In Search of the Best Pain Clinic in LA: Cancer Pain Care, Neuropathic Pain

By | March 4, 2012

One of the most challenging cancer pain syndromes to treat is when the tumor, radiation or chemotherapy attacks a nerve, giving rise to neuropathic pain.

One of the most challenging cancer pain syndromes to treat even for the best pain clinic in Los Angeles is when the tumor, radiation or chemotherapy attacks a nerve, giving rise to neuropathic pain. Neuropathic pain is qualitatively different from ordinary nociceptive pain (e.g. from tumor invasion of a bone). It tends to be sharper and move around more. It is often described as having a burning or electrical quality and it responds very poorly to oral opiates. In fact it responds less well to intrathecal opiates than does even the worst nociceptive pain. This is because even severe nociceptive pain is the result of normal neural transmission of pain signals from the periphery, whereas neuropathic pain is the result of fundamentally deranged nerve activity. Normal nerves are subject to feedback control, which dampens hyperactive circuits. In neuropathic pain this feedback control is either diminished or nonexistent. The best cancer pain clinic in Los Angeles would know that this type of pain usually needs a more complex IDDS mixture often containing local anesthetics and ziconitide.


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