Male Urinary Sling – Simple Outpatient Fix for Post- Prostatectomy Incontinence

Posted on September 15, 2010 by admin

Men with prostate cancer live in fear that surgery or radiation will induce incontinence. Recent review confirms a simple outpatient mesh sling easily works 62-80% of time to cure situation.

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Complex Regional Pain – What are the Features?

Posted on September 15, 2010 by admin

Criteria for Complex Regional Pain sydrome may be being relaxed with perhaps only 2 features being necessary and only 1 feature needing to be visible at any time.
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Rampant New Disease in Canadian Universities – Hand-held Thumb

Posted on September 15, 2010 by admin

A new canadian university study finds 86% of mobile device users have musculosketal issues.

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Idea Chronic Pain Is Psychological Dispelled by Recent Studies

Posted on September 14, 2010 by admin

Several studies presented at the International Association for Study of Pain at Montreal 2010, all find the association of psychological problems and Chronic pain to be weak.

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Chronic Opioid Consumption Not the Answer in Chronic Pain and Politics Gets in the Way

Posted on September 13, 2010 by admin

Previously, Dennis Turk has contended that only 1/2 of chronic pain sufferers will tolerate of find opioids effective.  See: http://painmuse.org/ref/turk.pdf

Now a Norwegian study suggests even in “planned” opioid users, only 23% will be taking opioids 3 years later.  Meanwhile, doctors in Orthopaedic Medicine, are being targeted by Provincial Colleges…   Continue reading →

Posted in Drugs, Insurer issues, Regina Pain News | Leave a comment

Manual Therapy May Help Trigeminal Neuralgia

Posted on September 12, 2010 by admin

A case  demonstrating that work on the neck can be helpful in Trigeminal Neuralgia (TN).

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Posted in Manual Med, Neck, Trigeminal Neuralgia | 1 Comment

Question Related To Interstitial Cystitis Problem

Posted on September 12, 2010 by admin

Do you have any further info up to date for 2010 as my IC friend’s condition is very severe presently for last 2 weeks & here in India we are being told they know little about IC. She’s desperate for some effective help asap. She’s history of 2 ulcers + suffers from gastritis & IC symptoms began to appear after her hip fracture with poor catheter asepsis was given. This whole bacterial over growth is something we would like to hear more in depth information about. Thank you.

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Posted in Interstial Cystitis/Gynecologic, pelvic | 1 Comment

Subcutaneous (Under Skin) Electrical Stimulation For Chronic Back Pain

Posted on September 12, 2010 by admin

Back Spinal leads – Spinal cord stimulation (SCS) is useful for leg pains where you can elicit Funny feeling “paresthesias” with implanted leads. Obtaining the same for back pain has been more difficult. In cases where they were unable to get the paresthesias in the back, or patient refused spinal leads, leads put in under the skin subcutaneously was used with some success.

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Posted in Back Pain, Stimulation | 1 Comment

Progress in Mastocytosis Diagnosis in Saskatchewan

Posted on September 11, 2010 by admin

After a talk with our provincial lab, serum tryptase levels will be allowed for select patients

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Posted in Abdominal pain, Interstial Cystitis/Gynecologic, mast cell disease, Sask Pain Advice | Leave a comment

Sacral Nerve Root Stimulation Helps Coccygodynia

Posted on September 11, 2010 by admin

Sacral Nerve Root Stimulation (SNS) was compared with Peripheral Subcutaneous Field Stimulation (PSFS).  SNS attenuated pain 50 – 60% at low stimulation with good patient satisfaction.

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Posted in Back Pain, coccygodynia, Stimulation | 1 Comment

LANSS Neuropathic Scale

Posted on September 11, 2010 by admin

This is my favorite neuropathic scale- for your use – it’s 2 pages

from:
The LANSS Pain Scale: the Leeds assessment of neuropathic symptoms and signs
Michael Bennett
Pain 92 (2001) 147-157 free article here

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Fast Fix For Laryngospasm in kids and Hiccups in all

Posted on September 11, 2010 by admin

Laryngeal spasms are a frightening life threatening condition in anesthesia.  Bilateral Pressure behind the ears at TMJ level might release this spasm in kids. Hiccups can be relieved by lifting the “thingy” uvula in the back of your throat’s palate.

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IV Ketamine – Pain Rescue For Refractory Pain Flareups

Posted on September 10, 2010 by admin

Not a Pain Meeting Goes By Without someone extolling the virtues of IV Ketamine in refractory patients. Its use has been thwarted by preceived side effects. Now it appears these fears have been over-rated.  Here are some protocols I have encountered . Continue reading →

Posted in Drugs, IV therapy | 1 Comment

Proteases Newer Inflammatory Chemical in Diseases – Including Now Chronic Prostatitis

Posted on September 9, 2010 by admin

Proteases are inflammatory chemicals like cytokines. They were first described in 1991 and have become a target for therapy. Now they are connected to chronic prostatitis.

