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Thursday, July, 24, 2008

Dr. Mark Borigini's SharePosts Relating to: "Journal Entry"

A New Year's Wish for 2008: No More Breakthrough Pain

It is well known that breakthrough pain (BTP) remains the scourge of those who suffer from chronic pain. It seems these patients cannot experience any sort of reasonable prolonged relief.   Fentanyl buccal tablets (FBT) have been used for quite a long time for cancer-related BTP, and in fact is FDA-approved for this indication. But... Read moreChevron

Going Barefoot Easier on the Knees?

Ah, the holidays. It is a time when many of us revert to our stereotypical roles. The men are in the family room watching the latest bowl game, and the women are in the kitchen cooking.   But are some of those poor ladies cooking doing so on painful knees? And if so, what can the rest of us do--short of asking them to relax and not... Read moreChevron

Cox-2 Inhibitors, and Why We Miss Them

When Cox-2 inhibitors first came on the market there was almost euphoria. Finally, those patients with chronic pain and in need of anti-inflammatory medication have a safer alternative to the "old" anti-inflammatory drugs such as Motrin and Naprosyn--drugs that carried with them an increased risk of hospitalization and even death due to... Read moreChevron

Mirror Therapy in Phantom Limb Pain

An interesting study was presented at the recent annual meeting of the American Neurological Association.   The study showed that phantom limb pain was reduced in patients randomized to receive therapy using a mirror to help them visualize moving a normal limb instead of the amputation. But the pain was not reduced in the group where the... Read moreChevron

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Stopping the Abuse of Prescribed Narcotics - A Goal

So, what is a doctor to do about the abuse of pain-killers? If doctors begin to act like police officers, then the doctor-patient relationship suffers. But doctors can keep an eye out for certain risk factors which may indicate a current or future problem with narcotics in a given patient.   A recent article in the "Annals of... Read moreChevron

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