Breakthrough Pain – Do you get pain spikes or flares? Join us at this blog post to share your experience.

Breakthrough Pain

Breakthrough Pain

A few weeks ago we ran a short poll to find out more about the types of pain suffered by our readers.  You can check out the poll and its results here https://patienttalk.org/?p=2506.

I have to say the results were a great surprise.  It turned out that over 12% of our readers suffer from breakthrough pain.  Now this was interesting because my preliminary research suggested that breakthrough pain is associated with conditions like cancer.  But these results suggest that it is far more widespread.

So what actually is breakthrough pain or, as it is sometimes called, a pain flare?

It has been best described as spikes of pain which cannot be controlled by normal pain management techniques.  In fact these can happen a number of times each day or on a less frequent basis.

Current thinking as to why breakthrough pain occurs is interesting.  One explanation looks at a concept of conditioned pain response.  There is an excellent article by Christina Lasich on the subject here http://www.healthcentral.com/chronic-pain/c/23153/117921/salivating. The way I see it Dr Lasich takes the view that in some cases breakthrough pain is a condition response to the use of medication.  By that she means that people who take regular pain medication (say four times a day) will, slightly prior, to the appointed time for the medicine, start feeling heightened levels of pain.  She compared this to Pavlov’s dogs experiment – of which more here http://www.simplypsychology.org/pavlov.html.  The article is by McLeod, S. A. (2007) and called Pavlov’s Dog.

Dr Lasich also points to opioid-induced hyperalgesia as another potential cause.  This is a scenario where people who use many medications become over-sensitive to things which would not have caused pain in the past.  While affecting people who take these products it should not be confused with the increased tolerance that such medications may cause.  To find out more please have a look at this page http://en.wikipedia.org/wiki/Opioid-induced_hyperalgesia.

Obviously we must also bear in mind that these pain spikes are part and parcel of various medical conditions such as cancer and fibromyalgia.

Going back to the figure of 12% of people with pain who suffer from pain flares, I spoke about this yesterday to a physician.  She was firmly of the view that this is, in fact, a very realistic figure.  So I thought it would be of value and interest to get the views and experiences of our readers as regards to breakthrough pain.  It would be great if you could share your experiences using the comment boxes below.

You may wish to consider some of the following questions:-

1)   What is the background condition that causes your pain?

2)   What treatments for that pain do you use?

3)   Can you describe a typical pain flare for our readers?

4)   What triggers these pain spikes?

5)   How do you deal with/ treat breakthrough pain?

Please consider these questions just as a guide.  Anything you might like to share will be of great interest to our readers.

 

Many thanks in advance.

Neurofibromatosis – what are the symptoms and treatments of Neurofibromatosis?


Neurofibromatosis

Neurofibromatosis

Last week my sister came round for the evening.  In the course of the conversation she mentioned that one of her university friends had had a child who had been diagnosed with Neurofibromatosis.  She tuned to me and said “You should write a blog on Neurofibromatosis”.

So here it is.  As with most of our informational blogs the objective is not just to raise awareness of Neurofibromatosis but also to allow people in the Neurofibromatosis community to share their stories and experiences to the benefit of others.

It is worth stating at the offset that there are two main types of Neurofibromatosis.  Rather splendidly referred to as Neurofibromatosis Type 1 (NF1) and Neurofibromatosis Type 2 (NF2).  This blog will concentrate on NFI because it is the much more common type affecting around 1 in 3000 births.  We’ll come back to NF2 in a future blog.

So what is Neurofibromatosis? Well both NF1 and NF2 refer to a set of genetic conditions which cause the growth or tumours at the end of nerves.  It should be noted that these tumours are benign i.e. non-cancerous.

So what does this mean in practice?  Firstly it is genetic condition which means that people with Neurofibromatosis are born with it.  That being said, in many cases, symptoms get worse of the years.

Typical signs and symptoms of Neurofibromatosis include:-

a)      Café-au-lait spots.  These are a kind of pale brown birth mark.  In fact a lot of kids have them.  But more than six by the age of 5 could be a symptom of Neurofibromatosis.

b)      Neurofibromas – these are soft bumps on or under the skin.

In some cases further symptoms can present which are more serious:-

c)       Raised blood pressure.

d)      Increased risk of developing a cancer known as malignant peripheral nerve sheath tumours.  According to the UK’s NHS perhaps 10% of people with NF1 will be affected by this cancer.

e)      Scoliosis or curvature of this spine.

f)       Some children may present learning difficulties at school

g)      In some cases depression and anxiety are also common.

