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Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain
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Pain therapy.

Carla Ripamonti1, Elena Bandieri

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Summary
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Cancer pain affects over half of patients, often severely. The World Health Organization (WHO) analgesic ladder provides effective pain relief for up to 90% of patients when properly assessed and applied.

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Area of Science:

  • Oncology
  • Pain Management
  • Palliative Care

Background:

  • Cancer-related pain is a significant global healthcare challenge, affecting 51% of patients, rising to 74% in advanced stages.
  • Pain is a complex subjective experience, encompassing sensory, emotional, social, and spiritual dimensions, often termed 'total pain'.
  • Pathophysiologically, pain is categorized into nociceptive, neuropathic, idiopathic, and psychogenic types, necessitating accurate assessment for effective treatment.

Purpose of the Study:

  • To highlight the prevalence and impact of cancer pain worldwide.
  • To emphasize the importance of comprehensive pain assessment.
  • To review the World Health Organization (WHO) analgesic guidelines as a standard for cancer pain management.

Main Methods:

  • Review of the reported incidence and severity of cancer pain across disease stages.
  • Classification of pain based on pathophysiological mechanisms.
  • Examination of the World Health Organization (WHO) three-step analgesic ladder and its application.

Main Results:

  • Cancer pain incidence ranges from 51% overall to 74% in advanced stages, with 40-50% experiencing moderate to severe pain.
  • The WHO analgesic guidelines provide a sequential pharmacological approach based on pain intensity.
  • When applied correctly after thorough assessment, the WHO guidelines can achieve up to 90% pain relief in diverse settings.

Conclusions:

  • Effective cancer pain management relies on accurate assessment and individualized treatment.
  • The WHO analgesic ladder remains a cornerstone of cancer pain therapy, offering substantial relief for most patients.
  • Advanced interventions are reserved for cases unresponsive to the WHO guidelines.