Pain control is a common issue when you are dealing with cancer patients. Most of the time the pain is caused from a tumor, but there is the chance pain begins somewhere other than the cancer itself. Surviving cancer and the treatments needed beat cancer can be extremely difficult, especially when excruciating pain accompanies the situation. Finding a way to manage the pain of cancer can help an individual persevere through the ordeal.

Pain can be acute or chronic. Acute pain is severe, but short-lived and chronic is pain that lasts for longer periods of time, and can range from mild to severe. Sometimes patients will experience breakthrough pain, which is pain that breaks through medications prescribed to the patient.

According to the National Comprehensive Cancer Network’s (NCCN) August 2005 pain prevention report, one-third of cancer patients experience pain with their treatments. The NCCN also reports that nearly two-thirds of patients with recurring cancer or advanced stages of cancer experience pain.



Pain control is possible, even for those suffering from cancer, and it can give a patient a better quality of life. Pain in cancer patients is most often a result of the cancer itself, but sometimes it can result from a specific treatment, such as radiation therapy.

Pain can be relieved through several ways. For example, pain control can be through medications, relaxation methods, acupuncture or mental therapy sessions. Each patient is unique and pain can be evaluated through a cancer team made up of specialists such as an oncologist, anesthesiologist, pain specialists and your physician.

It is important for you to discuss any pain you experience with your doctor or medical professional so they can figure out what methods would work best for you. The earlier pain is ministered to, the easier it will be to handle it during your cancer treatments.

If you experience pain that is unrelated to your cancer diagnosis, it is important to find the best method to stop the pain before beginning your treatment. For example, arthritis pain prevention can be found through physical therapy sessions, water therapy or oral medications.

If a patient suffers from cancer in the spinal cord, he or she may need to learn about back and neck pain control. This type of pain occurs because the cancer causes the spinal cord to compress, causing sharp pains in the back and neck regions.

Pain control means finding a way for you to live a functional life, especially when you are trying to battle cancer. There are several methods used today to help alleviate pain in patients. The National Cancer Institute’s (NCI) web site discusses medicines used to alleviate pain, such as antidepressants, morphine or over-the-counter pain relievers.

The NCI also mention certain treatments that don’t involve medications. These methods use massages, acupuncture treatments, rhythmic breathing and biofeedback to find a solution for a patient’s pain. All of these treatments can assist with treating swelling or severe aches often associated with cancer.

Every individual is different, and their bodies are going to react differently to medication and therapy. You should always inform your doctor of recurring pain so he or she can give you advice given on finding a pain-relieving treatment that fits your particular situation.

Your doctor can find a means to administer pain control when you are taking treatments for cancer. All that is needed is some basic information from you about where the pain is and how long it lasts. Fighting cancer does not have to be a never ending uphill battle. Instead, it can be made a more manageable experience thanks to proper medications and therapies administered by a physician.



Pain

Patients with advanced cancer often have pain as their chief complaint. Although advances in cancer treatment have lengthened survival among cancer patients, cancer pain remains under treated in patients. It has been estimated that 25% of all cancer patients who die, do so without adequate pain relief, despite the fact that the tools for adequate pain control are available. With advanced disease, 90% of patients with cancer require strong opiates to control their pain. However, many physicians remain concerned about inadvertently making a patient an addict if they prescribe narcotics to treat pain. Cultural and attitudinal barriers, knowledge deficits among health care professionals, and the influence of state and federal drug regulatory agencies also contribute to the fact that the pain experienced by cancer patients, all too often, is under-treated.



Cancer pain is classified according to pain duration and quality. Duration of pain can denote the acute or chronic nature of pain. It is common to experience anxiety, apprehension and depression in patients with cancer pain. The types of pain most commonly experienced by cancer patients are:

- Acute cancer related pain

- Chronic cancer related pain

- Pain unrelated to cancer

- Pain in opiod tolerant cancer patients

- End of life pain

After an appropriate medical history review and a physical, a pain physician will tailor a suitable pain treatment program. Because everyone has a different response to medications and therapies, the other types of drugs with pain relievers. They include anti-inflammatory steroids, anticonvulsants, and antidepressants. These drugs may be effective treatments for specific types of pain or pain with specific causes. For example, the doctor may prescribe antidepressants to help relieve certain types of pain. However, it doesn’t necessarily mean that the patient is suffering from depression. Similarly, steroids often are effective in relieving pain associated with inflammation.

Cancer pain can be controlled effectively through therapies already available today. Pain treatments range from mild, nonprescription pain relievers, to stronger prescription medications, to neurological surgery, to alternative therapies such as relaxation, biofeedback, guided imagery, and acupuncture.

Oncologists and pain specialists can devise a treatment plan based on the type and severity of pain, side effects, and how the patient responds to the treatment. Some common approaches to treat cancer pain include:

1. Oral Medicines- Aspirin & NSAIDs, Opiods, Adjuvants

2. Intravenous drugs

3. Transdermal drug delivery systems

4. Nerve blocks

5. Interthecal drug pumps

6. Neuroablstive procedures

Although they have cancer pain, many patients are afraid of getting addicted to pain medicines. When cancer pain medicines are given and taken in the right way, patients rarely become addicted to them. To be sure, they should talk to the doctor, nurse, or pharmacist about how to use pain medications safely. Many patients only need pain medicines for a time, until the cause of the pain goes away due to other treatments like chemotherapy, radiotherapy or surgery. When they are ready to stop taking the medicine, the doctor gradually lowers the amount of medicine they take. By the time they stop using it completely, the body has had time to adjust. Some patients will need to take pain medicines for the long-term. Taking medicines regularly should not make patients feel like an “addict.”



Physical dependence, tolerance to medication and addiction are three different issues in people treated with strong pain medications. The patient’s physician can explain the subtle but important difference between them. It’s often easier to control pain in its early stages, because it becomes severe. Therefore, it is better for cancer pain patients to ask for adequate pain relief.

A primary care physician or oncologist can help explain the possible options for pain relief and can make a referral, when necessary, to a pain medicine specialist for optimal pain management.

About Walton Rehabilitation Health System:

Walton Rehabilitation Health Systems (WRHS) is a leading not-for-profit comprehensive, multi-specialty, dedicated provider of physical medicine and rehabilitation. Our mission is to be an advocate for wellness by providing a continuum of services to treat the whole person. WRHS, whose reputation extends throughout the south, is a trusted partner with just the right expertise and treatments to help people with disabling injuries and illnesses return to work and to a fulfilling life. By pursuing its mission, WRHS has grown to include Walton Pain and Headache Centers, Walton Community Services, Walton Options for Independent Living, Walton Foundation for Independence, and Walton Technologies. We are located at: 1355 Independence Drive, Augusta, GA 30901-1037. For more information visit www.wrh.org or call 866-4-WALTON.



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