Recently, I have been lucky enough to achieve control of a very bad headache sufferer using some advances I read. Using higher strength lidocaine; and frontally, pinpoint near nerve foramen injection for supra and infraorbital nerves. Recently an article found 9 mls of 1% lidocaine with 1 ml triamcinolone 40 mg (increased volume) helped 9/10 cluster headache, as well
Continue reading “Tips to Make Nerve blocks Help Headaches More – and Cluster Headache Injections”
Bone marrow edema (BME) is cropping up in MRI image reports and can be harbingers of subsequent cartilage loss where it occurs – though some can progress to frank bone osteonecrosis. Clinically, the presence of knee effusion make BME 77.9% likely.
Continue reading “Knee joint Swelling Suggests Potentially Treatable Bone Marrow Edema”
Gram positive bacteria in prostatic secretions of patient with male chronic pelvic pain syndrome – inoculated into uretra of rats can induce chronic pelvic pain in them.
Continue reading “Chronic Prostatism Pain Could be Colonization of Painful Bacteria”
Analysis of 348 participants found “coronal caries, root caries, tooth root remnants or ulcers were present in 50.3%” and of those well enough to express themselves, 25.7% reported Orofacial pain. This means that elderly are left to rot ( at least their mouth’s) in nursing homes.
Engineered monoclonal antibody proteins that often bind to T cells or other structures to modify disease called “mabs” because their name ends with it – are becoming popular. Crizanlizumab was engineered to bind to anti-P-selectin as a monoclonal antibody. 28% were event free on the medication versus 4.2% on placebo. Worse cases (high prior number of vaso-occlusive crisis, concomitant hydrourea, and/or HbSS genotype benefited most.
Continue reading “Sickle Cell Crisis – New Agent Crizanlizumab”
A recent review concludes it’s the result of an infectious or inflammatory condition. It also refers to fact steroids are the mainstay of treatment
Continue reading “Sudden Unilateral Deafness – Get on Steroids ASAP”
Article presents 10 cases of chronic pelvic pain after C section that resolved with lysing adhesions of uterus to abdominal wall. – called it the “Captive Uterus”
Continue reading “Could Pelvic Pain After C-Section Be Adhesions to Abdominal Wall?”
Exposure to aluminum is high (they even use it in water purification plants). In recent years, IBS and IBD have increased. Now, 2 studies in mice have shown increased visceral pain sensitization in keeping with usual human exposure of aluminum.
Continue reading “Bowel Pains – Could It Be Aluminum Exposure?”
This condition occurs in patients that undergo breast cancer surgery with axillary lymph node dissection. Tight strands that develop in axilla and down arm occur in 6% to 86% cases following breast cancer surgery. Confusingly, superficial nodules can be sometimes felt in axilla but they are not cancerous. I had a recent case that was concerned.
Continue reading “Post Breast Cancer Surgery Axillary Web Syndrome Lump Confusions”
2 hour session of patient education did not help pain at 3 month followup.
Continue reading “Does Intensive Patient Education Help Acute Back? – No”
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