Latest by Mark Borigini, M.D.

Myofacasical Pain Syndrome vs. Fibromyalgia

Many patients are labeled with fibromyalgia simply because they have chronic soft tissue pain. But it is important, at least for the sake of correctness, that not all chronic soft tissue pain be called fibromyalgia. In fact, localized or regional pai...

Restless Leg Syndrome (RLS) Often Associated with Chronic Pain

Restless leg syndrome (RLS) is a common and sometimes devastating condition. I see it quite frequently in many of my chronic pain patients. In fact, it contributes to quite a bit of chronic pain, because of the difficulty it causes in terms of gettin...

No Pain, Weight Gain: Does Taking Certain Medications Mean Adding Pounds?

I have written here about many different classes of drugs used for pain management. Often, I have had readers respond that some of the drugs I have discussed have caused intolerable weight gain. And suddenly a patient is dealing with the specter of b...

What is the "Best" Rheumatoid Arthritis Treatment?

I am often asked what treatment or combination of treatments should be used in rheumatoid arthritis. The honest answer is that there is, for now, no best treatment. The best treatment is the treatment that allows the rheumatoid arthritis patient to f...

Celebrex and COX-2 Inhibitors vs. Anti-Inflammatories

A couple of months back I wrote a post discussing the concerns I and many others have regarding the return of severe gastrointestinal side effects as a result of the increasing use of the so-called traditional anti-inflammatories. This is of course t...

Beyond Osteoarthritis: Looking Toward A Future Without Knee Pain

Osteoarthritis (OA) is by far the most common joint disorder in the United States and throughout the world. It is a leading cause of pain and disability in the elderly, mostly because of its predilection for the weight-bearing joints. And so today I ...

Rheumatoid Factor Revisited"”an Update from the American College of Rheumatology

My last blog discussed the Rheumatoid Factor, its significance, and perhaps its insignificance. The bottom line, however, is that rheumatologists are on a seemingly never-ending quest to find ways to predict who among our patients will have a worse o...

Rheumatoid Factor: What is it? What does it mean?

Rheumatoid factors are antibodies that attach to other antibodies. This may be associated with inflammation. It is a test used to help in the diagnosis of rheumatoid arthritis. However, there are many other conditions associated with a positive rheum...

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 pr...

Ask the Expert: Does Low Intensity Laser Therapy Work?

Dear Dr. Borigini:** My 85 year old step father has debilitating scoliosis and often acute pain that keeps him from sleeping. He sleeps in his Lazy Boy type chair because he cannot lie flat.**** Recently he has seen a pain specialist and had cortison...