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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24 hour Advice Line Michael Sobell Hospice
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24 hour Advice Line Michael Sobell Hospice

T. 0203 824 1268

Offers support and advice on palliative care issues to GPs, Care Homes, District Nurses and hospital doctors.

It is also an Advice Line for patients and families who live in Hillingdon and need advice on any aspect of palliative care. 

The Advice Line is answered by hospice nurses in the Inpatient Unit and queries are escalated to the on-call palliative medical team if needed.

Hillingdon Community Palliative Care Team
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Hillingdon Palliative Care Team (hosted by NHS CNWL) provides specialist advice and visiting to palliative care patients living in Hillingdon. Each GP practice has their own named Clinical Nurse Specialist ( CNS ). A Triage CNS manages calls and referrals each day and they have the option to escalate to consultants if needed.

They can be contacted Monday to Friday 8.00am to 4.30pm excluding bank holidays.

Out of hours phone Michael Sobell Hospice 24 hour Advice Line on 020 3824 1268

Referral form for clinician use only.

Community Specialist Palliative Care Referral Form V4 (DOCX)
Macmillan Cancer Support
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Macmillan provide cancer information, support and help everyone with cancer live life as fully as they can.

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

Macmillan information and support centre - Hillingdon Hospital
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The Centre provides free information and support for anyone affected by cancer:

  • Information on all aspects of living with cancer and treatments
  • Signposting for benefits advice 
  • Enabling access to Macmillan Grants
  • Referrals for wig fittings, headscarves, Look Good Feel Better Programme and Living with Cancer Workshops 
  • Access to Clinical Nurse Specialists 

Face to face advice available Monday to Friday 9.30am to 2.00pm. Telephone advice available Monday to Friday 9.30am to 5.00pm.

Address: 1st floor, Hillingdon Hospital (Close to main outpatients).

Marie Curie
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Marie Curie provide support for patients and carers through terminal illness.

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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