Sunday, September 27, 2009

ABC Unleashed interviews Norman Doidge about "The brain that changes itself"

Dr Norman Doidge, psychiatrist and psychoanalyst from Columbia University discusses neuroplasticity of the brain and his book "The brain that changes itself". He tells us that "neuroplasticity is not a theory. It is a fact." He says that this is cutting edge material and up to now, no government is utilizing this knowledge to help develop health policies. This should not be trivialized. It's time for "out of the box" thinking.

Although this video only briefly mentions neuroplasticity and its part in pain it is well worth watching. The implications for benefits for us go well beyond management of pain and are relevant for all.

Saturday, September 26, 2009

My experience with Yamamoto New Scalp Acupuncture Part II

In my last post My experience with Yamamoto New Scalp Acupuncture Part I I wrote that I've had remission from Yamamoto New Scalp Acupuncture. That was in March 2008.

Three weeks after gaining remission I had an accident in which I ruptured my knee ligaments and broke cartilage. The acute pain and shock immediately caused a return to CRPS symptoms including dysautonomia. This was devastating for me but I held the thought that if I could gain remission once then I could hope to gain it again. I've decided to wait till I recover from this knee injury before I try again.

This is now a repost of my post on 1st June 2009.

Last Friday (29 May 2009) I had the first in a new series of Yamamoto New Scalp Acupuncture. This time the treatment is specifically to try and bring about remission from CRPS/RSD. I'm going on the presumption that the treatment brought remission last time, it should work again.

Immediately I noticed a calming, relaxing of mind and body. I believe this is because the parasympathetic nervous system is activated.

I have the second treatment today(1 June 2009). At this time I have pain lower right quadrant, upper left quadrant and right wrist pain. The upper left pain is caused by inflammation in the intercostal spine area. I 'm also massaging that area with sesame oil followed by a warm heat pack twice a day. Since Friday the pain has eased a little. I'll blog about this as it will be a record for me about the effectiveness of this treatment.


Five treatments over three weeks later.
Those who read my posts regularly will remember that I have been having a series of treatments of Yamamoto New Scalp Acupuncture in the hope of for a second time going into remission from CRPS/RSD.

I've had 5 treatments and am again amazed by the result. At first it was just muscle spasm and a general sense of calm that I noticed. With this went a slight reduction in pain. Each time I'd notice the same thing. The truly amazing thing for me is that I now am not having signs of dysautonomia. This means I am not sweating inappropriately, my heart and blood pressure are normal, my skin is not hypersensitive etc. CRPS pain is gone. I do have other pain due to things such as arthritis from bone changes due to injury. This is annoying but not overwhelming as CRPS can be at times.

This is the second time I have had this treatment that has resulted in remission from Complex Regional Pain Syndrome. Early last year I had remission for several weeks after treatment with Yamamoto New Scalp Acupuncture. Then three weeks later I had an accident in which I ruptured my ligaments and tore cartilage. I had severe acute pain which caused an immediate return to CRPS symptoms.

I plan to be careful and not risk take as I think that I will remain in remission if I can avoid another initiating event.

This is truly an amazing result.

Thursday, September 24, 2009

My experience with Yamamoto New Scalp Acupuncture. - Part I

The first time I had Yamamoto New Scalp Acupuncture (YNSA) was November 2007.
This is a repost of a post I made on 3/3/08.

I've been having Laser Acupuncture for a couple of months. This was releasing muscle spasm, easing symptoms and was calming. However on this visit I'd had a headache for three weeks. I take Vitamin B2 to prevent migraine so this was breakthrough headache, not as bad as acute migraine. My GP was decisive and said that Yamamoto Acupuncture would be best. I was very nervous as I'd heard needles are not advised for people with CRPS. My scalp on the headache side was hypersensitive as was the whole side of my head. He placed one needle on the non painful side and I felt nothing as he inserted the needle, but it was a different story on the headache side. I really felt the needles on that side and was concerned that the pain caused might have made things worse.


