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Search Results for: pamidronate
Chronic Back Pain – Antibiotics and Pamidronate +/- Steroids
Now that it looks like Rheumatoid Arthritis could be infection driven, the benefits in a study of Clavulin (amoxicilin + clavulanic acid) needs revisiting. It has been know for a long time that certain antibiotics have “anti-inflammatory properties”. Now it … Continue reading
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Pamidronate Works Again in the Back – This Time For the Worst – Spinal Stenosis
Spinal stensois is a horrible disease often thought that surgery is the only outlet (though steroid blocks might have some “limited” effect). Now again pamidronate has been shown to stem tide of pain with a mean improvement of 40%. Not … Continue reading
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Pamidronate in Severe Knee Pain
Filling in my contention that pamidronate is very useful in Complex Regional Pain Syndrome, is an older article using it for CRP of the kneecap.
Posted in complex regional pain, Drugs, Knee
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Treatment of Resistant Osteitis pubis with Pamidronate
Back in 2001, 3 subjects with resistant osteitis pubis had monthly infusions of 60 mg pamidronate – one for 3 months and 2 for 6 months. Two had no known cause and one had inflammatory arthritis. All recovered and had … Continue reading
Posted in groin pain
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Unresectable Painful Bone Cysts – IV Zoledronic acid For Adults and IV Pamidronate For Children Gives Rapid Relief
Painful large and unresectable bone cysts responded rapidly to IV biphosphonate therapy within first cycle in 88% of cases. Adults received 4 mg of Zoledronic acid (Zometa®, Novartis), and children got IV pamidronate 1mg/kg. Zoledronic acid, if more than one … Continue reading
Posted in Back Pain, children, Drugs, Hip Pains, IV therapy
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Chronic Back Pain May Be a Pamidronate Infusion Treatable Disease – And Why Did It take 10 Years to Replicate That?
For Chronic back pain – Pamidronate 90 mg diluted in 250 mls saline and given over 4 hours – initially and in 4 weeks resulted in 85% getting 100% relief at 6 months versus very little response in the placebo … Continue reading
Posted in Back Pain, Drugs, IV therapy, pain mechanisms, Sask Pain Advice
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Pamidronate Works Again – For Childhood Leg Pain – Complex Regional Pain
Pamidronate has been show to work in Complex Regional Pain – Often triggered by fractures. Now severe pain after a leg fracture was helped by pamidronate in a child
Posted in complex regional pain, Drugs
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Pamidronate and Clodronate – hope for CRPS and Back Pain
Pamidronate can significantly help over 3/4 of RSD and reduce chronic back pain through a series of simple infusions. It is expensive and because of a poorly designed negative study, has not reached full acceptance for the good it can … Continue reading
Posted in complex regional pain, IV therapy, neuropathic
12 Comments
Celine Dion Should Not Have to be Disabled
Diffuse idiopathic skeletal hyperostosis (DISH) disability should be ameliorated, by use of IV pamidronate, Vitamin D 3 4000 u/day and methyl f0rm B12 3000 mg/day. HCG shots are helpful. Mood could be relieved with Transcranial magnetic stimulation and hyperbaric oxygen … Continue reading
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Spinal Stimulation Not Working For Pain – Option of Adding Dorsal Root Stimulation to Save the Day
Spinal cord stimulation is often used as a last resort. To start with, that is a mistake. Dr. K Kumar pioneered efforts to use spinal stimulation: Here is a list of some of his articles: https://scholar.google.ca/scholar?q=Kris+Kumar+spinal+cord+stimulation&hl=en&as_sdt=0&as_vis=1&oi=scholart I have been practicing … Continue reading
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My College is a Pain in the Ass – My Reply to Them and Why They No Longer Call Themselves “Educational”
Our medical college has taken upon themselves the task of antagonizing doctors to point many clinic will no longer even prescribe opioids. They called their program “educational” but demanded doctors respond to them is 2 weeks or else face discipline. … Continue reading
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What is Time Course of Vertebral Fracture Pain?
