Post breast surgery paraspinous blocks reduces breast pain issues by 56% at 6 months.
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Another Cause of locking knee -A new anterior inferior coronal patellar plica
It has been recently demonstrated that finding of locking and giving way do not delineate a cartilage tear:
September 9, 2018
Knee Meniscus Signs Do not Help in Diagnosis
https://newpainmuse.org/2018/09/09/knee-meniscus-signs-do-not-help-in-diagnosis/
To emphasize that they state ” clicking, giving way, and pseudolocking have been reported in approximately 50% of all patients who present with a painful medial plica irritation.”
This is one previously unidentified disorder that can cause recurrent painful locking.
Continue reading “Another Cause of locking knee -A new anterior inferior coronal patellar plica”
Going All Out for Headaches -Post dural RX with Occipital and Sphenopalatine Blocks
Post dural headache not treated with patch because of recent lyme disease. Instead they did bilateral lesser and greater occipital Nerve blocks and bilateral sphenopalatine blocks (SPB) with good effect.
L-Carnitine Surprise Benefits in Post Stroke and Creatine for Statin Myopathy
L- Carnitine up to 3 gm/day was used in a post stroke victim with leg pain and wasting. It attenuated both. CK levels rose when she spotted the L carnitine. In a separate study, creatine 5 gm/day prevented statin myopathy pains.
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Posteromedial Knee Friction Syndrome
In 2015 a new knee syndrome was discovered – causing pain on the posteromedial femoral condyle (PMFC) . It was identified by the MRI cases of edema between the PMFC, sartorius and/or gracilis tendons. It is confused with medial cartilage tears.
50% Reduction in Migraines by Occipital Nerve Blocks
There are now 4 different reports demonstrating good results form nerve blocks for headaches – they are separated into groups. Using 5-10% lidocaine helps but not all that safe in elderly.
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TMJ Prolotherapy Results Depend on Injection Site
Injecting 25% dextrose into various locations in TMJ joint (superior joint space, inferior joint space, retrodiscal tissue, and anterior capsule) X 4 they were able to determine place for best injections. For clicking reduction and reduced derangement – retrodiscal injection was best. For relief of pain – retrodiscal or inferior joint worked best.
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Honey as a Wound Dressing
In Oral Cancer surgery, contamination with saliva creates hard to heal wounds. Add MRSA staph infection and it is worse. Use honey and problem disappears and all MSRA cases were easily managed.
Valproate In Female Migraines – Deadly
I have cases with severe migraines and repeated kidney stones that precludes topiramate. Use of Valproate would help the migraines but can cause severe deficits in a fetus. European agencies are calling for more extensive restrictions on its use in women.
How Much Pain Relief From Marijuana?
Analysis of 2,830 cases found a 2.8 – 4.6/10 reduction of symptoms ranging from pain, anxiety and depression
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