When someone is first diagnosed with cancer, visiting a pain clinic probably isn’t the first thing on their mind. Understandably, the focus is on finding out what type of cancer it is, what treatment is needed, and the chances of a cure. There’s often a lot to process, and appointments with oncologists and surgeons naturally take priority.
However, over the course of treatment, around 5–10% of cancer patients may benefit from a consultation at a pain clinic. One of the most common symptoms of cancer is pain, and it can worsen if the disease progresses. In some cases, the treatment itself — such as chemotherapy — can lead to painful side effects like pins and needles in the hands and feet, which can sometimes persist long-term.
While many pain issues can be managed by a GP or oncologist, more complex or severe symptoms may need the specialised care that a pain clinic provides. Pain specialists have additional options, including advanced medications and interventional procedures, to help manage nerve pain and improve quality of life.
When treating cancer pain, it’s important to be careful about the types of medications used. Opioids are commonly used for managing severe pain, especially in end-of-life care, but they aren't always the best first choice for patients still aiming for cure. As Dr. Russo explains, “Some classes of opioids can suppress the immune system, which is the last thing we want for someone fighting cancer.” Pain specialists consider these risks carefully and often choose specific medications — known as atypical opioids — that provide pain relief without the same impact on the immune system or the same risk of developing tolerance over time.
In cases where nerve pain is a major issue, pain clinics can offer treatments that go beyond medication. These include targeted nerve blocks and other techniques that help reduce pain without affecting a patient’s ability to move or feel normally.
Ultimately, the goal is to support patients in being active participants in their own care. Pain specialists work closely with patients to lay out the available options, discuss risks and benefits, and tailor treatment plans that fit each person's goals and lifestyle. By doing so, patients often experience not just better pain control, but also more confidence and a stronger sense of control over their journey.
If you have any questions about managing cancer-related pain, visit our Contact Us page or call us at 02 4985 1800.