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Sara Daniels asked:




I had never given a thought to ovarian cancer, and why would I? When it comes to gynecological cancers you hear about breast cancer all the time but you never hear much at all about ovarian cancer. I probably heard the words before at some point but until I was diagnosed with stage 2 ovarian cancer I was pretty ignorant of signs and symptoms and had no idea what to look for.

As it turned out, I had probably been having early warning signs for some time, possibly years, but I attributed them all as just regular old signs of getting a little older and entering that time in life where different things start to bother you or basically fall apart, kind of like a car that is reaching the end of your warranty. You know how that goes, your warranty runs out and you’re in the repair shop every other week.

So I had been having typical symptoms such as indigestion (never had that before), bloating, change in menstrual periods (heavier), and some pelvic pain right AFTER my periods. It was really a strange symptom I thought because it wasn’t right along with that time of the month but a few days after. But then it would go away and I would just figure, you know, getting older, etc.

But then I started having this annoying leg pain. It was sort of a radiating pain, so I figured it must be something to do with a nerve. Sciatica? I didn’t think so because it didn’t follow the usual M.O. for that type of nerve pain. Maybe a muscle strain? Fibroids? Yes, that was it, I decided, fibroids. I researched all the symptoms and everything added up! A huge fibroid must be pressing on my sciatic nerve and causing this intolerably aggravating leg pain. I made an appointment with my gynecologist and she agreed, yes, that must be it.

She sent me for an ultrasound where a large mass was seen, so I was immediately sent to a gynecologic oncologist. This is the best person for ANY type of GYN problems that are out of the norm because these doctors are very specialized, but it is very scary to be sitting in the oncologist’s office wondering if you may have cancer. As soon as I had my exam, my doctor scheduled surgery, and soon! My surgery was done 6 days later and the diagnoses was stage 2 ovarian cancer. I was then scheduled to begin chemotherapy. I did not want to hear this! All I could think of was losing my hair. In the grand scheme of things this is such a small thing, but believe me, when you are faced this it just seems so awful and dreadful.

But there was good news hidden inside all of the bad, and that was that I ONLY had stage 2 ovarian cancer and not a later stage which is most often diagnosed (due to the fact that no one realizes they are having any symptoms to be worried about).

I am happy to say I made it through it all and am now cancer free. I do believe though that if I had not had the leg pain I would NOT have gone to the doctor anytime soon, probably not for quite some time, as my symptoms were just so nonspecific and seemingly very benign, and my disease may have gone unnoticed and kept growing. So please do heed your body’s communication with you and if you have anything going on that seems really out of the ordinary, have it checked out by a doctor.

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Dr. Donna Schwontkowski asked:




Karen had an advanced case of breast cancer when her friend asked her to see me. Doctors had given up hope on her and wouldn’t operate and told her it was too late to treat her. She was looking for some sort of alternative health solution for the pain she was in, not the cancer, since she knew her time was limited.

At the time, I knew of nothing that could be used for the pain. In alternative health practice, the answer to reducing pain is to eliminate the cause of the pain, and in Karen’s case, this solution looked pretty grim. Certainly one could try supportive measures such as increase CoQ10 and germanium levels that would oxygenate the tissues and possibly activate some healing, or try using acupuncture to open all the right energy channels for healing energy to flow through. But as far as an actual pain relief formula for cancer goes, that drew a big blank.

I find that by posing questions during the day in my mind, answers always seem to pop up and sometimes they do within a few days. Sometimes the answer comes in a matter of minutes.

How can cancer patients get pain relief? Certainly there must be an answer out there. Enough people have gone through the ravages of cancer and someone must have tried something that worked for at least 10 to 25% of those suffering from cancer.

The answer came through an indirect way. A friend had told me about her journey through life the last year, watching four of her good friends die of cancer. It was heart-wrenching to see her friends suffer. She began searching for pain relief solutions for cancer patients. After a few months, she found one.

I learned that pain from cancer ruins the quality of life they have, and does it rapidly. One-third to almost a half of all cancer patients experience moderate to severe pain during their bout of cancer. In those with advanced cases of cancer, that percentage jumps to between 70 and 90%. The sad news is that cancer survivors can continue to suffer from the pain years later. What an unfair situation that is, to have recovered from cancer and then be left with the pain and no solution for pain relief anywhere!

My friend found an herbal combination that was specifically designed by Chinese herbalists to control the cancer pain. It was actually designed as a pain relief solution for cancer victims. She had recommended it to some people who used the herbal pain relief formula and it had worked quite well, she said.

Some of the herbs included in the formula are Notoginseng, Red Sage, Red Peony, Cnidium and other analgesic herbs. As a master herbalist, I knew there were herbs that could interact with the nervous system and some that had the capability to decrease substance P, the substance responsible for pain sensations, but had never been taught what herbs to mix together to accomplish the degree of pain relief that cancer patients needed. It makes total sense physiologically and herbally that an all natural herbal formula could make a difference in pain management.

