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Oral Cancer Treatment in Pune | Oral cancer specialist in Pune | Dr. Pratik Patil
Are you diagnosed with Oral Cancer? and looking for the best Oral cancer treatment in Pune? Dr. Pratik Patil is one of the best Oral cancer Specialists in Pune having more than 12+ years of experience in treating various types of oral cancer. He is an expert in managing mouth cancer which is found on the surface of the tongue, the lips, inside the cheek, in the gums, in the roof and floor of the mouth, in the tonsils, and in the minor salivary glands.
He has expertise in managing oral cancer with the help of Immunotherapy, Chemotherapy, and, targeted therapy with advanced technology. Currently, he is working at Healthbay Clinic & Jupiter Hospital, Baner where patients get all the advanced technology under one roof. Dr. Pratik Patil has treated more than 500+ oral cancer patients his experience in various hospitals such as Max Institute of Cancer Care, New Delhi, Sir HN Reliance Hospital, Gurgaon, Mumbai, and MGM Medical College and Hospital, Aurangabad.
His expertise and experience in Oral(Mouth) Cancer treatment make him one of the best mouth cancer specialists in Pune and all over Maharashtra. Dr. Pratik Patil’s research on oral cancer treatment approach and his research Paper on Real-World Experience of Immunotherapy from India in Recurrent Squamous Cell Carcinoma of Head and Neck Cancer Published in the South Asian Journal of Cancer & Prolonged Survival with anti-epidermal growth Factor Receptor Therapy in Head and Neck Squamous Cell Carcinoma: A case series published at the journal of current Oncology 2018.
On this Page, Dr Pratik Patil Shares valuable information about Oral cancer, symptoms Causes, and its treatment options available at the Healthbay and Jupiter Hospital, Pune. If you or you’re loved ones are diagnosed with oral cancer then you can consult with Dr. Pratik Patil for the result based Oral Cancer treatment in Pune
What is Oral Cancer?
Oral cancer, commonly referred to as mouth cancer, is the term for tumor-like cells that are present in the oral tissues. Mouth sores that refuse to cure, lumps or thick patches on the lips, teeth, tongue, or mouth lining, difficulty swallowing, ear pain, or persistent throat pain are a few early indicators of oral cancer. Our mouth cancer specialists in Pune Dr. Pratik Patil accurately detect and diagnose mouth cancer using the most recent diagnostic tools. Imaging tests, biopsies procedures, and dental examinations are a few of the diagnostic procedures we carry out.
#Oral Cancer Treatment in Pune#Best Oral Cancer Specialist in Pune#Oral Cancer Surgaon in Pune#cancertreatment#cancer specialist in pune#pune#medical oncologist in pune#best oncologist in pune#cancerspecialist
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Sickle Cell Anemia Treatment in India for Foreign Patients
Sickle cell disease is a hematological disease. Sickle cell is a genetic disorder that affects the hemoglobin in red blood cells. Red blood cells are shaped like sickle or crescents in sickle cell anemia. These cells block blood flow in our body. Red blood cells are generally flexible and round. Sickle cell anemia breaks down the red blood cells that carry oxygen for our body. A change in the HBB gene causes sickle cell anemia. For a child who has sickle cell amenia, both parents must carry one copy of the gene and pass it to the child. Their blood might hold sickle cells, but generally do not have symptoms. It can pass from person to person and change over time. Symptoms normally develop around six months of age. Some symptoms of sickle cell anemia may include anemia, swelling of hands and feet, episodes of pain, frequent infections, vision problems, delayed growth and puberty, etc. There are various types of sickle cell disease. These different types depend on the hemoglobin genes of a person from their parents. The main types are:
Hemoglobin SS (HBSS)
Hemoglobin SC (HBSC)
Hemoglobin Beta Thalassemia (HBS)
HBSD, HBSE, and HBSO
Sickle cell treatment may begin with antibiotics for newborns and children. This treatment focuses on managing complications, and symptoms and improving the quality of life. Some treatment methods for sickle cell anemia are pain management, preventing infections, red blood cell transfusions, marrow or stem cell transplants, gene therapy, supportive care, and all.
Sickle Cell Anemia Treatment Cost in India
Comparedto many Western countries India offers the most effective treatment options at affordable prices. Sickle cell treatment cost depends on the treatment plan according to the patient's condition. The average cost of sickle cell treatment in India starts from 15000 USD and goes up to 40000 USD.
Best Sickle Cell Anemia Treatment Doctors in India
India has many top doctors for sickle cell treatment. These doctors have years of experience in handling complexity with skill. Here are some best sickle cell treatment doctors in India.
Dr.Revathi Raj (MBBS, DCH, PLAB, MRCP, FRCP Senior consultant – pediatricHeamatology Oncology)
Dr.Pravas Chandra Mishra (HOD, Heamato-OncologIst)
Dr.Anoop P (professor & specialties of pediatricHeamato-Oncology)
Dr. T P R Bharadwaj (specialties of paediatric Heamato-Oncology)
Dr. Ashish Dixit (consultant – pediatricHematology Oncology)
Top Sickle Cell Anemia Treatment Hospitals in India
There are manygreat hospitals for sickle cell treatment in India. These hospitals provide the latest technologies, a team of expert doctors and specialists, innovative infrastructure, and comprehensive care. Some top hospitals for sickle cell treatment in India are given below:
Apollo Hospitals (Delhi)
KokilabenDhirubhaiAmbani Hospital (Mumbai)
Medanta - The Medicity (Gurgaon)
Jaslok Hospital (Chennai)
Narayana Health Institute (Bangalore)
Fortis Malar Hospital (Chennai)
Al AfiyaMedi Tour is one of the best medical tourism companies in India. We offer medical tourism services in India foreign patients. Some of the main countries are Bangladesh, South Africa, Uganda, Zambia, Namibia, Iraq, Kenya, Ethiopia, Nigeria, and so on. We provide free assistance for TURP surgery cost, lung cancer treatment, stomach cancer treatment,liver transplant cost, best hospital for heart valve replacement, liver cancer treatment cost, bone marrow transplant cost,arthroscopic surgery, best liver transplant hospital, brain tumor surgery cost, kidney transplant, cancer treatment cost, liver transplant treatment, best bone marrow hospital, etc. If you are searching for free medical and healthcare consulting to find the best hospitals and top doctors and surgeons in India for any treatment then contact us- Alafiyameditour.com.
Source: https://alafiyameditour1.blogspot.com/2024/05/sickle-cell-anemia-treatment-in-india_28.html
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Cancer Pain Treatment In Delhi and Gurgaon - Dr. Amod Manocha
Pain in cancer may arise due to many reasons and is often the presenting complaint leading to the diagnosis of cancer. It may be
Related to cancer itself or its spread to other body parts
A late presentation due to side effect of treatments such as chemotherapy, radiotherapy and surgery
A result of extra stress placed on other body parts for example shoulder pain due to using of a stick for walking
A totally unrelated coincidental problem such as arthritis
Pain can be of differentiated into background pain (which is always present in the background and is managed with regular medications) and breakthrough pain (pain which breaks through your regular pain relief). Breakthrough pain may occur unprovoked or may be triggered by external or internal factors. In cancer patients different types of pain may coexist. It is not just limited to pain arising from inflammation and tissue damage for example cancer of pancreas spreading to neighbouring organs and nerves leading to visceral and neuropathic pain respectively and a distant spread to bones producing bone pain.
Pain ManagementMedications managementNerve blocks, Radiofrequency & Neurolytic procedures
Radiofrequency procedures
Splanchnic nerve radiofrequency ablation for abdominal pain
Suprascapular nerve radiofrequency for shoulder pain
Pudendal nerve radiofrequency for pelvic pain
Spinal procedures e.g. epidural, intrathecal pumps
Certain procedures such as pumps to deliver medicines directly in the spine (intra thecal pumps) are performed more often for cancer pain.
Drug infusions
Psychology
Cancer is often accompanied by anxiety, depression and fear of the worst. A psychologist can help in analysing these thoughts rationally and developing a positive approach. They can help by teaching relaxation techniques, coping strategies and by reducing the effect of mood on pain.
Physiotherapy
Complementary and alternative therapies including Acupuncture, TENS, meditation, ayurveda and wellness.
TAG : Cancer Pain Treatment in Gurgaon, Pain Treatment in Delhi, Cancer Pain treatment in Delhi, Best Pain Specialist in South Delhi
Pain relief needs to be tailored to the cause, severity and duration of pain. In most cases a reasonable control can be achieved by using a combination of methods. Multimodal, Multi disciplinary approach provides the opportunity to maximise pain relief and provide support not only for the physical needs but also for the emotional, spiritual and social needs.
Some of the management options available via a pain clinic are
This involves using different classes of medications to optimise the pain control. Using a combination of drugs helps to minimise side effects and maximise the benefits. Whilst considering the drug therapy many factors need to be considered like type of pain, cause and severity of pain, other medical problems and medications being used, medications tried previously, pre existing nausea/vomiting, constipation, ability to take and absorb medications, liver and kidney function etc. Apart from the standard medications mentioned in other sections some other medications are used more often in cancer pain such as steroids, bisphosphonates (for bone pain).
Nerves are commonly targeted in pain relieving interventions for example pudendal nerve for perineal or rectal pain, suprascapular nerve for shoulder pain, intercostal nerves for chest wall pain etc. The pain impulses being transmitted via the nerves can be temporarily blocked using local anaesthetics. The transmission of impulses can be reduced for longer duration using Neurolytic procedures, which involve injection of alcohol or phenol instead of local anaesthetic. Examples of neurolytic procedures include :
Coeliac plexus, splanchnic nerves neurolysis
Hypogastric plexus neurolysis
Lumbar sympathetic neurolysis
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Are You suffering from numbness, tingling or burning sensation after Chemotherapy?
Learn more about Chemotherapy Induced Peripheral Neuropathy (CIPN)
What is peripheral neuropathy?
Peripheral nerves carry sensations from the different parts of your body to the brain and control the movement of our arms and legs. The set of symptoms resulting from damage to these nerves is addressed as Peripheral neuropathy. Symptoms are usually symmetrical starting from toes and fingers, and progress towards the body. Common symptoms include
Tingling or pins and needles sensation in hands of feet
Numbness and reduced ability to feel hot and cold
Sharp, electric, burning pain
Sensitivity to touch, pressure or temperature
Balance issues and difficulty walking
Leg cramps
Weakness
Difficulty with fine activities such as writing, buttoning and unbuttoning
What is Chemotherapy Induced Peripheral Neuropathy (CIPN)?
Some of the chemotherapy drugs used to treat cancer can cause peripheral nerve damage. This is addressed as chemotherapy-induced peripheral neuropathy (CIPN).
The symptoms of CIPN include all peripheral neuropathy symptoms mentioned above, with the most common one being numbness and tingling starting in fingers and toes and progressing proximally as the condition progresses. This appears earlier and is generally more prominent than pain. CIPN can have an impact on ones sleep, mood, functionality and quality of life (QOL).
Symptoms can appear hours to days after chemotherapy and the condition can worsen with additional chemotherapy cycles. The progression usually levels off after stopping the chemotherapy except in the case of platinum-based drugs where the sensation may continue to deteriorate for several months.
Different patterns can be seen with different drugs like in Oxaliplatin (a chemotherapy drug) induced acute neuropathy, there is cold sensitivity, throat discomfort, discomfort swallowing cold liquids, and muscle cramps with more severe symptoms in upper limbs. The usually peaks 2 to 3 days after each dose and can increase in subsequent treatment cycles.
In Paclitaxel (another chemotherapy drug) induced acute neuropathy the pain occurs in truncal/hip distribution or lower extremities and tends to resolve more between doses. The symptoms peak approximately in 2 to 3 days after each dose and are not worsened in subsequent cycles.
What are my chances of getting CIPN?
CIPN affects approximately 30% and 40% of patients undergoing chemotherapy and the risk varies with factors such as
Drugs used – Some drugs are more likely to cause CIPN than others. A list of some of these is included at the end of this blog.
Duration of use
Dose used
Pre-existing neuropathy
Comorbidities such as diabetes, vitamin deficiencies
Age
Can CIPN be cured or is it permanent?
In most cases the CIPN symptoms go away with time. They can last for weeks, months, or even years after treatment. It does vary depending on the drugs, doses used and in some cases it can be permanent. Unfortunately, there is no clear cure or treatment that will repair nerve damage.
What should I do to deal with CIPN?
