Tag Archives: central pain

‘Central Pain Syndrome’ (CPS) — I Got THIS e-Mail About My CPS Book.

by Anura Guruge



Every once in a while I get an e-mail like this or someone leaves a review.

This is what makes it ALL WORTHWHILE.

I write to share knowledge with others. E-mails like this make me happy. SMILE.

This is the book she is talking about. It is available in PRINT & as an Apple, Android or Kindle eBook.


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by Anura Guruge


Dr. Guannan Ge, Dartmouth-Hitchcock (Lebanon), The BEST Pain Doctor In New Hampshire?

by Anura Guruge


Click to ENLARGE & read here. You can find her at: dartmouth-hitchcock.org.


I think so.

We met with her this morning, in Lebanon. NO. Not for I. For the wife. She had been referred to her.

When I read her bio — above — I just couldn’t believe what I was reading. Sounded true good to be true. The type of doctor I had been hoping to someday find.

Well, she proved to be as GOOD as what she claimed in the bio — if not better.

IMPRESSIVE.

Young, but sure knows her stuff. Confident, self-assured, poised — but very low-key & non-pushy.

Wow. She actually understands PAIN! She knows the key role the brain & nervous system plays when it comes to pain. WOW. A doctor, at last, that is willing to talk about — even diagnose — central pain (now referred to as ‘Central Sensitization’). She was a revelation.

Over the last 14-year we must have seen at least 8 other so called ‘pain specialist’. They were all, in the end, charlatans. All of them put together (& they were all males) did not have her expertise, acumen & touch.

Wow. I was so impressed. (Have you already kind of got that impression that I kind of liked her?)

Well, I do know a bit about ‘pain’. I have written a book about it. SMILE. Yes, I gave her a copy & she was very gracious in thanking me for it.

I am looking forward to working with her. What a JOY.

Yes, she is native Chinese — in that she was born in China & did some of her schooling there. Great credit to China.

I the past I always tried to find Indian doctors. As of now, I am going to start by looking for Chinese doctors!

She (somewhat) restored my faith in DHMC.


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by Anura Guruge


AGT Electric Violin Sensation, ‘Brian King Joseph’, Tattoos & Neuropathy.

by Anura Guruge


IF you have not seen him, PLEASE check out this video.

You will thank me. He is GOOD. Very Good. YouTube has MORE.



Google “tattoos nerve damage”. I did after watching him. This is what I found. Check it out. Click to ENLARGE,


I liked him and was impressed by his virtuosity from the very first time I saw him on “America’s Got Talent” (AGT) 2018, way back — a few months ago.

He has now made it to the semi-finals and we are happy. We rooted for him. He is beyond good. Extremely gifted.

While his music & talent should speak for itself, from his very first appearance MUCH has been made of his nerve pain and nerve damage (i.e., neuropathy). AGT milks it, given that they love to add color and contours to the performers.

So, I was watching him, intently, the other night and was struck by the extent of his tattoos. He has a lot of tattoos on his arm.

This got me thinking. When I was writing my “Central Pain” book I came to appreciate that nerve damage and nerve pain typically occurs because something ‘major’ triggered it. I got to wondering if all of his tattoos MIGHT HAVE HAD something to do with his never issues. I had never thought of that connection before.

Well I Googled and you can see the results above.

I am BY NO MEANS saying that this might have been a case. It is something to THINK about. Something to look into. IF I was him I would be asking my doctors … ‘could it in any way have been triggered by my tattoos?’

Look into it. Stranger things do happen.


Search on ‘pain.
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by Anura Guruge


‘Transcranial Direct Current Stimulation’ (tDCS) For Depression & Chronic Pain Now Available INEXPENSIVELY.

by Anura Guruge


Click image to access the “Apex” Website — which is currently selling tDCS units, for home use, without a prescription, for $149.00 (plus shipping).


I talked about tDCS
in my ‘Central Pain Syndrome‘ (CPS) book.

Click to ENLARGE and read here.


With cranium referring to the ‘skull’, transcranial means through the skull.

So, of the 4 non-invasive cortical techniques now available, Transcranial Magnetic Stimulation (TMS) & Transcranial Direct Current Stimulation (tDCS) refer to brain stimulation methods, applied through the skull — in the form of magnetic pulses in the case of TMS and very-low electrical currents (applied to the forehead) in the case of tDCS.

Given its use of electrical currents, tDCS is ‘similar’ to ECT — the huge difference being that tDCS uses a fraction of the current applied with ECT — probably 1/400th. ECT can only be administered under general anesthesia and as such is an expensive and time-consuming process. tDCS can now be done at home in 20-minute sessions! Big difference.

TMS is also expensive.

For what it might cost you to get a few sessions of TMS, you can buy your own tDCS unit!

Think about it.

I will tell you more about tDCS in the coming days. OK?


Related Posts:
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by Anura Guruge


 

“Quell”, A TENS Unit You Wear On Your Calf, For Relieving Chronic Pain.

by Anura Guruge


Click on image to access the official “Quell Relief” Website.


