Dear Craig
In regard to your question about the impact of Cox2 treatment.
You wrote (edited)...
> The question to the list is,
>
> How will this potentially effect practitioners in the musculoskeletal
> field, Spinal Pain, Joint Pain etc.
> But for the man on the street, if his major motivating reason for
> seeking secondary care (physiotherapy), which in this case may be
> pain, is removed or greatly diminished, will we then see far fewer
> people coming through our doors looking for help?
Pain relief control is certainly one desirable effect for both
client and therapist. The use/misuse of this drug or any drug must
always be considered. Educating the client (or public) about the
potential risks of simply masking symptoms is certainly important by
the drug company, GP or therapist.
Advancements in this field will be of help. As a
therapist I do not fear 'loss of clients', since experience tells
me that 'people will be people' and continue to injure themselves
enough to still require my services. Perhaps this drug and others
like it will simply weed out those clients who perhaps never really
required our services in the first place.
> The question is, How great is the threat of substitution of product?
> Cox 2 substituted for Physical Therapy.
Threat? I see no threat, merely a tool that may be used or abused.
Cheers
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Erik Dombroski
AIT, School Of Physiotherapy,
Email: [log in to unmask]
URL: http://www.ait.ac.nz/depts/physio/
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