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Pain
 Will I experience pain?
What causes pain?
What are the goals at Continuum Cancer Centers of New York for treating pain?
How can I get pain relief?
Types of pain medicine
How is pain medicine given?
What is breakthrough pain?
Reducing pain without drugs
Can Radiation Oncology help with pain
What are common concerns for patients who experience cancer pain?
How can I benefit from the specialized services of the Department of Pain Medicine?
How to evaluate and describe your own pain
Other useful tips

How can I benefit from the specialized services of the Department of Pain Medicine?
Continuum Cancer Centers of New York is committed to offering its patients the most advanced pain management options available. We believe that providing relief from pain is an integral part of providing care.

The Department of Pain Medicine and Palliative Care is composed of a team of multidisciplinary specialists who work with you to assess and treat cancer pain. The multidisciplinary team that staff this program includes neurologists, board-certified pain anesthesiologists, rehabilitation medicine physicians, psychologists, advance practice nurses, and physical therapists.

Based on a careful assessment, the team offers a treatment approach tailored to your diagnosis and specific physical and psychosocial condition. The goals are to reduce pain, improve function, enhance quality of life and reduce dependence on the health care system.

Treatment approaches include:

 Expertise in drug therapy for pain, including non-opioid and opioid drugs.

 Psychological therapy, including cognitive approaches such as biofeedback and hypnosis, and formal psychotherapy.

 Access to rehabilitative therapies, including physical therapy and occupational therapy. Treatment with analgesic modalities such as transcutaneous electrical nerve stimulation (TENS) and ultrasound are other possible rehabilitative therapies.

 Minimally invasive pain-relieving treatments, including myofascial trigger point injections, nerve blocks, spinal infusions using implanted pumps, and spinal stimulators.

 Access to complementary approaches, including acupuncture and massage.

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How to evaluate and describe your own pain
Remember that the most important thing you can do to relieve your pain is to tell your doctor or nurse about it right away. It is a good idea for you or a family member to record on a daily basis all information about your pain. On the day you go to the doctor, you may not be having pain and may not remember the specific details. Writing down answers to the following questions about your pain daily will help your doctor understand how you are feeling and the best way to treat you.

Keep a record of answers to the following questions:

1)Where is your pain located? Be sure to note all the places where you feel pain.

2) How would you describe your pain? Words like "discomfort" or "hurt" don't really give your doctor the necessary information. It is important to be more precise. Is it sharp? Shooting? Burning? Do you experience numbness? Does it feel different at different times? Here are some other words that may be helpful for you to describe your pain:

 

Aching Pounding Prickly Tight Deep
Shock-like Stabbing Pinching Dull Tender
Throbbing Tingling Heaviness Radiating Fullness

 

3) When does it hurt? Is your pain predictable? When does it start? When is it better or worse? Does it wake you up at night? Does it hurt when you move, when you eat, or when you are in a certain position?

4) How severe is your pain? On a scale from zero to 10, where zero is no pain and 10 is the worst pain you can imagine, how would you rate your pain? Keep a record of these measures.

5) What are you doing to control the pain, and is it helping? You may have found some ways to relieve your pain, such as taking medication or using a heating pad or cold pack. Using the same 10-point scale as above, compare your pain score from before you do what helps with about an hour afterwards.

6) How does your pain affect your everyday life? Have you stopped doing certain activities like walking, climbing stairs or working? Does your pain make it difficult for you to concentrate? Do you isolate yourself from others because you are in pain? Helping your doctor or nurse understand how pain limits your activities and affects the quality of your life will help in setting goals for dealing with your pain.

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Other useful tips
Bring your daily journal with you to each appointment, or use it when you are speaking to your doctor on the phone.

 If you don't have the ability to keep daily information on pain, ask someone close to you for help. They can ask you the questions and write down your answers. Bring this person to your appointment with you, so he or she can help you describe your pain.

 Your doctor or nurse should evaluate your pain and any changes at every visit. Don't be afraid to add your own information if they haven't asked enough questions. Ask to see another doctor or nurse if you are not confident your pain is being treated or your concerns addressed.

 Severe pain should be reported to your doctor right away, not at your next appointment.

 All pain should be reported, not just pain that is disabling.

 Remember: YOU are the expert in your pain and what relieves it.

For more information on controlling cancer pain, go to www.stoppain.org.

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