It is a good idea to report your symptoms to the team looking after you and they may consider altering the treatment plan to prevent your symptoms from worsening. This may involve dose delaying, reduction, stopping chemotherapy or substituting with other agents that do not cause CIPN. A pain specialist opinion should be taken if your symptoms are severe and require specialist input. A pain specialist may prescribe nerve types of painkillers which need to be taken regularly to help manage your symptoms.
Other measures which can help include
Avoiding things that make your symptoms worse, such as hot or cold temperature, or tight clothes or shoes
Regular exercises
Avoiding smoking and alcohol
Ensuring normal vitamin levels and blood sugars.
No medication or supplement has been shown to definitively prevent CIPN including N-acetylcysteine, calcium, magnesium vitamin B, vitamin E, omega-3 fatty acids, alpha lipoic acid and cannabinoids. It, however, makes sense to regulate other factors which are known to cause nerve injury such as alcohol intake and blood sugar levels.
When the sensation in hands and feet is affected one might be more prone to injury and sensible precautions are required like
If the neuropathy involves your hands, protect them while using sharp objects, if it affects the feet protect them by wearing shoes even when you are indoors.
Avoid extreme temperatures and keep your hands and feet covered, warm in cold weather
Protect yourself from heat injuries especially when using warm water for washing bathing
What are the other causes of peripheral neuropathy?
There can be many other causes of peripheral nerve damage- some related to cancer and some independent. Determining the underlying cause is important as it may have a bearing on the treatment.
Related to cancer and its treatments.
Surgery or radiotherapy
Tumors pressing on nerves
Other independent causes
Diabetes
Alcohol abuse
Shingles, infections involving the nerves
Low vitamin B levels
Spinal cord injuries
Poor circulation (peripheral vascular disease)
How do we manage CIPN?
The importance of discussing with the admitting team, if symptoms of CIPN develop during treatment, has already been discussed. This provides an opportunity to modify treatment and prevent further damage rather than dealing with an irreversible situation later.
IF CIPN develops, pain can often be helped with treatments but the numbness is usually resistant to treatment. Some of the modalities which can be used for treatment include
Medications used to treat nerve pain such as antiepileptics, antidepressants, topical gels, patches or creams of numbing medicine, strong painkillers such as opioids, steroids
Drug infusions or pain relieving medications which act on nerves
Physical therapy can help with balance, strength and safety.
Occupational therapy can help improve fine motor skills like buttoning shirts
Relaxation therapy, distraction, biofeedback
Some chemotherapy drugs which are likely to cause CIPN
Certain chemo drugs are more likely to cause CIPN. Some of the more common ones include:
Platinum drugs like cisplatin, carboplatin, and oxaliplatin
Taxanes including paclitaxel, docetaxel, and cabazitaxel
Plant alkaloids such as vinblastine, vincristine, and etoposide
Immunomodulating drugs like thalidomide, lenalidomide
Proteasome inhibitors such as bortezomib, carfilzomib, and ixazomib
TAGS- Cancer Pain Treatment in Delhi Cancer Pain Treatment in Gurgaon Pain Management in Delhi
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#pancreatic cancer pain management in delhi#Cancer Pain treatment in Gurgaon#Cancer Pain Treatment in Delhi#best pain specialist in delhi#Best Pain Specialist in South Delhi#Pain Specialist in Gurgaon
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#Pain Management in Delhi#Best pain specialist in Delhi#Dr. Amod Manocha#c#Cancer Pain treatment in Delhi#Best knee pain treatment in Delhi#Neuropathic Pain treatment in Delhi#Pain Clinic in Gurgaon#Best Back Pain Doctor in Delhi
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Cancer Pain Treatment in Gurgaon
Struggling With Severe Cancer Pain In The Middle Of Night?
Learn More About Breakthrough Pain In Cancer
Medical advancement has transitioned cancer from being a rapidly fatal disease to chronic disease. Cancer pain, however, still remains a major problem affecting 30–40% at the time of diagnosis, and 75% of those with advanced cancer. Although it may not always be possible to relieve cancer-related pain completely fortunately it can be effectively managed in most individuals with appropriate therapy. Effective pain control has been shown to improve the quality of life in all stages of the disease. Breakthrough pain is one pain that troubles even those cancer patients whose pain is otherwise well controlled. Its management requires careful evaluation by specialists with attention to detail. In the subsequent section we discuss more breakthrough pain and commonly asked questions.
What is breakthrough pain?
Breakthrough cancer pain (BTcP) is a transient exacerbation of pain superimposed on the background of controlled persistent pain. In simple words it refers to the sudden, relatively short-lasting severe pain episodes one experiences from time to time, often catching one unprepared, despite having background pain well controlled.
Here are a few characteristics of breakthrough pain
Pain is of moderate to severe intensity (between 4-10/10, average score 7/10)
Onset is rapid (between 3 to 5 minutes) or in some cases more gradual reaching peak intensity within a few minutes. In about two-thirds of the patients, the time to maximum pain intensity is less than 10 minutes
The duration of an untreated episode can be between 1 min and 4 h (average 30 min)
Multiple, predictable (in one-third of patients) or unpredictable episodes throughout the day
Effective pain management requires assessment of responsible factors and having a management plan rather than trying to reach out for emergency services during unsocial hours in a panic mode.
How common is breakthrough pain and what causes this pain?
BTcP is a common problem with studies reporting the incidence as approx. 50% to 75%. This is despite using strong painkillers to control the baseline pain. Patients with severe persisting pain, advanced cancer disease, and aggressive anticancer treatments are more likely to experience breakthrough pain.
BTcP may result from cancer itself (70–80% of cases) or the anticancer treatment (10–20% of cases) and is seen more commonly associated with certain cancers like head and neck cancer (70%), gastrointestinal (59%), lung (55%) and breast cancer (52%). Common examples of BTcP include mouth pain on swallowing due to inflammation of mouth lining (mucositis) or bone pain due to movement.
BTcP can originate from numerous sources (somatic, visceral, or neuropathic) and the cause may be different from the sources of persisting background pain. It may be associated with
Voluntary movements like sitting, standing
Involuntary movements like intestinal distension or
May occur spontaneously
This distinction is relevant as it may encourage more targeted treatment approaches. Up to half of the patients may experience two or more types of BTcP. Sometimes the term episodic pain is used synonymously with breakthrough pain although some researchers ascribe a different meaning to this term.