The good news was that the Chinese had already created the pain relief formula for cancer pain. As an herbalist, if you come across a formula that works, the rule is leave it alone! Use it.

I was sad that Karen, the woman with advanced breast cancer, moved away and was unreachable for me to share the good news. But the thought of helping others find a solution for pain relief for cancer was important enough to write this article.

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The Pain caused by cancer usually falls into one of two categories:

Nociceptive Pain and Neuropathic Pain.

Nociceptive pain is caused by damage to tissue. It is usually described as sharp, aching, or throbbing pain. It is often due to tumours or cancer cells that are growing larger and crowding body parts near the cancer site. It may also be from cancer that has spread to the bones, muscles, or joints, or caused a blockage of an organ or blood vessels.

Neuropathic pain happens when there is actual nerve damage. It may be caused by a tumour pressing on a nerve or a group of nerves. People often describe this pain as a burning or heavy sensation, or numbness.

If you have been diagnosed with cancer pain, talk to your doctor to learn whether you may be a candidate for pain-control pump (intrathecal drug delivery). Your doctor (or a doctor to whom you are referred) will put you through a screening process to determine if these treatments may benefit you. Results vary; not every result is the same.

Key messages about cancer pain

The experience of pain will be different for every patient.

? Pain does not always get worse. The level of pain experienced may remain unchanged, or may increase or decrease. In any situation medication can be adjusted to ensure pain relief.

? Pain is not related to the extent of the cancer. Experiencing pain does not necessarily mean that the cancer is more serious than if you had no pain.

? Take action as soon as the pain starts. Take pain relief when you first start to feel uncomfortable. It is harder to ease pain once it has taken hold. Taking medication for pain relief when the pain is bearable will not make the medication less effective later. The aim is to prevent pain. If you wait until the pain comes back you will suffer from unnecessary pain.

? When pain relief is taken regularly or ‘by the clock’ (such as every 4 hours), there is little danger that you will become addicted to these drugs. Addiction to pain killers is very rare in women with metastatic breast cancer. The dose can be tailored to your needs. Doses are increased or decreased according to the severity of your pain.

? Drugs for pain do not usually make you feel drowsy after the first or second day. Drowsiness can occur with strong pain relief drugs like morphine. However, the drowsiness usually passes in one or two days. People vary in how the medication affects them. You should ask your general practitioner about whether you can drive or work with machinery, and the effect of drinking alcohol with your medication.

? If one drug does not effectively help your pain, many other drugs or combinations of drugs can be used to give you pain relief. There is a large range of effective drugs for pain of all types and severity. It may take time, in consultation with your doctor, to establish the drug or drug combination that is right for you.

? Any pain can be difficult to cope with. However, pain is more difficult to cope with if you are also experiencing anxiety or depression. Also, being in pain can make you more likely to be depressed or anxious. If you are concerned by the feelings you are experiencing, it is important that you talk to your doctor as soon as possible.

Why Do People Suffer With Pain?

Many people suffer with chronic pain because they are unaware of treatment options that can help them live more normal lives. Others have fears that prevent them from talking about their pain, which in turn creates barriers to seeking adequate relief. (Not all treatment options are applicable to your type of pain.)

Read the following to see if you fall into one of these categories. If you can relate to these fears, remember that help and relief are possible, but only if you discuss your symptoms with your doctor.

? Fear of being labelled a “bad patient.” You won’t find relief if you don’t talk with your doctor about your pain.

? Fear that increased pain may mean that your disease has worsened. Regardless of the state of your disease, the right treatment for pain may improve daily life for you and your family.

? Fear of addiction to drugs. Research shows that the chance of people with chronic pain becoming addicted to pain-relieving drugs is extremely small. When taken properly for pain, drugs can relieve pain without addiction. Needing to take medication to control your pain is not addiction.

? Lack of awareness about pain therapy options. Be honest about how your pain feels and how it affects your life. Ask your doctor about the pain therapy options available to you. Often, if one therapy isn’t effectively controlling your pain, another therapy can.

? Fear of being perceived as “weak.” Some people believe that living stoically with pain is a sign of strength, while seeking help often is considered negative or weak. This perception prevents them seeking the best treatment with available therapies.

Management of Pain and side effects

You may experience acute pain due to your illness or after surgery. You do not need to put up with this pain, your health care team can work with you to prevent or control just about any kind of pain. A combination of pain control methods may be used to give you greater relief from pain.

Don’t let pain control you! Because there are many new ways to treat pain, it is important that you speak openly and honestly with your doctor or with a doctor who specializes in treating chronic pain.

Terry O’Brien

BackTrouble UK.

Links:

http://www.BackDoctor.org.uk

http://www.BackTrouble.co.uk



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