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36


Letter to the Editor. How and why Hans Kraus, MD, helped President Kennedy's back pain [Letter]

Hansen, Ann E; Marcus, Norman J
PMID: 29498584
ISSN: 1547-5646
CID: 3152732

Response to Letter to the Editor by Dr. Schneider et al [Letter]

Hansen, Ann E; Marcus, Norman J
PMID: 29099954
ISSN: 1526-4637
CID: 2915742

Is It Time to Consider Soft Tissue as a Pain Generator in Nonspecific Low Back Pain?

Hansen, Ann E; Marcus, Norman J
PMID: 27570247
ISSN: 1526-4637
CID: 2232412

Muscle pain treatment

Chapter by: Marcus, Norman; Ough, Jason
in: Treatment of chronic pain by integrative approaches: The American Academy of Pain Medicine textbook on patient management by Deer, Timothy R; Leong, Michael S; Ray, Albert L [Eds]
New York, NY, US: Springer Science + Business Media, 2015
pp. 25-41
ISBN: 978-1-4939-1820-1
CID: 2160652

A Preliminary Study to Determine if a Muscle Pain Protocol Can Produce Long-Term Relief in Chronic Back Pain Patients

Marcus, Norman J; Shrikhande, Allyson Augusta; McCarberg, Bill; Gracely, Edward
OBJECTIVE: To assess the effectiveness of a muscle protocol to treat patients diagnosed with neuraxial low back pain (LBP) before and after invasive treatments. DESIGN: Patients with chronic (>6 months) LBP-postinvasive treatment and pre-spine surgery-were assessed and treated. An electrical device rather than palpation was used to determine muscle(s) as possible sources of pain. Patients testing positive for muscle pain were treated with a comprehensive protocol and were followed for >3 months to determine the effect of treatment on pain severity and interference in function. RESULTS: Study 1: In 56 (postinvasive treatment) patients who had failed back surgery, epidural steroid injections, facet blocks, and/or trigger point injections, mean Brief Pain Inventory (BPI) pain severity dropped from 5.54 at baseline to 3.96 (P < 0.001) at a median follow-up of 77 weeks; mean BPI interference dropped from 6.09 to 3.4 (P < 0.001). Fifty-two percent of respondents reported over 50% relief. Study 2: Three of seven patients originally scheduled for spine surgery completed a substantial part of the muscle protocol, canceled their surgeries, and obtained significant relief at the 16-19 month follow-up point. CONCLUSION: In patients thought to have neuraxial pain, identification and treatment of painful muscles had statistically significant long-lasting and clinically meaningful reductions in pain and improvement in function. Muscle and tendon attachments may be an important and treatable source of pain in patients diagnosed with pre and postsurgical neuraxial pain.
PMID: 23692059
ISSN: 1526-2375
CID: 503482

End Back Pain Forever : A Radically New Approach That Can Relieve Your Suffering

Marcus, Norman
[S.l.] : Pocket Books, 2012
Extent: 336 p.
ISBN: 9781439167441
CID: 849472

No More Back Pain. : End Your Suffering Without Surgery or Mind-Altering Drugs

Marcus, Norman
Simon & Schuster 2012
Extent: 336 p.
ISBN: 1439167443
CID: 849462

Pain in the military

Marcus, Norman
ORIGINAL:0008792
ISSN: 0046-9157
CID: 848832

A comprehensive protocol to diagnose and treat pain of muscular origin may successfully and reliably decrease or eliminate pain in a chronic pain population

Marcus, Norman J; Gracely, Edward J; Keefe, Kelly O
OBJECTIVE: A comprehensive protocol is presented to identify muscular causes of regional pain syndromes utilizing an electrical stimulus in lieu of palpation, and combining elements of Prolotherapy with trigger point injections. METHODS: One hundred seventy-six consecutive patients were evaluated for the presence of muscle pain by utilizing an electrical stimulus produced by the Muscle Pain Detection Device. The diagnosis of 'Muscle Pain Amenable to Injection' (MPAI), rather than trigger points, was made if pain was produced for the duration of the stimulation. If MPAI was found, muscle tendon injections (MTI) were offered to patients along with post-MTI physical therapy, providing neuromuscular electrical stimulation followed by a validated exercise program [1]. A control group, evaluated 1 month prior to their actual consultation/evaluation when muscle pain was identified but not yet treated, was used for comparison. RESULTS: Forty-five patients who met criteria completed treatment. Patients' scores on the Brief Pain Inventory decreased an average of 62%; median 70% (P < 0.001) for pain severity and 68%; median 85% (P < 0.001) for pain interference one month following treatment. These changes were significantly greater (P < 0.001) than those observed in the untreated controls. CONCLUSION: A protocol incorporating an easily reproducible electrical stimulus to diagnose a muscle causing pain in a region of the body followed by an injection technique that involves the entirety of the muscle, and post injection restoration of muscle function, can successfully eliminate or significantly reduce regional pain present for years
PMID: 20002599
ISSN: 1526-4637
CID: 109668

Response to letter to the editor by Dr. Cohen and Dr. Quintner [Letter]

Marcus, Norman
PMID: 18489638
ISSN: 1526-4637
CID: 79412