[Supportive care. Treating pain].
In spite of recent discoveries both in the neuroscience of pain mechanisms and in the pharmacologic management of pain, numerous patients with cancer continue to suffer of untreated or under treated pain. This article will give an overview of the different therapeutic modalities including the World Health Organization (WHO) stepladder, more invasive techniques such as the spinal delivery of drugs, the use of neurostimulation and radiofrequency neuroablation. It will also look at complementary and alternative therapies such as acupuncture and end of life care or palliative/supportive care.
Peeters
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C
Arnold Pain Management Center, Beth Israel Deaconess Medical Center, Harvard Medical School, One Brookline Place, Brookline, MA 02445, USA. cpeeters@bidmc.harvard.edu
D006801:Humans; D009369:Neoplasms / Q000150:complications; D010146:Pain / Q000209:etiology; D059408:Pain Management; D014944:World Health Organization