Latest by Mark Borigini, M.D.

Fighting Rheumatoid Arthritis With Chicken Collagen

A number of health websites have reported on the recent article in the journal Arthritis and Rheumatism, which studied chicken collagen as a treatment for rheumatoid arthritis. Overall, among those who responded, in both the methotrexate group and th...

Topical Pain Medications: Which Ones Do the Job?

In a prior entry, I discussed Voltaren Gel. But there are some other prescription topical agents worth talking about this fine morning. Again, these medications have the potential to help all sorts of patients, but they may be particularly useful in ...

Fibromyalgia and the Courts: Here Comes the Judge

There is a lot of debate as to whether there is such a thing as “secondary” fibromyalgia due to some sort of trauma. Often, the trauma is the result of a fall, or a car accident. Such “post-traumatic” fibromyalgia patients are more severely affected, ...

New Guidelines for Low Back Pain Treatment

Last month, the American Pain Society added to its recommendations to health care providers regarding the diagnosis and treatment of low back pain. In addition, the Society decided to discuss openly procedures that could be risky to sufferers of low ...

The Topic is Topicals: Voltaren Gel

For patients with chronic pain involving limited areas of the body, they might not have to expose themselves to the toxicities of oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as Motrin and Naproxen. These toxicities can lead to stomach ul...

Enbrel and the Mystery of the Black Box Warning

No, this is not the title of a Nancy Drew novel that begs solving. But I have had many patients asking me about the significance of the black box warning on Enbrel. And why was there no black box warning before this? Well, to review the facts of this ...

Better Sleep Often Means Less Chronic Pain

I have often in these virtual pages emphasized the importance of sleep in reducing the severity of chronic pain. Sleep has been shown in fibromyalgia studies to be extremely important in reducing the pain fibromyalgia patients experience, and a lack ...

Metabolic Syndrome, Obesity, Diabetes and the worsening of Rheumatoid Arthritis

The United States is becoming unhealthier: The rates of obesity, diabetes and metabolic syndrome are on a continued upward trendl. Unfortunately, these illnesses of an inactive and overeating society are having a negative impact on those who suffer f...

A New Drug May Protect Bones in People With Rheumatoid Arthritis

Recently, the pharmaceutical company Amgen (the makers of Enbrel) announced that the results of a Phase 3 trial had been published which studied the drug denosumab in postmenopausal osteoporosis. Denosumab treatment significantly increased bone densi...

Are There Any Arthritis Drugs that Slow Down Joint Deterioration?

ANSWER TO QUESTION REGARDING “OVERLAPPING ARTHRITIS” From a reader: "I have an overlapping arthritis, based on my last x-rays, I have deterioration in all of the fingers on my left hand, as well as my knuckles and wrists on both hands. I also ha...