This was not the case and withing 30 minutes the headache had gone. It returned briefly later that afternoon and then was gone and did not return.

My next experience with Yamamoto New Scalp Acupuncture was about four weeks ago. I'd made two small cards which involved cutting and fine motor work with my hands. I have a stiff and thick right wrist from the wrist fracture which led to CRPS. I have limited movement in my wrist because of the severity of the fracture which resulted in permanent disability. Fine motor activity appears to cause irritation to the nerves of my right hand/wrist. This is what happened in this case. I had difficulty closing a fist, holding things, squeezing a peg etc. My nerves were firing and my perception of feeling changed in my fingers and hand. The pain traveled quickly to my elbow. Soon my shoulder became painful. Very quickly old pains returned.( You may remember I've mentioned before that sometimes old pains suddenly return.) By the time I went to the doctor I was in a great deal of pain in my right wrist, elbow, shoulder, right leg, foot and left shoulder, back and my chest. My doctor said it was inflammation and that the median and radial nerves were involved and issues stemmed from C1 to C7 in my back. Not being a medical person, I wasn't sure I understood what he meant but I was prepared to trust his recommendation to use YNSA . I'd read about its use and knew it works for neurological problems.

Although I noticed relaxation immediately, I had no miracle cure. However later that evening I was able to hold things with less pain. By the time I saw the doctor a few days later I had noticeable improvement in my hand, but that was not all. The old remembered pains had retreated. Imagine hurting from head to foot and then the pain retreating back first form the extremities. I've been having two treatments a week. Between each treatment I seem to do something which irritates the wrist again so I get better and then slide back a bit. Right now all of the old pains have gone. My hand is painful when I do certain things with it eg turn on a tap. I've irritated the nerves in my hand today by using a pair of scissors. This will always be a problem due to the nature of my injury. The CRPS involvment is the ongoing pain and symptoms and spread of pain to other areas and resurfacing of old pain.

After the fifth treatment the CRPS symptoms had stopped.


But there's more!!!!


Just over a week ago I went to the City. I walked up a hill and was surprised at having no tachycardia, shortness of breath and crushing chest pain. I walked up two long flights of stairs. Usually I struggle. Again no tachycardia etc.

Later that day a poor gentleman was hit by a taxi right in front of us. I saw him fly through the air and we were first on the scene to call for help and administer aid. I had no adrenaline rush, no symptoms, no sweating, feeling feint etc. I was calm. This is how I used to be before CRPS. Those who have followed my journey will know I cannot take medicines because of cardiac complications from a hyper sensitive sympathetic nervous system. Suddenly I d no sympathetic nervous system response. In fact I was very calm.

When we came home I checked my blood pressure. It was normal. I stood up suddenly and took it again. No difference. Usually my blood pressure drops about 20 points when I stand from sitting. My blood pressure appears to be normal and no wild swings.

This weekend I again walked up hills and stairs with no problem. At present my blood pressure and cardiac response have appeared to be normal for a week and a half. This is nothing short of amazing.

What this means is that right now my sympathetic and parasympathetic nervous systems seem to be responding normally. I had come to think this would never be the case and adjusted my lifestyle accordingly. I was not expecting this to happen. The only thing that I am doing differently is Yamamoto Acupuncture. I am continuing treatment and will post again soon about how this is going for me.

Remember this is a repost from 3/3/08

The road to remission from CRPS/RSD.

As many of you will know I am now in remission from Complex Regional Pain Syndrome. Over several years I've used non drug ways to deal with pain and symptoms.

The most significant discovery for me was mirror visual imagery or mirror therapy. I used this to treat single sided pain and flair up of pain and symptoms. It really works. It not only eases and finally stops pain but it also stops other symptoms such as muscle spasm, improving temperature and sweating problems etc. I was able to regain strength and balance and able to do more physical therapy for longer periods. Mirror therapy paved the way for my recovery.

