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Cancer Pain Management

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Transcutaneous Electrical Nerve Stimulation (TENS)

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A non-invasive method where electrical impulses are used to block pain signals. May not be suitable for patients with certain types of cancer or those with pacemakers.

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Opioids

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Mainstay for moderate to severe cancer pain. Usage requires careful titration and monitoring for side effects such as constipation, nausea, and respiratory depression.

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Topical Analgesics

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Creams or patches applied to the skin that provide local pain relief. May be used for localized pain and can offer a reduced risk of systemic side effects.

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Nerve Block

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An injection that prevents nerves from sending pain signals. Used for localized pain control. Risk of nerve damage or infection should be considered.

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Cryoablation

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Involves freezing nerve endings to reduce pain. Primarily used in conditions like bone metastases. Care must be taken to avoid damage to surrounding healthy tissue.

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Palliative Chemotherapy

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Used to reduce tumor size and alleviate pain, rather than aiming for a cure. Should be considered when the benefits outweigh the potential for side effects and decreased quality of life.

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NSAIDs

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Used for mild to moderate oncologic pain, usually as an adjuvant to other pain management strategies. Considerations include gastric toxicity, renal impairment, and platelet dysfunction.

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Antidepressants

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Tricyclic antidepressants can be used for neuropathic pain in cancer patients. Side effects can include sedation, dry mouth, and blurred vision.

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Bisphosphonates

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Used to manage bone pain and prevent fractures in patients with bone metastases. They can cause osteonecrosis of the jaw and must be used carefully in patients with renal impairment.

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Acupuncture

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A form of Traditional Chinese Medicine using needles to stimulate certain points on the body. Risk of bleeding may be increased in patients with thrombocytopenia.

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Palliative Surgery

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Surgery aimed to relieve pain or obstructive symptoms caused by cancer, not necessarily to remove all cancerous tissue. Risk of complications must be weighed against potential pain relief.

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Ketamine

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An anesthetic that can be used for severe, refractory oncologic pain. Must be administered in a controlled setting due to potential for hallucination and dissociation.

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Corticosteroids

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Used for their anti-inflammatory properties to reduce pain related to nerve compression and edema. Side effects can include immune suppression, hyperglycemia, and osteoporosis.

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Radiotherapy

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Used to shrink tumors and reduce pressure on nerves or other structures that may cause pain. Careful planning is necessary to minimize damage to healthy tissues.

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Cannabinoids

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Compounds derived from cannabis that may be used to relieve cancer pain. Legal status and availability vary widely, and side effects may include drowsiness, dizziness, and mood changes.

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Anticonvulsants

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Medications such as gabapentin and pregabalin are used to treat neuropathic pain in cancer patients. Side effects may include dizziness, fatigue, and edema.

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Hypnosis

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A complementary therapy that induces a state of focused concentration to help control pain. Effectiveness is subjective and varies from patient to patient.

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Music Therapy

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A complementary therapy that uses music to improve patients' physical and emotional well-being. May help in managing pain, anxiety, and depression associated with cancer.

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Massage Therapy

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Physical manipulation of body tissues that can help relieve tension and pain. Cancer patients should seek a massage therapist trained in oncology massage.

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Mindfulness Meditation

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A practice that involves being fully present and engaged in the moment, which can help reduce the emotional impact of cancer pain. Integration with other pain management strategies is recommended.

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