Another type of BTcP that one commonly encounters is the increased pain that can occur when the effect of painkillers is wearing off, just before the next dose is due. This is addressed as the “end of dose failure.” Some studies include this as a type of breakthrough pain whereas others do not.
Why do we need to treat breakthrough pain?
Breakthrough cancer pain is a common problem and can be associated with a variety of physical, psychological and social complications. Persisting pain often robs the sufferers of their independence and their ability to perform routine tasks, adversely affecting the quality of life. Besides causing suffering, the severity and unpredictability of breakthrough pain can adversely impact one’s confidence level, emotional health, and social interactions. Moreover, it is associated with increased utilization of healthcare and social care services with obvious financial implications.
How do we address this type of pain?
All cancer pain patients should be specifically assessed for the presence of BTcP. Standard pain management & palliative care practice is to prescribe medications for the constant background pain and a separate on-demand dose of pain-relieving measures for breakthrough pain. In BTcP there is no one treatment that works universally and the treatment needs to be individualized.
Selecting the right option requires a fair amount of expertise and familiarity with all the available options. There are a number of factors that need to be taken into account when deciding on the treatment and these include
The underlying cause of pain
Type of pain (nerve pain, nociceptive, mixed)
Pain characteristics (onset, duration, severity)
Predictable or unpredictable
Previous response to pain-relieving medications including opioids (efficacy, tolerability)
Background analgesic medications (may need to be adjusted) and drug interactions
Patient-related factors include age, other organ function, stage of cancer and individual preferences
Cost, availability, and safety aspects
Opioids (morphine-like drugs) are considered the preferred medications for treating BTcP. The profile of the drug selected to treat the BTcP needs to mirror the pain profile one is experiencing. For example, in cases of sudden onset short-lasting pain episodes, drugs like oral morphine may prove to be ineffective as they take 30 to 45 minutes to work. In such a situation rapidly acting drugs are more likely to be useful. A mismatch between pain profile and drug selected is likely to produce poor relief and/or more side effects
The route of drug administration is important as it controls how quickly the pain-relieving effects are apparent. Drugs given directly into the veins have a rapid effect although it requires an intravenous cannula to be present. Alternative routes such as through the nose or by intraoral route (sucking on tablets) of the rightly chosen drugs work within 5 -15 min. The dose of ‘rescue medication’ is determined by individual titration to ensure maximum relief with minimal side effects and may be subject to change over time.
A predictable episode of BTcP triggered by known factors, for example, eating can be managed by a planned administration of medicine prior to the activity taking into account the time taken for the medication to work. Some patients choose to restrict activity to reduce the number of BTcP episodes.
Once the trial medication has been started, dose titration and regular reassessments are essential. All patients with new BTcP medications should be reevaluated within 48–72 h. Patient education regarding the correct and appropriate use of medications is essential as research evidence demonstrates incorrect usage, misuse/abuse, and underuse in a significant proportion.
Other non-opioid drugs are also useful in the management of BTcP. Examples include anti-inflammatories, benzodiazepines, paracetamol, etc. Preventing and treating BTcP is not just about medications as interventional techniques and non-pharmacological methods are other options that can be helpful.
Tags = Cancer Pain Treatment in Delhi, Pain Management in Delhi, Pain specialist in Gurgaon
Struggling With Severe Cancer Pain In
The Middle Of Night?
Learn More About Breakthrough Pain In Cancer
Medical advancement has transitioned cancer from being a rapidly fatal disease to chronic disease. Cancer pain, however, still remains a major problem affecting 30–40% at the time of diagnosis, and 75% of those with advanced cancer. Although it may not always be possible to relieve cancer-related pain completely fortunately it can be effectively managed in most individuals with appropriate therapy. Effective pain control has been shown to improve the quality of life in all stages of the disease. Breakthrough pain is one pain that troubles even those cancer patients whose pain is otherwise well controlled. Its management requires careful evaluation by specialists with attention to detail. In the subsequent section we discuss more breakthrough pain and commonly asked questions.
What is breakthrough pain?
Breakthrough cancer pain (BTcP) is a transient exacerbation of pain superimposed on the background of controlled persistent pain. In simple words it refers to the sudden, relatively short-lasting severe pain episodes one experiences from time to time, often catching one unprepared, despite having background pain well controlled.
Here are a few characteristics of breakthrough pain
Pain is of moderate to severe intensity (between 4-10/10, average score 7/10)
Onset is rapid (between 3 to 5 minutes) or in some cases more gradual reaching peak intensity within a few minutes. In about two-thirds of the patients, the time to maximum pain intensity is less than 10 minutes
The duration of an untreated episode can be between 1 min and 4 h (average 30 min)
Multiple, predictable (in one-third of patients) or unpredictable episodes throughout the day
Effective pain management requires assessment of responsible factors and having a management plan rather than trying to reach out for emergency services during unsocial hours in a panic mode.
How common is breakthrough pain and what causes this pain?
BTcP is a common problem with studies reporting the incidence as approx. 50% to 75%. This is despite using strong painkillers to control the baseline pain. Patients with severe persisting pain, advanced cancer disease, and aggressive anticancer treatments are more likely to experience breakthrough pain.
BTcP may result from cancer itself (70–80% of cases) or the anticancer treatment (10–20% of cases) and is seen more commonly associated with certain cancers like head and neck cancer (70%), gastrointestinal (59%), lung (55%) and breast cancer (52%). Common examples of BTcP include mouth pain on swallowing due to inflammation of mouth lining (mucositis) or bone pain due to movement.
BTcP can originate from numerous sources (somatic, visceral, or neuropathic) and the cause may be different from the sources of persisting background pain. It may be associated with
Voluntary movements like sitting, standing
Involuntary movements like intestinal distension or
May occur spontaneously
This distinction is relevant as it may encourage more targeted treatment approaches. Up to half of the patients may experience two or more types of BTcP. Sometimes the term episodic pain is used synonymously with breakthrough pain although some researchers ascribe a different meaning to this term.
Another type of BTcP that one commonly encounters is the increased pain that can occur when the effect of painkillers is wearing off, just before the next dose is due. This is addressed as the “end of dose failure.” Some studies include this as a type of breakthrough pain whereas others do not.
Why do we need to treat breakthrough pain?
Breakthrough cancer pain is a common problem and can be associated with a variety of physical, psychological and social complications. Persisting pain often robs the sufferers of their independence and their ability to perform routine tasks, adversely affecting the quality of life. Besides causing suffering, the severity and unpredictability of breakthrough pain can adversely impact one’s confidence level, emotional health, and social interactions. Moreover, it is associated with increased utilization of healthcare and social care services with obvious financial implications.
