MedicineHouse.com SOTA OMOIGUI'S LAW OF PAIN The origin of all pain is inflammation and the inflammatory response.

Pain Relief Guide

Health Mash

Add to your site

Medicinehouse Bookstore

The Biochemical Origin of Pain

Latest Medical Videos

Clinical Trial Doctor Findergreat free widgetsWidgetboxMore info

Gastroenterology Newsgreat free widgetsWidgetboxMore info

GenericMedListgreat free widgetsWidgetboxMore info

Sota Omoigui’s Law of Pain
The origin of all pain is inflammation and the inflammatory response

History of Pain

Physicians have Struggled throughout History to Better Understand pain

1664 Rene Descartes-Treatise of Man, Demonstrating his theory of how the human body processes painful stimuli

History of Pain

Physicians have Struggled throughout History to Better Understand pain

1965 Nov19th - Pain mechanisms:
a new theory. Melzack R,wall

History of Pain

Physicians have Struggled throughout History to Better Understand pain

2002 April 11th - The biochemical origin of pain. Sota Omoigui, stating that the origin of all pain is inflammation and the inflammatory response

L.A. Pain Clinic is a pioneer and world leader in the treatment of inflammation and pain.We use the latest medications, intravenous therapies and injection procedures for simple to the most complex pain syndromes. When other doctors have run out of answers, and when there is inadequate response to regular pain medications, it is time to call the L.A. Pain Clinic.

Dr Sota Omoigui is the world’s leading expert on the Inflammatory Origin of Pain and a best selling author (with drug handbooks published in eight languages, and used by pain specialists and anesthesiologists worldwide). Utilizing the very latest medical and clinical research, Sota Omoigui’s Law of Pain is the most significant breakthrough in the treatment of pain in this century.

Dr Omoigui has pioneered novel drug treatments and some of the most advanced intravenous therapies and injection procedures to treat complex pain syndromes that previously required invasive surgery, implantable spinal cord stimulators, intrathecal catheters and high-risk nerve blocks.

L.A. Pain Clinic high-tech pain therapies include intravenous therapies of Calcitriol, , Depacon, Ketamine, Lidocaine, Magnesium, Vitamins B and C, Zoledronic Acid as well as advanced FDA approved biologic drugs including Botox, Kineret, Enbrel, Humira,and Remicade.

Injection procedures performed to relieve pain include Facet Nerve Blocks, Nerve Root Blocks, Peripheral Nerve Blocks, Epidural Blocks, Joint Injections as well as Botox (Botulinum Toxin) Injections administered in the muscle, joints, subcutaneously, and intradermal.

Our advanced pain therapies have been successful in patients with the most refractory pain syndromes including Nerve Inflammation, Herniated and Degenerative Disks before and after surgery, Sciatica, Spinal Cord Inflammation, Reflex Sympathetic Dystrophy (RSD/CRPS), Arthritis, Osteoarthritis, Osteoporosis, Tendonitis, Bursitis, Fibromyalgia, Neuropathic Pain Syndromes, Neurogenic Inflammation, Vulvodynia, Migraine, Chronic Daily Headache, Cluster headache, tissue inflammation from Drug Extravasations etc.

The vast majority of these Intravenous therapies and injection procedures are performed safely, quickly and comfortably in the clinic. Out of state and international patients are welcome. Hawthorne is located 15 minutes away from Los Angeles in California. World-class hotels are located close to the clinic and to Los Angeles beaches.

L.A. Pain Clinic

We are located at
4019 W. Rosecrans Ave
Hawthorne, CA 90250
Phone: (310) 675-9121
Fax: (310) 675-7989
Email: Medicinechief@aol.com
Skype id: Medicinechief
Gtalk id: Medicinechief

SOTA OMOIGUI, M.D.
Medical Director
Diplomate of The American Board
of Anesthesiology with subspecialty
certification in Pain Medicine
Diplomate of The American Board
of Pain Medicine.

