Cancer Pain Management in Interventional Pain Medicine


Cancer pain is a complex and challenging aspect of oncology that significantly affects the quality of life for individuals with cancer. Interventional pain medicine offers a specialized approach to managing cancer-related pain, focusing on improving symptom control and enhancing overall well-being. This information aims to provide an overview of cancer pain in the context of interventional pain medicine.

Causes of Cancer Pain:

  • Tumour-related pain: Direct pressure, invasion or nerve involvement by cancerous growths.
  • Treatment-related pain: Side effects of chemotherapy, radiation or surgery.
  • Inflammatory pain: Resulting from the body's response to cancer or treatment.

Interventional Pain Medicine Techniques:

  • Epidural analgesia: Catheter placement for continuous infusion of pain-relieving medications.
  • Neurolytic blocks: Chemical or thermal ablation of nerves transmitting pain signals.
  • Intrathecal drug delivery: Implantation of a device for direct delivery of medications into the spinal fluid.
  • Vertebroplasty and kyphoplasty: Stabilisation of fractured vertebrae with the injection of bone cement.
  • Radiofrequency ablation (RFA): Thermal energy applied to nerves to interrupt pain signals.
  • Spinal cord stimulation: Implantation of a device delivering electrical impulses to modulate pain perception.

Benefits of Interventional Pain Medicine in Cancer Care:

  • Palliative relief: Alleviation of pain and improvement in overall quality of life for cancer patients.
  • Minimally invasive: Many interventions can be performed with small incisions, reducing recovery time.
  • Individualised approach: Tailored treatments based on the type and location of cancer pain.
  • Multidisciplinary collaboration: Coordination with oncologists, palliative care specialists, and other healthcare professionals.


  • Holistic care: Interventional pain medicine is often part of a comprehensive approach that may include medications, physical therapy, and psychological support.
  • Patient-centred decision making: Open communication between healthcare providers and patients to determine the most suitable interventions.
  • Potential risks: A thorough discussion of potential risks and benefits, considering the patient's overall health and treatment goals.


Interventional pain medicine plays a crucial role in managing cancer-related pain, providing targeted and personalised solutions to improve the comfort and well-being of individuals facing cancer. Through a multidisciplinary approach, the field continues to contribute to the evolving landscape of cancer care, striving to enhance the overall quality of life for patients experiencing cancer pain.