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Channel: RSD – Pain Management Specialist in San Diego & La Jolla
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Low Dose Naltrexone “LDN” and Dextromethorphan off label for Pain, RSD,...

· Low Dose Naltrexone · Low dose naltrexone, or LDN, has been prescribed “off label” for persons with many conditions including intractable pain, chronic fatigue syndrome, complex regional pain...

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Ketamine

Ketamine for persons with severe pain In special circumstances, I may suggest a trial of low dose oral ketamine. It is formulated by a compounding pharmacist as an oral suspension. It is safe to use...

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RSD – Complex Regional Pain Syndrome – A Case Report

~~ Rational Polypharmacy Naltrexone is a remarkable drug for intractable pain ~ I first saw this RN in June 2006. ~~ She is now 60 years old.  She was an OR scrub nurse for almost 30 years, but was...

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LDN World Database – Low Dose Naltrexone

~ ~ This is a database of persons who have tried low dose naltrexone, their diagnosis, dosage and response to it, if any. The database lists many different medical conditions. ~ For example, persons...

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Pain and the Immune System – It’s Not Just About Neurons – Naltrexone

~ The Immune System and Pain ` There is a whole new way of thinking of about pain that has nothing to do with pain being transmitted by nerve cells in well defined nerve pathways. ` In the last few...

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Ketamine Intranasal for Rapid Relief of Pain and Depression

~ Poorly managed pain can evolve into chronic disease of the nervous system ~ Ketamine is an important analgesic, more important than opioids. It can dramatically reduce pain, and rapidly relieve...

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CRPS Two Years, Pain Free on Low Dose Naltrexone

. . Girl with CRPS cold type two years, pain free on naltrexone 3 mg . KR, 17 year old seen 11/4/11, with Complex Regional Pain Syndrome [CRPS] involving left lower limb from foot to hip, onset 3/09....

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RSD, Complex Regional Pain Syndrome – a case report

. Severe Pain for Three Years,  80% better in 10 days . “This has been life altering.” . This is a very bright young woman who was an all state volleyball player until onset of Complex Regional Pain...

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Ketamine IV vs Nasal Spray or Sublingual

. . Patients ask me to compare IV ketamine to other routes of administration such as intranasal or sublingual. No one has done comparisons. Even if they had, every person is different and may have...

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RSD/CRPS, Multiple Sclerosis, LDN & Ketamine

……… . It is rare for me to see a patient who is not complex. They have failed so many treatments for so many years before they call. . This is the report of a lovely woman in her early 70′s with...

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Spinal Cord Stimulators

For some reason my two browsers do not show the comments sent to this post, below, and therefore I am posting them now. I would emphasize the last comment by a very experienced nurse who has seen many...

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PeaPure – Palmitoylethanolamide for Nerve Pain or Migraine

.. PeaPure is a glial modulator. It is available in Italy and the Netherlands as a food supplement and has been studied in multicenter clinical trials in Europe for several years. It is well tolerated...

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Complex Regional Pain Syndrome – Review of Inflammation & Meta-analysis

. . Neurology, the journal of the Academy of Neurology, has published “Inflammation in Complex Regional Pain Syndrome, a systematic review and meta-analysis” on July 1, 2013. . The study was supported...

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Treatment for Pain Could Last Months: Botox & Tetanus Chimera Injection

. . Professor Bazbek Davletov now at Sheffield University, UK, reports his research that is featured on the cover of the October 2013 journal Bioconjugate Chemistry. He hopes the drug will cost around...

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Low dose naltrexone (LDN), novel anti-inflammatory treatment for chronic pain

. . A review of the clinical use of low dose naltrexone appeared today by Younger, et al. from Stanford (see e-Pub below). . Naltrexone is one of the most important medications I have prescribed, alone...

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PEA Palmitoylethanolamide –“Glia & Mast Cells as Target, An Anti-Inflammatory...

. Another oustanding article on palmitoylethanolamide “PEA.” I have seen profound results with it relieving intractable neuropathic pain in a woman with CRPS for years, and I suspect it may help Major...

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Radical experiment in managing pain without narcotics – Validation of years...

. Read this story in the New York Times Business Day, May 10, 2014.   . It is the story of one veteran who had severe injuries. His wife now says when she sees other patients: “I can go in there and I...

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Bisphosphonates for Pain – Back Pain, CRPS Pain. Have You Received...

. . Bisphosphonates have been used for treatment of pain. . I have reviewed a few studies on pamidronate infusions for pain,  below. . Based on these small studies, there is a growing rationale for use...

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Dystonia with CRPS – Intrathecal Baclofen Training Needed

. . .People . People with Complex Regional Pain Syndrome (CRPS) may develop dystonia, which is a twisting, perhaps crushing, movement of the hands and feet, spine, muscles. That is called dystonia and...

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Norway Prioritizes Healthcare for Pain – A Note on Cosmetic Breast Surgery

. . . Hello Norway! I need an emoji to smile welcome! Population 5 million – therefore data on pain can be obtained . 534 readers on these pages from Norway in the four years since 2012 got me curious....

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