Monthly Archives: December 2011

Sciatica Back Epidural or Caudal – 40 mg Steroid as Good as 80 mg.

In two separate studies, there seemed to be no advantage to using 80 mg steroid over 40 mg. If one stuck to 40 mg, then one could have a shot every 6 weeks, rather than having to wait 3 months … Continue reading

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Mixed Drug Treatment Of Interstitial Cystitis(IC)/Painful Bladder (PB) Syndrome

With an increased drug sensitivity, subjects with IC/PB do not handle medications very well. Drugs specifically designed for their condiition (like Elmiron and intra-bladder DMSO)) do not work well. The beauty of this therapy was low does of multiple medications … Continue reading

Posted in Interstial Cystitis/Gynecologic | Leave a comment

Interstitial Cystitis/Painful Bladder – What are the Genetic Correlates?

Twin studies have found genetic linkages  of IC/painful bladder syndrome with several diseases – Irritable bowel,  prior physical abuse,  frequent headaches,  multiple drug allergies, and self reported bladder infections.

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Confirmed – Alkalanized lidocaine works for Interstitial Cystitis – and Better Yet With Heparin

In a controlled trial,”a combination of 50,000 units of heparin (Baxter), 200 mg lidocaine hydrochloride (Hospira), and 420 mg sodium bicarbonate in 15 mL of water”  instilled in the bladder, using a “hydrophilic LoFric 10 French catheter was used to … Continue reading

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Dengue Fever Scale

Always a risk in some developing countries  – but never had a clear picture of the features like this. More for my reference…

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Confirmation of Nerve Growth in Tendonopathy – in Shoulder Too

I have previously written: Does Pain “Grow” at Tendon injury sites? -and Treatment tennis elbow Now for shoulder tendonopathy, “increases of newly grown nerve fibers and blood vessels ” inside tendons has been found

Posted in Rheumatic, shoulder, tendonitis | Leave a comment

Lithium Reduces Spinal Cord Damage Pain by 35% in 6 Weeks

Case reports have found lithium carbonate an effective in chronic pain but these results have been ignored because of lack of a reliable study, Now a a double-blind, randomized, placebo-controlled clinical trial was done and showed benefit in Chronic  Spinal … Continue reading

Posted in Back Pain, central & spinal, Drugs, neuropathic, radiculitis | Leave a comment

COMT Pain Genes Wreak Havok – Finally a Good Study

Had a pateint with severe pains out of proportion to what one would expect. He has a couple of pain conditions that ran in family and I felt probably had pain genes that augmented the condition. Insurers treated him with complete disdain … Continue reading

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Morton’s Neuroma Surgery – severe foot pain option

Morton’ neuroma causes pain in the 3-4th metatarsal head areas with numbness in the corresponding 3rd and 4th toes. The pain, including burning pains in area can become extreme. Surgical removal works well 51-85% of time.

Posted in Leg Pains, neuropathic | Leave a comment

Midfoot Pains – Response to Injection

Over 1/2 of patients will get sustained relief of midfoot pain for 3 months with steroid injection

Posted in arthritis, foot, Leg Pains | Tagged | Leave a comment