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Compassionate and Advanced Cancer Pain Management

Living with cancer is a significant challenge, and the pain associated with the condition or its treatment can profoundly affect your material and emotional well-being. At the Shashikanth Orthopedic Hospital, we understand that cancer pain is a very personal experience and requires a dedicated, individualized approach. Our mission is to supply comprehensive pain management that helps you maintain the best possible quality of life throughout your cancer journey.  

It is important to remember that not all cancers cause pain, and the level of pain you experience is not necessarily connected to the cancer’s growth. Pain can occur from the cancer itself, from therapies like surgery or chemotherapy, or from other unrelated causes. Whatever the source, your pain is real, and it can and should be treated. 

Understanding the Causes and Types of Cancer Pain

Understanding the Causes and Types of Cancer Pain

Effective pain management begins with understanding the specific cause and type of your pain. Our specialists conduct a thorough evaluation to create a targeted treatment plan.

What Causes Cancer Pain?

Pain can originate from several sources:

  • The Tumor Itself: The most common cause is a tumor growing and pressing on bones, nerves, or other organs in the body.  
  • Cancer Treatments: Pain is a potential side effect of many cancer therapies. This can include post-surgical pain, nerve pain (peripheral neuropathy) from certain chemotherapy drugs, or skin irritation and inflammation from radiation therapy. 
  • Diagnostic Procedures: Some tests and procedures required for diagnosis and monitoring can cause temporary pain. 
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Types of Cancer Pain
Pain feels different for everyone and can be described as sharp, dull, aching, burning, or throbbing. Understanding the nature of your pain helps us choose the most effective treatment.  
Pain Type Description Common Causes How It Feels
Acute Pain Comes on quickly, is often severe, and typically lasts for a shorter time as the underlying injury heals. Surgery, diagnostic procedures, or an acute injury. Sharp, sudden.
Chronic Pain Pain that lasts longer than three months. It can be mild to severe and may be present all the time. Nerve changes from the tumor or treatment, ongoing tissue damage. Aching, dull, persistent.
Nerve Pain (Neuropathic) Caused by pressure on or damage to nerves or the spinal cord. A tumor pressing on a nerve, side effects of chemotherapy. Burning, shooting, tingling, “pins and needles,” or electric shock-like sensations.
Bone Pain (Somatic) Occurs when cancer damages bone tissue. Cancer that has spread to the bone. Aching, dull, or throbbing.
Soft Tissue Pain (Visceral) Originates from an organ or muscle. A tumor affecting an organ like the kidney or liver. Sharp, cramping, or aching; often hard to pinpoint.
Breakthrough Pain A sudden flare of pain that occurs even when you are taking regular pain medication. Can have the same causes as chronic pain or be triggered by an activity. An episode of intense pain that “breaks through” your regular pain control.
Our Comprehensive Approach to Your Pain

Our Comprehensive Approach to Your Pain

We believe in a patient-centered, multidisciplinary approach to managing cancer pain. Your personalized plan is developed after a thorough assessment where we listen to you describe your pain: where it is, what it feels like, and what makes it better or worse. Our goal is to use a combination of therapies to provide the most effective relief with the fewest side effects, helping you stay active and engaged in your life.

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Advanced Treatment Options for Cancer Pain

We offer a full spectrum of treatments, from pharmaceuticals to the latest interventional procedures, to control your pain.

Medication Management

Based on the type and severity of your pain, we may recommend:

  • Non-Opioids: For mild to moderate pain, medications like acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can be effective.  
  • Opioids: For moderate to extreme pain, opioids like morphine or oxycodone may be prescribed under careful supervision.  
  • Adjuvant Medications: These medications are used to treat specific types of pain. Antidepressants and antiepileptics (like gabapentin) can be very effective for nerve pain, while steroids can help with pain caused by swelling.  
Interventional Pain Procedures

When medication alone is not enough, or to reduce the need for oral medication, we offer advanced, minimally invasive procedures:

  • Nerve Blocks: An injection of numbing medicine (anesthetic) near a typical nerve or group of nerves can block pain signals. This can be used to diagnose the source of pain or provide temporary to long-lasting relief. A celiac plexus block, for example, can relieve abdominal pain.  
  • Epidural Steroid Injections: A potent anti-inflammatory steroid is injected into the epidural area around the spinal cord to reduce inflammation of irritated nerve roots, providing relief from radiating pain.  
  • Radiofrequency Ablation (RFA): For long-term relief from certain types of nerve pain, RFA uses heat generated by radio waves to create a lesion on a targeted nerve, disrupting its ability to send pain signals to the brain. This relief can last for many months.  
  • Intrathecal Pain Pump: A small, surgically implanted pump delivers pain medication directly into the fluid around the spinal cord. This allows for powerful pain relief with a much lower dose of drug than would be needed orally, reducing side effects.  
  • Spinal Cord Stimulation (SCS): A small implanted device delivers mild electrical stimulation to an area near the spine, which disrupts pain signals traveling to the brain.  

In addition to directly treating pain, we support a holistic approach to your comfort:

  • Tumor-Shrinking Treatments: Palliative radiation or chemotherapy can shrink a tumor that is pressing on nerves or organs, thereby relieving the source of the pain.  

Complementary Therapies: Non-drug treatments can help your medications work better and relieve other symptoms. These include physical therapy, Transcutaneous Electrical Nerve Stimulation (TENS), massage, acupuncture, and relaxation exercises.  

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