Other things helped calm the sympathetic nervous system. Please refer to my recently posted list, things such as mindfulness meditation and controlled breathing.

However I had whole body CRPS which involved general disturbance of the autonomic nervous system. So I was dealing on a daily basis with pain and the usual CRPS symptoms of temperature changes, hypersensitivity, muscle spasms etc, and I was also experiencing significant cardiac symptoms of atrial fibrillation, crushing chest pain with any exertion, very labile BP with occasional loss of consciousness. Although mirror therapy made a remarkable difference and provided me with the tools to help myself each time I had a major flair, I still had dysautonomia and pain and symptoms to some degree every day. In other words, even though it was a huge help it did not provide remission from CRPS/RSD.

In November 2007 I had my first ever treatment with Yamamoto New Scalp Acupuncture. I am in remission now and have been for three months due to treatment. My next post is a repost of my first experience with YNSA.

Wednesday, September 23, 2009

Oxygen derived free radicals are possibly the mediators of mechanisms leading to some of the neurological symptoms of CRPS

First suggested by Sudeck in 1942, Dutch researchers' studies supported the theory that oxygen derived free radicals are possibly the mediators of mechanisms leading to some of the neurological symptoms of CRPS. They found
  • high oxygen supply with tissue hypoxia in CRPS extremities;
  • a diminished oxygen availability to the skeletal muscle tissue affected by chronic CRPS;
  • and several deficiencies in the skeletal muscles of CRPS sufferers
Studies in Holland have centered around free radical scavengers as treatment for CRPS. There are many ongoing studies with DMSO, NAC in Holland.

This is supported by research in Israel serum and salivary oxidative analysis in complex regional pain syndrome.

Free radicals are atoms or groups of atoms with an odd number of electrons and can be formed when oxygen interacts with certain molecules. Once formed these highly reactive radicals can start a chain reaction. Their chief danger comes from the damage they can do when they react with important cellular components such as DNA, or the cell membrane. To prevent free radical damage the body has a defense system of antioxidants.

Antioxidants are molecules which can safely interact with free radicals and terminate the chain reaction before vital molecules are damaged. Although there are several enzyme systems within the body that scavenge free radicals, the principle micronutrient (vitamin) antioxidants are vitamin E, beta-carotene, and vitamin C. Additionally, selenium, a trace metal that is required for proper function of one of the body's antioxidant enzyme systems, is sometimes included in this category. The body cannot manufacture these micronutrients so they must be supplied in the diet.

Vitamin E : nuts, seeds, vegetable and fish oils, whole grains (esp. wheat germ), fortified cereals, and apricots.

Vitamin C : Ascorbic acid is a water soluble vitamin present in citrus fruits and juices, green peppers, cabbage, spinach, broccoli, kale, cantaloupe, kiwi, and strawberries.

Beta-carotene is a precursor to vitamin A (retinol) and is present in liver, egg yolk, milk, butter, spinach, carrots, squash, broccoli, yams, tomato, cantaloupe, peaches, and grains. (NOTE: Vitamin A has no antioxidant properties and can be quite toxic when taken in excess.)

Research now shows that we can substantially affect the level of anti-oxidants in our bodies by eating fresh fruits and vegetables.

Google "antioxidants for crps" to learn more.

Remember the research about vitamin c's ability to prevent CRPS after some orthopedic surgery!

Preventioning development or complications of CRPS after surgery.

This post is featured in How To Cope With Pain's September blog carnival.

This is of particular interest to me as had this information been known at the time of my wrist fracture in 1998, this simple, inexpensive treatment could have prevented my nines years of pain.

Researchers at Centre Hospitalier, Rue Marcellin Berthelot, 02 000 Laon, France found that the incidence of reflex sympathetic dystrophy was five time times lower in a group give vitamin C orally for 45 days from the start of the fracture. They considered that this supported previous observations and lent credibility to the value of vitamin C administration as a prophylactic measure to prevent the occurrence of reflex sympathetic dystrophy in patients who undergo surgical treatment of a displaced fracture of the distal radius.


