Indian Journal of Palliative Care
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 REVIEW ARTICLE
Year : 2011  |  Volume : 17  |  Issue : 2  |  Page : 116--126

Cancer pain: A critical review of mechanism-based classification and physical therapy management in palliative care


Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangalore, India

Correspondence Address:
Senthil P Kumar
Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangalore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1075.84532

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Mechanism-based classification and physical therapy management of pain is essential to effectively manage painful symptoms in patients attending palliative care. The objective of this review is to provide a detailed review of mechanism-based classification and physical therapy management of patients with cancer pain. Cancer pain can be classified based upon pain symptoms, pain mechanisms and pain syndromes. Classification based upon mechanisms not only addresses the underlying pathophysiology but also provides us with an understanding behind patient's symptoms and treatment responses. Existing evidence suggests that the five mechanisms - central sensitization, peripheral sensitization, sympathetically maintained pain, nociceptive and cognitive-affective - operate in patients with cancer pain. Summary of studies showing evidence for physical therapy treatment methods for cancer pain follows with suggested therapeutic implications. Effective palliative physical therapy care using a mechanism-based classification model should be tailored to suit each patient's findings, using a biopsychosocial model of pain.






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Online since 1st October '05
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