As of yet there is no cure for Neurofibromatosis but a number of treatments are available.  Surgery for the tumours is common and effective.  Obviously it is important to control high blood pressure and this is normally done with medications.  For learning difficulties and behavioural issues therapy is considered the best course of action.

As we said at the beginning of the Neurofibromatosis blog post we are interested in hearing from people in the Neurofibromatosis community.  It would be great if you could share your story using the comments box below.

It would be good if you would like to think about the following questions when putting together your comments:-

a)      At what age were you or your loved one diagnosed with NF?

b)      What were the symptoms and signs of NF?  How did it progress?

c)       What were and are the effect s of NF on the lifestyle of you and your family?

d)      What treatments were used?  How effective were these treatments?

e)      What one piece of advice would you give to somebody or their families who has just been diagnosed with Neurofibromatosis?

We really look forward to reading your comments.  Please note that these questions are only a guideline.  Anything you have to share will be of huge interest to our readers.

Thanks very much in advance.


World Cancer Day 2014 – please like and share the image to raise awareness of World Cancer Day


World Cancer Day is to be held this year on 4th Feb 2014.

To find out more about this day please check out the organisers web site here http://www.worldcancerday.org/.  The theme this year is Reduce stigma and dispel myths about cancer!

We have produced an image to help raise awareness of the day.  It would be great if you could like and share to help promote World Cancer Day.

Many thanks in advance

World Cancer Day

World Cancer Day


Cancertalk Week – This week is Cancertalk Week. Please like and share to show your support!


Cancertalk Week

Cancertalk Week

This week is Cancertalk Week.

We have produced the image below to help raise awareness of Cancertalk Week.   It would be great if you could like and share.

For more information on Cancertalk Week  please go to http://www.macmillan.org.uk/get-involved/all-ways-to-help.html

Thanks very much in advance

 


Genetic counseling – have you had it or would you consider it?


Genetic counseling - have you had it or would you consider it?

Genetic counseling – have you had it or would you consider it?

Welcome to the latest in our series of blogs which look at different aspects of medicine and healthcare.

Today we are taking a different tack from  normal and we are exploring in more detail the experiences of our readers with genetic counseling.

As a bit of background, genetic counseling helps people or families to understand the risks associated with future generations developing inheritable illnesses.    It is worth mentioning here that genetic counseling is not the same as counseling therapy which is used for certain pain conditions and mental health conditions such as anxiety and depression.

The objectives of a genetic counselor are quite different.  They aim to:-

a) Explore with the client the nature of genetic medical conditions within their family.

b) Give the interviewee an understanding of the risk factors involved.

c) Introduce clients to genetic testing and what it may involve.

d) Act as an advocate for the patient with other healthcare professionals.  They can also help link you in with various patient support groups.

e)Provide support if you have a child with an inherited condition.

In the UK they act in a holistic context with other kinds of medical practioners with the aim of giving the client the best possible understanding of their situation and to put them in a position to decide if they should try to have children.  Obviously there is no right and wrong answer but genetic counseling helps the client develop a framework to make a sensible decision.

I’m very interested in the areas myself because I’m a father of an autistic child.  Recent research seems to have uncovered a clear genetic pattern to ASD. Indeed a number of my family members and my wife’s family members have shown autistic traits.  Some have been diagnosed with autism but this only within recent decades.   This means that future generations of our families will, almost certainly, go through genetic counseling.

So the purpose of this blog is for me to be forewarned (and forearmed) with what I and my family members can expect.

Obviously it is not just autism that may require genetic counciling.  Other conditions include cancers, multiple sclerosis and sickle cell anemia.

So that is why I would love your help with this blog post.  It would be great if you could use the comments box below to tell us about your experiences with genetic counselling.  In particular we are interested in the following questions:-

  • Have you ever been through genetic counseling yourself?  Has a friend or family member?
  • What was the reason?
  • How do you or they feel about the process?  Was it conducted in a supportive fashion?
  • Should it be compulsory or an individual choice?
  • What could be done to improve the process in your view?
  • Were counselors supportive and informative after counseling?

These questions are really only a guideline so anything you can share would be really useful.  Especially any links.

Thanks very much in advance