Doctor in Delhi Pain Management Centre - Safdarjung Enclave
Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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With every passing day, there are new advancements in the field of medicine, and cancer care is no exception either. A condition that still frightens the mass has come a long way in terms of cure and management. Cancer is life threatening but when diagnosed in the early stages, can be cured with proper medical intervention.
Many cancer patients experience pain which is caused as a result of the disease or as the result of the treatments for cancer. When the cancer spreads or the malignant tumor increases in size, it puts pressure on the surrounding (bones, tissues, etc.) which intrigues the pain. The cancer treatments like chemotherapy, radiation therapy, and surgery may also cause pain in the patients.
Here is an account on managing pain during cancer:
Treatment for Cancer Pain:
Cancer pain can be dull, sharp, or achy. It can be constant or intermittent and can be mild, severe, or moderate. There are several over-the-counter or prescription medicines available in the market which can reduce the pain caused by the growing tissues or the treatments/therapies. A few such pain relievers include aspirin, acetaminophen, and ibuprofen.
Treatment According to Severity:
For pain which is mild or moderate, you can opt for Non-opioids which are anti-inflammatory medicines and can be bought without the prescription from the drug counters. If you are having moderate to severe symptoms of pain, then you may be prescribed opioids like hydromorphone, hydrocodone, fentanyl, etc.
For burning and tingling sensation, antidepressants like imipramine or the trazodone, etc., can provide relief. You must not confuse antidepressant with medicines for depression; these are for pain management as well. You can also opt for the antiepileptics drugs which can reduce the burning or tingling sensation of cancer and have it doesn’t refer that you get seizures. If there is swelling, then steroids are the option for you to control the swelling and the pain caused from it.
Ways to Take Medicines for Cancer Pain:
Most of the medications that your doctor would prescribe you have to be taken orally if not directed otherwise. The medications are usually in the pills form. If the patient, for any reason, is not able to take the drugs orally, then he/she may have to take them as rectal suppositories and even transdermal patches.
It can also be injected into your body through an intravenous opening in which the needle with the medicine is inserted directly into the veins. There is also a subcutaneous process where the medicine is injected with a small needle just under the first layer of your skin.
Studies report that often cancer pain is under-treated. A common reason is the reluctance of the patients to speak about the pain. Other reasons for not opting for pain medications are the fear of addiction and side-effects.
Cancer pain management is indeed an important part of the cancer treatment, and the goal is to manage the pain at a bearable level. And, the best part is that the goal is often achieved.
Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended worldwide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.
Modern technological advances have made computer-assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through a small incision and it eliminates the chances of human error. Perfect alignment and balance are achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.
There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is a partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.
In knee replacement surgery, the worn out surfaces of joints of the knee are replaced with an artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicates knee, with the rotating knee replacement implants assist in the backward and forward swing of the legs.
Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.