Skip to content

Cancer Health Center

Font Size

Managing Cancer Pain from Bone Metastasis

By
WebMD Feature
Reviewed by Louise Chang, MD

If you have cancer that has spread to the bone, you probably have pain. It may be right at the place where the cancer has metastasized or in areas surrounding it. It may be worse at night and when you rest, or it may be better when you rest and worse with movement.

No matter how pain behaves, it is the most common complaint of people with bone metastasis, says Julie Fasano, MD, medical oncologist with Memorial Sloan-Kettering Cancer Center's Commack Facility in Long Island, N.Y. In fact, 70% of people with bone metastases, or "mets," have bone pain.

Recommended Related to Cancer

Get More Information From NCI

Call 1-800-4-CANCER For more information, U.S. residents may call the National Cancer Institute's (NCI's) Cancer Information Service toll-free at 1-800-4-CANCER (1-800-422-6237) Monday through Friday from 8:00 a.m. to 8:00 p.m., Eastern Time. A trained Cancer Information Specialist is available to answer your questions. Chat online The NCI's LiveHelp® online chat service provides Internet users with the ability to chat online with an Information Specialist. The...

Read the Get More Information From NCI article > >

Pain can be scary, especially if you think you can't do anything about it. But you can do something about pain caused by bone metastasis. "There's a lot we can do to reduce the pain," Fasano says. "There's no reason why any cancer patient has to live with pain." This guide can help you get started.

Understanding and Tracking Bone Metastasis Pain

Metastatic cancer cells damage bones and cause pain several ways:

  • They produce substances that can dissolve and weaken bones. This may cause a bone to break, which is painful.
  • As the tumor grows in the bone, nerve endings in and around the bone also send pain signals to the brain.
  • They may make bones harden. This is called sclerosis.

It's important to remember that not all of your pain may be caused by metastasis. Of course, it's natural to think that may be the cause, Fasano says. But there are other causes of severe pain. For example, severe shoulder pain could be from a frozen shoulder or tendonitis, she says.

So how do you know if it's cancer pain? One difference is that cancer pain persists while other types of pain are more likely to come and go. Still, it's important to get any new or changing pain checked out.

"If you have persistent bony pain, bring it to the attention of your oncologist," Fasano says. "I always encourage my patients to call with any questions." Otherwise, she adds, the anxiety from not knowing can be very stressful.

For the Best Pain Relief, Keep a Diary

If you have bone metastasis, you can help manage the pain by keeping track of it. "A really clear understanding of the pain is going to help the most," says Julie R. Gralow, MD, professor of medical oncology at the University of Washington School of Medicine and director of breast medical oncology at the Seattle Cancer Care Alliance.

She advises keeping a pain diary so that you can answer questions your oncologist may ask, like:

  • When is your pain the best and worst -- for example, with movement or when lying down?
  • How severe is the pain on a scale of 1 to 10?
  • What is the pain like? Is it burning? Sharp? Dull?
  • Where is the pain located? In one place? In several places?

Providing this kind of information to your doctor can help ensure effective treatment, says Gralow. "Very good communication is going to get you the best pain relief."

Today on WebMD

Colorectal cancer cells
A common one in both men and women.
Lung cancer xray
See it in pictures, plus read the facts.
 
sauteed cherry tomatoes
Fight cancer one plate at a time.
Ovarian cancer illustration
Do you know the symptoms?
 
Jennifer Goodman Linn self-portrait
Blog
what is your cancer risk
HEALTH CHECK
 
colorectal cancer treatment advances
Video
breast cancer overview slideshow
SLIDESHOW
 
prostate cancer overview
SLIDESHOW
lung cancer overview slideshow
SLIDESHOW
 
ovarian cancer overview slideshow
SLIDESHOW
Actor Michael Douglas
Article