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Perineural “Tarlov” Spinal Nerve Outlet Cyst Pains – Overlooked and Treatable

Posted on September 9, 2010 by admin

I have a patient with multiple level cysts where the nerves exit the spine in the neck. He also has some mild foraminal stenosis. He is symptomatic with arm and referred upper back pain. Getting his problem taken seriously has been an issue. Now it appears these perineural cysts do indeed cause trouble and can be treated. 

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Posted in Abdominal pain, Back Pain, Neck, pelvic | 1 Comment

Close is Close Enough in Steroid Injections of Shoulder

Posted on September 8, 2010 by admin

Just got back from a course showing how to give ultrasound guided injections so you can hit the right spot.  Now it appears you don’t need to be close at least for shoulders…

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Lumbar Radiculopathy Paraspinous Blocks Simple and Effective

Posted on September 8, 2010 by admin

Author devised a 3.5 cm out for L4-5,  3.5 cm down from there, for L5-S1 –  2 mm down for each model for injections.  Injected 60 mg Depomedrol each level needed for radiculopathy.  Got excellent results without image intensifier in 100 cases though 18 needed another shot in 3 weeks and 11 had recurrences despite that.

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Posted in Back Pain, Injection | 1 Comment

Electrodiagnostically, Tarsal Tunnel Syndrome Rampant in Diabetics

Posted on September 7, 2010 by admin

I have written how tarsal tunnel syndrome is commonly missed in Dabetic Peripheral Neuropathy:
Surgery For Diabetic Peripheral Neuropathy – Another Option Not Available Here
Now it appears that Tarsal Tunnel syndrome enerve slowing is to be expected in Diabetes.

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Posted in neuropathic | 1 Comment

Music Therapy in Chronic Pain May Drop Pains by 50% 0ver 2 Months

Posted on September 6, 2010 by admin

Program of twice daily 20 minute of specific music therapy dropped chronic pains from 6.3 to 3.2/10 over 6 weeks.

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Posted in Fibromyalgia, Mechanical aids, psychology | 1 Comment

Topiramate So-So in Diabetic Peripheral Neuropathy and Radiculopathy

Posted on September 5, 2010 by admin

I often say I hate the term neuropathy because it assumes they can all be treated similarly. Now three trials using Topiramate in Diabetic peripheral neuropathy have failed to show benefit. – yet one using less strick response criteria has…

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Body’s Painkilling Endorphin Response Absent in 25% of Victims with Chronic Pain

Posted on September 5, 2010 by admin

The endorphin system in the brain and its counterpart enkephalin system in the spine help to shut down pain awareness in acute situations. Had a bad headache that suddenly disappeared? That is that system kicking in. This system is called the Diffuse Noxious Inhibitory Control (DNIC) (you either love or hate that term – it’s impossible to remember). It is frequently deficit in Fibromyalgia and Irritable bowel sydrome. Now it appears commonly deficit in a variety of pain situations.

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Confirmed – Intrathecal (Spinal) Midazolam Gives 1-3 Months Relief in Chronic and Failed Back Pain

Posted on September 4, 2010 by admin

Those who have epidural steroid injections for back pain know they are limited often to injections every 3 months (except for initial 3 shots). When the pain comes back in 3-6 weeks – what can one do? Now it looks like Spinal Midazolam can fill the gap…

I had previously promoted this as an option –

Midazolam Augmentation of Lumbar Steroid Injections – Use, in Just Mechanical Back Pain

Now its effectiveness has been proven:

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Posted in Back Pain, Injection | 3 Comments

Treating Peripheral Triggers in Fibromyalgia (FM) Helpful

Posted on September 4, 2010 by admin

Just treating Infraspinatus and Trapezius triggers will drop pains in FM by 20% – renewing interest in idea that a portion of FM is peripherally driven.

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ASA in Ether Effective for Herpetic and Post herpetic Neuralgia

Posted on September 2, 2010 by admin

ASA in Diethylether gets good to excellent results in over 3/4 cases of herpetic and post herpetic neuralgia. Development of post- herpetic neuraliga was under 3%. However, there is a trick involved in using the suspension…

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Burn Pain – Limited in Animals by IV Minocycline

Posted on August 23, 2010 by admin

Minocycline is an IV tetracycline antibiotic known to inhibit glial cell changes at spinal cord level post injury and hence reduce post-injury nerve pain. In the rat model it reduces post burn pains.

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Posted in neuropathic, pain mechanisms, Pathophysiology, Uncategorized | Leave a comment