General Pain Management Concepts

  • Dhanalakshmi KoyyalaguntaEmail author
  • Maureen J. Simmonds
  • Diane M. Novy


As of January 2012, cancer survivors in the United States numbered an estimated 13.7 million and are projected to reach 18 million over the next decade. Cancer survivors tend to have poor health-related quality of life (HRQol) and experience numerous symptom clusters (physical and mental), including pain. The pain pattern shifts from short-term cancer-related pain to chronic pain syndromes that may last from months to years. Although a majority return to work, 20% are not able to because of the complex disability associated with their symptom burden. In the American Cancer Society’ s study of survivors, 90% reported pain and other symptoms 1 year after diagnosis. A quarter of these survivors were considered to have a “high symptom burden,” with pain, depression, and fatigue having the greatest impact on health-related quality of life (HRQol). We propose incorporating components from comprehensive chronic pain rehabilitation programs and tailoring them to the specific needs of cancer survivors.


Cancer survivors Rehabilitation program Physical assessment Physiological assessment General pain treatments 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Dhanalakshmi Koyyalagunta
    • 1
    Email author
  • Maureen J. Simmonds
    • 2
  • Diane M. Novy
    • 3
  1. 1.Department of Pain MedicineUTMD Anderson Cancer CenterHoustonUSA
  2. 2.University of Texas, Physical Therapy DepartmentSan AntonioUSA
  3. 3.Department of Pain MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

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