Referred and radiating pain: Information for clinicians

This advice is sourced from Dr Ros Taylor a senior palliative physician

Referred pain- pain felt at site remote from site of painful stimulus

Radiating pain -pain felt at site of painful stimulus but spreads elsewhere

Q. What patterns of referred pain do you commonly see in palliative illness?

A. Frequently we see referred pain from spinal metastases causing sciatic pain down the leg.

Arm pain from brachial plexus involvement in breast and lung cancer is also very common.

Liver and gall badder pain refer to the right shoulder. 

Pain from pancreatic disease can be felt in the mid back, as well as the epigastrium.

Head and neck cancers often cause severe referred pain to the face and ear.

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T. 01702 435555

W. https://www.mse.nhs.uk/acute-oncology-service-aos

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Close

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Close

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The Tissue Viability and Complex Leg Ulcer Services are part of the community service provided by this team.

Please compete the SystmOne referral form if available.

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Close

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Close

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Please watch this video for more information.

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Close

Referrals may be made either by a patient or carer, or any professional directly involved in the patient’s care. Anyone making a referral must have the consent of the patient.

Fair Havens In Patient Unit provides assessment and management of physical symptoms that are proving difficult to control, such as pain, nausea, vomiting, and breathlessness. Respite care is also available for short stays enabling their carers to rest and recuperate. There are 8 beds in the unit.

Some patients may only require a stay for a few days before going home again. Some people choose to receive hospice care several times during their illness, depending on their condition and their wishes.

Please watch this video for more information.

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Close

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Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

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Close

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Close

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Close

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Visit the website to get help with paying bills, advice on benefits or treatment, or to just chat.

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Close

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T. 0800 090 2309

W. https://www.mariecurie.org.uk/

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Find information and support through the telephone helpline and online chat via their website.

Other services include Marie Curie nurses, Hospice care, helper and companion services.

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Close

The palliative care team aims to provide support and management of physical symptoms such as pain, and also provide psychological, social and spiritual care to patients and their families.

St Luke's Hospice South Essex Lymphoedema Service (SELS)
Close

St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

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Acute Oncology Team: Southend Hospital
Close

Acute Oncology Team: Southend Hospital

T. 01702 435555

W. https://www.mse.nhs.uk/acute-oncology-service-aos

This service is available Monday to Friday from 9.00am to 10.00pm. Saturday and Sunday 9.00am to 5.00pm. Clinicians can call the Oncology Registrar on-call at Southend Hospital bleep 4001.

Outside of these hours clinicians can call the Oncology Consultant on call via Southend Hospital switchboard on 01702 435555.

Breatheasy groups
Close

The support group is a way to learn more about living with a lung condition and share your experiences and stories with others.

British Lymphology Society
Close

The British Lymphology Society provides a directory of Lymphoedema treatment services.

Use the website address above to find your local services.

Community Wound Care Team: Essex Partnership University Trust
Close

Community Wound Care Team: Essex Partnership University Trust

The team works with healthcare staff in all aspects of the prevention and management of acute and chronic wounds, with specific focus on those patients with hard to heal, complex and/or problematic wound care.

The Tissue Viability and Complex Leg Ulcer Services are part of the community service provided by this team.

Please compete the SystmOne referral form if available.

Referral form for clinician use only.

EPUT Community Wound Care Referral form (DOCX)
District Nursing
Close

The team delivers nursing care to housebound patient's including wound care, assessment, palliative care, medication, pressure ulcer management.

Fair Havens Community Service
Close

Fair Havens Community Team provides assessment, support advice and care for people wishing to be cared  and supported in their locality community setting. Support is available for those in care homes.

The team is available 24 hours a day, at the end of the phone, for advice and support, to arrange additional home visits. Visits to Fair Havens Hub, the Rapid access service or In Patient Unit is also available.

Please watch this video for more information.

Fair Havens Hospice In Patient Unit
Close

Referrals may be made either by a patient or carer, or any professional directly involved in the patient’s care. Anyone making a referral must have the consent of the patient.

Fair Havens In Patient Unit provides assessment and management of physical symptoms that are proving difficult to control, such as pain, nausea, vomiting, and breathlessness. Respite care is also available for short stays enabling their carers to rest and recuperate. There are 8 beds in the unit.

Some patients may only require a stay for a few days before going home again. Some people choose to receive hospice care several times during their illness, depending on their condition and their wishes.

Please watch this video for more information.

Hospice Rapid Access Service (HRAS)
Close

The Hospice Rapid Access Service team is a 24 hour services for people with a primary health need, who are rapidly deteriorating, and likely to be entering the terminal/palliative care phase of their illness. 

Havens Hospices, St Lukes Hospice and Farleigh Hospice work together as a collaborative to ensure consistency of care across all of Mid and South Essex.

The Hospices will assess the care needs of the patient and source care that meets the holistic needs of the patient.  This could be care in the home, on an in-patient unit, or in a Nursing Home.

Havens Hospices – havenshospices.rapidaccess@nhs.net (Southend, Castle Point and Rochford)

Farleigh Hospice -  contactteam.fh@nhs.net (Chelmsford, Maldon and the Dengie, Braintree and the surrounding areas)

St Luke’s Hospice - Stlukes.oneresponse@nhs.net (Basildon and Thurrock)

Little Havens Hospice
Close

Little Havens provides specialist care and support for babies, children and young people requiring specialist in-patient care for symptom management, respite and end of life care.

LymphConnect
Close

LymphConnect is an online platform developed to help manage lymphoedema or lipoedema, understand more about the condition, share experiences and get support and advice.

 

Palliative Care Nursing Team
Close

The palliative care team aims to provide support and management of physical symptoms such as pain, and also provide psychological, social and spiritual care to patients and their families.

St Luke's Hospice South Essex Lymphoedema Service (SELS)
Close

St Luke's Hospice South Essex Lymphoedema Service (SELS)

T. 01268 524973

W. https://www.stlukeshospice.com/lymphoedema-support

St Luke's Hospice provides the specialist Lymphoedema care team could provide care to you if you are living with primary Lymphoedema, secondary Lymphoedema and Lipoedema. The team can provide clinical expertise, support and practical help for those with any these conditions and live across South Essex.

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