A.V. Yarikov1-5, A.O. Dubskikh6, I.I. Smirnov3, A.P. Fraerman3,7, V.V. Khinovker8-10, O.A. Perlmutter3,7, A.G. Sosnin1, S.F. Kuznetsov11, R.M. Kabardaev11, A.S. Mukhin7
1Privolzhsky district Medical Center FMBA, Nizhny Novgorod
2Central medical and sanitary unit №50 FMBA of Russia, Sarov
3City Clinical Hospital №39, Nizhny Novgorod
4City Clinical Hospital №13, Nizhny Novgorod
5Central City Hospital of Arzamas, Arzamas
6Sverdlovsk Regional Oncology Dispensary, Ekaterinburg
7Volga Research Medical University, Nizhny Novgorod
8Federal Siberian Scientific and Clinical Center FMBA of Russia, Krasnoyarsk
9Clinical Hospital №51 FMBA of Russia, Zheleznogorsk
10Krasnoyarsk State Medical University named after Professor V.F. Voyno-Yasenetskiy, Krasnoyarsk
11National Medical Research Center of Oncology named after N.N. Blokhin, Moscow
Yarikov Anton V. ― Cand. of Sci. (Med.), neurosurgeon/orthopedic traumatologist of Privolzhsky District Medical Center of FMBA, City Clinical Hospital №39, City Clinical Hospital №13 of Nizhny Novgorod, Central City Hospital of Arzamas, Central medical and sanitary unit №50 FMBA of Russia, Sarov
2 Nizhne-Volzhskaya Emb., Nizhny Novgorod, 603001, Russian Federation, e-mail: email@example.com, SPIN-code: 8151-2292, ORСID ID: 0000-0002-4437-4480
Abstract. In most cancer patients, a step-by-step scheme of anesthesia is effective, but in 20-30% of patients it is not possible to achieve an acceptable level of analgesia, despite the use of various combinations of analgesics in them. The article considers the problem of analgesic therapy in cancer patients. The main causes and characteristics of pain in oncological practice are presented. The preparations for use in the clinical practice of palliative oncology, taking into account oncological pain, are given. All modern surgical methods for the treatment of pain syndromes in oncological practice are presented. The coverage of this problem, among other things, is aimed at attracting the attention of doctors, since their use makes it possible to reduce or stop the pain syndrome in this group of patients and improve their quality of life.
Key words: oncological pain, neurolysis, chronic pain syndrome, pain control, neuromodulation, radiation therapy, pulsed radiofrequency ablation, spinal cord stimulation.