Therapeutic Objective
Reduction of pain
Therapy recommendations
- Analgesia (pain relief) during diagnosis until definitive therapy according to WHO staging scheme.
- Non-opioid analgesic (paracetamol, first-line agent).
- Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic.
- High-potency opioid analgesic (eg, morphine) + non-opioid analgesic.
- If necessary, anti-inflammatory drugs / drugs that inhibit inflammatory processes (non-steroidal anti-inflammatory drugs, NSAIDs), eg ibuprofen.
- Insertion tendopathy (pain conditions caused by irritation of the tendon insertions in the transition from the tendon to the bone): if necessary, inject locally by means of a local anesthetic (local anesthetic) and, if necessary, glucocorticoid crystal suspensionNote: Because of the risk of necrosis, no injection into the tendon!
- See also under “Further therapy“.
Supplements (dietary supplements; vital substances)
Suitable dietary supplements should contain the following vital substances:
- Fatty acids (omega-3 fatty acids: eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA)) [complementary measure]
In the presence of insomnia (sleep disturbances) due to pain, see below Insomnia/Medicinal Therapy/Supplements.
Note: The listed vital substances are not a substitute for drug therapy. Supplements are intended to supplement the general diet in the particular life situation.