How do we address this type of pain?
All cancer pain patients should be specifically assessed for the presence of BTcP. Standard pain management & palliative care practice is to prescribe medications for the constant background pain and a separate on-demand dose of pain-relieving measures for breakthrough pain. In BTcP there is no one treatment that works universally and the treatment needs to be individualized.
Selecting the right option requires a fair amount of expertise and familiarity with all the available options. There are a number of factors that need to be taken into account when deciding on the treatment and these include
The underlying cause of pain
Type of pain (nerve pain, nociceptive, mixed)
Pain characteristics (onset, duration, severity)
Predictable or unpredictable
Previous response to pain-relieving medications including opioids (efficacy, tolerability)
Background analgesic medications (may need to be adjusted) and drug interactions
Patient-related factors include age, other organ function, stage of cancer and individual preferences
Cost, availability, and safety aspects
Opioids (morphine-like drugs) are considered the preferred medications for treating BTcP. The profile of the drug selected to treat the BTcP needs to mirror the pain profile one is experiencing. For example, in cases of sudden onset short-lasting pain episodes, drugs like oral morphine may prove to be ineffective as they take 30 to 45 minutes to work. In such a situation rapidly acting drugs are more likely to be useful. A mismatch between pain profile and drug selected is likely to produce poor relief and/or more side effects
The route of drug administration is important as it controls how quickly the pain-relieving effects are apparent. Drugs given directly into the veins have a rapid effect although it requires an intravenous cannula to be present. Alternative routes such as through the nose or by intraoral route (sucking on tablets) of the rightly chosen drugs work within 5 -15 min. The dose of ‘rescue medication’ is determined by individual titration to ensure maximum relief with minimal side effects and may be subject to change over time.
A predictable episode of BTcP triggered by known factors, for example, eating can be managed by a planned administration of medicine prior to the activity taking into account the time taken for the medication to work. Some patients choose to restrict activity to reduce the number of BTcP episodes.
Once the trial medication has been started, dose titration and regular reassessments are essential. All patients with new BTcP medications should be reevaluated within 48–72 h. Patient education regarding the correct and appropriate use of medications is essential as research evidence demonstrates incorrect usage, misuse/abuse, and underuse in a significant proportion.
Other non-opioid drugs are also useful in the management of BTcP. Examples include anti-inflammatories, benzodiazepines, paracetamol, etc. Preventing and treating BTcP is not just about medications as interventional techniques and non-pharmacological methods are other options that can be helpful.
Tags = Cancer Pain Treatment in Delhi, Pain Management in Delhi, Pain specialist in Gurgaon
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Why Does Cancer Cause Pain? - Removemypain
Sources of pain in cancer may not be easy to identify and often require detailed assessment with attention to detail. Identification of the source often holds the key to correct treatment and the ability to provide relief. Pain in cancer may originate from
Cancer itself – When cancer grows it damages the tissues. It causes inflammation, unusual stretching, irritation and all of this can lead to pain. Like if we talk about pancreatic cancer, when it grows or stretches it can irritate the diaphragm (main breathing muscle), and that causes shoulder pain
Cancer spread – when cancer grows uncontrollably then it can spread to the nearby or distant body parts like the bone, liver, kidney, lymph nodes, etc.
Associated problems like bloating, constipation, blockage of ducts, clotting problems, distention of the liver or abdomen, etc.
Cancer treatments like radiotherapy or chemotherapy are known to cause nerve pain (peripheral neuropathy. Surgery may also be associated with chronic persistent pain.
Extra stress on other body parts – Often to protect one part of our body, we put pressure on other parts for example using crutches to offload a leg may become the source of shoulder pain as the crutches place extra load on my shoulder
Other coincidental problems – it is not necessary that all pain that every cancer patient suffers is due to cancer. There could be other coincidental problems in the general population such as arthritis. So it is important to identify not only the type of pain but also the source of pain before we plan treatment.
Pain-related to cancer may have different components such as background pain and breakthrough pain. These need to be taken into account while making treatment plans. Let’s take an example of pain due to pancreatic cancer. These patients may have constant pain (background pain) and there may be increased pain that comes after eating (breakthrough pain). Breakthrough pain may happen due to provoked or unprovoked factors and when we make a treatment plan it is important to have a plan for breakthrough pain.
Tag = Cancer pain treatment in Delhi, Cancer Pain Treatment in Gurgaon, Pain management centre in Delhi
Read more about Cancer treatment https://www.removemypain.com/cancer-pain.html
#Cancer pain treatment in Delhi#Cancer Pain Treatment in Gurgaon#Pain management centre in Delhi#removemypain
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Pancreatic Cancer Pain Management Coeliac Plexus & Splanchnic Nerve Blocks
What causes pain in pancreatic cancer?
One of the common presenting complaints of cancer is pain. Often pain is the reason behind a series of investigations culminating in the eventual diagnosis. Nearly 75% of pancreatic cancer patients suffer from pain at the time of diagnosis and these increases to over 90% in advanced stages.
The pain may be moderate to severe with adverse effect on quality of life, functional ability and mood. Most patients complain of intermittent or constant, deep pain in the upper part of tummy just below the ribcage. It may be squeezing, cramping, sharp, burning or aching in character. Pain is often more on the left and can spread towards the back. It is often aggravated by oral intake of fluids or solids.
Pain management in pancreatic cancer can be challenging because of the aggressive nature of the disease. There is evidence supporting earlier treatment of pain, so it’s better to seek help early.
Pain in cancer may be related to
Cancer itself due to
Increased pressure or the blockage of pancreatic ducts
Inflammation of the pancreas /nearby areas
Pressure/ spread to the neighbouring structures such as
Nerves (in approximately 70–90% of cases)
Blockage of the duodenum (the first part of the small intestine) impeding the flow of food
Liver
Bowel or peritoneum (inner covering of the tummy)
Bone (not very common)
Other associated problems such as constipation and digestion issues
Distension of abdomen due to increased fluid (ascites)
Irritation of diaphragm leading to the shoulder pain
Side effect of treatments such as chemotherapy, radiotherapy, surgery (as in peripheral neuropathy (nerve damage) /enteritis)
An unrelated coincidental problem such as arthritis of joints of the spine
What are Splanchnic nerves and Coeliac plexus?
