Skip to main content

The Practice of Cancer Pain: A Case Series

  • Chapter
  • First Online:
Essentials of Interventional Cancer Pain Management

Abstract

Cancer pain management is unique in that it requires a balance of pharmacologic and interventional therapies in the face of clinical challenges specific to cancer treatment and progression. This chapter presents a series of case studies highlighting frequent clinical scenarios encountered by pain practitioners and the treatment algorithms that are generally employed to optimize a patient’s treatment. Cancer pain management is focused on pain and palliation and often requires the practitioner to change their focus throughout a patient’s treatment. It can start with medication management and the employment of interventional techniques but often focuses on symptomatic management, prognosis, and individual patient goals. Changing underlying pathology often requires a practitioner to frequently reassess a patient to accurately diagnose and treat their pain. Ultimately, our goal for each patient with cancer pain is to optimize the treatment of pain and maximize quality of life and functionality.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. NIH: National Cancer Institute. Cancer statistics. https://www.cancer.gov/about-cancer/understanding/statistics

  2. Van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, et al. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol. 2007;18(9):1437–49.

    Article  Google Scholar 

  3. American Pain Society (APS). Principles of analgesic use in the treatment of acute pain and cancer pain. 6th ed. Glenview: American Pain Society; 2008.

    Google Scholar 

  4. National Comprehensive Cancer Network. Clinical practice guidelines in oncology for adult cancer pain. V. 1.2010. Fort Washington: National Comprehensive Cancer Network. 2010. Available at: www.nccn.org. Accessed 1 Nov 2010.

  5. Van Lancker A, Velghe A, Van Hecke A, Verbrugghe M, Van Den Noortgate N, Grypdonck M, Verhaeghe S, Bekkering G, Beeckman D. Prevalence of symptoms in older cancer patients receiving palliative care: a systematic review and meta-analysis. J Pain Symptom Manag. 2014;47(1):90–104. https://doi.org/10.1016/j.jpainsymman.2013.02.016.

    Article  Google Scholar 

  6. Borgsteede SD, et al. Symptoms in patients receiving palliative care: a study on patient-physician encounters in general practice. Palliat Med. 2007;21:417–23.

    Article  Google Scholar 

  7. Higginson IJ, Evans CJ. What is the evidence that palliative care teams improve outcomes for cancer patients and their families? Cancer J. 2010;16(5):423–35. https://doi.org/10.1097/PPO.0b013e3181f684e5.

    Article  PubMed  Google Scholar 

  8. Malhotra VT, Root J, Kesselbrenner J, Njoku I, Cubert K, Gulati A, Puttanniah V, Bilsky M, Kaplitt M. Intrathecal pain pump infusions for intractable cancer pain: an algorithm for dosing without a neuraxial trial. Anesth Analg. 2013;116(6):1364–70.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sana Shaikh .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Shaikh, S. (2019). The Practice of Cancer Pain: A Case Series. In: Gulati, A., Puttanniah, V., Bruel, B., Rosenberg, W., Hung, J. (eds) Essentials of Interventional Cancer Pain Management. Springer, Cham. https://doi.org/10.1007/978-3-319-99684-4_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-99684-4_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-99682-0

  • Online ISBN: 978-3-319-99684-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics