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Acute rib fracture pain in CF
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Recent papers in Thorax have described the high prevalence of low bone mineral density (BMD) in individuals with cystic fibrosis1 ,2; these patients are at increased risk of fractures.3 ,4 Rib fracture pain can often be difficult to treat, despite standard analgesia such as non-steroidal anti-inflammatory drugs and opiates. Rib pain can impair sputum clearance and lead to an exacerbation of CF pulmonary disease. There are reports that calcitonin can relieve bone pain for patients with osteolytic …