Biostimulation Techniques for Cancer Pain Management

  • Winston C. V. Parris
Conference paper


Cancer pain, unlike chronic benign pain, is almost always associated with a specific pathological lesion. That lesion may result from tumor invasion, pressure on a viscus, infiltration of vessels, bony involvement, surgical scarring, or the effects of radiotherapy. Like chronic benign pain, cancer pain may be associated with behavioral aberrations that may cloud the perception of the actual pain, occasionally resulting in amplification of perceived pain. Superimposed on those behavioral features of chronic cancer pain are some intrinsic features which may further augment the patient’s perception of pain. Those features include despair, doom, and death issues. Like chronic benign pain, the most effective approach for dealing with chronic cancer pain is to utilize a multidisciplinary approach.


Chronic Pain Nerve Stimulation Cancer Pain Transcutaneous Electrical Nerve Stimulation Myofascial Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kane K, Taub A (1975) A history of local electrical analgesia. Pain 1:125–138PubMedCrossRefGoogle Scholar
  2. 2.
    Melzack R, Wall PD (1965) Pain mechanisms: a new theory. Science 150:971–979PubMedCrossRefGoogle Scholar
  3. 3.
    Vander Ark GD, McGrath KA (1975) Transcutaneous electrical stimulation in treatment of postoperative pain. Am J Surg 130:338–340CrossRefGoogle Scholar
  4. 4.
    Harrison RF, Woods T, Shore M, Mathews G, Unwin A (1986) Pain relief in labour using transcutaneous electrical nerve stimulation (TENS). A TENS/TENS placebo controlled study in two parity groups. Br J Obstet Gynaecol 93:739–746PubMedGoogle Scholar
  5. 5.
    Bourke DL, Smith BAC, Erickson J, Gwartz B, Lessard L (1984) TENS reduces halothane requirement during hand surgery. Anesthesiology 61:769–772PubMedCrossRefGoogle Scholar
  6. 6.
    Thorsteinsson G, Stonnington HH, Stillwell GK, Elveback LR (1977) Transcutaneous electrical stimulation: a double-blind trial of its efficacy for pain. Arch Phys Med Rehabil 58:8–13PubMedGoogle Scholar
  7. 7.
    Pike PM (1978) Transcutaneous electrical stimulation: its use in management of postoperative pain. Anaesthesia 33:165–171PubMedCrossRefGoogle Scholar
  8. 8.
    Ali JA, Yaffee CS, Serretti C (1981) The effect of transcutaneous electric nerve stimulation on postoperative pain and pulmonary function. Surgery 89:507–512PubMedGoogle Scholar
  9. 9.
    Mannheimer C, Carlsson CA (1979) The analgesic effect of transcutaneous electrical nerve stimulation in patients with rheumatoid arthritis. A comparative study of different pulse patterns. Pain 6:329–334PubMedCrossRefGoogle Scholar
  10. 10.
    Melzack R (1975) Prolonged relief of pain by brief transcutaneous somatic stimulation. Pain 1:357–373PubMedCrossRefGoogle Scholar
  11. 11.
    Bates JAV, Nathan PW (1980) Transcutaneous electrical nerve stimulation for chronic pain. Anaesthesia 35:817–822PubMedCrossRefGoogle Scholar
  12. 12.
    Johansson F, Almay BGL, von Knorring L, Terenius L (1980) Transcutaneous electrical nerve stimulation in patients with chronic pain. Pain 9:55–61PubMedCrossRefGoogle Scholar
  13. 13.
    Wynn Parry CB (1980) Pain in avulsion lesions of the brachial plexus. Pain 9:41–53CrossRefGoogle Scholar
  14. 14.
    Sweet WH, Wepsic JG (1968) Treatment of chronic pain by stimulation of fibres of primary afferent neurons. Trans Am Neurol Assoc 93:103–105PubMedGoogle Scholar
  15. 15.
    Picaza JA, Cannon BW, Hunger SE, Boyd AS, Gum J, Maurer D (1975) Pain suppression by peripheral nerve stimulation. I. Observations with transcutaneous stimuli. Surg Neurol 4:105–114PubMedGoogle Scholar
  16. 16.
    Nashold BS (1980) Peripheral nerve stimulation for pain. J Neurosurg 53:132–133PubMedGoogle Scholar
  17. 17.
    Chan CWY, Tsang H (1987) Inhibition of the human flexion reflex by low intensity high frequency transcutaneous electrical nerve stimulation (TENS) has a gradual onset and offset. Pain 28:239–254PubMedCrossRefGoogle Scholar
  18. 18.
    Woolf CJ, Wall PD (1982) Chronic peripheral nerve section diminishes the primary afferent A-fibre mediated inhibition of rat dorsal horn neurones. Brain Res 242:77–85PubMedCrossRefGoogle Scholar
  19. 19.
    Kao FF (1973) Acupuncture therapeutics. Eastern, New HavenGoogle Scholar
  20. 20.
    Nathan PW (1978) Acupuncture analgesia. Trends Neurosci 1:21–23CrossRefGoogle Scholar
  21. 21.
    Reichmanis M, Becker RO (1977) Relief of experimentally induced pain by stimulation at acupuncture loci. Comp Med East West 5:281–288PubMedCrossRefGoogle Scholar
  22. 22.
    Travell J, Rinzler SH (1952) The myofascial genesis of pain. Postgrad Med 11:425–434PubMedGoogle Scholar
  23. 23.
    Lewit K (1979) The needle effect in the relief of myofascial pain. Pain 6:83–90PubMedCrossRefGoogle Scholar
  24. 24.
    Frost FA, Jessen B, Siggaard-Andersen J (1980) A control, double-blind comparison of mepivacaine injection versus saline injection for myofascial pain. Lancet 1:499–501PubMedCrossRefGoogle Scholar
  25. 25.
    Nogier PFM (1972) Treatise of auriculotherapy. Maisonneuve, MetzGoogle Scholar
  26. 26.
    Melzack R, Katz J (1984) Auriculotherapy fails to relieve chronic pain. JAMA 251:1041–1043PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • Winston C. V. Parris

There are no affiliations available

Personalised recommendations