Tag Archives: chronic pain

I Am Skeptical As To The ‘Validity Of The Fibromyalgia Blood Test — The So Called “FM/a”.

by Anura Guruge


I only heard of this test, “FM/a“, via a radio commercial, this week. I was immediately intrigued. As some of you may know, I know a fair amount about Fibromyalgia given that my ‘Central Pain’ book deals with it in much detail.

What worried me about this test is that we now know that fibromyalgia is a central nervous system disorder. I didn’t think we had any tests that could detect such disorders.

This test claims to test immune system imbalances. I, at least for now, am skeptical.

This test is supposed to ‘rule out’ other diseases. I am not sure I buy that.

The folks promoting this test — for MONEY, of course — have EXTENDED what was the original SCOPE of fibromyalgia. Fibromyalgia was about distributed, widespread pain. These folks have extended this to include symptoms of DEPRESSION as well. Given the EXTENDED scope a lot of folks — mainly women (alas) — will fall into the ‘dragnet’. I am sure that MOST in this vulnerable group will LIKE to be told they have fibromyalgia. To them it would be a relief, a vindication. I know. I have LIVED with ‘fibromyalgia’ — though I do NOT have it.

There used to be the 11-point DEFINITIVE TEST for fibromyalgia. That has now been DEBUNKED. Even the original creator of it, a supposed doctor, has admitted that he was wrong. Tens of millions of American women were told they had fibromyalgia based on that 11-point test. Well the test was FAKE.

So ….

I am not convinced.

Check out my book. You can read it for free in many places. SMILE.



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by Anura Guruge


‘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


Fairly Decent Article On ‘PAIN’ In The January 2020 Issue Of ‘National Geographic’.

by Anura Guruge


Click to ENLARGE. January 2020 issue.


Click to ENLARGE.

The 2 most salient points made in the article.


I have covered this same ground in my book.

Click for more details.


Click to ENLARGE.

Just two relevant pages from my book.


This article is worth it JUST for this one CRITICAL message — said twice:

“Pain — in such cases — becomes the disease.”

“Their pain is not a symptom; it is a disease — one caused by a malfunctioning nervous system”.


That malfunctioning of the nervous system is ‘Central Pain Syndrome‘ (CPS) — the topic of my book.

So, I am delighted that this article HIGHLIGHTS this very crucial aspect of chronic pain — where pain itself is the disease.


The other key message in this article is that pain is felt (i.e., perceived), tolerated and handled by each person in a different way.

Some folks deal with pain better than others. Some can modulate their pain.

This is another topic dear to I. I talk about this in my ‘Central Pain’ book as well as in my books about ‘Brain Meditation’. Yes, you can teach yourself to handle pain — and do so better than others.


As is inevitable with all ‘National Geographic‘ articles there is a lot of ‘fluff’, ‘futures’ & ‘gratuitous color’. But, the key messages make up for that.

The author, who appears Indian, pussyfoots, shamelessly, around the opioid issue. Touches upon it multiple times BUT avoids taking the issue to its conclusion. NatG does not want to offend anyone!

The article also is way too generous when it comes to doctors. Again it tries not to offend anyone. So many doctors have NO CLUE when it comes to pain. I really do mean that. They are completely clueless.

But, if you can SKIM through this article. If nothing else you should learn that ‘pain can be THE disease — not just a symptom’.

Happy Holidays.


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by Anura Guruge


 

‘Brain Wearables’ Are But Variations On ‘Transcranial Direct Current Stimulation’ (tDCS) Devices.

by Anura Guruge


Click image to access AXIOS original.


Click to ENLARGE.


Thanks to the popularity and success of fitness trackers and smartwatches — my Garmin MARQ Expedition an example — ‘wearables’ are trendy.

But, from what I can see, there are ‘wearables’ and then there are other ‘wearables’.

I would hate to equate these so called ‘brain wearables’ with a smartwatch or fitness tracker. To I there is a fundamental differences. Brain wearables are trying, via technology and some form of direct electromagnetic stimulation, to modify your behavior. A fitness tracker or smartwatch ONLY tries to ‘interfere’ with your behavior via motivation and/or shame. BIG difference.

I am familiar with tDCS technology. I have talked about it in my ‘Central Pain’ book. tDCS can work. But, with wearables the manufacturers have to be ULTRA cautious. They don’t want folks accidently frying their brains! So, they have to severely constrain the power output they deliver. And that is the crunch. tDCS, TMS or ECT administered under supervision can — and will — use significantly more juice. That in my opinion is what will cripple brain wearables. They will not be able to deliver adequate ‘juice’ to really make a difference.

