Julie Silver is an Assistant Professor in Harvard Medical School, Attending Physician in Spaulding Rehabilitation Hospital, and an Associate in Physiatry in Massachusetts General and Brigham and Women's Hospitals, Boston, Massachusetts; R. Samuel Mayer is a Clinical Associate in Johns Hopkins University School of Medicine and a Medical Director in Inpatient Rehabilitation, Johns Hopkins Hospital.
Barriers to pain management in the rehabilitation of the surgical oncology patient†
Article first published online: 21 MAR 2007
Copyright © 2007 Wiley-Liss, Inc.
Journal of Surgical Oncology
Special Issue: Seminars in Patient Rehabilitation
Volume 95, Issue 5, pages 427–435, 1 April 2007
How to Cite
Silver, J. and Mayer, R. S. (2007), Barriers to pain management in the rehabilitation of the surgical oncology patient. J. Surg. Oncol., 95: 427–435. doi: 10.1002/jso.20780
- Issue published online: 21 APR 2007
- Article first published online: 21 MAR 2007
- Manuscript Accepted: 9 JAN 2007
- Manuscript Received: 8 JAN 2007
- cancer pain;
- surgical oncology;
Virtually every surgical oncology patient faces pain, and it can become a major barrier to rehabilitation and quality of life. Pain must be assessed as to its severity, etiology (somatic, visceral, or neuropathic), causation (directly from malignancy or from treatment side effects), and its impact on daily function. Treatments can include physical modalities, exercise, opioids, adjuvant medications, and interventional techniques. Barriers to treatment may include side effects, finances, and attitudes. New technologies in medication delivery systems, intrathecal pumps, injections, and surgery have greatly strengthened the armamentarium available to manage pain. J. Surg. Oncol. 95:427–435. © 2007 Wiley-Liss, Inc.