Article Figures & Data
Figures
- Figure 1
Our approach to managing cancer pain, based on the World Health Organization analgesic ladder.
Tables
Type of intervention or procedure Primary tumor or metastatic site indications Nerve blocks Peripheral nerves Paravertebral ........................................................ Chest-wall pain after mastectomy Interscalene ......................................................... Upper-extremity pain after surgical repair of pathologic fractures and neuropathy from brachial plexoplathy Plexus nerves Celiac ................................................................... Right-upper-quadrant and epigastric pain from pancreaticobiliary malignancies Superior hypogastric ............................................ Pelvic pain from gynecologic and urologic malignancies Ganglion impar .................................................... Perineal and rectal pain from anorectal and vulvar malignancies Implantable catheters and neuromodulation Intraspinal drug delivery Visceral pain from abdominal malignancies, neuropathic pain for lower extremities, and intractable back pain from metastases Spinal cord stimulation Dorsal root ganglion stimulation Vertebral augmentation Vertebroplasty Back pain from spine metastases and vertebral fractures Kyphoplasty Ablation procedures Radiofrequency ablation Pain from metastatic bone and soft-tissues sites Cryoablation Microwave ablation Magnetic resonance imaging-guided focused-ultrasound surgery Transarterial embolization .................................. Pain from hypervascular bone metastases Chemotherapy Peripheral neuropathy (with agents such as paclitaxel, docetaxel, vincristine, cisplatin, oxaliplatin, thalidomide, and bortezomib) Osteonecrosis secondary to concurrent steroid use Radiation therapy Connective-tissue fibrosis Neural damage (such as brachial plexopathy, myelopathy) Pain from secondary malignancies Enteritis Proctitis Cystitis Vaginal dryness or atrophy Surgery Mastectomy (may be due to phantom breast pain, intercostobrachial neuralgia, neuroma or nerve injury) Amputation or phantom limb pain Thoracotomy Head and neck surgery (eg, neck dissection)
In this issue
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- Article
- ABSTRACT
- WHAT ARE THE KEY PRINCIPLES IN MANAGING CANCER PAIN?
- WHAT ARE SOME OF THE NONOPIOID MEDICATIONS USED FOR CANCER PAIN?
- WHAT ARE SOME OF THE NEW OPIOID MEDICATIONS FOR CANCER PAIN?
- WHAT IS THE ROLE OF RADIATION THERAPY IN MANAGING CANCER PAIN?
- WHAT INTERVENTIONAL PROCEDURES ARE AVAILABLE FOR CANCER PAIN?
- HOW IS PAIN MANAGED IN CANCER SURVIVORS?
- A COMPREHENSIVE APPROACH TO A COMPLEX PROBLEM
- DISCLOSURES
- Acknowledgments
- REFERENCES
- Figures & Data
- Info & Metrics
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