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Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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When to Use Methadone for pain: A Case-Based Approach.

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  • 1Department of Pain and Palliative Medicine, MNJ Institute of Oncology, Hyderabad, Telangana, India.

Indian Journal of Palliative Care
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Summary

This article presents case studies on using methadone for pain management in India, emphasizing a multidisciplinary approach. It covers various pain types and patient groups, including children and end-of-life care.

Keywords:
Cancer treatmentchildrenend-of-life carelong-acting opioidmethadonemultidisciplinary approachsmall intestinal absorption

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Area of Science:

  • Pain Management
  • Pharmacology
  • Oncology

Background:

  • Pain management in India requires context-specific strategies.
  • Opioids address physical pain but not psychosocial dimensions.
  • Social determinants significantly influence pain perception and amplification.

Purpose of the Study:

  • To illustrate methadone's utility for pain in the Indian healthcare setting.
  • To provide case studies for multidisciplinary team discussions and individual learning.
  • To highlight methadone's application across diverse pain scenarios.

Main Methods:

  • Presentation of case studies detailing methadone use.
  • Inclusion of social determinants of pain in case analyses.
  • Step-wise approach to pain management during cancer treatment and end-of-life care.

Main Results:

  • Demonstration of methadone's applicability in various Indian pain contexts.
  • Illustrative examples of managing neuropathic and nociceptive pain.
  • Case studies including pediatric use and specific absorption needs.

Conclusions:

  • Methadone can be a valuable tool for multimodal pain management in India.
  • A comprehensive approach addressing physical and psychosocial pain factors is crucial.
  • Case studies offer practical insights for clinicians managing complex pain.