Dear Dr. Sood,
On the subject of using pharmaceutical agents in combination, you have to
bear in mind the effects you are attempting to produce.
Ultrasound is pro inflammatory in the sense that the research indicates it
enhances the inflammatory phase and ushers in the proliferative and
remodeling phases. Usage with NSAID's and local anaesthetics would appear
complimentary as NAISD's act on only on part of the inflammatory process and
anaesthetics modify pain. However using ultrasound with steroids would
appear to be a waste of time as their effects are conflicting.
Yours sincerely
Simon Mesner MBBS (A+B) B.Sc. (HONS) MCSP SRP Cert. Sports Physiotherapy
Senior Chartered Physiotherapist
> -----Original Message-----
> From: sood [SMTP:[log in to unmask]]
> Sent: 31 May 1999 06:56
> To: [log in to unmask]; Discussion of Carpal Tunnel Syndrome,
> Tendonitis etc..
> Subject: COMBINATION OINTMENT
>
>
> Dear Heather Mcmurray
> Please let me know the exact composition of compound cream capcasin,
> lidocaine, and the anti-inflammatory ketoprofen as this combination is
> not
> avaliable in India, but these are available individually hence we have
> to
> mix these to make this combination,But for that we need to mix all these
> in
> proper strength.
> Can Xylocaine gel can be added in place of Lidocaine?
> Can betamethasone gel or any other steroid gel be added to this
> combination.
> in adhesive capsultis and rheumatiod arthritis cases?
> Can this combination be used with ultrasound therapy,will ultrasound gel
> be necessary to provide a suitable medium to these combination will itself
> allow the penetration of ultrasound.
> thanks
> Dr.S.C.Sood
>
> -----Original Message-----
> From: HEATHER MCMURRAY <[log in to unmask]>
> To: [log in to unmask] <[log in to unmask]>
> Date: Monday, May 31, 1999 12:44 AM
> Subject: Re: SOREHAND Digest - 28 May 1999 to 29 May 1999 (#1999-146)
>
>
> > It's best to find an O.T. because they deal with hand injuries more.
> P.T.'s have to past harder
> >tests, though, so they "know" more. O.T.'s that work with arthritis
> patients, and have a bit of
> >experience, are the best.Heat is the best, but it has to be dry heat, not
> the heavy moist heat
> >packs commonly used. I had the same experience of an O.T. putting both
> arms in those heat packs
> >and I started to cry. They never did that again, and put my arms in a
> dry
> heat machine (blows
> >corn cob fibers around the arms/wrists/hands) after that. Ice is only
> for
> after the muscles are
> >used.
> >The best thing that I have encountered is the compounded cream that my
> pain
> clinic prescribes to
> >me. It has capcasin, lidocaine, and the anti-inflammatory ketoprofen in
> it.
> >It doesn't bother me like some red pepper creams can, and it takes
> swelling
> down in the tendons.
>
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