain, Insurer issues, radiculitis | Leave a comment

Injecting Painful Scars

Posted on July 30, 2011 by admin

Intradermal injections of local and subcutaneous injections of steroid have been used for scar pain. This study compared intradermal dexamethosone and botox and got 25%  and 30% relief repectively lasting 4 and 8 weeks respectively.

Posted in Injection, neuropathic, Post Hernia | 1 Comment

Topical Lidocaine for Coccydynia

Posted on July 30, 2011 by admin

I hate tailbone pains and failure to respond to steroid injections happens. One approach I noticed recently was use of a topical patch.  

Posted in coccygodynia, Topical Pain Treatments | 4 Comments

Curable Chronic Posterior Ankle Pains – the os trigonum syndrome

Posted on July 3, 2011 by admin

There is a bone at the back side of the ankle joint that normally goes into the rest of the boses but can either remain separate or break off. Either way, repeated or traumatic toe down (Plantar flexion) positioning can … Continue reading →

Posted in ankle | Leave a comment

Persistent Heartburn Despite Meds – A Hypersenstive Esophagus Helped by Antidepressants

Posted on July 2, 2011 by admin

Persistent esophageal symptoms (heartburn, chest pain, and regurgitation) despite ulcer meds –  could be the results of a spastic oversenstive esophagus that may respond to serotonergic agents – like antidepressant citalopram or Duoxetine

Posted in Abdominal pain | Leave a comment