Coeliac plexus is a network of nerves located in upper part of tummy (abdomen) just behind the pancreas. It lies deep in the tummy in front of spine and around a big blood vessel called aorta. This network of nerves plays an important role in sending messages from the upper abdominal organs to the brain.
Splanchnic nerves are a group of nerves located on both sides of the spine. They are closely related to the Coeliac ganglion and carry pain information from organs in your abdomen to the brain.
What kinds of procedures are performed to reduce pain in pancreatic cancer and how can they help?
The below mentioned procedures are utilised not only for pancreatic cancer but also for other upper abdominal cancers such as those of liver, gall bladder, stomach, some parts of intestine. These can also help in some non-cancer pains such as in chronic pancreatitis.
These procedures may not be a permanent cure for the pain but have the potential to offer significant & lasting relief. Nerve blocks work well for some people, but they don’t work for everyone and may take some time to show the full effects.
These procedures can be classified as
Diagnostic blocks– Blocking the coeliac plexus of the splanchnic nerves involves injecting local anaesthetic with or without steroids around these nerves to interrupt the pain signals being sent to the brain. This can reduce the pain one perceives and help in predicting if other procedures such as neurolysis will work or not.
Neurolytic blocks– these procedures involve use of chemicals such as alcohol / phenol to achieve prolonged interruption of pain signals being transmitted by nerves.
Radiofrequency procedures for splanchnic nerves– these procedures utilise radiofrequency energy to heat the needle tip which in turn reduces the pain signals being transmitted to the brain.
Which intervention and approach is most suitable for a patient will depend on individual factors such as the extent of disease, concomitant problems such as breathing issues or ascites, ability to lie on the tummy/ back etc. Sometimes multidisciplinary review is required (such as reviewing the scans with radiologists) for deciding on the most suitable option.
Depending on the approach chosen the procedure may require for the patient to lie on their back or tummy for a period of approximately 45 min to an hour. A guiding modality is used to accurately place the needles close to the target nerves. This may include
X Ray (Fluoroscopy) guidance
Ultrasound guidance
CT guidance
Endoscopic guidance
OR a combination of above mentioned modalities
Once the needles are in the correct place a dye may be used to assess how the medications would spread and to confirm the accurate placement of needles. An attempt is then made to reduce the pain signals being transmitted by these nerves via radiofrequency or drugs.
How much pain relief can be expected after the procedure and for how long will it last for?
The pain relief after the injection can vary depending on the cause of pain, location and extent of disease. In some studies it has been observed that the outcomes are better if the block is performed soon after the onset of pain asin advanced disease large tumours can act as mechanical barrier preventing the spread of the drugs hence achieving only partial relief.
These procedures have the potential of reducing the pain and the medication requirement for medium term. Overall, 70%–80% of patients undergoing these procedures report decreased pain for 1–6 months.
What are the risks of having these procedures?
No intervention is risk free. The decision to perform or not perform an intervention is taken by evaluating the risk/benefit ratio. The risks will vary depending on the intervention chosen and the patient’s medical issues. When performing these procedures, precautions are taken to reduce the risks as much as possible such as performing the procedure under guidance (x-ray, ultrasound, CT etc), use of contrast (dye) to assess the spread of medications and use of electrical stimulation in radiofrequency procedures etc.
Common side effects of these procedures include local pain (96%), lowering of blood pressure (10%) and loose stools (44%). Fortunately most of the common side effects are short lasting.
Some of the risks can be serious. Studies have reported the risk of serious adverse events as approximately 2%. It is best to discuss these with your treating doctor as the list of these can be long and vary with the intervention chosen.
What else can be done to reduce the pain?
Painkillers Medications
Different types of pain killers can be used based on the type of pain and other medical problems. Often the painkillers dose needs to be changed or new ones need to be added as the disease changes.
Morphine and Morphine like drugs (collectively known as Opioids) are one of the strongest pain killers. Other drugs in this class include fentanyl and oxycodone. These painkillers can be given by different routes lincluding orally, intravenously (directly into the veins), subcutaneously (below the skin) or as patches. Oral medications also come in a slow release form which provide more consistent pain relieve throughout the day. These drugs have often been in the limelight due to the wrong reasons such as addiction/ abuse potential and hence the social taboos associated with their use. Patients often do a disservice to themselves by harbouring preconceived notions and putting up barriers. It is important that you openly discuss any such issues with your Pain Specialist.
Other types of pain may require different class of pain killers such as anti-inflammatories for pain due to inflammation, neuropathic medications such as gabapentin and pregabalin for nerve type of pain etc.
As with any other medication there are side effects associated with all these medications and these can be dealt with in most cases by patient education, pre-emptive action, use of medications and lifestyle modification.
Pain control in cancer is not just about medications or injections… there is more to it. To achieve a satisfactory control it often requires addressing the concomitant factors which can serve to enhance the pain experienced. For example
Relationship between one’s emotional state such as low mood /anxiety and pain is well known. These factors can magnify the perceived pain and hence addressing them is important. Relaxation therapies such as meditation, mindfulness may help in managing thoughts, coping with feelings and produce a calming effect.
Abdominal and back pain worsen with coexisting problems like constipation and abdominal distension and hence the importance of addressing these.
Refractory end of life pain can be dealt by delivering pain killers directly into the spine by using intrathecal/ epidural route.
Tags >> Cancer Pain Management In Delhi, Cancer Pain Management In Gurgaon, Cancer Pain Treatment in Delhi, Cancer Pain Treatment in Gurgaon, pancreatic cancer pain management in Delhi
For More Information https://www.removemypain.com/
#Cancer Pain Management In Delhi#Cancer Pain Management In Gurgaon#Cancer Pain Treatment in Delhi#Removemypain#dramodmanocha
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Get your body completely healed with the best physiotherapist in Delhi NCR
A treatment that focuses on motion of joints, body physic, and maintains physical strength is known as Physiotherapy. It deals will physical issues, and helps to reduce the pain from an injury. The one who practises physiotherapy is called as Physiotherapist as they are very skilled and trained in their profession. With their skills, they can diagnose the main cause of injury. Physiotherapists educate patient to avert the recurrence of pain.
