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Mary is a 28 year old woman, married with two small children.

Six months ago, she was found to have an advanced cancer of the cervix and was treated with pelvic radiotherapy and started chemotherapy.

Despite this, the tumour has persisted and she is now troubled with a bearing down feeling in her perineum, and a burning pain in both legs. Her pains have been diagnosed as tenesmus and a neuropathic pain. 

The pain has been severe for the past few weeks and has not responded to increasing doses of morphine, anticonvulsants, antidepressants or ketamine.  She has had an intrathecal line inserted.

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