SURG0132: Pain in Cancer Patients As I pause to reflect on this module, the 4th in the degree so far, I am struck by how quickly it’s all passing by! I feel that I have learned so much, yet have so much more to learn. As the title suggests, this module was about bone pain in cancer patients. I had not really given this much thought, as it’s not something I come across in clinical practice very often, in some years, not at all. I had always attributed bone pain to the presence of a tumour itself, although I was aware that pressure or distortion from the tumour upon the surrounding tissues would be likely to cause pain. I was also aware of the distortional effects through the myofascia, or from the literal mechanical effects of cancer – eg a tumour compressing a nerve. Considering the underlying patho-neuro-physiological changes that are taking place is a new concept for me. Patients who have had treatment for cancer often tell me about their experiences of the detrimental...