If you are residents of Delhi then by searching Best physiotherapists near me on online portals, you will get to know about the best Physiotherapist in Gurgaon and Delhi NCR. They are well experienced and gives a satisfactory result. They do provide a special treatment plan depending on patients activities and health. Physiotherapists will teach you many exercises necessary for relaxing muscles tension.
Physiotherapy centres from Gurgaon have all necessary types of equipment and machines that essential for therapies. They have good quality traction tables, quadriceps table, shoulder wheel, shoulder pulley, wrist roller aluminium, gym kit board, rowing machine cum sliding seat and much more. All kinds of physical problems can be treated with the best physiotherapist in Gurgaon. These therapies are beneficial in many ways such as,
It treats cardiorespiratory diseases like asthma and other problems of lungs and heart.
Due to cardiac arrests and strokes, our body gets affected and for recovery, patients need physical therapy. This therapy will help to strengthen your body and release tight muscles.
With specialized treatments, physiotherapy can treat pregnant women with their partum care. Also, it helps feminines to recover from pelvic pain, Bowel incontinence, breast cancer, lymphedema, etc.
Exercise therapy can improve balance and mobility of muscles and tendons and heal people of all age groups.
With prescribed exercises, you can ease your pain and swelling.
With acupuncture technique, you can relieve your nervous system, increases the circulation of blood throughout our body and avoids blotting of clots.
Manual Physiotherapy is all about the art of hands. Practitioners use their hands instead of machines to create pressure on muscles and lowers the pain caused by dislocated spine and back pain. There are best manual physiotherapists in Delhi NCR. This therapy is not well established as doctors usually refer to get treated from certified Physiotherapists.
Manual physiotherapy includes massages. In this massage, the practitioner applies pressure on muscle tissues with their hands and with their handful skills they ease our body pain, relaxes muscles which result in good circulation of blood.
It modulates pain and helps to repair tissues.
It reduces the inflammation of sensitive areas, and diagnose various symptoms.
Manual therapies are good for joint manipulations as it triggers the points of the affected area and relaxes ligaments.
You can have manual therapies at your home as well.
With best practitioners from Delhi NCR and Gurgaon, you can improve the mobility of your body. They ensure the best treatment. They commonly use massages like deep tissue massage, manages myofascial release, therapeutic and sports massage. Manual therapy also treats lymphatic drainage.
In our hectic schedules and works, we often forget to pamper our body. Daily work tightens our muscles and due to excessive exertion, our body starts to pain. To get the relief from pain doctors usually suggest manual therapy. The massages from manual therapies will relax your muscles and help you to get good sleep at night. It gives you more energy and sustainability to work.
Manual therapies improve your body postures. Manual therapies are suggested as exercise prescription for faster recovery from medical conditions by physiotherapists. Manual therapies are very efficacious and constructive healing methods.
Source - https://www.recablog.com/get-your-body-completely-healed-with-the-best-physiotherapist-in-delhi-ncr/
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Oral Cancer Treatment in Pune - Dr. Pratik Patil
Are you diagnosed with Oral Cancer? and looking for the best Oral cancer treatment in Pune? Dr. Pratik Patil is one of the best Oral cancer Specialists in Pune having more than 12+ years of experience in treating various types of oral cancer. He is an expert in managing mouth cancer which is found on the surface of the tongue, the lips, inside the cheek, in the gums, in the roof and floor of the mouth, in the tonsils, and in the minor salivary glands.
He has expertise in managing oral cancer with the help of Immunotherapy, Chemotherapy, and, targeted therapy with advanced technology. Currently, he is working at Healthbay Clinic & Jupiter Hospital, Baner where patients get all the advanced technology under one roof. Dr. Pratik Patil has treated more than 500+ oral cancer patients his experience in various hospitals such as Max Institute of Cancer Care, New Delhi, Sir HN Reliance Hospital, Gurgaon, Mumbai, and MGM Medical College and Hospital, Aurangabad.
His expertise and experience in Oral(Mouth) Cancer treatment make him one of the best mouth cancer specialists in Pune and all over Maharashtra. Dr. Pratik Patil’s research on oral cancer treatment approach and his research Paper on Real-World Experience of Immunotherapy from India in Recurrent Squamous Cell Carcinoma of Head and Neck Cancer Published in the South Asian Journal of Cancer & Prolonged Survival with anti-epidermal growth Factor Receptor Therapy in Head and Neck Squamous Cell Carcinoma: A case series published at the journal of current Oncology 2018.
On this Page, Dr Pratik Patil Shares valuable information about Oral cancer, symptoms Causes, and its treatment options available at the Healthbay and Jupiter Hospital, Pune. If you or you’re loved ones are diagnosed with oral cancer then you can consult with Dr. Pratik Patil for the result based Oral Cancer treatment in Pune
What is Oral Cancer?
Oral cancer, commonly referred to as mouth cancer, is the term for tumor-like cells that are present in the oral tissues. Mouth sores that refuse to cure, lumps or thick patches on the lips, teeth, tongue, or mouth lining, difficulty swallowing, ear pain, or persistent throat pain are a few early indicators of oral cancer. Our mouth cancer specialists in Pune Dr. Pratik Patil accurately detect and diagnose mouth cancer using the most recent diagnostic tools. Imaging tests, biopsies procedures, and dental examinations are a few of the diagnostic procedures we carry out.
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Prostate Cancer Treatment in India for Foreign Patients
Prostate cancer is one of the most common cancers in men. It develops in the prostate gland. It is a small walnut-shaped gland that produces seminal fluid. The prostate is placed under the bladder. It is a blank hollow organ that manages to store urine. It is positioned in front of the rectum which is the end of the intestines. Prostate cancer begins when uncontrollable cells grow in the prostate gland that makes a lump or a tumor.
Prostate Cancer Treatment in India
Prostate cancer is a very serious disease. It is treatable in the early stages before cancer spreads to the prostate gland. Some of the symptoms of prostate cancer as like; Trouble urinating, the urge to urinate frequently at night, blood in the semen, Pain or burning during urination, reduced force in the stream of urine, pain when sitting caused by an enlarged prostate, losing weight without trying, blood in the urine, etc. There are many types of Prostate cancer. Types are the following;
Adenocarcinoma. It is the most common type of prostate cancer.
Small Cell Carcinomas
Transitional Cell Carcinomas
Neuroendocrine Tumors
Sarcomas. These are some rare types of prostate cancer.
