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Search Results for: microscopic colitis
Microscopic Colitis – Undiagnosable Pain Generator?
There is a growing awareness that colitis can occur without any observable lesions on colonoscopy. Microscopic colitis is occasionally associated with spondylitis and may be associated with myofascial back pain by activating psoas and abdominal wall spasms. How then does … Continue reading
Posted in Abdominal pain
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Celiac is More Painful Than Thought – and What Does That Mean?
In seeing new pain patients, I became painfully aware that Celiac or at least gluten sensitivity has a definite presence- so much so that I always looked for it. Now, it looks like “anybody is fair game” now that even … Continue reading
Posted in Abdominal pain, celiac, Fibromyalgia, Leg Pains, neuropathic
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When Irritable Bowel is not Irritable Bowel Syndrome (IBS)
Had patient in today with dark blood stools previously diagnosed with Irritable bowel but more much likely now colitis. Had another case recently worked up by a gastroenterologist with nothing organic found – yet fact subject eats a lot of … Continue reading
Posted in Abdominal pain
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Fibromyalgia – Responses to Methotrexate and Steroids
Old McGill study found initial impressions of doctors and rheumatologist were wrong 2/3 of time and in particular inflammatory arthritis cases are missed. Fitzcharles, M‐A et al. “Inaccuracy in the diagnosis of fibromyalgia syndrome: analysis of referrals.” Rheumatology 42.2 (2003): … Continue reading
Posted in Fibromyalgia
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Monotherapy Mediocre in Treating Fibromyalgia (FM)
New Acceptance and Commitment therapy – 8 sessions of 2.5 hours reduced pain by 20% in 1/2 cases but only 50% in 1/48 cases. Fairly maximal drug therapies with pregabalin +/- Duloxetine alone was not great
Posted in Fibromyalgia, psychology
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Diabetic Have More Muscle Pains
Diabetics are 1.6 times more likely to have chronic musculoskeletal complaints yet in non-diabetics, a high random glucose is associated with less complaints.
Posted in myofascial pain, neuropathic
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Irritable Bowel – Possible Missed Protozoan Disease With Treatment
It has been known for some time that bacterial overgrowth is a common cause/aggravation of irritable bowel. Now further concern Blastocystis Hominis and Dientamoeba fragilis infections are not being reported because labs are restricting their search for Amoebiasis and Giardiasis … Continue reading
Posted in Abdominal pain
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The Pain Diagnosis that Cannot be Made in Women – Spine Arthritis – Ankylosing Spondylitis
A recent study found doctors had a poor knowledge of the features of Ankylosing Spondylitis (AS) which is why only 6% of women with this disease are properly diagnosed by GP’s. This will mean women with active spinal arthritis might … Continue reading
Posted in arthritis
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Restless Legs and Interstitial Cystitis Related to Gut Bacterial Overgrowth?
In those patients with Irritable bowel and restless leg syndrome, significant benefits can occur if therapy to treat bacterial overgrowth is undertaken