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Evaluation and Management of Axial Spinal Pain in Cancer Survivors

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Abstract

Purpose of Review

This manuscript describes the latest evidence on diagnosing and managing axial spine pain in cancer survivors. Axial spine pain is incredibly common and can be considerably complicated in this population, where the tumor and treatment both contribute to unique pain presentations.

Recent Findings

New diagnostic techniques, including enhanced magnetic resonance imaging and biomarkers, can help the clinician determine if pain is being generated by cancer or a non-cancer factor. Exercise and physical therapy appear safe, but precautions are necessary in patients with active cancer. Physiatrists are able to effectively oversee the rehabilitation process in medically complex patients. Interventional pain procedures and pharmacologic analgesia may also be safe when precautions are followed.

Summary

Cancer survivors with axial spine pain have unique and complex presentations. An effective care plan must be individually tailored and safety protocols followed to ensure successful treatment.

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Data Availability

No datasets were generated or analyzed during the current study.

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, TX, USA

    Maaheen Ahmed

  2. Cedars-Sinai Samuel Oschin Cancer Center, Los Angeles, CA, USA

    Philip J. Chang

  3. Department of Physical Medicine and Rehabilitation, University of Michigan, 325 E Eisenhower Pkwy, Ste 100, Ann Arbor, MI, 48109, USA

    Sean R. Smith

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Ahmed, M., Chang, P.J. & Smith, S.R. Evaluation and Management of Axial Spinal Pain in Cancer Survivors. Curr Phys Med Rehabil Rep (2024). https://doi.org/10.1007/s40141-024-00443-9

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