Cancer pain occurs in many ways, it may be dull, achy or sharp, constant or recurrent, mild, moderate or severe. Severity of pain depends on cancer type and stage, how much the cancer has spread, sensitivity to pain.
Pain is mostly caused by the cancer itself. The treatment or the tests done to diagnose cancer may also cause pain. In cancer patients, cancer treatment such as surgery, radiation therapy or chemotherapy can cause orofacial pain as a side effect.
Cancer pain may arise from start of the disease through survivorship and may be:
Location, radiation, quality, intensity and sequential pattern of pain, along with provoking and soothing factors associated with it provide clues to a possible cause of cancer pain.
The date of arrival, related symptoms and pain trajectory, measures disease course and forecast indirectly. Doctor incorporate findings from history, physical examination, and tests in order to infer the pathophysiologic mechanisms behind the pain.
Poor pain management in cancer patients may cause increased illness, reduced performance status, increased anxiety and depression, and diminished quality of life (QOL).
Cancer Pain can be effectively managed in the great majority of patients. A good pain assessment is vital to effective treatment. Effective pain control requires a multimodal approach in which pharmacological management plays an important role. Other models of pain management includes:
For pain management in cancer patient’s analgesics and physiotherapy are commonly used. It is mainly focused at the diagnosis of etiologic factors, pain mechanisms involved, and pain severity. As cancer pain is subjective and patient-specific, each pain management plan is personalized to the individual.
B.D.S, M.D.S (USA)
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