5 Strategies for Managing Pain With a Terminal Illness

Chris Williams
January 3, 2025

Coping with pain can be one of the biggest hurdles you or your loved one face when living with a terminal illness. Yet, there are many ways to find relief and live more comfortably—even when things feel overwhelming.

Dealing with long-term or persistent pain is complex and sometimes scary. You might worry that pain signals will stop you from spending time with your family or enjoying small daily pleasures. A good pain management plan—agreed upon by you, your GP, and a supportive team—can provide the best treatment possible while respecting the unique factors in your life and medical condition.

Below, you’ll find pain management strategies beyond pain medication alone. From physical therapy to emotional support, many different treatment options can help you and your family feel more hopeful.

1. Pain medication

When you hear about managing pain, the first thing that might come to mind is pain medication. It’s true that drug treatments can often bring effective pain relief, particularly when you have long-term pain that won’t settle on its own. However, strong pain medicines aren’t the only route toward relief, and it’s worth exploring every angle when you put together your pain management plan.

Understanding different types of pain medicines

Pain medicines include everything from mild over-the-counter tablets to powerful, doctor-prescribed opioids. For mild or acute pain, non-opioid options like paracetamol or ibuprofen can be enough. When the pain is severe or chronic pain becomes unmanageable with simpler methods, opioids such as tramadol or morphine might be prescribed by your doctor.

Certain medications work for particular types of pain. For instance, inflammatory drugs (also known as nonsteroidal anti-inflammatory drugs or NSAIDs) can help if tissue damage or inflammation is part of the problem. Muscle relaxants might help if your discomfort stems from muscle tension or spasms.

Addressing concerns about pain medication

People often worry about addiction, side effects, or the possibility that taking strong drugs like morphine will make them too sleepy. It’s understandable to have these worries, especially when you’re unsure how painkillers might affect daily life. Talking openly with your GP for advice can help you understand how different drug treatments might assist in your particular situation.

You might also wonder if pain medicines will become less effective over time. Although tolerance can happen, your doctor can adjust doses or suggest alternative treatment options as needed. Communication with your healthcare team—whether it’s your nurse, GP, or palliative care specialist—keeps you in control of your pain management plan and helps you find the balance that works best for you.

Breakthrough pain and extra relief

Even if you’re on a regular regimen of pain medicines, you may still face breakthrough pain. Breakthrough pain is a sudden flare-up that occurs despite ongoing medication. It can happen if the dose starts to wear off or if something like coughing, moving, or sneezing triggers a spike in discomfort.

Fast-acting opioids, such as liquid morphine or oxycodone capsules, can be used specifically for these short bursts of pain. Ask your GP for advice if you don’t have any medication set aside for breakthrough pain, as having the right prescription on hand can give you peace of mind.

2. Physical therapy and movement

Physical therapy, guided by physical therapists, can be incredibly helpful for pain control, even when a condition is advanced. Movement might feel daunting if you’re tired or sore, but gentle exercises can help reduce stiffness, increase circulation, and offer some relief from persistent pain. If you’re facing complex issues such as musculoskeletal pain or even something like complex regional pain syndrome, specialists may suggest carefully designed routines tailored to your abilities.

Why movement matters?

Staying active and within your limits prevents your body from becoming weaker. For example, if you have cancer pain or rheumatoid arthritis, it might be tempting to stay still all day to avoid flare-ups. However, complete immobility can lead to more discomfort over the long term, as joints stiffen and muscles lose strength.

With guidance from your GP and occupational therapists, you can find a gentle program that suits your needs. Physical therapists may help you discover safe ways to move, focusing on the affected area without causing further tissue damage. By listening to your body, taking breaks, and communicating openly about your comfort levels, you can enjoy improved mobility and, in many cases, better pain management.

Cold therapy and other approaches

Cold therapy can soothe swollen, aching joints or muscles. A simple ice pack applied to an affected area for a short time might reduce swelling and help with acute pain. Heat can also be an option, such as a warm bath or hot water bottle if your muscles respond better to warmth. Discuss these techniques with your healthcare team to see if they’re suitable for your situation.

Sometimes, equipment like mobility aids or supportive cushions can prevent excessive strain on painful spots. Occupational therapists might recommend tweaks around the house that make everyday tasks easier, preventing sudden movements that could worsen pain signals. Keeping active doesn’t mean running a marathon; even a short, gentle walk around the home can help you maintain flexibility and reduce persistent pain.

3. Psychological and emotional support

Pain isn’t purely physical. It’s tied closely to your emotions, thoughts, and worries, and can be psychological in general. When stress builds up, tension increases, which can make discomfort worse. That’s why focusing on your mental and emotional well-being is a vital aspect of pain management.

Counselling and Talking Therapies

Feeling upset or anxious can amplify pain signals, leading to higher stress levels and stronger sensations of discomfort. Talking to a counsellor or psychotherapist can help you process complicated feelings about your medical condition. Cognitive Behavioural Therapy (CBT) or other forms of emotional support may make a big difference, especially when you’re already coping with symptoms of a terminal illness.

Loneliness can also worsen persistent pain. If you’re too exhausted or worried to meet friends, it might lead to isolation, which can be another barrier to finding relief. Staying in touch with your support network, whether it’s family, friends, or a spiritual advisor, helps maintain a sense of connection and calm.

Techniques for stress reduction

Deep breathing exercises can help you relax when pain spikes. Closing your eyes, inhaling slowly through your nose, and gently exhaling through your mouth can settle your mind and distract you from discomfort. Some find it helpful to pair deep breathing with soft music or nature sounds, creating a soothing environment that encourages calmer thoughts.

