Cancer Pain Assessment Considering Referred Pain

DOI 1 Citations 18 References
  • TOMIYASU Shiro
    Department of Anesthesia and Palliative Care Team, Nagasaki Municipal Hospital
  • HASHIGUCHI Yoshiyasu
    Department of Anesthesia and Palliative Care Team, Nagasaki Municipal Hospital

Bibliographic Information

Other Title
  • 緩和医療とその治療：麻酔科医はどうかかわるか　　関連痛を念頭においたがんの痛みの診断

Search this article

Abstract

  Cancer and inflammatory cells around the nociceptive fibers release various chemical transmitters and stimulate nociceptors continuously, resulting in a sensitization of the pain transmission system. Spinal sensitization also stimulates efferent fibers of the motor neuron and sympathetic system, resulting in a muscle contraction and pain around the muscle, or contraction of piloerection, and hyperhidrosis apart from original site, so-called referred pain. Cutaneous hyperalgesia also occurs due to the misinterpretation of visceral nociception to cutaneous input (viscer-somatic convergence) . It is important to understand the dermatome, myotome, viscerotome, and osteotome, because referred pain of visceral and deep somatic tissues emerge to the skin and muscle which occupied in the same spinal segment. It is also important to distinguish the cause of cutaneous hyperalgesia, neuropathic or nociceptive according to the characterisitics of referred pain.

Journal

Citations (1)*help

See more

References(18)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top