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What cancer causes nerve pain?

In some types of cancer, the body may make substances that damage peripheral nerves. This is called paraneoplastic syndrome. It may happen in people with lung cancer, myeloma or lymphoma.

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If you have nerve pain, sometimes called neuropathic pain, this can be managed in a number of ways.

Drugs

Some types of drugs can change nerve impulses and help relieve nerve pain. Gabapentin (Neurontin®) and pregabalin (Lyrica®) are drugs that work in this way. They are also used to treat epilepsy. Other types of epilepsy drugs and anti-depressants are also used to treat nerve pain. Some people may worry that they are being given anti-depressants because the doctor thinks the pain is in their mind. But, anti-depressant drugs are given to people with peripheral neuropathy because of the way they act on nerves. Painkillers also sometimes help.

Transcutaneous electrical nerve stimulation (TENS)

A TENS machine is a small, battery-operated device that has cables connected to sticky pads. The pads go on the skin, and give off small electrical pulses. This causes a tingling sensation, which can stimulate nerves close to the painful area. It is thought that TENS may work by blocking pain messages from being carried along the nerves to the brain. TENS is unlikely to cause any side effects. Physiotherapists or pain teams can tell you whether TENS is suitable for you and how to use it. They may give you a TENS machine on a short-term loan so that you can find out if it is helpful.

Pain teams

Many hospitals have pain teams with specialist doctors and nurses who are experts in pain control. Your GP or hospital doctor can refer you to a pain team if your pain is difficult to control.

Psychological support

This may help reduce the anxiety, tension and fear caused by the pain, and make it easier to cope with. Psychotherapists, counsellors and some pain teams can offer psychological support.

Acupuncture

In acupuncture, very fine needles are placed through the skin in certain areas of the body. It is thought that this may block pain messages that are sent to the brain. At the moment, there is not enough medical evidence to show that acupuncture improves peripheral neuropathy. But some people may find it helpful.

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