Life expectancy of cancer patients is improving due to advancement in chemotherapy and radiotherapy. But quality of life is seriously affected leading to dissatisfaction and unhappy face. While treatment for cancer (chemotherapy, radiation and hormonal therapy) has been improving rapidly through the years, many patients still die from cancer every year - and many of them suffer greatly from cancer pain. For many, the most frightening part of having cancer is the threat of pain. Cancer pain is complex and multi-dimensional and requires a multi-disciplinary team approach. More than 90% of cancer patients have pain and if it is not managed properly, it leads to poor quality of life. Opioids are able to control cancer pain in most of the cases. We not not treat physical pain, but also gives a lot emphasis on spiritual, social, psychological and financial component of pain.
The following cancer pain treatment and minimally invasive pain interventions are available at Releaf Pain Centers for pain relief.
Oral morphine is titrated to give best pain relief and improved quality of life for cancer pain patients.
Fentanyl patch is again opioid with less side effects and good for maintenance therapy for cancer pain.
Adjuvants medications like anti depressants, anti convulsants, NSAIDs, Local anaesthetics, ketamine, steroids, bisphosphonates, laxatives, anti emetics are also prescribed to give maximum relief from suffering.
Psychological and spiritual counseling
Pain is one component of suffering. Often cancer patients are depressed and they need social and psychological support. Our Psychologists are experts in handling any situation and give to give maximum comfort to the patients.
Minimally Invasive Pain Interventions:
Celiac plexus neurolysis
Neurolytic celiac plexus block is done in severe pain due to upper GI malignancy including Ca, Stomach, Pancreas, Gall Bladder, and Liversecondaries. It gives 100% pain relief to patients with good quality of life.
Superior HypogastricPlexus Neurolysis
Pain due to Genito urinary tract malignancy like Ca Cervix, urinary bladder, Prostrate can be relieved with percutaneous neurolytic block of Hypogastric plexus. Our team is only team in India, who has contributed to Literature regarding this technique in India. It is also done as day care procedure and patient is discharged within 4 hours.
Ganglion Impar Block
This block is done for perineal pain or rectal pain due to recto sigmoid malignancy and other severe pains.
Intrathecal Morphine pump
Refractory pain due to cancer or patients with high dose of opioids and with side effects due to opioids are the candidates for Intrathecal Morphine pump. Dose conversion of oral to Intrathecal morphine is 300:1. So very little dose is required and refilling is done very easily. Our team has done more than 100 Intrathecal Morphine pumps over the last 10 years.
Spinal cord Stimulator
Spinal cord stimulator is done in severe neuropathic pain not responsive to high dose medications including opioids, Phantom limb pain, brachialplexopathy due to tumor invasion. It gives good quality of life for neuropathic pain patients.
Spine/vertebral fractures with pain and no neurological deficits are the candidates for cementing technique. Here Cement is injected inside the fractured bone by percutaneous method under local anaesthesia.
Radio frequency ablation of different nerves like mandibular, splanchnic, stellate, Sphenopalatine ganglion, Gasserian ganglion gives good pain relief with long term results. are some of the interventions, we do for cancer patients. Our team of doctors and nurses are very expert in titration of pain medicines like oral morphine, fentanyl patch. We also provide holistic home care for patients by providing doctors and nursing staff visit to help in managing pain and other symptoms. Consult our Oncology super Specialist pain physician for better achieving good and pain free days and possible minimally invasive treatment options for cancer pain.