Piriformis revisited

In regret triggered by the title of Probst et al 2019.[1] This diagram illustrates the anatomical location of piriformis relative to the pelvis, and the characteristic pain referral patterns that form part of the myofascial syndrome. The blue dots on the leg represent tingling that might occur if there is nerve entrapment in piriformis syndrome. … Continue reading Piriformis revisited

Cranial epidural abscess

Inspired by Priola et al 2019.[1] This is the first reported case of a cranial epidural abscess as a likely complication of acupuncture treatment. The report was written by the specialist neurosurgical team under whom the patient was admitted. This is often the case in such unusual and serious adverse events, but it also limits … Continue reading Cranial epidural abscess

Another fatality

Inspired by Jian et al. Medicine 2018 Last Saturday (3rd November 5, 2018) I was lecturing on the BMAS Foundation Course, and during the morning coffee break I received one of my regular email alerts from PubCrawler – an Irish website that searches (or crawls) PubMed (the US National Library of Medicine) leaving you free to … Continue reading Another fatality

Needle Migration in the neck

Comments by Michael Meinen (MM) and Mike Cummings (MC) This blog was first published on 24th August 2018 on https://blogs.bmj.com/aim/ Case report El-Wahsh S, Efendy J & Sheridan M. Migration of self-introduced acupuncture needle into the brainstem. J Neurosci Rural Pract 2018; 9(3): 434 – 436. Presentation An elderly man presented to an emergency department after … Continue reading Needle Migration in the neck

Why not needles for OA – no steroid, just the needles!

This blog was first published on 30th May 2017 on https://blogs.bmj.com/aim/ This piece has been stimulated by a recent publication in JAMA evaluating the use of regular intra-articular corticosteroid injections for symptom management and cartilage volume in osteoarthritis (OA) of the knee.[1] Previous research had suggested that the inflammatory process in the knee was associated with … Continue reading Why not needles for OA – no steroid, just the needles!