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Explaining pain following cancer : a practical guide for clinicians. / Nijs, Jo; Wijma, Amarins J; Leysen, Laurence; Pas, Roselien; Willaert, Ward; Hoelen, Wouter; Ickmans, Kelly; Wilgen, C Paul van.

In: Brazilian Journal of Physical Therapy, Vol. 23, No. 5, 09.2019, p. 367-377.

Research output: Contribution to journalScientific review

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@article{04f4d0e654c24b598a59d573730e55c6,
title = "Explaining pain following cancer: a practical guide for clinicians",
abstract = "BACKGROUND: Pain is one of the most prevalent and debilitating symptom following cancer treatment.OBJECTIVES: This paper entails a practical guide for clinicians willing to apply pain neuroscience education (PNE) in this specific population, or clinical researchers willing to examine the effects of PNE in patients suffering from pain following cancer.RESULTS: Patient-specific information (i.e. beliefs, cognitions, pain memories, social factors) as well as identification of the dominant pain mechanism are needed to tailor the education to the specific needs and beliefs of the patient. Therapists require an in-depth understanding of pain mechanisms, the skills to explain to their patients various pain mechanisms, specific communication skills (e.g. Socratic-style dialogof education) and experience with current evidence-based biopsychosocially-driven pain management strategies for successful implementation of PNE in the clinic. Rather than purely focusing on the biomedical characteristics of pain following cancer (e.g., tissue damage due to past cancer treatment), PNE implies teaching patients about the underlying biopsychosocial mechanisms of pain. Its application is backed-up by mounting evidence supporting the effectiveness of PNE in non-cancer pain populations, and a pilot study in patients having pain following cancer.CONCLUSION: PNE is a potential solution to improve pain outcome in cancer survivors. Further research using sufficiently powered and well-designed randomized clinical trials should be conducted to examine the potential of PNE in patients having pain following cancer.",
keywords = "Breast cancer, Communication, Education, Oncology, Prostate cancer, Rehabilitation",
author = "Jo Nijs and Wijma, {Amarins J} and Laurence Leysen and Roselien Pas and Ward Willaert and Wouter Hoelen and Kelly Ickmans and Wilgen, {C Paul van}",
note = "Copyright {\circledC} 2018 Associa{\cc}{\~a}o Brasileira de Pesquisa e P{\'o}s-Gradua{\cc}{\~a}o em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.",
year = "2019",
month = "9",
doi = "10.1016/j.bjpt.2018.12.003",
language = "English",
volume = "23",
pages = "367--377",
journal = "Brazilian Journal of Physical Therapy",
issn = "1413-3555",
publisher = "Revista Brasileira de Fisioterapia",
number = "5",

}

RIS

TY - JOUR

T1 - Explaining pain following cancer

T2 - a practical guide for clinicians

AU - Nijs, Jo

AU - Wijma, Amarins J

AU - Leysen, Laurence

AU - Pas, Roselien

AU - Willaert, Ward

AU - Hoelen, Wouter

AU - Ickmans, Kelly

AU - Wilgen, C Paul van

N1 - Copyright © 2018 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

PY - 2019/9

Y1 - 2019/9

N2 - BACKGROUND: Pain is one of the most prevalent and debilitating symptom following cancer treatment.OBJECTIVES: This paper entails a practical guide for clinicians willing to apply pain neuroscience education (PNE) in this specific population, or clinical researchers willing to examine the effects of PNE in patients suffering from pain following cancer.RESULTS: Patient-specific information (i.e. beliefs, cognitions, pain memories, social factors) as well as identification of the dominant pain mechanism are needed to tailor the education to the specific needs and beliefs of the patient. Therapists require an in-depth understanding of pain mechanisms, the skills to explain to their patients various pain mechanisms, specific communication skills (e.g. Socratic-style dialogof education) and experience with current evidence-based biopsychosocially-driven pain management strategies for successful implementation of PNE in the clinic. Rather than purely focusing on the biomedical characteristics of pain following cancer (e.g., tissue damage due to past cancer treatment), PNE implies teaching patients about the underlying biopsychosocial mechanisms of pain. Its application is backed-up by mounting evidence supporting the effectiveness of PNE in non-cancer pain populations, and a pilot study in patients having pain following cancer.CONCLUSION: PNE is a potential solution to improve pain outcome in cancer survivors. Further research using sufficiently powered and well-designed randomized clinical trials should be conducted to examine the potential of PNE in patients having pain following cancer.

AB - BACKGROUND: Pain is one of the most prevalent and debilitating symptom following cancer treatment.OBJECTIVES: This paper entails a practical guide for clinicians willing to apply pain neuroscience education (PNE) in this specific population, or clinical researchers willing to examine the effects of PNE in patients suffering from pain following cancer.RESULTS: Patient-specific information (i.e. beliefs, cognitions, pain memories, social factors) as well as identification of the dominant pain mechanism are needed to tailor the education to the specific needs and beliefs of the patient. Therapists require an in-depth understanding of pain mechanisms, the skills to explain to their patients various pain mechanisms, specific communication skills (e.g. Socratic-style dialogof education) and experience with current evidence-based biopsychosocially-driven pain management strategies for successful implementation of PNE in the clinic. Rather than purely focusing on the biomedical characteristics of pain following cancer (e.g., tissue damage due to past cancer treatment), PNE implies teaching patients about the underlying biopsychosocial mechanisms of pain. Its application is backed-up by mounting evidence supporting the effectiveness of PNE in non-cancer pain populations, and a pilot study in patients having pain following cancer.CONCLUSION: PNE is a potential solution to improve pain outcome in cancer survivors. Further research using sufficiently powered and well-designed randomized clinical trials should be conducted to examine the potential of PNE in patients having pain following cancer.

KW - Breast cancer

KW - Communication

KW - Education

KW - Oncology

KW - Prostate cancer

KW - Rehabilitation

U2 - 10.1016/j.bjpt.2018.12.003

DO - 10.1016/j.bjpt.2018.12.003

M3 - Scientific review

C2 - 30606621

VL - 23

SP - 367

EP - 377

JO - Brazilian Journal of Physical Therapy

JF - Brazilian Journal of Physical Therapy

SN - 1413-3555

IS - 5

ER -

ID: 45489612