Page 66 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
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Physical and complementary therapies have gained widespread
recognition as valuable interventions for relieving cancer-related
symptoms. Numerous studies and clinical trials have investigated the
effectiveness and safety of these therapies in improving the well-being
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to massage therapy, acupuncture and Transcutaneous Electrical Nerve
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to address the unique needs of patients.
A systematic review on the effect of complementary and alternative
medicine (CAM) interventions on breast cancer-related pain suggested
that CAM should be used cautiously along with other medical treatments
to ease cancer-related pain. 101, level I

• Transcutaneous Electrical Nerve Stimulation
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on its effectiveness in adults with cancer-related pain compared with
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and enhance overall well-being, is a promising non-pharmacological
intervention for the management of cancer pain.
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papers were of high risk or with some concern of bias. 103, level I

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There is a lack of clear evidence on the effectiveness of massage on
pain relief in people with cancer.
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in reducing cancer pain in patients with advanced cancer. 104, level I
However, a later meta-analysis of massage therapy on cancer pain
found that: 105, level I
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95% CI -1.63 to -0.87)
{ subgroup analysis showed that body massage, aroma massage and
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These are supported by a Cochrane systematic review where massage
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medium- and long-term pain relief compared with no massage. 106, level I

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