OFFERING SPECIALIZED CARE FOR:

Arthritis, Osteoarthritis, Osteoporosis, Back pain, Cancer pain, Drug Extravasation injuries, Tendonitis, Bursitis, Chronic Headache, Migraine, Herniated Disks, Sciatica, Auto Injuries, Face Pain, Reflex Sympathetic Dystrophy (RSD/CRPS), Neuropathic Pain Syndromes, Migraine, Chronic Daily headache, Cluster headache, Neuritis, Neurogenic Inflammation, Sports Injuries, Shingles, Work Injuries, Diabetes Neuropathy, Chronic Pain, Phantom Limb, Neck Pain, Interstitial Cystitis, Personal Injury, and Vulvodynia.

The Biochemical Origin of Pain - Sota Omoigui MD

ABOUT THE BOOK
What happens between injury and our perception of pain? This book is about the first unifying law of Pain that explains the origin of all types of pain: from Arthritis to Fibromyalgia and from Migraine to Sciatica. Sota Omoigui’s Law of Pain states that: The origin of all pain is inflammation and the inflammatory response. This is the most significant advance in our understanding of Pain in the last century. With this understanding and new drugs we have significantly advanced our ability to treat persistent pain. The knowledge in this book will help everyone who has ever suffered from pain. This book and Sota Omoigui’s Law of Pain will endure as a significant milestone in the age-old quest of mankind to conquer pain.

Sota Omoigui’s Anesthesia Drugs Handbook

Designed for quick access to essential anesthesia drug information, The Handbook is a complete clinical guide in a handy portable format. This pocket reference is packed with tables, descriptions and expanded dosing information covering a broad range of drugs and the various routes of administration commonly used in the practice of anesthesia and critical care. As a synopsis of anesthetic pharmacology it is a useful review for the beginning trainee and the advanced practitioner. An all-time best seller, The Anesthesia Drugs Handbook has been translated into Italian, Japanese, Malaysian, Polish and Portuguese.

Sota Omoigui’s Pain Drugs Handbook

Designed for quick access to pain drugs information, Sota Omoigui's Pain Drugs Handbook is a complete clinical guide in a handy portable format. This pocket reference is packed with tables, descriptions and dosages covering a broad range of drugs and the various routes of administration commonly used in the treatment of acute, chronic and cancer pain.

Pain Relief – The L.A. Pain Clinic Guide

This booklet is written to guide those who suffer or know someone suffering from pain. It provides the most current information about the common painful syndromes, the right medications, useful herbs and various treatments that can be utilized in the home, clinic or hospital to successfully ease pain.

This booklet will be useful not only to the public but all health professionals who wish to avail themselves of information that is not routinely taught in medical, nursing or allied health schools. It will provide the knowledge to help relieve pain and suffering.

The Inflammation Pathway from Cholesterol to Aging – Sota Omoigui MD

Medications and Plants that prevent and treat Aging, Cardiovascular Disease, Osteoporosis,Arthritis, Type-2 Diabetes, Dementia and Alzheimer’s Disease.
For the first time, in five hundred years since Spanish explorer Juan Ponce de Leon discovered Florida while searching for the Fountain of Youth, an inflammatory pathway has been identified as the key to Aging and the diseases associated with Aging. Dr Sota Omoigui has identified key plant compounds that are available today and described a road map for new drugs that can block this inflammation pathway far more effectively than any medication available today.

The Universal Drugs Infusion Slide Ruler – Sota Omoigui MD

-Required in the ER, OR, ICU and all crash carts
-6in x 3in tricolor, 4 panel, portable infusion slide ruler
-Easy to use and 20 times faster than calculators, computers, infusion tables or expensive pump templates
-No batteries needed!
-Calculate forward and backward infusion rates for any drug at any concentration in any dosage unit.
-Calculate infusion rates for any patient - adult, pediatric or neonate.
-Calculate mcg/kg/min, mcg/kg/hr, mg/min, mg/hr, grams/hr, mUnits/min, Units/hr, Units/kg/hr.

