This year alone, the United States is expected to see 1.96 million new cancer cases and 610,000 cancer-related deaths.
If you or someone close to you has been diagnosed with cancer, you probably wonder how to manage the pain that goes along with it. Know that solutions are available.
This guide examines various treatments that can address different types of cancer pain — short-term, long-lasting, sporadic, or linked to surgery. From simple over-the-counter remedies and prescription drugs to surgical options and complementary therapies, it's important to understand that you don't have to endure cancer pain without relief.
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Pain is a personal experience, which means what's painful for one person might not be for another. Cancer pain can stem from various sources, often when the disease affects your bones, nerves and soft tissues.
“Somatic pain is the most common form of cancer pain," said Dr. Alexander Bershadskiy, interim chief of hematology/oncology at Staten Island University Hospital in New York City. "This type of pain can be described as an aching, cramping, or throbbing sensation.”
The Cleveland Clinic breaks it down even more:
Bone pain: Cancer-related bone pain may feel like a dull ache or a throbbing sensation.
Nerve pain: When tumors press against your nerves or spinal cord, nerve pain can occur. Cancer treatments might also damage your nerves, causing pain. It could manifest as shooting pain, burning sensations or tingling. Compared to other types of cancer pain, nerve pain can be particularly challenging to manage.
Soft tissue pain: Cancer affecting organs or soft tissues can result in sharp, cramping, throbbing pain or a persistent ache. "Soft tissue" refers to the supportive elements around bones and internal organs, including muscles, tendons, skin and fat.
Phantom pain: Phantom pain emerges in body parts that have been surgically removed to eliminate cancerous growth. For instance, those who undergo mastectomy might feel pain in the area where their breast was removed.
Referred pain: Sometimes, cancer in one part of your body can cause pain in another area. For example, liver cancer might lead to swelling that presses on nerves, causing pain in the right shoulder.
Cancer pain comes in various forms, each requiring particular approaches for effective relief. These forms include:
Acute pain: The National Cancer Institute describes this type of cancer pain as short-term and intense. It usually fades as healing occurs.
Chronic pain: Discomfort that persists beyond the expected healing time. Chronic pain might be linked to nerve damage or ongoing disease.
Breakthrough pain: This type of cancer pain is sudden and intense and can emerge even while using chronic pain medication. It's temporary, often arising when your current medication's effects diminish, even if you take the right dose.
Postoperative pain: Following procedures like limb amputations, rectal surgery and mastectomies, 30% to 50% of patients experience postoperative pain. If not managed effectively, this pain can develop into lasting discomfort, PubMed reports.
Bershadskiy said some common and effective treatments include over-the-counter and prescription medications. Among them:
Aspirin
Acetaminophen (Tylenol, others)
Ibuprofen (Advil, Motrin IB, others)
Prescription medications like morphine (Kadian, MS Contin, others)
Oxycodone (OxyContin, Roxicodone, others)
Medical marijuana
“Nondrug treatment options may also be recommended in addition to pain medication,” Bershadskiy said. Some of these include:
Acupuncture
Massage
Cognitive therapy
Hypnosis
Biofeedback
Breathing and relaxation exercises
“I've seen some patients being very successful in utilization of these techniques," Bershadskiy said. "However, if the pain is not relieved by the medication and the above-mentioned nondrug treatments, other options, such as radiation therapy, surgery and nerve blocks may be necessary to help ease cancer pain.”
A nerve block involves a localized anesthetic, often coupled with a steroid, that is introduced by injection into a nerve or the region encircling the spinal cord. The American Cancer Society says this injection serves to obstruct pain signals. After this intervention, the nerve's capacity to transmit pain signals is impeded, bringing relief for a time.
It's important to note that a nerve block might lead to temporary muscle paralysis or a complete loss of sensation within the treated area. That said, nerve blocks are an effective means to relieve pain by targeting the nerve pathways involved.
The American Society of Clinical Oncology suggests that the key aim of palliative surgery is to offset cancer's adverse effects while enhancing your overall well-being. This surgical approach can:
Alleviate nerve pain or reduce pressure on nerves
Remove obstructions within the digestive system or other affected areas
Stop internal bleeding
Install a feeding tube or medication port
Help reduce the risk of broken bones
Palliative surgery can be integrated into your cancer treatment journey at any stage, though it often plays a pivotal role in advanced cancer cases. It is a compassionate approach to pain management that aims to address sources of discomfort and enhance your quality of life.
Sources:
Alexander Bershadskiy, MD, interim chief, hematology/oncology, Staten Island University Hospital, New York City
American Cancer Society Journals: Cancer Statistics, 2023
American Cancer Society: Other Medical Treatments for Cancer Pain
Cleveland Clinic: Cancer Pain
National Cancer Institute: Pain Management
National Cancer Institute: Cancer Pain (PDQ)–Patient Version
PubMed: Postoperative Acute Pain Challenges in Patients with Cancer
American Society of Clinical Oncology: What is Cancer Surgery?
For more information on cancer, check out these additional resources:
A Beginner’s Guide to Understanding Cancer Stages & Grades
Managing Pain After Surgery: Medications for Post-Surgical Relief