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Pain Management in Breast Cancer Patients: A Multidisciplinary Approach
Pain is a significant problem and is one of the most invalidating symptoms in breast cancer (BC) patients that would negatively affect the functional status and the Quality of Life (QoL). Pain management in BC patients requires thorough patient evaluation and critical assessment of pain. The actual...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318122/ https://www.ncbi.nlm.nih.gov/pubmed/34336485 http://dx.doi.org/10.7759/cureus.15994 |
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author | Alhazmi, Lenah Sulaiman S Bawadood, Manar Abubaker A Aljohani, Alhasan Mohammad S Alzahrani, Abdulmajeed Abdullah R Moshref, Leena Trabulsi, Nora Moshref, Rana |
author_facet | Alhazmi, Lenah Sulaiman S Bawadood, Manar Abubaker A Aljohani, Alhasan Mohammad S Alzahrani, Abdulmajeed Abdullah R Moshref, Leena Trabulsi, Nora Moshref, Rana |
author_sort | Alhazmi, Lenah Sulaiman S |
collection | PubMed |
description | Pain is a significant problem and is one of the most invalidating symptoms in breast cancer (BC) patients that would negatively affect the functional status and the Quality of Life (QoL). Pain management in BC patients requires thorough patient evaluation and critical assessment of pain. The actual cause for the pain must be recognized, so management can be tailored to each patient. This review aims to discuss various treatment modalities employed for effectively managing pain in BC patients. Pharmacotherapy makes up the cornerstone of the management of pain in BC patients. Both opioid and non-opioid analgesics are utilized. The WHO recommends a method called “by the ladder” for managing pain in BC patients where analgesics are used in ascending order. In comprehensive pain management (CPM), non-pharmacologic therapies are gaining wide acceptance and popularity, including complementary and alternative medicine (CAM), procedural and psychosocial interventions. Procedural interventions are usually used in case of severe pain refractory to pharmacological therapy. Techniques, such as radiotherapy, neurectomy, and nerve blocks, are effective in managing cancer pain. However, CAM therapies in BC pain management need to be guided by enough scientific evidence, decision-making, and medical judgment of regulatory bodies. BC pain management is based on careful routine pain assessments and appropriate patient evaluation both physically and psychologically. Pain control is one of the methods to improve the QoL of BC patients. Both pharmacological and non-pharmacological therapies are accessible to patients today, but they should be used with caution to minimize toxicity and increase effectiveness. The use of any pain management intervention should be based on proper scientific evidence and collective medical judgment. |
format | Online Article Text |
id | pubmed-8318122 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-83181222021-07-30 Pain Management in Breast Cancer Patients: A Multidisciplinary Approach Alhazmi, Lenah Sulaiman S Bawadood, Manar Abubaker A Aljohani, Alhasan Mohammad S Alzahrani, Abdulmajeed Abdullah R Moshref, Leena Trabulsi, Nora Moshref, Rana Cureus Pain Management Pain is a significant problem and is one of the most invalidating symptoms in breast cancer (BC) patients that would negatively affect the functional status and the Quality of Life (QoL). Pain management in BC patients requires thorough patient evaluation and critical assessment of pain. The actual cause for the pain must be recognized, so management can be tailored to each patient. This review aims to discuss various treatment modalities employed for effectively managing pain in BC patients. Pharmacotherapy makes up the cornerstone of the management of pain in BC patients. Both opioid and non-opioid analgesics are utilized. The WHO recommends a method called “by the ladder” for managing pain in BC patients where analgesics are used in ascending order. In comprehensive pain management (CPM), non-pharmacologic therapies are gaining wide acceptance and popularity, including complementary and alternative medicine (CAM), procedural and psychosocial interventions. Procedural interventions are usually used in case of severe pain refractory to pharmacological therapy. Techniques, such as radiotherapy, neurectomy, and nerve blocks, are effective in managing cancer pain. However, CAM therapies in BC pain management need to be guided by enough scientific evidence, decision-making, and medical judgment of regulatory bodies. BC pain management is based on careful routine pain assessments and appropriate patient evaluation both physically and psychologically. Pain control is one of the methods to improve the QoL of BC patients. Both pharmacological and non-pharmacological therapies are accessible to patients today, but they should be used with caution to minimize toxicity and increase effectiveness. The use of any pain management intervention should be based on proper scientific evidence and collective medical judgment. Cureus 2021-06-28 /pmc/articles/PMC8318122/ /pubmed/34336485 http://dx.doi.org/10.7759/cureus.15994 Text en Copyright © 2021, Alhazmi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pain Management Alhazmi, Lenah Sulaiman S Bawadood, Manar Abubaker A Aljohani, Alhasan Mohammad S Alzahrani, Abdulmajeed Abdullah R Moshref, Leena Trabulsi, Nora Moshref, Rana Pain Management in Breast Cancer Patients: A Multidisciplinary Approach |
title | Pain Management in Breast Cancer Patients: A Multidisciplinary Approach |
title_full | Pain Management in Breast Cancer Patients: A Multidisciplinary Approach |
title_fullStr | Pain Management in Breast Cancer Patients: A Multidisciplinary Approach |
title_full_unstemmed | Pain Management in Breast Cancer Patients: A Multidisciplinary Approach |
title_short | Pain Management in Breast Cancer Patients: A Multidisciplinary Approach |
title_sort | pain management in breast cancer patients: a multidisciplinary approach |
topic | Pain Management |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318122/ https://www.ncbi.nlm.nih.gov/pubmed/34336485 http://dx.doi.org/10.7759/cureus.15994 |
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