It’s a Jungle Out There – 163 Business and life lessons from the Animal Kingdom By Sota Omoigui MD

One of the best books on Self Improvement and Management ever published. Animals have been taking care of business much longer than humans and they do it with an instinct few humans possess. Yes, we can learn a lot from the animal kingdom and everyone should read this book. Having been an avid animal behavior student for many years the author has observed their lessons and been awed by them.

MEDICAL PUBLICATIONS

J Pain. 2006 Aug;7(8):608-9
Bevel Design and not Needle Length determines the Pain Experience in Patients receiving Injections.
· Omoigui S,
· Adewumi PA,
· Do Y,
· Elenes G.

.Division of Inflammation and Pain Research, L.A. Pain Clinic, Hawthorne, California.
PMID: 16885018 [PubMed - in process]
At the LA Pain Clinic, IM and SQ injections are administered on a daily basis either as part of our therapeutic procedures or during pre-medication in patients that are scheduled to have procedures.

Recently it was observed that patients were consistently complaining of more pain during the SQ injections, even though the SQ needle was a 25G short 5/8" and the IM needle was a 25G long11/2". We noted that the needles were from different manufacturers. The 25G IM Precisionglide needles were manufactured by Becton Dickinson (BD) and the 25G SQ needles were manufactured by Terumo. We then ordered 25G 5/8 SQ Precisionglideä needles of same gauge and length in order to compare both the Terumo and the BD needles.

We then compared the intensity of pain perceived by our patients by the two types of needles. Our objective was to determine if needles with a different bevel design but the same size, diameter and length would result in a different pain experience. We did not see any prior publication of such a study.

At the beginning of this study the assessment of patients level of pain was based on a ten-point unit numeric scale. With the pain level of 0/10 interpreted as the least amount of pain while the pain level of 10/10 is interpreted as the worst amount of pain.

Twenty patients were studied in all. These patients were selected sequentially. Which means that every patient that required a procedure was studied.

With informed consent, each patient was injected with local anesthetic (Lidocaine 0.5%) using the 25 G 5/8 Terumo needle and a 25 G 5/8 BD as part of our pre-procedure local anesthetic infiltrations.

For each patient studied, the Terumo needles and BD needles were used alternately to inject anesthetics on different sites of procedure. Care was taken to ensure that the same person for all the patients studied carried out the injections. Care was also taken to start the injections with different needle types on each patient.

Patients were asked at the time of each injection the level of pain they felt at the time the skin is pierced.

After injecting nineteen different patients we observed that in all patients the subjective pain level described was significantly higher for the Terumo needle injections. Analysis of the data showed that the mean pain score for the BD needle was 2 while the mean pain score for the Terumo needle was 5.6.

The least pain and highest pain score experienced for the two sets of needles was different. With the BD needle the least pain score was 0 while with the Terumo needle the least pain score was 3. With the BD needle the highest pain score was 6 while with the Terumo needle the highest pain score was 8.

It was evident that the pain experience was much better for our patients when the local anesthetic injection was performed with the BD needle. We therefore conclude that the Terumo needle inflicts more pain to our patients.

The Terumo needles incorporate a double bevel design to provide ultra sharp needles, while the BD Precisionglideä needles incorporate an advanced low-angle bevel design, a unique polishing process and a low friction lubricant to improve penetration ease (See Fig 1 and 2).

Patient #	BD Needle - Pain Score	Terumo Needle - Pain Score
1	0	3
2	1	3
3	2	7
4	2	5
5	½	7
6	2	5
7	2	5
8	2	6
9	4	5
10	1	5
11	6	10
12	2	5
13	1	7
14	2	5
15	1	4
16	5	5
17	1	8
18	2	5
19	1	8
20	2	3

Figure 1 – BD Needle[i]

Figure 2 – Terumo Needle[ii]

In conclusion, the pain experience with needles of the same size is determined by the bevel design and not by the length.

Sincerely,
Sota Omoigui, MD
Peter A. Adewumi MD
Yvone Do MD
German Elenes MD
Division of Inflammation and Pain Research
L.A. Pain Clinic
4019 W. Rosecrans Ave
Hawthorne, CA 90250