In July 2007 the Journal of Bone & Joint Surgery reported that Drs Zollinger, Tuinebreijer, Breederveld and Kreis, Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands had conducted a randomized, controlled, multicenter dose-response study into whether vitamin C can prevent the development of Complex Regional Pain Syndrome in patients with wrist fractures.

The study concluded that Vitamin C reduces the prevalence of complex regional pain syndrome after wrist fractures. A daily dose of 500 mg for fifty days was recommended recommended.

Monday, September 21, 2009

Another look at my list of what works for me to help reduce pain and symptoms of CRPS/RSD.

With CRPS/RSD I have learned to take one day at a time. Many things have helped in in my journey to wellness.

Having breaks between major flare ups is a blessing and an indication that I'm on the right path. Here are some of the things I've found to help with pain and symptoms.

I am a sufferer not a professional. These things work for me about which I am very thankful. If you think something may help you check first with your treating practitioners.

Friday, September 18, 2009

Graded more on limb laterality, motor Imagery, and mirror therapy

Neuro Orthopedic Institute of Australasia has some excellent resources. Click on the links in order to gain a better understanding. Just remember you don't need to believe mirror therapy will work. It's a real, not psychological treatment and creates measurable (with MRI) neural pathways.

Thursday, September 17, 2009

Dr Ilan Lieberman explains how to do mirror box therapy. Recommended

Dr Lieberman talks about various exercises and the ideal method to use when doing mirror therapy. He emphasizes bilateral movements and the importance of pacing.

Find out about your medicines.

The National Prescribing Service of Australia (NPS) has a new website offering. The new medicine name finder works by giving you the active ingredient when you type in the name of your medicine.
  • Step 1 - Type in the name of your medicine.
  • Step 2 - Note the results
  • Step 3 - Now you know your medicine name you can
Print your search results to take to your doctor or pharmacist
Get a down loadable medicine list and note your details
Search for consumer medicine information

While there check out the very good "tools and tips" to the upper left of the site.

Australians should note the free "Medicine Line" number -1300888763
I've used this service when I was taking medication. If you have a symptom you can tell them what medication and natural remedies you use. They look at side effects and possible interactions and advise accordingly. It's an excellent service.

The other number to note is the 24hour medihelp line 1800022222

Monday, September 14, 2009

Pain - the invisible illness

Although some with chronic pain have visible signs such as walking aids, braces etc, most to all intents and purposes look no different from anyone else. This can be both a blessing and a curse. I know that we don't want our pain to be visible to others, but at the same time, the fact of having pain can make every day things so difficult and we'd like others to realize.

I'm in remission now for over 2 months but the memory is vivid. I wrote this short poem I'll share with you.

Wishing and hoping and planning,
Not dreaming.
Watching and waiting and pacing,
Not scheming.
Each time I go out,
Hoping there is no one about.

Wishing and hoping and planning,
To make it.
Watching and waiting and pacing,
Can't take it.
A trip to the shop
Should not be so hard to cop.

But when each day comes
I know I'll be strong
So you won't see

That I'd rather be
Wishing and hoping
And planning and dreaming
Racing , not pacing
I'd be pain free.


Sunday, September 13, 2009

Online courses - keeping the brain active.

There's now so much evidence to support the importance of retraining the brain to help with chronic pain. It's also important, I believe, to keep our brain active. (Let's not also forget the benefits of distraction from pain.) Playing games and puzzles is good. I've read that it's better to vary the activity to keep the experience fresh. Doing new types of things such as studying a language can provide a good brain workout. I'm going to Vietnam later in the year and am trying to learn some Vietnamese. It's been a while since I studied but I'm enjoying being able to take things at my own pace.

I think there's a lot to be said for on line courses as a way of keeping our brains active. I think being able to take things at your own pace is one of the advantages of online courses.
Some online courses that might also challenge are an online accounting degree or an online psychology degree.