Click to ENLARGE and read here.


So keep this in mind as you are reading about and evaluating brain wearables.


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by Anura Guruge


 

Effectiveness Of Opioids On Chronic Pain Again Questioned By ‘American Medical Association’ (AMA) Study.

by Anura Guruge


Click image to access original.


Click image to access original.


The actual AMA study as published in JAMA —
Journal of the AMA.

Click image to access original.


BIG study — involved clinical trials of 26,169 patients! That is a boatload.

So, you can’t accuse this of not having been based on enough actual data.

Essentially it was condensing of data gathered in 96 separate trails. Hence the claim “Meta-Analysis”.


The findings here are consistent with what the AMA reported back in March 2018.

Click image to access my post.


It is also very much inline with what I discovered when I wrote my “Central Pain” (e.g., Fibromyalgia) book last year.

If you are still NOT convinced read the AMA report & my book.

It is worth finding out. It can save you a lot of pain … down the road.


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by Anura Guruge


 

Depression A Physical Illness: But, Consider This …

by Anura Guruge



To my mind something here does not add up, re. this new hypothesis that depression is a physical rather than mental illness.

Depression and PAIN, usually CHRONIC PAIN, go hand-in-hand. Depression is linked to pain, and those with chronic pain more often than not get some level of depression.

So, most people who have depression are no strangers to anti-inflammatory drugs, in particular NSAIDs (Nonsteroidal anti-inflammatory drugs).

Yes, it is true that brain inflammation can be different to inflammation in other parts of the body. But it is believed that NSAIDs work on brain inflammations at least some of the time.

So, that is my concern. Given the huge population of people with BOTH depression and pain at least some percentage of these should have noticed an easing of their depression due to the NSAIDs they were taking. But, this has not been reported.

Hence my skepticism. Yes, it is possible that stronger, more specialized drugs are needed to fully combat depression-related brain inflammation. However, that NSAIDs have apparently not even scratched the surface bothers me.

What do YOU think?


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by Anura Guruge


Shock Horror! CNN Discovers That Doctors Get Rich Prescribing Opioids! Wow. Fancy That.

by Anura Guruge


From CNN.


Does CNN really think we are that stupid.

We all know that doctors AND NURSES make a killing prescribing opioids.

This has not been a good weekend for CNN. Their Pope series was not very good.

And then this.

What is the exclusivity here. Nothing new here. Fake news.


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by Anura Guruge


 

‘American Medical Association’ (AMA) Study On The Effectiveness Of Opioids On Chronic Back Pain — USELESS!

by Anura Guruge


The Google News Headlines
March 9, 2018.

Click to ENLARGE. Check Google News or Google “JAMA opioids”.


From the ACTUAL Journal of the American Medical Association (JAMA). Click to ENLARGE and read here. Image below provides access to the FULL JAMA article and abstract.


Click this image to access the original JAMA article in the March 2018 issue in full or as an abstract.


Totally POINTLESS!

Waste of time & money.

This is NOT going to make a BLIND bit of difference.

There is way, way, way TOO MUCH money in opioids for the pharma companies, the doctors (AND NURSES) that write prescriptions and for the other drug dealers. It is like everything else. Money talks.

This report will NOT convince a single doctor, patient or addict. They are all into this hook, like and bloody sinker.

This report actually made me angry because of its impotence.

It is like guns, the NRA and the politicians. Where are the opioid control laws? Just talk. Just chatter.

Common sense does NOT prevail. Money talks.

So, pathetic.


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by Anura Guruge


 

We Got An APEX ‘Transcranial Direct Current Stimulation’ (tDCS) “Type A 18V” Unit From Amazon.

by Anura Guruge


Click to ENLARGE.


Deanna had seen this tDCS unit on Amazon over the weekend, and I, as is my instinctive wont, ordered it from Amazon Prime without looking around.

It arrived today, per the Prime 2-day promise.

It was as portrayed in the Amazon product page — which has since INEXPLICABLY disappeared off Amazon. This () is what I now get when I click on the link in the order. Never seen that before in the thousands of items I have ordered, over the years, from Amazon. Never mind. Our unit arrived.

We could have got it from Apex directly for $20 less — with free shipping (though I am not sure whether it would have been 2-day). C’est la vie. Amazon does not offer price matching. Yes, of course we could have returned it … But, I refuse to be that churlish.

Deanna tried it, for her Chronic Pain. She could feel the ‘current’. It is somewhat like a TENS unit, though the principal is rather different. It will take some time before we can determine whether it works.

I will keep you posted.


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by Anura Guruge