Taxonomy of Cancer Pain

Eidelman, Anthony; Carr, Daniel B.

doi:10.1016/b978-0-7216-0261-5.50006-5

Cited by 4 publications

(4 citation statements)

References 92 publications

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“…In patients with a known cancer diagnosis, efforts should be made to elucidate the etiologies of such neuropathy. The most common cause of new-onset neuropathy is progression of tumor or recurrence of such tumor (1,2). Cancer can directly cause neuropathies or indirectly result in paraneoplastic neuropathies (3,4).…”

Section: Inrtoductionmentioning

confidence: 99%

Radiation-induced peripheral neuropathies: Etiopathogenesis, risk factors, differential diagnostics, symptoms and treatment

Vasić

2007

Arch Oncol

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The success of radiation oncology has lead to longer patient survival. This provides a greater opportunity for radiation injuries of the peripheral nerves to develop. Peripheral neuropathy in cancer patients may result from either tumor recurrence or as a consequence of radiation therapy. Distinguishing between radiation injury and cancer disease recurrence as a cause of nerve dysfunction may be difficult. In this article the etiopathogenesis of radiation-induced peripheral neuropathies has been discussed as well as main risk factors, symptoms and method of treatment

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Section: Inrtoductionmentioning

confidence: 99%

Radiation-induced peripheral neuropathies: Etiopathogenesis, risk factors, differential diagnostics, symptoms and treatment

Vasić

2007

Arch Oncol

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“…Visceral pain tends to be vague and poorly localized compared with somatic pain. 6 Afferent visceral pain nerve fibers pass through the paravertebral sympathetic ganglia, and therefore blockade of visceral sympathetic innervation can be an effective tool in controlling visceral cancer pain.…”

Section: Sympathetic Blocks For Visceral Cancer Painmentioning

confidence: 99%

“…When considering the use of interventional pain therapies for cancer pain, an accurate clinical and radiologic assessment of the specific pain in question is essential to guide technique selection and implementation. 6 Localized cancer pain may be controlled by destroying peripheral nerves or plexuses using chemical or thermal modalities; however, diffuse, generalized cancer pain is unlikely to be controlled with selective peripheral neurolysis. Spinal analgesics, especially when based on epidural or subarachnoid administration of combination analgesics involving opioid, local anesthetic, or clonidine, are an especially potent tool for managing appropriate cancer-related pain.…”

mentioning

confidence: 99%

“…Vertebroplasty plays a unique role in managing pain from pathologic vertebral compression fractures caused by osteoporosis, metastasis, or myeloma. Because many interventional therapies have a specific anatomic site of action, whereas patients with metastatic cancer may have multiple anatomic sites of pain, 6 interventional pain procedures may not eliminate all pain but are best used as a component of multimodal management of cancer pain.…”

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confidence: 99%

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Interventional Therapies for Cancer Pain Management: Important Adjuvants to Systemic Analgesics

Eidelman

White

Swarm

2007

J Natl Compr Canc Netw

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Optimized use of systemic analgesics fails to adequately control pain in some patients with cancer. Commonly used analgesics, including opioids, nonopioids (acetaminophen and non-steroidal anti-inflammatory drugs), and adjuvant analgesics (anticonvulsants and antidepressants), have limited analgesic efficacy, and their use is often associated with adverse effects. Without adequate pain control, patients with cancer not only experience the anguish of poorly controlled pain but also have greatly diminished quality of life and may even have reduced life expectancy. Interventional pain therapies are a diverse set of procedural techniques for controlling pain that may be useful when systemic analgesics fail to provide adequate control of cancer pain or when the adverse effects of systemic analgesics cannot be managed reasonably. Commonly used interventional therapies for cancer pain include neurolytic neural blockade, spinal administration of analgesics, and vertebroplasty. Compared with systemic analgesics, which generally have broad indications for control of pain, individual interventional therapies generally have specific, narrow indications. When appropriately selected and implemented, interventional pain therapies are important components of broad, multimodal cancer pain management that significantly increases the proportion of patients able to experience adequate pain control.

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Assessment and management of chronic pain in adults: implications for paramedics

Lord

Deveson

2011

Journal of Paramedic Practice

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Chronic pain represents a complex health problem that affects a significant number of individuals living in the community. Paramedics will encounter patients with a complaint of pain that may be associated with injury, malignancy, and degenerative diseases such as osteoarthritis. In some cases, the patient may have a diagnosis of ‘neuropathic pain’ where there is no obvious basis for the pain. Some individuals with chronic pain may experience exacerbation of pain. This may occur in association with malignancy and disease progression, and when the pain becomes unmanageable, this becomes a health emergency. These individuals may rely on paramedics to manage this distressing symptom. However, in order to care for patients with chronic pain, paramedics need to understand the physiology of pain, use validated tools to assess pain, and appreciate the range of therapeutic approaches used to manage this debilitating symptom. As such, this article aims to provide information to support the paramedic's assessment and management of patients with chronic pain. Paramedics have practice guidelines for the management of acute pain, and these may be adapted to care for patients with acute exacerbation of chronic pain.

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Taxonomy of Cancer Pain

Cited by 4 publications

References 92 publications

Radiation-induced peripheral neuropathies: Etiopathogenesis, risk factors, differential diagnostics, symptoms and treatment

Radiation-induced peripheral neuropathies: Etiopathogenesis, risk factors, differential diagnostics, symptoms and treatment

Interventional Therapies for Cancer Pain Management: Important Adjuvants to Systemic Analgesics

Assessment and management of chronic pain in adults: implications for paramedics

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