Use of epidural steroid as an adjuvant in neuropathic cancer pain

Am J Hosp Palliat Care · Nov 2010

Case Reports

Use of epidural steroid as an adjuvant in neuropathic cancer pain management: a case report.

The complexity of pain and pain care is such that there may come a point in the treatment of a patient with pain when a simple approach to management is no longer possible. The proverbial analgesic ladder can be rapidly overtaken when attempting palliative management of long-term or severe end-of-life pain. Epidural steroid injection is frequently used procedure in chronic back pain of neuropathic origin in nonmalignant cases. This case report implicates the use of epidural steroid for the management of severe neuropathic symptoms including allodynia and hyperalgesia in the setting of cancer pain and palliative care.

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- Seema Mishra, Shiv Pratap Singh Rana, Surjya Prasad Upadhyay, and Sushma Bhatnagar.
- IRCH, AMS, Ansari Nagar, New Delhi, India. mseema17@yahoo.co.in
- Am J Hosp Palliat Care. 2010 Nov 1; 27 (7): 482-5.
AbstractThe complexity of pain and pain care is such that there may come a point in the treatment of a patient with pain when a simple approach to management is no longer possible. The proverbial analgesic ladder can be rapidly overtaken when attempting palliative management of long-term or severe end-of-life pain. Epidural steroid injection is frequently used procedure in chronic back pain of neuropathic origin in nonmalignant cases. This case report implicates the use of epidural steroid for the management of severe neuropathic symptoms including allodynia and hyperalgesia in the setting of cancer pain and palliative care.

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Use of epidural steroid as an adjuvant in neuropathic cancer pain management: a case report.

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