Foot Pain: Arthritis, plantar fasciitis, diabetic neuropathy

Foot pain is a very, very common complaint.  The development of arthritis in the feet can be expected to develop in essentially all persons, becoming symptomatic in women at an earlier age than men, due to the use of uncomfortable but fashionable shoes. Arthritis is usually most pronounced in the great toe, but it can involve any and all toes.

Plantar Fasciitis is a common yet difficult problem treat.  Often expensive orthotics are prescribed, oral anti-inflammatory medications may help, yet there are limitations and risks.

Diabetic neuropathy manifests as a burning, searing pain in the feet and toes.  Worsening with age, there are some medications that provide substantial relief, often at substantial cost and with substantial side-effect profiles.

NOTE WELL:   I have been very successful in treating patients with arthritis, plantar fasciitis and diabetic neuropathy with the transdermal "Kink-Ease."  Kink ease 3

Recommended method of application:  Generally, I have my patients apply 1/4 tsp to the top and bottom of one foot, massaging it in.  After a moment or two, wipe off any excess, transfer it to the other foot, apply more (if necessary) and rub it in.

For a discussion on traumatic nerve pain, look over this post:  traumatic foot pain

David S. Klein, MD, FACA, FACPM
Pain Center of Orlando
225 W SR 434 #205
Longwood, Florida   407-679-3337

www.kinkease.com
www.stages-of-life.com/store





 

February 11, 2009

Menstrual Cramps- New Treatment Approach

Yesterday, my medical office assistant was bent over with menstrual cramps. While it was painful for her to stand up straight, her boss (me) was unsympathetic and did not send her home to recover.

Being a resourceful and somewhat problem-focused person, I thought to try something a little different.

I used the Kinkease MSM ointment that we have been promoting for skeletal pain, and rubbed about 1/4 tsp of this over her abdomen, from the lower rib cage margin to the inguinal area. The procedure was not unpleasant for the office assistant, but I found it to have a certain charm......

The pain completely abated after 20 minutes and she was able to function for the entire day without pain. When returning the next day (today) she was still pain free.

I had anticipated the duration of analgesia to be 20 minutes or so, but it lasted considerably longer, although I am uncertain as to why.

David S. Klein, MD, FACA 

January 21, 2009

Introduction of Kink Ease into the Competitive Karate Field was Successful

We introduced Kinkease at an national competition last year, hoping that it would provide relief for those participants that might get injured.  The response was remarkable.  This post came from their website.  Links were intentionally left intact.  For more information, use the links below, or follow this one.


“KINK-EASE” Sports Pain Lotion Testimonial

AS YOU KNOW I HAVE TWO VERY BAD SHOULDERS.  SOME NIGHTS I HAVE BEEN UNABLE TO TRAIN AT ALL. MOST NIGHTS I JUST GET BY AND DREAD THE RESULTS.  SLEEPING HAS BECOME A  TOUCH AND GO PROCESS ALSO.  YOUR SUGGESTION TO TRY KINK-EASE WAS THE SAME TIME MY DOCTOR PUT ME ON A FULL REGIMENT OF ALEVE. WHEN I WOULD FORGET THE ALEVE MY RECOVERY SUFFERED.  WHEN I WOULD LEAVE OFF THE KINK-EASE MY WORK OUTS AND MY RECOVERY SUFFERED.  I HAVE TRIED ALL THE OTHER OVER THE COUNTER TREATMENTS FROM CONDROITIN TO EMU-OIL.  NOTHING REALLY WORKED. SO I WAS SKEPTICAL THAT KINK-EASE WOULD WORK ALSO.  I GAVE IT A FULL TEST ON ITS OWN, SO AS NOT TO JUST IMAGINE THE RESULTS, OR GIVE IT CREDIT THAT BELONGED TO ALEVE. AS YOU KNOW, I JUST RE-ORDERED. THIS STUFF REALLY WORKS AND I AM NOW ABLE TO PARTICIPATE IN ALL CLASSES( KARATE, BOXING JUJITSU) AND WEIGHT LIFTING ON OFF DAYS. I ALSO NOTICED THAT AFTER APPLYING IT, MY HANDS DIDN'T HURT ESPECIALLY MY THUMB JOINTS. AFTER 43 YEARS IN THE MARTIAL ARTS AND BEING SIXTY SEVEN YEARS OLD, I WOULD SAY THAT I HAVE FOUND A PORTION OF MY YOUTH AND STRENGTH AGAIN.