NOI Group mirror therapy support.

This simple, quick and effective drug free treatment for chronic pain is gaining momentum world wide. In Australia there is professional training in methods of mirror therapy. Here the NOI Group has ongoing product development to support the mirror work. Watch the Noi Group pod cast of mirror box therapy.

Saturday, September 12, 2009

No one explains mirror therapy better than Neurotropian. - recommended

Matthias Weinberger has the blog Neurotropian. He is a Physiotherapist extraordinaire in my opinion, is passionate about the new science of pain management and promotes awareness and educates in this brilliant blog. Matthias is also a very talented photographic artist. I encourage you to bookmark his site and visit often. I go back and read his posts several times as there is so much information and good sense in them.

Neurotropian blog has a series of invaluable posts about
"mirror therapy". Mirror therapy has been proven to create new neural pathways, retraining the brain, important for those with CRPS. I recommend you watch the video of Ramachandran before Mirror Box Therapy Part I.

  • Mirror Box Therapy Part I describes how easily the brain can be changed by vision. Click on rotating spiral to show you how. He presents the science of "Somatosensory maps being re-modeled so that the pain is gone (forever)" because the brain is restructured. Please note that from my observation, if pain returns as soon as you stop mirror therapy, there may be an ongoing pathology or mechanical problem which needs addressing. Note the fantastic results with Iraq veterans in Walter Reid trials.

  • Mirror Box Therapy Part II talks again of the brain's plasticity. With his gift for making the difficult seem simple Mathias helps us understand just how our brain can change in ways that benefit us.
  • Mirror Box Therapy Part III talks about the virtual body in the brain and distortion of images. In my case if I've had pain for a long time my image of my body part becomes distorted eg I become convinced that my leg is swollen. Measuring shows me that it's not but in my mind it is. Mirror therapy stops the pain and returns the image in my brain to normal. Again this section is interesting and explained in such a way that it is easy to understand.
  • Mirror Box Therapy Part IV specifically talks about CRPS and mentions the limb laterality left/right recognition problem. This is the best explanation I've found about this. In previous posts I talked about Noi Group's Recognize program. I think the cards they now have would have been much better for me as I have a big problem with recognizing left and right hands. This post is devoted to feedback from the body to the brain and is most important. I recommend you take time and read this section.
  • Mirror Box Therapy Part V has some really good links. Hubmed is brilliant. I've bookmarked a number of other links thanks to Neurotopian.
  • Mirror Box Therapy Part VI - as the expression goes "from pain to possibilities". This section is just fascinating. Read it and bookmark "Neurotopian" in your favourites. I'll be checking regularly and hope at some point there will be the opportunity to get updates by email as you can with Blogger.
  • Mirror Box Therapy Part VII covers frequently asked questions. It provides answers about side effects, lengths of sessions, where to get boxes and what to do.

Friday, September 11, 2009

Cheaper mirror boxes - 20% off.

I noticed that Mirror Box Therapy website has mirror boxes on special at the moment.
Only problem is that the discount seems to be for three boxes only. I think this is aimed more at therapists than patients. This then, I expect, would result in a reduced price for patients buying from therapists. However I applaud any effort to reduce the price for patients and promoting this brilliant way of reducing pain.

A little about antioxidants.

Free radicals are atoms or groups of atoms with an odd number of electrons and can be formed when oxygen interacts with certain molecules. Once formed these highly reactive radicals can start a chain reaction. Their chief danger comes from the damage they can do when they react with important cellular components such as DNA, or the cell membrane. To prevent free radical damage the body has a defense system of antioxidants.

Antioxidants are molecules which can safely interact with free radicals and terminate the chain reaction before vital molecules are damaged. Although there are several enzyme systems within the body that scavenge free radicals, the principle micro nutrient (vitamin) antioxidants are vitamin E, beta-carotene, and vitamin C. Additionally, selenium, a trace metal that is required for proper function of one of the body's antioxidant enzyme systems, is sometimes included in this category. The body cannot manufacture these micro nutrients so they must be supplied in the diet.