Prostate cancer treatment depends on the stage of cancer in the prostate gland. The size of the tumor, patient condition & different therapies are given as required. Some of the prostate cancer treatment options are as particle therapy, radiation therapy, laparoscopic radical prostatectomy, radiosurgery, radical retropubic prostatectomy, chemotherapy, hormone & urinary retention medications, etc.
Prostate Cancer Treatment Cost in India
Prostate cancer treatment cost in India is based on various factors such as techniques, doctor’s expertise, equipment, patient medical conditions, city, and hospitals. This treatment starts from INR 1Lks up to 4.5Lks.
Best Prostate Cancer Treatment Hospitals in India
India has many best quality hospitals for prostate cancer treatment that offer excellent cancer care. These hospitals are very well known for their best care, equipment, medical oncology, and other specialists.
Fortis Memorial Research Institute (New Delhi)
Narayana Superspeciality Hospital (Gurgaon)
Indraprastha Apollo Hospitals (New Delhi)
Medanta- The Medicity (Gurgaon)
Kokilaben Dhirubhai Ambani Hospital (Mumbai)
Tata Memorial Hospital (Mumbai)
Top Prostate Cancer Treatment Doctors in India
There are many best oncology surgeons in India for treating against prostate cancer treatment. They have many years of knowledge, experience & expertise. Some of the doctor’s names are given below:
Dr. Keshavamurthy Mohan (Uro-oncologist)
Prof. Dr. Raj Nagarkar (Surgical oncologist)
Dr. Madhav Sanzgiri (Urology/Genito-urinary Surgery)
Dr. Kapil Kumar (Director& HOD of Surgical Oncology)
Dr. Lakshman Bellamkonda (Urologist, Andrologist & transplant surgeon)
Dr. Vadhiraja B.M (HOD & Consultant Radiation Oncologist)
Al Afiya Medi Tour is a leading medical tourism company in India. We offer medical tourism services such as finding the right doctor, the right hospital, and cost estimation etc. Some of the main countries are Bangladesh, South Africa, Egypt, Uganda, Zambia, Sudan, Dubai, Namibia, Iraq, Kenya, Saudi Arabia, Ethiopia, Nigeria, and so on. We provide free medical assistance for TURP surgery cost, lung cancer treatment, cancer treatment cost, lung transplant, liver transplant cost, top knee replacement surgeons, knee replacement surgery cost, top shoulder replacement surgeons, etc.
Source: https://alafiyameditour1.blogspot.com/2024/05/prostate-cancer-treatment-in-india-for_9.html
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Cancer Pain Treatment In Delhi and Gurgaon - Dr. Amod Manocha
Pain in cancer may arise due to many reasons and is often the presenting complaint leading to the diagnosis of cancer. It may be
Related to cancer itself or its spread to other body parts
A late presentation due to side effect of treatments such as chemotherapy, radiotherapy and surgery
A result of extra stress placed on other body parts for example shoulder pain due to using of a stick for walking
A totally unrelated coincidental problem such as arthritis
Pain can be of differentiated into background pain (which is always present in the background and is managed with regular medications) and breakthrough pain (pain that breaks through your regular pain relief). Breakthrough pain may occur unprovoked or may be triggered by external or internal factors. In cancer patients, different types of pain may coexist. It is not just limited to pain arising from inflammation and tissue damage for example cancer of the pancreas spreading to neighboring organs and nerves leading to visceral and neuropathic pain respectively and a distant spread to bones producing bone pain. Different types of pain present differently for example
Neuropathic/ Nerve pain is generally described as burning, shooting, electric shock-like, or stabbing pain with associated tingling or numbness. It may be a consequence of cancer itself or a result of treatments such as chemotherapy (chemotherapy-induced peripheral neuropathy- CIPN).
Visceral Pain originates from the viscera (organs in the body cavity) and is generally described as deep aching, squeezing, and cramping sensation
Bone pain presents as an aching, throbbing sensation. Some cancers have a preference to spread to bones
Pain Management
Pain relief needs to be tailored to the cause, severity, and duration of pain. In most cases, a reasonable control can be achieved by using a combination of methods. Multimodal, Multidisciplinary approach provides the opportunity to maximize pain relief and provide support not only for the physical needs but also for the emotional, spiritual, and social needs.
Tag = Cancer Pain treatment in Delhi, Cancer Pain treatment in Gurgaon, Pain Management in Delhi, Pain Treatment in South Delhi, Best pain specialist in Delhi
For More Information = https://www.removemypain.com/cancer-pain.html
Read More Blog https://www.removemypain.com/blog/
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Cancer Pain Treatment in Delhi - Removemypain
Pain in cancer may arise due to many reasons and is often the presenting complaint leading to the diagnosis of cancer. It may be
Related to cancer itself or its spread to other body parts
A late presentation due to side effect of treatments such as chemotherapy, radiotherapy and surgery
A result of extra stress placed on other body parts for example shoulder pain due to using of a stick for walking
A totally unrelated coincidental problem such as arthritis
Pain can be of differentiated into background pain (which is always present in the background and is managed with regular medications) and breakthrough pain (pain which breaks through your regular pain relief). Breakthrough pain may occur unprovoked or may be triggered by external or internal factors. In cancer patients different types of pain may coexist. It is not just limited to pain arising from inflammation and tissue damage for example cancer of pancreas spreading to neighbouring organs and nerves leading to visceral and neuropathic pain respectively and a distant spread to bones producing bone pain. Different types of pain present differently for example
Neuropathic/ Nerve pain is generally described as burning, shooting, electric shock like or stabbing pain with associated tingling or numbness. It may be a consequence of cancer itself or a result of treatments such as chemotherapy (chemotherapy-induced peripheral neuropathy- CIPN).
Visceral Pain originates from viscera (organs in body cavity) and is generally described as deep aching, squeezing and cramping sensation
Bone pain presents as an aching, throbbing sensation. Some cancers have a preference to spread to bones
Pain Management
Pain relief needs to be tailored to the cause, severity, and duration of pain. In most cases, a reasonable control can be achieved by using a combination of methods. Multimodal, Multidisciplinary approach provides the opportunity to maximize pain relief and provide support not only for the physical needs but also for the emotional, spiritual, and social needs.
Tag = Cancer Pain treatment in Delhi Cancer Pain treatment in Gurgaon Pain Management in Delhi, Pain Treatment in South Delhi, Best pain specialist in Delhi
For More Information https://www.removemypain.com
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