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Pain in cancer patients affect quality of life. It is a debilitating pain. Pain is a major symptom of cancer and occur at all stages of the disease. In addition, pain is usually a hallmark of progression or metastatic spread. 65 % to 85 % of people with cancer have pain ,when they develop advanced disease
In 10% to 20 % of cancer cases, pain is very difficult to treat, frustrating and poorly controlled. Pain could be due to cancer itself or due to secondary metastasis.
Primary cancer care is provided by oncologists, while pain and palliative care services (supportive therapy) provide by us. Chemotherapy can cause some peripheral neuropathy. By abolishing pain signal, prognosis or outcome will be improved.We treat pain by giving narcotics, Paracetamol and adjuvants.
Intervention Pain Procedures ,target neural and non-neural pain generators and Neural technique provides excellent pain relief for neuropathic, sympathetic, nociceptive, somatic or visceral pain. Neural blockage techniques are mainly categorized into Non-neurolytic blocks and Neurolytic blocks
For pain relief to be effective, or opiod- resistant pain, Neurolytic blocks have precious role. The type of neural block selected is determined by the location and mechanism of pain, the physical status of patients, extent of tumor, the technical skill and experience of the person , performing intervention.
Non-neurolytic block can provide safe and effective analgesia for less serious conditions.
If patient have localized pain in a particular region, then pain relieving nerve blocks, like celiac plexus, stellate, hypogastric block and lumbar sympathetic block may be useful.
The management of patients with cancer pain can be a challenging task, even for physicians trained in cancer pain management.
Palliative care is very important to improve the cancer patient’s quality of life.
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