Vitamin E : nuts, seeds, vegetable and fish oils, whole grains (esp. wheat germ), fortified cereals, and apricots.

Vitamin C : Ascorbic acid is a water soluble vitamin present in citrus fruits and juices, green peppers, cabbage, spinach, broccoli, kale, cantaloupe, kiwi, and strawberries.

Beta-carotene is a precursor to vitamin A (retinol) and is present in liver, egg yolk, milk, butter, spinach, carrots, squash, broccoli, yams, tomato, cantaloupe, peaches, and grains. (NOTE: Vitamin A has no antioxidant properties and can be quite toxic when taken in excess.)

Research now shows that we can substantially affect the level of anti-oxidants in our bodies by eating fresh fruits and vegetables.

Google "antioxidants for crps" to learn more.

Thursday, September 10, 2009

What is the oxygen, free radical connection with CRPS?

First suggested by Sudeck in 1942, Dutch researchers' studies supported the theory that oxygen derived free radicals are possibly the mediators of mechanisms leading to some of the neurological symptoms of CRPS. They found
  • high oxygen supply with tissue hypoxia in CRPS extremities;
  • a diminished oxygen availability to the skeletal muscle tissue affected by chronic CRPS;
  • and several deficiencies in the skeletal muscles of CRPS sufferers.
Studies in Holland have centered around free radical scavengers as treatment for CRPS. There are many ongoing studies with DMSO, NAC in Holland.

This is supported by research in Israel serum and salivary oxidative analysis in complex regional pain syndrome.

Wednesday, September 09, 2009

If you have chronic pain it's important to remember to breathe.

Oxygen, or lack of oxygen is involved in chronic pain pathways. Substance p is one of many neurotransmitters involved in clinical pain syndromes such as Complex Regional Pain Syndrome. Neurotransmitters transmit information across synapses. When released neurotransmitters either help or hinder electrical impulses along nerve fibers.

Substance p's relationship with oxygen deficit is well known. Oxygen deficit triggers the release of substance p. Experiments have shown that decreasing tissue oxygen concentrations increases release of substance p. The amount of substance p is relative to the level of hypoxia or put simply, the lower the amount of oxygen, the higher the amount of substance p.

It is already known that tissue hypoxia and an increase in skin lactate levels occur in Complex Regional Pain Syndrome. Oxygen free radical scavengers such as vitamin C reduce the pain of CRPS and bring about local oxygen homeostasis, inhibiting the release of substance p. Topical capsaicin (made from chillis) cream inhibits the release of substance p by increasing oxygen delivery. I use capsaicin cream, however some research has shown that there is no difference between placebo and capsaicin cream. Both reduce pain. (I'll write about placebo in another post.) This, in essence, is merely a simplified explanation. Majid Ali's "Oxygen view of pain" explains more.

Dr Majid Ali recommends what he calls limbic breathing which he describes as a "vigorous type of breathing with a long out breath". My physiotherapist and my integrative medicine doctor also recommend a the type of breathing where the out breath is longer or twice as long as the in breath. This type of breathing, I believe, activates the parasympathetic nervous system bringing about a sense of calm and thus helping us to better
cope with pain. Now I also realize that this style of breathing has the added benefit of encouraging increased oxygen intake.

For chronic pain sufferers it's important to remember to breathe.

Sunday, September 06, 2009

Vitamin B2 (Riboflavin) has been shown to prevent migraine.

Migraine is believed to originate from inflammation of blood vessels in the brain. Theories about the exact cause of inflammation range from nervous system malfunctions to an imbalance of certain chemicals in the brain.

I've had migraines for over 40 years. When I was told I could no longer tolerate medications my specialist told me about this study. He suggested I take B2 at the recommended dosage in the trial. However I've found that 150mg per day prevents migraine for me. If I forget to take it for 48 hours I get a raging migraine. My doctor also said that if I get a headache or breakthrough migraine then I should sip dark grape juice. Dark grape juice is Riboflavin or vitamin B2. This actually lessens the intensity of a migraine and settles the nausea. However prevention is the way to go for me. .

