Franklin Pain and Wellness Center

Nearly two decades after federal guidelines called for more aggressive treatment of pain associated with cancer, millions of Americans with the disease still suffer unnecessarily because their pain is not being managed adequately, according to a new study.

The study, led by researchers at the University of Texas M.D. Anderson Cancer Center, found that a third of cancer patients and survivors have untreated or undertreated pain, an improvement from 18 years ago but still far short.

The study, which was published this week, is the largest-ever evaluation of the treatment of pain in cancer patients and survivors in an outpatient setting.

The new study did not investigate why cancer patients' pain is still not adequately treated. Common reasons include patients' fear of narcotics and their lack of understanding of non-narcotic pain treatment. Some doctors don't understand the extent of some patients' pain.

The study enrolled more than 3,000 people with invasive breast, prostate, colon and lung cancer and at risk for pain at 38 institutions across the country. They included patients in active treatment and survivors seeing doctors for follow-up appointments. Most were being treated by oncologists, not pain specialists.

The researchers found that significant pain was an issue in two-thirds of patients and that 67% of them were receiving adequate treatment. Twenty percent of those reporting severe pain were not receiving any pain treatment, and 13% were receiving ineffective pain treatment.

The study included patients whose pain was caused by their cancer, by the treatment for their cancer or by illnesses they brought to their cancer care.

The study shows how complicated pain management and pain management education can be in cancer patients. For an evaluation and a customized, non narcotic pain treatment plan, contact Franklin Pain Wellness Center.

Spinal Cord Stimulation is a minimally invasive procedure that controls chronic pain. A pain specialist will most likely first need to do a trial to understand if the Spinal Cord Stimulator is the best solution to manage your specific pain. During the trial, the pain specialist will place one or more leads in the area along the spinal cord. The placement area will depend on where your specific pain is.

The leads will also be connected to a trial generator. The pain specialist will use the trial generator to test your leads and make sure they are in the right place to treat your pain. You will be asked questions like:

• Do you feel a tingling sensation?
• Where do you feel the tingling?
• Does the tingling cover your pain?

By answering these questions, you will help make sure the leads are positioned well. The pain specialist will then show you how to use the trial generator to adjust the strength of the stimulator so you can experiment with what makes you comfortable. You will then be sent home to carry out your trial period with the Spinal Cord Stimulator.

At the end of your trial period, you and your pain specialist will determine if you should have a permanent system and which system would be appropriate for your pain. The pain specialist will consult and collaborate with your primary care physician and any other specialists you are under care of, to ensure that the best treatment plan is being carried out for you.

To schedule your initial evaluation to see if Spinal Cord Stimulation is a good solution for your chronic pain, please call (508) 507-8818 or e-mail us at staff@franklinpaincenter.com.

Pain specialists are doctors who treat pain, they specialize in pain medicine. Pain medicine is a medical specialty that focuses on the evaluation, treatment, and prevention of pain.

Pain Specialists are experts at diagnosing the reasons and sources of pain and then treating that specific pain. Anesthesiologists usually specialize in pain management. This makes sense; this is the field that has the most experience managing pain during labor or surgery.

There are different types of pain and most have become treatable through medications, nerve blocks, physical therapy, electrical stimulations, surgery, and psychological support. Although drug dependency is a common worry, at Franklin Pain and Wellness Center we only use non-habit forming treatments and drug recommendations.

Research has led to the development of newer, more effective treatments for people who have pain. Methods and treatments have been developed to minimize or eradicate chronic pain such as lower back; neck; headaches; post herpetic neuralgia (shingles); reflex sympathetic dystrophy (RSD); maxillofacial pain and other chronic ailments.

Contact the Franklin Pain and Wellness Center for information or to book your consultation.