Post-Thoracotomy Pain Syndrome: Assessment and Intervention

Hopkins, Kathleen Garrubba; Rosenzweig, Margaret

doi:10.1188/12.cjon.365-370

Cited by 16 publications

(8 citation statements)

References 30 publications

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“…Referral to specialists in pain management should be considered if initial interventions prove ineffective in achieving symptom relief (Wildgaard et al, 2011;Wildgaard et al, 2012). A targeted physical assessment (Hopkins & Rosenzweig, 2012) and/or brief questionnaires can guide evaluation of response to therapy (Bennett et al, 2007;Bousassira & Attal, 2011;Freynhagen et al, 2006;McGill, 2009).…”

Section: Discussionmentioning

confidence: 99%

Postthoracotomy Pain Syndrome Following Surgery for Lung Cancer: Symptoms and Impact on Quality of Life

Hopkins¹,

Hoffman²,

Dabbs³

et al. 2015

JADPRO

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Postthoracotomy pain syndrome (PTPS) is a common complication following thoracic surgery. Most studies examining the influence of PTPS on patient-reported symptoms include few patients managed using a minimally invasive approach. Associated sensory changes, potentially neuropathic in origin, are not well described. We therefore examined the symptoms and quality of life (QOL) of patients with and without PTPS who underwent a standard thoracotomy (n = 43) or minimally invasive surgery (n = 54). Patients in this prospective, cross-sectional study completed questionnaires to assess pain (McGill Pain Questionnaire), neuropathic symptoms (Neuropathic Symptom Questionnaire), symptom distress (Symptom Distress Scale), anxiety and depression (Hospital Anxiety and Depression Scale), and QOL (Functional Assessment Cancer Therapy-Lung). Excepting younger age (p = .009), no demographic or surgical characteristic differentiated patients with and without PTPS. Patients with PTPS described discomfort as pain only (15.1%), neuropathic symptoms only (30.2%) or pain and neuropathic symptoms (54.7%). Scores differed between patients with and without PTPS for symptom distress (p < .001), anxiety and depression (p < .001), and QOL (p = .009), with higher distress associated with PTPS. Despite new surgical techniques, PTPS remains common and results in considerable distress. A focused assessment is needed to identify all experiencing this condition, with referral to pain management specialists if symptoms persist.

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Section: Discussionmentioning

confidence: 99%

Postthoracotomy Pain Syndrome Following Surgery for Lung Cancer: Symptoms and Impact on Quality of Life

Hopkins¹,

Hoffman²,

Dabbs³

et al. 2015

JADPRO

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“…The intensity of acute pain is a risk factor associated with the development of PTPS (Amprachim et al 2013 ; Gotoda et al 2001 ; Joshi et al 2008 ; Wildgaard et al 2009 ). Direct and indirect damage to the intercostal nerves appears to be the primary cause of pain, largely neuropathic pain, leading to central sensitisation and development of PTPS (Amprachim et al 2013 ; Della Corte et al 2012 ; Hopkins & Rosenweig 2012 ; Khelemskey & Noto 2012 ).…”

Section: Discussionmentioning

confidence: 99%

Physiotherapy management of patients undergoing thoracotomy procedure: A survey of current practice in Gauteng

Schwellnus

Roos

Naidoo

2017

South African Journal of Physiotherapy

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BackgroundPhysiotherapy is included in the management of patients undergoing thoracic surgery. The aim of this study was to describe physiotherapy practice in the management of patients who undergo an open thoracotomy.MethodsA cross-sectional study using convenience sampling was undertaken. An electronic self-administered questionnaire was distributed via SurveyMonkey to 1389 physiotherapists registered with the South African Society of Physiotherapy in Gauteng. The data collection period was August and September 2014 and data were analysed descriptively.ResultsA total of 323 physiotherapists (23.3%) responded to the survey and 141 (10.2%) indicated that they treated patients with open thoracotomies. Preoperative treatment was done by 65 (41.6%) and consisted of teaching supported coughing (92.3%; n = 60), sustained maximal inspiration (70.8%; n = 46) and the active cycle of breathing technique (69.2%; n = 45). One hundred and sixteen (82.3%) respondents treated patients during their hospital stay. Deep breathing exercises (97.6%; n = 83), coughing (95.3%; n = 81), early mobilisation (95.3%; n = 81), upper limb mobility exercises (91.8%; n = 78), chest wall vibrations (88.2%; n = 75) and trunk mobility exercises (85.9%; n = 73) were done frequently. Pain management modalities were less common, for example transcutaneous electrical nerve stimulation (12.9%; n = 11). Post hospital physiotherapy management was uncommon (32.6%; n = 46).ConclusionPhysiotherapy related to early mobilisation in hospital is in line with evidence-based practice, but further education is needed regarding the need for physiotherapy post hospital discharge and pain management.

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“…PTS da bilinen medikal tedaviler dışında literatürde ağrı kontrolü ve kronikleşmeyi önleyebilmek için çeşitli çalışmalar da bildirilmiştir (50)(51)(52)(53).…”

Section: Postoperati̇f Dönem Nöroloji̇k Sorunlarunclassified

Neurologıc Problems Accompanyıng Lung Cancer

Aydın¹,

Sohtaoğlu²

2016

Toraks Cer Bult

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Neurological problems that may occur in lung cancer are caused by both the cancer and treatment to be applied. Intracranial and extracranial nervous system metastases, cerebrovascular diseases, paraneoplastic neurologic disorders and treatment-induced peripheral and central nervous system diseases can be observed during diagnosis and treatment. The most common neurological problems of lung cancer are intracranial brain metastases. Making early diagnosis and administering treatment by considering the neurological symptoms in follow-up patients are important for both in terms of long-term preservation of neurological function of the patients and to provide longer survival.

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Post-Thoracotomy Pain Syndrome: Assessment and Intervention

Cited by 16 publications

References 30 publications

Postthoracotomy Pain Syndrome Following Surgery for Lung Cancer: Symptoms and Impact on Quality of Life

Postthoracotomy Pain Syndrome Following Surgery for Lung Cancer: Symptoms and Impact on Quality of Life

Physiotherapy management of patients undergoing thoracotomy procedure: A survey of current practice in Gauteng

Neurologıc Problems Accompanyıng Lung Cancer

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