 

THANK YOU BOB. I OWE YOU BUDDY.

 

DENNY SHAFFER

9TH DAN,  ISSHIN-RYU

MASTER INSTRUCTOR, DRAGON SENI- JUTSU

RED DRAGON SCHOOL OF MMA

 

“KINK-EASE” Sports Pain Lotion Testimonial

This website (Bohan's and Family) is  act of love for my closet friend and sensei Master Don Bohan.  I've done my utmost to keep it nonpolitical, supporting only martial artist that are likeminded.  I have chosen not to sell anything and to only openly support martial artist that are working to future their art.

Recently “KINK-EASE” Sports Pain Lotion came onboard as a/the website sponsor because I use the product and it works.  Hopefully by doing so others will experience the pain relief that I have.  

Everyone that knows me knows I was in a horrible automobile accident some years back.   By all accounts I should have not survived that day.   The long term effects of the accident has been a lot of back pain following workouts and long days of standing at tournaments.   There have been many a day I was hunched over like an old man following someone's tournament.   I now apply a little “KINK-EASE” and workout without worry of how I'm going to be hurting tomorrow. 

Let me give you an example : I left Fredericksburg and drove 11 hours to Orange City FL for the Isshinryu Network's Annual Workout Weekend on a Thursday, had a two-hour workout on Friday, gave a seminar and attended four others on Saturday and then spent 11 hours driving home on Sunday.  All PAIN FREE!  An added bonus - my wife loves it because I'm not stinking up the house like I did with all  the Tiger Balm.

Wayne Wayland

Nana-Dan - Wayland's Isshin-Ryu Karate-Do

Board of directors for the Isshin-Ryu Hall Of Fame

Hosted By: "Wayland's Isshin-Ryu Karate, LLC"

 

If you need additional information, feel free to call Wayne Wayland, Manager - "Wayland's Isshin-Ryu Karate, LLC"

at 540-903-3712  email - chinto@cox.net.

December 02, 2008

Ankle Sprain- Injury to the Superficial Peroneal and/or Intermediodorsal Branch of the Fibular Nerve


Stretch Nerve Injury of the Superficial Peroneal Nerve and/or the Intermediodorsal Branch of the Fibular Nerve


Ankle injuries are quite common in life and they generally require little, if any, special medical attention.  A sprain is a stretch injury of a ligament or tendon, and rates of healing depend in large on patient age, health and nutritional status.

The most common sprain involves 'inversion of the ankle.ankle sprain, pain center of orlando  

More times than not, these sprains mend on their own in as little as 6 weeks (for children and adolescents) and the length of time tends to double with each decade of life, after the age of 30. 

When the pain does not abate with time, the likelihood increases that pain is due to  stretch injury of the the Superficial Peroneal Nerve (SPN) and/or Intermediodorsal Branch of the Fibular Nerve (IBFN).  These nerves are tethered by the ligament that surrounds the lateral ankle,

extensor retinaculum ankle sprain, foot pain, pain center of orlando

and as it is turned inward, the nerves become frayed at the leading and trailing edges of the ankle.

ankle sprain, foot pain, pain center of orlando  The Nerve tissue is thin, delicate and easily damaged through violent stretch. The precise location of pain will depend entirely on the fibers that are injured.

ankle sprain, foot pain, pain center of orlando

Pain can be rather incapacitating with pressure over the lateral portion of the ankle, and it can be worse with tight fitting shoes or boots. 

These fibers will be compressed by certain types of shoes, sandals and boots, as can be seen in this picture.

Swelling will go away long before the pain is entirely gone.

Treatment of this problem consists of a combination of oral anti-inflammatories, oral anti-convulsants, and topical anti-inflammatory medicines

The topical anti-inflammatory of choice may be a combination of flurbiprofen and ketoprofen in an isopropyl alcohol with NDMS enhancement. This is a compounded product, available by prescription. 


