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Pain needs to be better treated in cancer survivors

Wendy S. Harpham, MD
Conditions and Diseases
June 14, 2011
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After people have a heart attack, stroke or joint replacement, rehab is a routine part of their recovery plan. Cancer survivors, too, can have significant musculoskeletal issues during and after the acute illness. Yet cancer rehab programs are few and far between. Why is that?

For no good reason, rehab has not yet made it to the culture of survivorship. It’s time to do something about this.

Cure Magazine published an important article by physician-survivor Julie Silver in the online CURExtra Winter issue. “The goals [of cancer rehab] are the same–help someone function at the highest possible level by building up their strength and stamina, reducing pain and fatigue, improving problems with balance, gait swallowing, joint range of motion and a host of other problems.”

Dr. Silver points out a key issue for Healthy Survivors: “[I]t’s not fair to survivors to tell them to accept a new normal when there is proven medical care that can help.”

Too many patients — not just cancer survivors — receive high-tech interventions that help the original problem, but then they suffer with unaddressed residual pain or weakness. Accepting your “new normal” is counter to Healthy Survivorship unless all modes of therapy that might help have been tried. Many times it takes a combination of low-tech therapies, including rehab services.

Until rehab becomes a routine component of comprehensive cancer care, Healthy Survivors can contribute to their recovery by requesting a consult with a rehab expert experienced in the care of cancer patients.

Wendy S. Harpham is an internal medicine physician who blogs at Dr. Wendy Harpham on Health Survivorship and is the author of Only 10 Seconds to Care: Help and Hope for Busy Clinicians.

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  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Medical hierarchy is silencing young doctors who want to write

      Dr. Buga Charles George Kenyi | Physician
    • I built clinical decision-support tools at the bedside

      Ahmed Elsonbaty, MD | Health Technology
    • Peptide regulation: 4 lanes every physician must know

      Benjamin González, MD | Medications
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
  • Recent Posts

    • Medical hierarchy is silencing young doctors who want to write

      Dr. Buga Charles George Kenyi | Physician
    • Is anticoagulation bleeding risk worse in the real world?

      David K. Cundiff, MD | Medications
    • 5 layers every dengue prevention plan now needs

      Melvin Sanicas, MD | Conditions and Diseases
    • How administrative costs are crushing physician practices

      Kayvan Haddadan, MD | Physician Finance
    • Fragmented care is the gap digital health left open

      Robert Nieves, JD, MBA, MPA, RN | Health Policy
    • Musculoskeletal health may be the foundation of prevention

      Narinder Singh Parhar, MD | Conditions and Diseases

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Pain needs to be better treated in cancer survivors
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