Distraction techniques also go a long way. Spending time looking at photos, reading a short story, or listening to a favourite playlist can shift your focus away from pain. When your thoughts are centred on a pleasurable activity, you might notice that the pain feels less intense for a short time. Over the long term, developing a toolbox of coping strategies for emotional stress can complement your physical pain management plan.

4. Complementary therapies

Complementary therapies can be valuable when used alongside traditional pain management techniques. These methods aim to help you relax, improve blood flow, and release tension in muscles or joints. While they won’t replace medical advice from your GP, they can add another layer of support to help with overall comfort.

Types of complementary therapies

Massage, aromatherapy, reflexology, hypnotherapy, reiki, and mindfulness sessions are just a few examples of practices that can create feelings of relaxation and help reduce pain signals in the body. By relieving stress, these approaches might help lower your perception of pain, giving you a short time of relief. They are often low-risk when performed by someone properly trained but always check with your GP for advice to ensure they’re suitable for you.

Acupuncture is another option that some people find beneficial for chronic pain. A qualified practitioner uses fine needles inserted at specific points, potentially helping with inflammation or tension. According to organisations like the British Pain Society, acupuncture can be part of a broader, multidisciplinary approach to pain control.

Working with your healthcare team

Although complementary therapies can be soothing, it’s important to keep your healthcare team informed about anything new you try. If you’re receiving palliative care, everyone from your doctor to a specialist nurse can coordinate efforts to make sure these therapies fit safely alongside your current pain medicines and other treatment options. Open communication helps prevent any unexpected side effects or interactions.

If you find a particular therapy useful, let your nurse or GP know. They might suggest ways to incorporate it more regularly or recommend local services that provide these therapies. Every person’s situation is different, so discovering what works best for you can involve a bit of experimentation.

5. Lifestyle adjustments and routine support

Adjusting daily routines can bring meaningful improvements to how you feel. Simple habits—like ensuring you get quality sleep, staying hydrated, and eating balanced meals—can all help reduce overall discomfort. While Tiggo Care supports many aspects of daily life for those receiving palliative care, it’s also a good idea to pay attention to personal routines that can ease pain.

Healthy habits for pain relief

Your body recovers best when it’s well-rested, so it’s important to aim for quality sleep each night. Make your bedroom as peaceful as possible: keep it cool, dim the lights, and maybe play soft music if that helps you drift off. Although certain pain management techniques may temporarily disrupt your sleep, you can explore relaxing bedtime rituals or discuss sleep aids with your GP for advice.

Hydration is another small detail that can influence how you feel. Sometimes, dehydration adds to fatigue, which, in turn, lowers your ability to tolerate discomfort. Eating meals with plenty of vitamins and minerals is crucial, but remember that only a qualified dietician or nutritionist can give specific diet and nutritional advice. Tiggo Care’s care assistants might help you shop for groceries or prepare meals, but all medical and dietary concerns should be directed to your GP for advice first.

Routine support

If performing everyday tasks is getting too hard, or if you’re overwhelmed by household chores, it may be time to organise professional care visits. A care assistant can support you with tasks or personal care like bathing, dressing, meal preparation, and gentle housework, helping you feel more at ease. Practical support like this can make a world of difference when persistent pain or fatigue gets in the way of daily routines.

A care assistant can also help you keep track of appointments and arrange transport. That means when you need to visit a pain clinic or meet with physical therapists, you can do so with less stress. Plus, if your doctor or occupational therapist recommends a specific exercise routine, a care assistant can encourage and help you follow those steps safely at home.

Conclusion

Managing pain with a terminal illness can feel daunting, but you don’t have to shoulder the burden alone. A well-rounded approach to pain management—incorporating medication, physical therapy, emotional support, complementary therapies, and lifestyle adjustments—often yields the most relief. It’s about finding what works best for you and your loved one while respecting that every situation is unique.

Tiggo Care is here to offer home care services that prioritise your comfort and dignity. Our carers can help you with domestic tasks, support you when attending appointments, and assist with personal routines or household chores. By working closely with your GP for advice and any other healthcare professionals, we aim to reduce the day-to-day strain you or your loved one may feel so you can focus on making the most of every moment.

If you’re ready to explore more about how our person-centred care services might help, we’d love to speak with you. We understand that each person’s needs differ, and we can discuss how to tailor a care plan that matches your lifestyle. Contact us today to learn how Tiggo Care can be part of your multidisciplinary approach to managing pain and living more comfortably, even with a terminal illness.

Frequently Asked Questions
What is managing pain?

Managing pain is the process of reducing or controlling discomfort in a safe way. It often involves a combination of medication, physical therapy, and emotional support. Your GP can advise you on the best approach for your situation.

Do you offer palliative care?

Yes, we provide palliative care that supports you with daily tasks and routines. Our care assistants work alongside your doctor or nurse to help with medication adherence and personal care. We believe in a bespoke approach, always respecting your comfort and well-being.

How is pain managed for the terminally ill patient?

Terminally ill patients receive medication and other therapies to help reduce discomfort. They may benefit from complementary therapies or gentle movement sessions. Emotional support is also vital, as stress and anxiety can worsen pain levels.

What are the 4 A’s of pain management?

The 4 A’s of pain management are analgesia, activities of daily living, adverse events, and aberrant drug-taking behaviours. They help your doctor or healthcare team monitor how well your treatment is working. If any problems arise, your GP can advise you on how to adjust your pain management plan accordingly.

Let us be your helping hand

Get in touch with Tiggo Care today to see how we can help you or your loved one.

Find Care