Remember always to check with your treating professional before trying something new. Sometimes things such as vitamins do not go well with other things people take.

A study using vitamin B2 (riboflavin) to prevent migraine - published by Pub Med- investigated the effect of high-dose riboflavin on migraine frequency, duration, and intensity.

Participants suffered fewer migraines and those they had were of shorter duration.


Friday, September 04, 2009

YNSA points for CRPS/RSD

To the left of this blog I've created a section for links to research. At present there are links relating to Yamamoto New Scalp Acupuncture. Today I'd like to draw your attention to a link to a website ynsacupuncture.
This site offers a clear description of Yamamoto New Scalp Acupuncture and how it compares and is different from Chinese Scalp Acupuncture.

Of specific interest are these two pages which mention points used for the treatment of
Regional Pain Syndrome -
For the upper extremity
and
Complex Regional Pain Syndrome -For the lower extremity

If you are interested in this treatment I encourage you to read the research and case studies.

Yamamoto New Scalp Acupuncture

"Medical Acupuncture", a Journal by Physicians for Physicians in Vol 15#1 has a report on Affectiveness of New Scalp Acupuncture (YNSA) for relief of Pain of the Locomotor System: an Open, Prospective Topometrically Controlled Study by Thomas Schockert, MDPublish Post
Professor G√ľnter Schumpe, MD
Claudia Nicolay, MS.


What is remarkable about this study and gives credibility is that it "was performed purely for scientific reasons and did not receive financial funding from any source".

This study was undertaken because it has been observed that immediately after Yamamoto New Scalp Acupuncture (YNSA) treatments, many patients experienced long term absence of symptoms.The trial examined results after a single treatment with the aim to examine the speed of relief and length of time the relief lasted.

"YNSA seems to be a therapeutic method capable of erasing pain memories rapidly and sustainably."
"New research findings on so-called pain memory (the new science of pain I have mentioned before), which is generally established in patients with chronic pain, provide reasons why a single, short-term application of YNSA can effect elimination of symptoms lasting (in this trial) up to 382 days."











































Thursday, September 03, 2009

This makes interesting reading.

On the topic of prescribing drugs this post at PsychCentral makes interesting reading, "A How-To Guide To Getting Doctors To Prescribe Your Drug".

Misbranding of pain killers - can it risk lives?

September, 2009 the Guardian in the UK had an article about the major US Drug Company Pfitzer. "Record lawsuit punishes misbranding of painkillers."

The biggest criminal fine in US history reflects the seriousness of this offense.

Some of the medicines linked to the scandal are the pain killer Bextra," the anti-psychotic drug Geodon, as well as the antibiotic Zyvox, and a treatment for epilepsy, known as Lyrica."

In 2004, the Sanfrancisco Chronicle reported that a division of this same company, Pfitzer, the world's largest drugmaker, has agreed to plead guilty to two felonies and pay $430 million in penalties to settle charges that it fraudulently promoted the drug Neurontin for a string of unapproved uses"

"In a written statement, Pfizer said the illegal practices took place before Pfizer acquired Warner-Lambert in 2000.

"Pfizer has cooperated fully with the government to resolve this matter, which did not involve Pfizer practice and employees,'' the company said. "Pfizer is committed to compliance with all health care laws and FDA requirements and to high ethical standards.'''

Note Pfizer said in 2004 that it was "committed to high ethical standards".

Heaven help us if they weren't so committed!

This is another massive betrayal of trust. Patients have no choice but to trust their doctors. Doctors need to feel that what they are told about the drugs they prescribe is the truth. Doctors need to feel that they can trust this information provided by drug reps and at conferences etc is accurate and appropriate.

All this is making non drug treatments seem even more appealing.


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