Category: Conditions

Occipital headache

A common type of headache is experienced in the back of the head, often shooting up the scalp and perceived as “back of the eye”. It is important to recognize because there are targeted pain interventional treatments that can be very effective. Occipital headache Occipital headache is headache experienced on the back of the head,…

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Desensitization for neuropathic pain

Because pain is so deeply wired in the brain as a danger signal, patients with pain often avoid touching or using painful areas. However, stimulation & use actually help some neuropathic pain conditions. “Graded desensitization”, by stimulating nerves just enough to be uncomfortable, resets painful nerves in some pain conditions. Beginner Massages Using body lotion, apply…

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Gabapentinoids for pain

For chronic pain conditions, gabapentinoids (gabapentin & pregabalin) are often first-line treatments because of their effectiveness & safety. They bind to a2d which alters activity of calcium channels on nerves, thereby modulating pain signals before they reach the brain. Pharmacology of gabapentinoids The absorption of gabapentin & pregabalin differ. Gabapentin absorption is slow. Beyond a…

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Anti-CGRP therapy for migraine

CGRP plays a key role in central chronic pain by mediating “neurogenic inflammation”. In this process, sensory nerves which usually carry electrical signal from the body instead broadcast inflammatory signals into it. CGRP is the most important of the inflammatory signals. Treating CGRP can be helpful for chronic migraine & pain. Neurogenic inflammation Small sensory…

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Whiplash

A chronic neck pain & headache following rear-ending car accidents, whiplash is often due to widespread minor injuries to neck muscles & nerves. While each injury is negligible in isolation, the pain is severe and persistent because muscle, joint, and nerve pain reinforce each other. Whiplash requires comprehensive treatment with targeted interventions. Whiplash injury The…

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Fibromyalgia

Patients with fibromyalgia experience chronic, diffuse pain across the body, due to exquisitely sensitivity of the brain & spinal cord (“central sensitization”). The keys to relief are prompt diagnosis, interdisciplinary pain care, & not overlooking co-existing pain conditions. Total body pain The best way to describe the experience of fibromyalgia is total body pain including a…

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Lumbar radiculopathy

The vertebrae, which protect the spinal cord and spinal nerves, through daily activities experience normal wear-and-tear. Sometimes this causes slight impingement of nerves, in turn causing spinal nerve inflammation and shooting pain down to the feet. Radiating back pain Back pain that shoots down the leg into some (not all) toes can be due to lumbar…

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