The Cancer Pain Sourcebook

Copyright......Page 6
Contents......Page 9
About the Methodist Comprehensive Pain Institute......Page 11
Acknowledgments......Page 15
Introduction......Page 17
How the Body Senses Pain......Page 23
What Is the Difference Between Pain and Suffering?......Page 24
Peripheral Nociception (The Sensation of Pain)......Page 27
Transmitting Pain Signals to the Spinal Cord......Page 29
Transmitting Signals to the Brain......Page 32
The Different Kinds of Pain......Page 35
Summary......Page 40
How Tumors Cause Pain......Page 41
Inflammation......Page 42
Bone Pain......Page 43
Pain from the Nervous System......Page 46
Invasion of the Central Nervous System......Page 48
Other Ways Tumors Can Cause Pain......Page 49
Summary......Page 55
Pain Associated with Surgery, Radiation, and Chemotherapy......Page 57
Pain Associated with Surgery......Page 58
Pain After Radiation Therapy......Page 62
Chemotherapy......Page 65
Summary......Page 68
Psychological Factors—It’s Not in Your Head......Page 71
Opioid (Narcotic) Pain Medications......Page 97
Normal Pain and Abnormal Pain......Page 98
Sources of Pain......Page 99
The Body’s Ability to Suppress Pain......Page 101
The Ethics of Pain Treatment......Page 102
Helping Your Doctor to Treat Your Pain by Giving Accurate Information......Page 103
Using Opioid Medications to Treat Cancer Pain......Page 106
Other Medications Used to Treat Cancer Pain......Page 123
Nonsteroidal Anti-Inflammatory Medications......Page 124
Adjunctive Medications......Page 131
Alternative Ways of Delivering Medications......Page 147
Why Oral Medications May Not Work......Page 148
Noninvasive Methods of Delivery......Page 150
Alternative Methods for Administering Injectable Medications......Page 155
Palliative Treatment for Pain Control......Page 159
Palliative Radiation Therapy......Page 160
Palliative Chemotherapy......Page 168
Other Therapies for Pain......Page 171
The Placebo Effect......Page 172
Complementary and Alternative Medicines......Page 173
Herbal and Natural Pain Remedies......Page 176
Psychotherapies......Page 183
Physical Therapies......Page 187
Nerve Blocks and Nerve Destruction......Page 193
Nerve Blocks for Spinal Pain......Page 194
Blocks for Peripheral Nerve Pain......Page 199
Blocks for Sympathetically Mediated Pain......Page 201
Nerve Destruction Procedures......Page 204
Summary......Page 209
Intraspinal Treatments for Cancer Pain......Page 215
Intraspinal Drug Administration......Page 217
Neurostimulation......Page 223
Summary......Page 226
Pain Treatment for Specific Situations......Page 227
Protocols for the General Treatment of Cancer Pain......Page 228
Pain from Cancer Invasion into Bone......Page 230
Neuropathic Pain......Page 231
Neuromas......Page 233
Specific Neuropathic Pain Syndromes......Page 234
Postoperative Syndromes......Page 236
Sympathetically Mediated Pain (Complex Regional Pain Syndrome)......Page 238
Visceral Pain......Page 239
When the Cancer Is Cured, but the Pain Remains......Page 240
A Word of Caution About Research......Page 243
What Is a Clinical Trial?......Page 246
Protocols, Eligibility, and Randomization......Page 248
How Are Research Participants Protected?......Page 250
Why Participate in a Trial?......Page 251
How to Find Out About Legitimate Clinical Trials......Page 252
Making Sure a Trial Is Truly Research......Page 253
Hospice Care......Page 257
The History of Hospice......Page 258
Who Is Eligible for Hospice Care?......Page 259
What to Expect from Hospice Care......Page 261
Summary......Page 264
Common Opioid Medications and Their Side Effects......Page 265
Generic and Brand Names of Nonopioid Medications Used for Pain Control......Page 269
Pain Treatment Resources......Page 273
Cancer Support Groups......Page 279
Other Useful Resources......Page 291
Finding Information on Cancer Studies and Research Trials......Page 293
Resources for Hospice Care......Page 295
Selected References......Page 299