CANCER PAIN

The lung cancer prevalence was 76,783, 79,833 and 83,035 in 2012, 2013 and 2014 respectively. The estimated incidence of cancer cases of all sites for the year 2013, 2014 and 2015 was 10,86,783, 11,17,269 and 11,48,692, respectively. In 2015, the total number of cancer cases was projected to be 1.1 million, and the estimated number of cancer patients who received some for treatment, including palliative care, was 3.96 lakh (36%). 60 % of cancer cases were detected in advance stages. Cancer experts estimate that 50 percent of cancer patients experience pain, and in people with advanced cancer the percentage is as high as 90 percent. Pain is present during all stages of cancer and it will worsen during all modalities of treatment. In advance cancer Pain relief will improve the quality of life. Narcotics are mainstay of pain relief in cancer pain, but these medications are not without side effects and might require very high dosage that will have further increase side effects like drowsiness, constipation and respiratory depression. Interventional pain procedures provide long lasting relief with single injection upto 6 months and associated with very less side effect.

 

NCCN (National Comprehensive Cancer Network) guidelines recommends early intervention for pain management in cancer patients to give good quality of life. A single injection gives you long lasting relief lasting upto 6 months. Injection site depends on the location of cancer. This can be repeated as and when required. Major advantage is avoiding side effects of systemic medication.

 

Yet, cancer pain is often undertreated, mainly because there is myth “PAIN IS INEVITABLE DUE TO CANCER” among patients and physicians. However in reality 85 % of cases pain can be managed well.
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