An alternative that is available without prescription is 'kink-ease,' which is a high potency MSM salve.  In either case, the topical should be used first thing in the morning, last thing at night and once or twice during the day.

The Keto/flurbo compounded mixture must be ordered by your physician.  It costs about $40 per ounce. 

Kink ease is available, without prescription, at a cost of about $4.50 an ounce. It can be found at this web address:   www.kinkease.com or at www.stages-of-life.com/

More will be written on this in my 'Health Article Series.'  When it is finished, I will come back to this post and insert the appropriate link.

David S. Klein, MD, FACA, FACPM
Pain Center of Orlando, Inc.

November 15, 2008

Alternative Therapy Approach to TMJ Pain


Pain due to inflammation of the temporo-mandibular joint (TMJ) can be one of the most miserable conditions to experience and it is certainly one of the most difficult conditions to treat.


By the time the patient is referred to this office, most of the traditional approaches have been tried.  these include:

  1. Splinting
  2. Oral narcotics
  3. Oral anti-inflammatories
  4. Muscle relaxants
  5. Anti-depressants
  6. (hopefully this one has not been done yet) Surgery to the TMJ.
  7. Transdermal medication delivery.


Each of these approaches has advantages, disadvantages, proponents and critics. 


1.  Splinting sometimes works, but it tends to be expensive, transient in effect.  Minimally invasive in nature, it rarely causes further damage, but it can be an expensive approach to try.  Effective in approximately 10% of TMJ sufferers, it is hard to get too excited about using it routinely.


2.  Oral narcotics are effective in treating the pain, but pain-killers, by nature, do not deal with the underlying structural problem, nor do they deal with the inflammation and muscle spasm that accompany TMJ pain.  Further, the effects are transitory and narcotics should be used periodically, or in a pulse-type application, to prevent habituation and maintain therapeutic effect.  Opiates are best used in conjunction with muscle relaxants and anti-convulsants.


3.   Oral anti-inflammatory medications are helpful to deal with the inflammatory portion of the TMJ symptom complex.  NSAID's, as they are often called, work differently on different patients, and there is somewhat of a trial and error process to find the right NSAID for any individual patient.  NSAIDS have side-effects, and these side-effects must be recognized and treated. Gastro-intestinal problems are common, and if the patient tolerates the first 3 to 4 weeks, generally they will tolerate  long-term use.


4.  Muscle relaxant use is essential to treat the patient with TMJ.  As a result of the inflammation of the joint, the masseter and temporalis muscles will go into spasm. This increases tension across the joint which in turn increases compressive forces on the cartilage within the joint.  Deformation of the meniscal cartilage prevents normal joint function, and relaxation of the muscle is essential for symptom management and restoration of function. The splints work here, as well.


5.  Anti-depressants have a place in the treatment of TMJ for a number of reasons.  First, sleep disorder is common as a result of the pain, gritting of the teeth and headache.  This sleep deprivation leads to depressive symptoms in as little as one week.  Anti-depressants assist with the secondary depression, but clever choice of the anti-depressant medication will result in secondary analgesia as well as secondary muscle relaxant choices.


6.  TMJ surgery seems to be helpful in a small minority of patients.  This is a therapy of last resort.
Expensive and largely ineffective, patients tend to shy away from this option.


7.  Transdermal medication delivery is a very effective approach to treating TMJ.  There are several very useful medications for treating TMJ, and each patient is different in response.


More to come on this topic.


David S. Klein, MD, FACA, FACPM
Pain Center of Orlando, Inc.
225 W. SR 434 Suite #205
Longwood, Florida  32750


www.suffernomore.com
www.stages-of-life.com



Kink ease and TMJ, TMD Pain


Kink Ease for TMJ Pain


We have found that a number of patients have tried Kink-ease for pain due to TMJ, sometimes known as TMD.

Instructions for use and usage will follow in posts to this page.

David S. Klein, MD, FACA, FACPM
Pain Center of Orlando, Inc.
225 W. SR 434 Suite #205
Longwood, Florida  32750
                                            dsklein@earthlink.net

www.suffernomore.com
www.stages-of-life.com

October 31, 2008

How can I purchase Kink-Ease?

