Strontium 89 in Breast and Prostate Cancer Metastatic Disease

Posted on October 21, 2010 by admin

With SR89 treatment, 72% of metastatic breast and prostate cancer patients reduced or stopped their opiates and/or analgesics – with relief lasting 3 months. Why aren’t they using it more?

Continue reading →

Posted in breast cancer | Leave a comment

Unexplained Abdominal Pains & Problems – Could Be Hypermobility

Posted on October 20, 2010 by admin

In patients with unexplained abdominal problems referred to a tertiary centre, half had evidence of joint hypermobility syndrome (JHS).

Though Hypermobility is noted for its relation to Fibromyalgia, it appears abdominal problems are even more likely  – something that would validate the symptoms in many patients. There is now an association with constipation as well.

Continue reading →

Posted in Abdominal pain, Interstial Cystitis/Gynecologic | 4 Comments

New Help For Sickle Crisis Pain – Nitric Oxide (NO) Gas Inhalations

Posted on October 19, 2010 by admin

When NO gas is mixed with Oxygen and inhaled over matter of hours, sickle crisis pain will gradually remit, dipping below 4/10 pain-wise in 3 hours.

Continue reading →

Posted in sickle crisis | Leave a comment

Can’t Get Rid of Shoulder Tip Pain? – Think C4/5 Neck Facet

Posted on October 18, 2010 by admin

Various measures have been used for trapezius tip pains but they keep coming back. Now it’s confirmed the neck is a player. Continue reading →

Posted in myofascial pain, Neck, shoulder | 2 Comments

Fix For Torn Shoulder Tendons and Pain in Elderly – Loosen Deltoid Muscle

Posted on October 17, 2010 by admin

Torn shoulder tendons gimp shoulder mechanics and can lead to “chronic and
often unbearable pain, muscular fatigue, and severe functional disability”. A reverse prothesis and latissimus dorsi tendon transfers are a treatment but are extreme measures. A simple and effective treatment involves advancing the end of the deltoid muscle. 86% excellent or good results

Continue reading →

Posted in elderly, shoulder | Leave a comment

Clitoral Pain Following Hysterectomy – Finally an Effective Treatment

Posted on October 16, 2010 by admin

This can be a terrible situation to deal with. Had one case many years ago. Went back to the gynecologist who had nothing to offer.  Too tender an area for injections. Now it looks like spinal cord stimulation can help.

Continue reading →

Posted in Interstial Cystitis/Gynecologic, neuropathic, pelvic | Leave a comment

Breast– (Some Post Mastectomy) & Chest Wall Pains – Easy Fix

Posted on October 15, 2010 by admin

Study of Scapulothoracic Bursitis – Though 78.6%  presented with the breast/chest pain, a tender area was found posteriorly on the medial aspect of the shoulder blade(scapula). Injection of steroid to area relieved the breast/chest pain as well in 83.5% of cases – confirming this was a Scapulothoracic bursitis. It was suggested that the bursa irritated nerves posteriorly projecting pain front-ward to the breast.

Continue reading →

Posted in breast cancer, breast pain, chest pain, shoulder, Thoracic | 2 Comments

Chronic Low Back Pain Injection Spot

Posted on October 15, 2010 by admin

Lumbar paraspinous muslces and sacroiliac ligaments all attach to sacrum making it a vulnerable site. Dr. Breck McKay has found injection of these ligments (and the sacrospinous ligament) can give significant results. Poster at IASP congress found a sweet spot at s2 30 mm from midline.

Continue reading →

Posted in Back Pain, Injection | 2 Comments

Neck / Shoulder Tip Pains, Tired and Dizzy When Upright – Maybe Coat-hanger Hypotensive Events

Posted on October 14, 2010 by admin

Postural Hypotension (Low Blood Pressure on standing) is associated with neck and shoulder tip pains in what is thought a hypo-perfusion issue.  One should notice being dizzy standing up – something that can happen after head injury and also spinal cord injuries.

Continue reading →

Posted in chronic fatigue, myofascial pain, Neck | 2 Comments

Pain After Inguinal Hernia Repair – What to Do

Posted on October 13, 2010 by admin

This is the title of a French article discussing the problem recently.

Continue reading →

Posted in Post Hernia | 7 Comments

Sudden Peripheral Neuropathy – Beware

Posted on October 12, 2010 by admin

Radicular pain [sciatica in arms or legs], painful paresthesiae [ funny feelings], and  muscle pains of sudden onset could precede paralyzing Guillain–Barré syndrome by up to 2 weeks in 36% of cases. Preceding diarrhea illness (suggesting connected Campylobacter jejuni infection] occurred in 34% cases and preceding respiratory / influenza like illness in 37% cases.  Worth being careful to follow these cases closely.

Continue reading →

Posted in neuropathic, radiculitis | Leave a comment

Could Isoflavinoids Reduce Prostate Cancer Radiotherapy Problems?

Posted on October 11, 2010 by admin

Isoflavinoids may reduce urinary incontinence, urgency, erectile dysfunction, rectal cramping/diarrhea, and pain with bowel movements – while pateints are on radiation. Annoyingly, there weren’t enough cases to be sure of anything… Continue reading →

Posted in prostate cancer | Leave a comment

Knee Cartilage Meniscal Symptom Index

Posted on October 11, 2010 by admin

Four questions can improve accuracy of knee cartilage diagnosis

Continue reading →

Posted in Knee | Leave a comment

Resistent Interstitial Cystitis (IC) – Sacral Neuromodulation 6 year Confirmed Benefits

Posted on October 9, 2010 by admin

Some resistant  cases of IC defy treatment options – sacral neuromodulation appears successful.

Continue reading →

Posted in Interstial Cystitis/Gynecologic | Leave a comment

Cure For Radiation Bladder Irritation Cystitis

Posted on October 8, 2010 by admin

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

Continue reading →

Posted in Uncategorized | 3 Comments

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

Posted on October 7, 2010 by admin

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.

Continue reading →

Posted in Mechanical aids, neuropathic | 2 Comments

Testing For Shoulder AC Joint Pains

Posted on October 6, 2010 by admin

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 devised.

Continue reading →

Posted in shoulder | 4 Comments

Topical Ketamine For Post-herpetic Neuralgia

Posted on October 5, 2010 by admin

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.

Continue reading →

Posted in post herpetic neuralgia | 4 Comments

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

Posted on October 5, 2010 by admin

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 is got to be another way then surgery there. Spinal Cord Stimulation (SCS)  may help – but the paddles are placed higher than you would think.

Continue reading →

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

Lidocaine Patches For Post Surgical Chronic Pains

Posted on October 4, 2010 by admin

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?

Continue reading →

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

Posted on October 3, 2010 by admin

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 possible in most. –

Continue reading →

Posted in shoulder | Leave a comment

Is Fibromyalgia(FM) a Small Fiber Neuropathy?

Posted on October 3, 2010 by admin

Recent poster studies shows decreased nerve density peripherally in FM.

Continue reading →

Posted in Fibromyalgia, neuropathic | 3 Comments

Are Cold Knees a Bad Sign After Injury?

Posted on October 2, 2010 by admin

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.

Continue reading →

Posted in complex regional pain, Knee | 1 Comment

Treatment Plan For Fresh Osteoporotoc Compression Fractures

Posted on October 2, 2010 by admin

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 with a 9 cm penetration.

 

Continue reading →

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

Shingles Vaccine if On Immunosuppressive Agents

Posted on October 1, 2010 by admin

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…

Continue reading →

Posted in post herpetic neuralgia | Leave a comment