In concept it appear to be somewhat similar to a wireless TENS unit such as the Aleve. A big difference is that it is a SMART unit in that you control with a smartphone APP and the APP will keep track of how you used the device, your sleep patterns etc. Like with most TENS units a typical session is 60-minutes long.

It works by trying to interfere with and block peripheral nerve pain signals before they get processed by the Central Nervous System (CNS). Since it is the CNS that, in the end, is responsible for generating all pain that you feel, IF you can stop the CNS getting pain signals from the peripheral nerves, you can, in theory, minimize the amount of pain generated by the CNS. By and large TENS units work — though they only alleviate pain for some periods of time. It is not a cure. At best a temporary respite from pain.

The Quell, like other TENS units, should work — at least to an extent. It is, however, about five times the cost of the Aleve and the crucial electrodes that you have to replace on a regular basis are expensive.

What I have not been able to determine as yet is whether a Quell really is more effective than say a Aleve — or whether it is all hype. Yes, the APP is unique for now — but the APP does not play any part in reducing chronic pain.


Related Posts:
>> The “Hollywog” of the “Aleve” TENS unit maker.
>> “Aleve Direct Therapy” TENS unit not available at Amazon.


by Anura Guruge


‘Transcranial Magnetic Stimulation’ (TMS) For Depression (& Chronic Pain): Brainsway vs. Neurostar.

by Anura Guruge



Into to TMS
from my ‘Central Pain Syndrome‘ (CPS) book.


In the U.S., from what I can determine, the two main (if not only) options for Transcranial Magnetic Stimulation (TMS) is based on Neurostar technology or Brainsway technology.

Though they are both classed as TMS they differ in terms of the magnetic stimulation techniques used.

The Brainsway supposedly represents the newer technology. It uses a bigger, more encapsulating H-coil that does cover a larger portion of the brain — and supposedly can go deeper. Neurostar, a pioneer in TMS, uses a 8-coil that does not envelop the brain as much as the H-coil. It is claimed that the H-coil can stimulate brain ’tissue’ 2.4 – 5.7 times deeper than the 8-coil. However, it should also be noted that it is easier to have Sham H-coils (i.e., placebo coils) than it is with 8-coils!

A Brainsway session is 15 minutes shorter per session than a Neurostar session; 22 minutes vs. 37 minutes.

Neurostar uses rTMS (as described in my book above).

Brainstar calls its process Deep TMS (dTMS). I cannot get anybody to tell me, as yet, whether dTMS uses a faster or slower ‘repetition’ rate (i.e., the rate of pulsing) than rTMS.

The Brainstar is still relatively new.

From what I can find there are two other companies that offer TMS products: Magstim and Magvita. I, however, have not found any ‘doctors’ offering TMS using these devices anywhere around New England. I will do more research.

Though only approved for treating Depression per se, TMS, whether rTMS or dTMS, is a viable treatment option for ‘Central Pain Syndrome‘ (CPS) and other instances of Chronic Pain, including Fibromyalgia, since any degree of depression exaggerates your perception of pain.

TMS was FDA approved for treating treatment-resistant depression as as of 2008.


Related Posts:
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Search on ‘pain’ for other related posts >>>>
++++
Check Category ‘books’ for other Anura Guruge book posts >>>>


by Anura Guruge


‘Transcranial Magnetic Stimulation’ (TMS) A Promising Cure For Chronic Pain as In ‘Central Pain Syndrome’.

by Anura Guruge


Click to ENLARGE and read here. Wikipedia entry: en.wikipedia.org/wiki/Transcranial_magnetic_stimulation


From my ‘Central Pain Syndrome‘ (CPS) book.


An interesting treatment option for ‘Central Pain Syndrome‘ (CPS).

It is said to be effective for treatment-resistant depression and is FDA approved as such (as of 2008).

At least some of the pain in chronic pain scenarios is due to depression. So it is possible that TMS works on pain by tackling the depression.

Just want to make sure that you are aware of this treatment option for chronic pain such as that of Central Pain Syndrome and Fibromyalgia.


Related Posts:
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Search on ‘pain’ for other related posts >>>>
++++
Check Category ‘books’ for other Anura Guruge book posts >>>>


by Anura Guruge


Tinnitus (Ringing in the Ears), Like ‘Central Pain’, Is Central Nervous System-Related!

by Anura Guruge


You can click to ENLARGE and read a SNIPPET here. But BEST to read the original at the ‘American Tinnitus Association’ (ATA) at: http://www.ata.org/news/news/two-types-tinnitus-brain


It is so easy to think and believe that ‘ringing in the ear‘ is all in the ear.

Alas, it is NOT so.

It is, yet another, of the extremely infuriating ‘Central Nervous System‘ (CNS) malfunctions/disorders — ‘Central Pain‘ being another.

So, please check the above if you suffer from tinnitus.

Knowing that it is brain/CNS related may help you.

All the best.


Related Posts:
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Search on ‘pain’ for other related posts >>>>
++++
Check Category ‘books’ for other Anura Guruge book posts >>>>


by Anura Guruge