Rose, Nicholas E., Scott K. Forman, and A. Lee Dellon. Denervation of the lateral humeral epicondyle for treatment of chronic lateral epicondylitis.The Journal of Hand Surgery 38.2 (2013): 344-349.https://www.sciencedirect.com/science/article/abs/pii/S0363502312015535 •Tested by nerve block 4 cm proximal to the lateral humeral epicondyle. •Nerve was microdissected , transected, and “buried within the lateral head of the triceps […]

While on holidays, I spent 15 minutes sorting out a pair of Z-coil shoes with customer support just to find out my visa card did not go through because of fraud alert. It felt like a slap in the face. I spent 1 hour on line with CIBC only to be transferred to a manager […]

I often will use 5% lidocaine for its semi-neurolyic effects to knock out muscle triggers but worry about potentially weakening the muscle. In areas where muscle strength is imperative like some cases of neck and shoulder pains, I will dry needle instead. Now, in a case of shoulder pain, it was shown that dry needling was associated with increased muscle thickness so obviously not causing muscle weakness.

There are now medications for high risk or unvaccinated patients; I will not go into them. I will discuss other medications I have put in place for myself (71) and vaccinated. Sorry, Ivermectin (horse dewormer) is not on my list. They include vitamin D 50,000 u/day, fluoxamine 50 -100 mg twice daily, colchicine 0.5 mg twice daily, and L-arginine 1000 mg three times daily.

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Demonstrated in mice, inhibition of spinal microglia and reduced spinal inflammatory response to spinal botulinum in sciatic nerve damage scenario. Might this offer scenario for pretreatment on surgical procedures in given peripherally?

Putting a probe up epidural canal, pulse radiofrequency for 240-360 seconds, and then withdraw catheter can give 50%+ VAS pain drop lasting 1- 3 months. It may stand as an alternative to Steroids or Midazolam epidurally.

Nonspecific Low Back Pain (nsLBP) is the bane of human and has a lifetime prevalence of 70%. New treatments are welcome though results are confusing.

Melatonin can induce sleep and reduce cortisone stress but this was done in Zebra Fish… Lunkes LC, Paiva IM, Egger RC, Braga WF, Alvarez-Leite JI, da Cunha Barreto-Vianna AR, Murgas LDS. Melatonin administration attenuates acute stress by inducing sleep state in zebrafish (Danio rerio). Comp Biochem Physiol C Toxicol Pharmacol. 2021 Apr 7;246:109044. https://pubmed.ncbi.nlm.nih.gov/33838315/ “Melatonin […]

Am J Emerg Med. 2021 Mar;41:84-89.doi: 10.1016/j.ajem.2020.12.066. Epub 2020 Dec 28.Is “pain before vomiting” useful?: Diagnostic performance of the classic patient history item in acute appendicitisToshihiko Takad et al Comment – Finding pain before vomiting helps with the diagnosis but can miss 5/6 cases if absent.