At least in low back, it looks like after 3 months, it gets as good as it gets.. Almost 1/3 might end up poorly so thoughts of IV pamidronate or vertebro/kypho plasty might need consideration.
Posted in Back Pain, osteoporosis
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Epidural Steroid Injection – Pain on Lumbar Extension Determines Extent of Benefit
In Chronic Low Back Pain and Radiculopathy (sciatica) epidurals are used with varying success. “The mean length of relief duration is 38.37 weeks for individuals without painful lumbar extension and 14.68 weeks for individuals with painful lumbar extension.” CONCLUSIONS:: The … Continue reading
Posted in Back Pain, Injection
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Chronic Back Pain Is a Painful Vertebral Body Problem
One study demonstrates that chronic back pain is associated not so much with plain disc degeneration but with disc degeneration combined with end plate or vertebral body schmorl nodes. Another study found that people with back pain and modic type … Continue reading
Posted in Back Pain, Injection, Insurer issues, pain mechanisms
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Lumbar Spinal Stenosis – German View
With a recent negative American view, it is nice to have a more encouraging German perspective. Though 2/3 go to surgery, 1/3 can be managed with physiotherapy, cycling exercise, psychotherapy, and injections – epidural, paraspinal, facet and sacroiliac.
Posted in Back Pain, Injection
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Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls
I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.
Obscure Groin Pain Could Be Lumbar Disc Even if Back Not Painful
Five cases of groin pain that refused deliniation and had NO back pains. They all turned out to be L4/5 or L5/S1 disc pain found on discogram/discoblock. They all got relief with anterior intrabody fusion.
Posted in Back Pain, central & spinal, neuropathic
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Severe Neuropathic Pain – Only 1/4 Respond to Standard Drug Protocols – What Else Is There?
Presentation at Canadian Pain Society Winnipeg 2013 found only 23.7% of severe neuropathic pain victims responded to Canadian Pain Society drug protocols for neuropathic pain. It is time to look outside the box for treatment measures.
Posted in Drugs, Fibromyalgia, Injection, IV therapy, Manual Med, myofascial pain, neuropathic, Pain Dystrophy, piriformis
9 Comments
Confirmed Again – Biphosphanates Work In Complex Regional Pain
Over and over again Biphosphonates have been shown to help CRPS except one study that only bothered to give one infusion. A new agent not yet available in Canada, Neridronate, at 100 mg given FOUR times over 10 days was found to … Continue reading
Posted in complex regional pain, Drugs
2 Comments
Chronic Neck and Back Pain Might Be a Treatable Infection
Since 2001, there have been case studies showing you can grow low grade anaerobes out of damaged discs; these ignored as contamination or incidental because some studies did not find any infection. Now it appears that those with positive cultures are 5.6 times … Continue reading
Posted in Back Pain, Neck
2 Comments
Chronic Facial Pain Needs Help
Is there anyone who can help me, please??? I am a 49-year-old woman who was diagnosed with an infected dental implant almost 3 years ago. Unfortunately, the Oral surgeon who removed the infected 3rd molar implant & cadaver bone in … Continue reading
Posted in Trigeminal Neuralgia
7 Comments
Treatment Plan For Fresh Osteoporotoc Compression Fractures
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 … Continue reading
Posted in Back Pain, Injection, Mechanical aids, neuropathic, osteoporosis, Stimulation
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Sacral Insufficiency Fractures – Hard to Make – a Possible Examination Technique
One elderly lady, I recently saw, fell and multiple fractured her left humerus. Was seen, put in a sling, kept briefly in hospital and discharged. Because she could not walk, she was reassessed and found to have a pubic ramus … Continue reading
Posted in Back Pain, osteoporosis
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Actonel Improves Osteoporosis Back Pain Without Fracture – on 5 mg/day
In Osteoporosis, not only did Risedronate 5 mg/day cut back pain to 1/3 in 4 months, it cut the disability rating in half – despite the fact there were no fractures.
Posted in Back Pain, osteoporosis
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Sore Pubic Joint – Osteitis Pubis How Does One Treat It?
Article in press reviews literature and treatment measures for osteitis pubis
Posted in groin pain
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