Kink Ease is available

  1. through health care providers who have become distributors of the product.
  2. through health clubs that have become retail vendors of kink ease.
  3. through trainers who purchase the product for their teams.
  4. and, on line at www.kinkease.com   or www.stages-of-life.com

The retail prices are:


$29.95 for a 6-ounce tube.

$79.95 for a 32-ounce wide mouth jar.


There are volume discounts available, and periodically there are sales promotions.


Kink Ease: Mechanism of Action and General Instructions

Kink Ease™ Methylsulfonyl Methane (MSM)

 

 

BACKGROUND:  Methylsulfonyl Methane (MSM) is widely used as an anti-inflammatory medication (6) and as an adjunctive agent in the treatment of pain.  MSM is widely found in nature, and is essentially non-allergenic. Cow's milk is the most abundant source of MSM, containing  3.3 parts per million (ppm).

 

MSM relieves pain through several mechanisms of action. Acting as an anti-inflammatory agent, reduction in tissue swelling, reduction in vasodilation, pain is reduced.  MSM may reduce muscle spasm and MSM reduces the rate of pain impulse activity in the C-fiber component of the peripheral nervous system. There is evidence that MSM may have value as a cancer preventive agent. (3). Using multinuclear magnetic resonance spectroscopy MSM was found to cross the blood-brain barrier (BBB) in significant concentration. The study also revealed that MSM is evenly distributed throughout the brain, brainstem, with equal concentrations in both gray and white matter. Other studies have confirmed that MSM crosses the BBB. (4, 5)

 

MSM is very safe to administer, having a very low toxicity. (7, 8)  Methylsulfonylmethane (MSM) is a popular dietary supplement used in a variety of conditions including pain, inflammation, allergies, arthritis, parasitic infections, and bladder conditions. It is thought to maintenance of normal keratin levels in hair, skin and nails. Toxicity studies have concluded that MSM is well tolerated in doses that exceed 2 g/kg. (1)

 

Compared to placebo, MSM produced significant decreases in pain and physical functional.  MSM also produced improvement in performing activities of daily living when compared to placebo. (2)

 

Oral Dosage:

 

When taken by mouth MSM is well tolerated, but it can actually enhance the GI uptake of other medications, both prescription and OTC, alike.  When taken with medications that have narrow therapeutic ranges, such as coumadin and lithium,  MSM should be taken with caution, as the prescription dosage may well have to be decreased.

 

Generally, patients tolerate 900-1000 mg, taken 3 times, daily.  The anti-arthritic properties will be felt in as little as a few hours, but generally, peak effect is seen in a week, or so.  When taken concurrently with glucosamine, best taken for knee problems, the amount of glucosamine can be substantially decreased. 

 

Transdermal (topical) Usage (Kink-Ease™)   

 

The best use of topical MSM depends on the concentration of the MSM preparation as well as on the chemistry of the base in which it is suspended.  The higher the concentration of MSM, the more rapid the onset of action. The base in which the MSM is suspended influences the depth and adequacy of penetration. Kink Ease™ is a very high concentration of MSM in an advanced transdermal base.  The base permits the high concentration of MSM to be achieved while maintaining a smooth texture.

 

DIRECTIONS FOR USE:

 

Kink Ease™ MSM Salve should be applied liberally to the shoulder, as if it were suntan lotion being applied. Pain relief will generally be experienced within 60 seconds. After 120 seconds, a second application may be performed.

 

Symptom relief can be expected to last from 2 to 6 hours, and with repeated use, the duration of action tends to lengthen.

 

Kink-Ease™ makes a superior hand foot and skin softener.  Use before bed time and awaken to incredibly soft skin. 

 

 

 

Kink Ease™ is now available in 6 ounce tubes and 32 ounce jars.

 

 

For information, go to www.kinkease.com

 

NOTE:  Kink-Ease™ will soften the skin, which makes it a wonderful product for hand and foot use.  As a foot softener, apply to the top and bottom of the foot, but do this only at bed time to prevent slipping.

