Archive for 'pain treatment'

Compounding Pharmacy

A compounding pharmacy is able to create a customized medication for you. Your doctor can order almost any medication at any strength, various types of administration (cream, capsule, dissolvable tablet, liquid, etc.) and use various fillers/vehicles.

We commonly use a compounding pharmacy to create low dose naltrexone. Naltrexone is commercially available at 50mg, but we often start our patients at 0.1mg. Therefore, a compounding pharmacy can create pills of 0.1mg of Naltrexone, and dispense these pills to our patients so we know that they are taking the correct amount.

 

Compounding pharmacies go through rigorous testing to make sure they are creating the correct dosage of medication in a sterile setting.

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Patient Story – Meet Joe

I met Joe, a 43 year old male, who suffered from bilateral (both) shoulder pain for 2 years. He had tried trigger point injections, botox injections, radiofrequency ablations (burning of the nerves), and even surgery, all without relief.

I started Joe’s treatments with photobiomodulation (also known as low level laser therapy) with resultant 50% relief in pain. Then, I treated specific muscles I identified as a source of pain – Serratus Anterior, Subscapularis, Latissimus Dorsi, and Levator Scapula – with muscle-tendon injections followed by three days of physical therapy.

 

I followed Joe for six months following the end of the treatment. Joe’s pain went from an 8/10 to a 1/10, and he reported no interference in his activities of daily living. He was even able to resume running, and stopped all pain medications without any return of his pain.

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Is access to your medical records a good thing?

More and more doctors are transferring their records to an electronic format. One electronic medical records software, OpenNotes, allows patients to view their medical records online as well. Does having this information mean better care for a patient?

The New York Times published an article about one patient, Steven Keating, who benefited from the ability of seeing his medical records. In fact, because of this, he was able to push his doctors to perform an MRI of his brain, which revealed a brain tumor the size of a tennis ball.

In other cases, having this unfiltered information may create unnedatacessary concern and anxiety. For example, if one of your blood levels isn’t within the “normal range,” what does this mean? Most people would probably run to their computer and search “abnormal blood level for _________” and get countless different possible diagnoses….most of them serious, and probably not related to your “abnormal” blood levels. Results of imaging studies, such as x-rays and MRIs may also appear to be serious when they are actually only reflecting the results of age and normal wear and tear.

Just having raw data and unfiltered notes is not generally useful and can be harmful. If you are going to get your notes, make sure to discuss your concerns regarding what you read with your physician.

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NORMAN MARCUS PAIN INSTITUTE
30 East 40th Street - New York, NY 10016
Tel 212-532-7999 Fax 212-532-5957
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