• Title/Summary/Keyword: Pain: cancer pain

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Case Report on Three Cases of Postoperative Pain after Thyroidectomy Treated with Gamisoyo-san (가미소요산으로 호전된 갑상선암 수술 후 통증에 대한 치험 3례)

  • Lee, Su Hyoun;Kim, Kang San;Yun, Jong Min;Ko, Ha Neal;Kim, Lae Hee;Rhee, Yun Jin;Sun, Yung Chen;Kim, Kwang Hyuk;Lee, Seon Yeop;Lee, Si Hyeong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.793-796
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    • 2012
  • This study reported a clinical effect of Gamisoyo-san focussing on improvement of postoperative pain in thyroid cancer patients. Three thyroid cancer patients hospitalized at Wonkwang hospital were enrolled this study. These patients complained postoperative pain after thyroidectomy due to thyroid cancer. All patients was prescribed Gamisoyo-san. Subjective degree of pain in each patient was investigated daily. Postoperative pain of all patients were gradually relieved after treatment. In one of three case, postoperative pain relieved completely. These results suggest potential of Gamisoyo-san as effective medicine of postoperative pain after thyroidectomy in thyroid cancer patients.

Effect of the Proprioceptive Neuromuscular Facilitation Pattern Exercise and Scrambler Treatment on Pain, Range of Motion, and Shoulder Dysfunction in Breast Cancer Patients (고유수용성신경근촉진법 패턴 운동과 스크램블러 치료가 유방암 환자의 통증과 가동범위 및 어깨기능장애에 미치는 영향)

  • Jae-Cheol Park;Han-Kyu Park;Dong-Kyu Lee
    • PNF and Movement
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    • v.21 no.1
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    • pp.53-61
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    • 2023
  • Purpose: The study aims to examine the effects of the proprioceptive neuromuscular facilitation pattern exercise and scrambler therapy on pain, range of motion (ROM), and shoulder dysfunction in breast cancer patients. Methods: In total, 30 breast cancer patients were recruited and randomized to group I (n = 10), group II (n = 10), and group III (n = 10). Pain was measured using a visual analogue scale, ROM was measured using a goniometer, and shoulder dysfunction was measured using a shoulder pain and disability index. Group I practiced the proprioceptive neuromuscular facilitation pattern exercise and underwent scrambler therapy, group II underwent scrambler therapy only, and group III practiced the proprioceptive neuromuscular facilitation pattern exercise only. Results: A within-groups comparison showed that all groups demonstrated significant differences in pain, ROM, and shoulder dysfunction after the experiment (p<0.05). Further, according to a comparison of the three groups, group I showed a more significant difference in effectiveness than groups II and III in terms of pain, ROM, and shoulder dysfunction before and after the experiment (p<0.05). Conclusion: This study showed that the proprioceptive neuromuscular facilitation pattern exercise and scrambler therapy are effective in treating pain, ROM issues, and shoulder dysfunction in breast cancer patients.

Effects of Aroma Hand Massage on Pain, State Anxiety and Depression in Hospice Patients with Terminal Cancer (아로마 손마사지가 호스피스 말기암환자의 통증, 상태불안 및 우울에 미치는 영향)

  • Chang, So-Young
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.493-502
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    • 2008
  • Purpose: The purpose of this study was to examine the effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Methods: This study was a nonequivalent control group pretest-posttest design. The subjects were 58 hospice patients with terminal cancer who were hospitalized. Twenty eight hospice patients with terminal cancer were assigned to the experimental group (aroma hand massage), and 30 hospice patients with terminal cancer were assigned to the control group (general oil hand massage). As for the experimental treatment, the experimental group went through aroma hand massage on each hand for 5 min for 7 days with blended oil-a mixture of Bergamot, Lavender, and Frankincense in the ratio of 1:1:1, which was diluted 1.5% with sweet almond carrier oil 50 ml. The control group went through general oil hand massage by only sweet almond carrier oil-on each hand for 5 min for 7 days. Results: The aroma hand massage experimental group showed more significant differences in the changes of pain score (t=-3.52, p=.001) and depression (t=-8.99, p=.000) than the control group. Conclusion: Aroma hand massage had a positive effect on pain and depression in hospice patients with terminal cancer.

Transient Repiratory Dysfunction after Percutaneous Cordotomy -A case report- (경피적 척수시상로절단술 후 발생한 호흡부전 -증례 보고-)

  • Lee, Jun Seog;Sinn, Yoo Sik;Park, Chan Hong
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.275-278
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    • 2005
  • Percutaneous cordotomy is a useful method for cancer pain management. Candidates for cervical cordotomy include those patients with unilateral cancer pain below the shoulder, with a life expectancy of less than 1 year, who can not be adequately treated by other less invasive methods. However, various complications can occur following a cordotomy, with the most serious being respiratory dysfunction. Herein, we report a case of transient respiratory dysfunction following a percutaneous cervical cordotomy.

Failed Celiac Plexus Block Via the Anterior Approach under CT Guidance -A case report- (전산화단층촬영 유도하에 전방접근법으로 시행한 복강신경총차단의 실패 1예 -증례 보고-)

  • Rhee, Joo-Young;Lee, Jung-Koo;Chung, Jung-Kil;Rhee, Chang-Su
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.130-133
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    • 1998
  • We present our failed case of celiac plexus block using the anterior approach under CT guidance in patient with intolerable abdominal pain originating from pancreatic cancer with celiac invasion. In spite of the proper position of needle, the contrast material was not spread due to the tumoral invasion.

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All about pain pharmacology: what pain physicians should know

  • Kim, Kyung-Hoon;Seo, Hyo-Jung;Abdi, Salahadin;Huh, Billy
    • The Korean Journal of Pain
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    • v.33 no.2
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    • pp.108-120
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    • 2020
  • From the perspective of the definition of pain, pain can be divided into emotional and sensory components, which originate from potential and actual tissue damage, respectively. The pharmacologic treatment of the emotional pain component includes antianxiety drugs, antidepressants, and antipsychotics. The anti-anxiety drugs have anti-anxious, sedative, and somnolent effects. The antipsychotics are effective in patients with positive symptoms of psychosis. On the other hand, the sensory pain component can be divided into nociceptive and neuropathic pain. Non-steroidal anti-inflammatory drugs (NSAIDs) and opioids are usually applied for somatic and visceral nociceptive pain, respectively; anticonvulsants and antidepressants are administered for the treatment of neuropathic pain with positive and negative symptoms, respectively. The NSAIDs, which inhibit the cyclo-oxygenase pathway, exhibit anti-inflammatory, antipyretic, and analgesic effects; however, they have a therapeutic ceiling. The adverse reactions (ADRs) of the NSAIDs include gastrointestinal problems, generalized edema, and increased bleeding tendency. The opioids, which bind to the opioid receptors, present an analgesic effect only, without anti-inflammatory, antipyretic, or ceiling effects. The ADRs of the opioids start from itching and nausea/vomiting to cardiovascular and respiratory depression, as well as constipation. The anticonvulsants include carbamazepine, related to sodium channel blockade, and gabapentin and pregabalin, related to calcium blockade. The antidepressants show their analgesic actions mainly through inhibiting the reuptake of serotonin or norepinephrine. Most drugs, except NSAIDs, need an updose titration period. The principle of polypharmacy for analgesia in case of mixed components of pain is increasing therapeutic effects while reducing ADRs, based on the origin of the pain.