It has been bandied about for years that IV steroids might effect relief in sciatica. Now it looks like little benefit –  though if they did the stats right, they could show a little on day three.

Continue reading “IV Cortisone For Sciatica Not Great”

Usually 60% of subjects will respond to steroid epidurals. However, in one study, if subjects were depressed, then on 1/5 cases responded. Why?

Continue reading “Cervical Epidural Steroid Might Be Waste of Time If Depressed?”

European guide lines have been published and since it is the first of its kind, I have presented them here:

Continue reading “How to Handle Early Pelvic Fractures”

Practical advice was so compelling had to summarize it. Best get the full article though.

Continue reading “10 Tips on Spinal Tumors for Palliative Care”

Chronic prostatism causes chronic pelvic pain and voiding issues that are chronic and pervasive with little relief beyond alpha blockers like tamsolusin. Now tadalafil (trade name Cialis) 5 mg daily can reduce symptoms by 60% in one month and more from there.

Continue reading “Easy Fix for Chronic Prostatism – Chronic Cialis”

A review of 28 studies found 10 -20 mg injected in small joints with Triamcinolone the superior product. PM R. 2018 Oct 6. pii: S1934-1482(18)30981-X. doi: 10.1016/j.pmrj.2018.09.040. [Epub ahead of print] The Effectiveness of Injected Corticosteroid Type, Dose, and Volume for the Treatment of Pain in Small- and Intermediate-size Joints: A Systematic Review. Cushman DM […]

Reading through a German review of CRPS some simple measures became obvious -Prednisone, Alendronate, high dose Gabapentin,  DMSO, and Ketamine

Continue reading “Simple Measures in Early CRPS”

Injecting 2-3 mls of Platelet Rich Plasma obtained from 10 mls of blood into medial and lateral facets of ischial tiberosity helped relieve hamstring tendonitis better than triamcinolone 40 mg.

Continue reading “Hamstring Insertion PRP Helpful”

We have had snow and cold weather past week. Over past 2 days, I have seen 4 quadratus lumborum based back pains responding to treatment based to it. None would have been better with usual physio for non-descript back pains. Have to think, cold weather causes this problem to surface.

Continue reading “Why All the Quadratus Lumborum Back Pains and How I Treat It”

Vasodilation (induced by increased carbon dioxide) and increased oxygen can abort migraine in aura stage. Using a device that makes you rebreathe your air so you get increased CO2 in blood can can vasodilation in the vasoconstrictive phase of migraine aura. Ensuring adequate O2 inhaled can increase blood flow and oxygenation to brain and aborts headache in maybe 2/3 cases.

Continue reading “Migraine with aura Helped by High CO2 and Oxygen during aura”