After Various Procedures, Trigeminal Neuralgia can come back. Study discusses how they handled it. Continue reading
Recent article found morning fatigue seem more related to biological factors, and evening fatigue more by “behavioural” factors. Continue reading
Article in press offers chemotherapy neuropathy scale. Continue reading
After having a spinal, persistent headaches can occur from leaking spinal fluid through the hole requiring an injection of partient’s blood to be injected to “dural patch” the hole. Now was case resolved by just injection local into back scalp blood vessels. Continue reading
Read Recent Article on How Fall Risk Assessments tools in elderly might lack validity because they don’t take into account how elderly will have good and bad days. Similarly, Functional Capacity Evaluations (FCE’s) do not take into account that discs have good and bad days that are not predicable and that the course of disc disease in the neck and back is unpredicable as well. Continue reading
Pentosan is marketed in this country as Elmiron, an agent that will help protect bladder lining from interstitial cystitis. Now question is, could knee subcutaneous injections protect knee joint lining and be a “disease modifying osteoarthritis drug (DMOAD)”. Open trial on mild – moderate osteoarthritis knee is promising. Continue reading
In order to get significant improvement in quality of life, 30% and preferably 50% improvement of pain needs to be reached. Unless you are a responder, no one medication is guaranteed to do that
8% Capsaicin patch NGX-4010, now marketed as Qutenza, and was approved in the USA for treatment of Post herpetic Neuralgia (post shingles pain). One application can give some relief for a 1-3 months Continue reading
People on either Proton pump inhibitors(PPIs) or histamine-2 receptor blockers (H2RAs) have a 1.3 – 1.7 times risk of hip fracture. This risk disappears after stopping the medication for 3-5 years. With PPIs causing bacterial overgrowth, and with it stomach and possible mood issues, these drugs are looking less and less enticing.. Continue reading
Using lactulose breath hydrogen test (LBT) to diagnose Small Intestinal Bacterial Ovewrgrowth (SIBO), 91% of children with chronic abdominal pain had evidence of bacterial overgrowth versus 35% of controls. Continue reading
Recent study analysed daytime drowsiness in FM/CFS using abnormally fast time to fall asleep (sleep latency); 80% had abnormal tests. They found gene type HLA DQB1*0602 was obtained in 74 (43%) of subjects – which is 5 times what you would expect in the general population (P < 0.0001).
Others might content that if it’s just pain – take a pill and move on – but it’s more than that – it includes the fatigue Continue reading
Study from McMaster University Ontario found oral antibiotic treatment in mice resulted in changes in bacterial flora that increased anxiety-like behaviour. Gut Bacterial Overgrowth found in 50% of people on Proton Pump Inhibitor Ulcer Pills. Are these pills driving us crazy?
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Article in press reviews literature and treatment measures for osteitis pubis
There is a condition where intermittent sternal chest pains, angina like in character, develop.These develop in young people and workups are negative. Esophageal hypersensitivity has been shown to exist in these cases. Venlafaxine has been shown to help. Continue reading
Severe pain after trivial injuries or surgery has been a fearful hazard. Now Vitamin C has been shown to perhaps prevent pains after wrist surgery Continue reading
Osteonecrosis mandible from mostly IV biphosphamates can be a real hazard in cancer treatments – now it looks like teriparatide – human recombinant pararthyroid hormone peptide 1-34 – was able to help recovery
Even when adjustments made for age, alcohol consumption, prior acute pancreatitis and other factors, smoking comes out as doubling changes of chronic pancreatitis disease Continue reading
Xylocaine 4% eye drops (AstraZeneca) can bring down eye pain in post shingles eye pain from 5.9/10 to 0.9/10 in 15 minutes, and forehead pain from 6.3/10 to 2.6/10. This relief can last 8-96 hours in responders. Continue reading
In cases without complete tears, FIVE weeks of weekly subacromial injections of Hyaluronate was helpful. Continue reading
There have been so many articles describing how shoulder injections fail because they only give one shot. I call this the “One Shot Wonders”. These people would need a medicine man dancing around to get any results because my feeling is that one shot does not do much for anything. Now someone with sense had shown positive results on frozen shoulders with three shots. Continue reading
Women after hysterectomy seem alarmed by bleeding. Yet Cervical Stump symptoms can cause persistent bleeding in 17% in the abdominal hysterectomy(SAH) group and 24% in the laparoscopic group(LSH). Chronic pain issues may not go away.
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An MRI found intraspinous processes bursitis in 8.2% of individuals which could be causing segmental back pain.
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As found in a Canadian survey, staggering proportions of people are suffering from chronic pain, and it gets larger as one gets older – and the women twice as much.
With the loss of height from osteoporosis in the elderly, the lowermost side ribs can rub on the side wing of the hip crest, resulting in was patients describe as back pain. To make things worse, this rubbing restricts walking, making doctors think it is spinal stenosis. The patient then remains in pain and untreated.
