Life After Cancer: Managing Pain
Pain is a common side effect of cancer
and cancer treatment. But sometimes people have pain even after cancer is gone and
treatment is over. This can cause problems with daily life and make it harder to enjoy
things and to do the things you need to do. It’s important to work with your healthcare
team to control your pain.
What causes pain after cancer treatment?
Pain after cancer treatment can be
caused by many things. For instance, it can be caused by scar tissue from surgery or
radiation. Pain can be caused by damage to your skin or organs from radiation or
chemotherapy. Or you may have nerve damage that causes pain and tingling (neuropathy).
Some of the medicines used to treat cancer can cause joint pain and stiffness. In some
cases, it may be hard to find the exact cause of pain.
Types of treatments for pain
You may find that certain types of
pain treatment works better for you than others. You may use some of the same kinds of
pain control you used during cancer treatment. For example, your healthcare provider may
prescribe the same pain medicine.
Opioid pain medicines. These
are strong medicines that control pain. They can be given in many ways, such as
liquid, pills, nose sprays, and patches. These medicines have side effects. They
can make you feel sleepy and confused. But this usually gets better within a few
days. Opioids make it hard to move your bowels. Your healthcare provider will talk
with you about things you can do to help keep this from happening. Your dose may
need to change over time, too, depending on your side effects and how well your
pain is controlled.
Nonopioid pain medicines.
Other types of medicines may help ease your pain. These include acetaminophen,
ibuprofen, naproxen, and aspirin. Other types of medicines, like steroids,
antidepressants, muscle relaxants, and anticonvulsants are also used to treat
pain. Make sure to take any of these only as directed by your healthcare team.
Transcutaneous electric nerve stimulation (TENS). This is a type of therapy that uses mild electric currents to help relieve some kinds of pain.
Cold or heat therapy. Cold
can help lessen pain. Heat can soothe sore muscles. For cold therapy, place a cold
pack wrapped in a thin towel for up to 10 minutes at a time to the area of pain.
For heat therapy, place a heating pad wrapped in a thin towel on stiff or sore
areas for up to 20 minutes at a time. Ask your healthcare provider for directions.
Don’t use heat or cold on any areas that are numb, are at risk for swelling
(lymphedema), or have poor blood circulation.
Acupuncture. This type of
therapy uses very thin needles put in certain parts of the body. The needles are
left in for up to 30 minutes and then removed. Some people find that this can help
relieve pain all over the body.
Hypnotherapy. A trained therapist can help you reach a state of relaxation that helps relieve pain.
Guided imagery. This type of
therapy helps you create images in your mind to help lessen feelings of pain.
Talk with your healthcare providers
before using any of kind of pain relief method. They may advise you not to use certain
things for your health and safety. They may also be able to find you a trained
professional so you get the best and safest possible therapy or treatment.
If you are taking pain medicine
If you're taking pain medicine,
don’t take any other medicine, vitamin, or supplement without talking with your
healthcare provider first. Some pain medicines interact with other medicines and
supplements. This can cause serious problems.
Some prescription pain medicines
contain more than one type of medicine. For instance, you may be taking a combination of
codeine and aspirin, acetaminophen, or ibuprofen. But you don’t know that, based on the
name of the medicine. This means if you also take over-the-counter aspirin,
acetaminophen, or ibuprofen, it could lead to an overdose. When you're taking
prescription pain medicines, check with your healthcare team or pharmacist before taking
any medicine you can buy in the pharmacy.
While you are taking pain medicine:
Take it exactly as prescribed. Don’t take more than the prescribed dose.
Be prepared for constipation and take steps to prevent it.
Don’t drive if the medicine makes you sleepy.
Don’t drink alcohol.
Don’t take any other medicine until you check with your healthcare provider or pharmacist first.
If you want to try decreasing or stopping your pain medicine, get your healthcare provider’s help. Don’t just stop taking pain medicine. You may need to slowly stop taking it. Your provider can help you plan the best way to do this.
Keeping a daily pain journal
Writing down information about your pain every day will help your healthcare team treat it. It can also help you and your team see what’s working and what isn’t. Every day, write down:
When the pain starts and stops, or if it’s there all the time
Where the pain is in your body
What the pain feels like:
sharp, aching, throbbing, burning
How mild or severe it is, on a scale of 0 to 10. Zero is no pain, and 10 is the worst pain you have ever had.
What makes it feel worse or better
What pain relief you used, when you used it, and how well it worked
If you had any side effects from pain medicine
Pain after cancer can be very stressful. It may help to talk about your cancer recovery in a support group. Ask your healthcare provider for information about nearby support groups. You may also feel better by meeting one-on-one with a counselor. Your healthcare provider can also refer you to a counselor. Make sure to talk with your family members, too.
It’s important to work with your
healthcare team to get good pain control. A team approach to pain control is often
needed. Physical therapy and exercise can sometimes help. Pain specialists can help you,
too. Keep in mind that you may have to try different treatments and even different
medicines to find what works. You may have to take more than one medicine to get the
relief you need. Talk with your healthcare providers about how pain affects your daily
life. Work with them to get the pain control you need.
When to call your healthcare provider
Call your healthcare provider for any of the below: