How do you manage chest wall pain due to SBRT?

In a patient with pain that does not respond well to narcotics, what would be your treatment approach? Is there any data that suggests patients can develop chest wall pain (not rib fractures) after conventionally fractionated lung radiation?

Answer from: Radiation Oncologist at Academic Institution

Chest wall pain is not an insignificant consequence of thoracic radiotherapy, especially after SBRT. Most of the data describing chest wall pain comes from the SBRT era. Older literature (breast and lung treatment) tends to focus mostly on rib fracture with chest wall pain but rarely differentiates ...

Comments

Radiation Oncologist at Pikeville Medical Center
Does fractionated SBRT vs single fraction mitigate...

Radiation Oncologist at Stroger Hospital
Good review of options for management

Answer from: Radiation Oncologist at Community Practice

I agree with the above medications to be tried first.

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How do you manage chest wall pain due to SBRT?

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