 

 

 

 

References:

 

  1. Horváth K, Noker PE, et al: Toxicity of methylsulfonylmethane in rats. Food 2002 Oct; 40(10):1459-62.

 

  1. Kim LS, Axelrod LJ, et al: Efficacy of methylsulfonylmethane (MSM) in osteoarthritis pain of the knee: a pilot clinical trial. Osteoarthritis2006 Mar; 14(3):286-94.  

 

  1. Ebisuzaki K: Aspirin and methylsulfonylmethane (MSM): a search for common mechanisms, with implications for cancer prevention. Anticancer Res. 2003 Jan-Feb; 23(1A):453-8.

 

  1. Cecil KM, Lin A, Ross BD, Egelhoff JC. Methylsulfonylmethane observed by in vivo proton magnetic resonance spectroscopy in a 5-year-old child with developmental disorder: effects of dietary supplementation. J Comput Assist Tomogr 2002;26:818-820.

 

  1. Rose SE, Chalk JB, Galloway GJ, Doddrell DM. Detection of dimethyl sulfone in the human brain by in vivo proton magnetic resonance spectroscopy. Magn Reson Imaging 2000;18:95-98.

 

  1. Beilke MA, Collins-Lech C, Sohnle PG. Effects of dimethyl sulfoxide on the oxidative function of human neutrophils. J Lab Clin Med 1987;110:91-96.
  2.  Morton JI, Siegel BV. Effects of oral dimethyl sulfoxide and dimethyl sulfone on murine autoimmune lymphoproliferative disease. Proc Soc Exp Biol Med 1986:183:227-230.
  3.  Barrager E, Veltmann JR Jr, Schauss AG, Schiller RN. A multicentered, open-label trial on the safety and efficacy of methylsulfonylmethane in the treatment of seasonal allergic rhinitis. J Altern Complement Med 2002;8:167-173.

 

www.kinkease.com

 

www.stages-of-life.com

October 26, 2008

Cest Wall Pain

Arthritic changes of the chest wall can result in persistent, aggravating pain.

Known as costochondritis, the pain can last for weeks, months and years.  It can be precipitated by trauma, but it can follow upper respiratory tract infection. 

Kink Ease lotion is applied to the joint between the rib and the cartilaginous portion of the rib, near or at the muscular attachment of the abdominal muscles and pectoral muscles.

Kink ease chest wall

To identify the joints, it is necessary to examine the chest wall. 

BJ2015 

The most commonly involved joints are where the rib cartilage attaches to the breast bone. The red dots overly the chondro-sternal junctions.

To treat the pain due to arthritis of these joints, apply a few 'chocolate chip' size aliquots of Kink-Ease to the skin over the joint.  Gently rub it in, try not to 'rub it out and away.'

David S. Klein, MD, FACA

www.kinkease.com

www.stages-of-life.com

Plantar Fasciitis

Kink Ease can be very helpful in the treatment of plantar fasciitis.  The plantar fascia is the tight band of tissue, or ligament that connects the heel to the fore foot.  Kinkease 2 It can be damaged through routine walking, running, and weight bearing on the fore-foot.

The proper application of kink-ease can be accomplished by rubbing 1/4 tsp in the soft area of the foot, between the heel and the forefoot.

Kink ease plantar fasciitis   It should be applied 3 to 4 times, daily, but the most important times are: first thing in the morning and last thing, at bed time.

David S. Klein, MD, FACA, FACPM
www.stages-of-life.com/store
www.kinkease.com

Levator Scapulae Tendinitis

Shoulder pain can result from inflammation of the tendon that connects the tip of the shoulder blade to the neck.  Sometimes, pain can result from inflammation of the tendon and tendinous attachment, and this pain can be very, very difficult to control.Levator

Kink Ease cream is very effective in treating this type of problem.  First identify the Levator Scapule by gently examining the angular portion of the shoulder blade, nearest to the spine of the neck.
LEVATOR SUPERFICIAL-rev  Apply 1/4 tsp to this area, rubbing it in.  A second application may be necessary.

David S. Klein, MD, FACA, FACPM
www.stages-of-life.com

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