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Medical treatment of children, in turn, has certain complexities and subtleties. With regard to this, the treatment of pain,
particularly in children suffering from cancer, has its own complexities and difficulties. Except for the accuracy of the diagnosis
and control of all types of cancer pain effectively, we must overcome many obstacles, which are a barrier to adequate pain control.
Among the barriers that we encounter, three of them are more common: 1) Physician-related barriers, 2) Patient-related barriers,
and 3) Social-related barriers. Unfortunately, physician reluctance to consultation with pain department is a major barrier, and this
issue of lack of knowledge about the harmful effects of the pain and unfamiliarity with new protocol for treatment of cancer painis a
major drawback for the patient?s and his family?s life. So, each cancer center requires a pain department, pain management specialist
and a multi-disciplinary center for accurate scientific research and treatment of cancer pain. Perhaps for some patients, the traditional
WHO?s three-step analgesic scale is appropriate for cancer pain relief, However, given the progress that has been made in the field of
interventional pain medicine, needs to be reviewed on the treatment ladder. Every physician who works in the field of cancer should
be familiar with the some important terms in cancer pain such as: Breakthrough, incidental, neuropathic, nociceptive, and mixed
pain and pain genetic. Also for adequate control of cancer pain, all the aspects of treatment such as anatomic, pathologic, physiologic,
pharmacologic, pharmaco-genetic, cultural, social, economic, spiritual and personalized pain Medicine should be considered.
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