Treating pain resulting from secondary bone cancer

Pain is the most common symptom of secondary bone cancer and treatment is aimed at relieving the pain and making you more comfortable. There are different types of pain, which may need different treatments. Different types of painkiller are available. These are usually extremely effective and are often used on their own or alongside radiotherapy. The medical staff will discuss your pain with you. It is important to let them know if your pain is not controlled.

You may need to try a few different painkillers before you find one that is effective for you. Sometimes it may be necessary to take a combination of painkillers to find the right balance of pain control. It can also sometimes be necessary to take painkillers temporarily whilst having treatment. For example, it may take two to three weeks for radiotherapy to relieve the pain caused by secondary bone cancer, and so you will need to take painkillers during this time.

You may also be prescribed other drugs, such as bisphosphonates, to help relieve your pain.

If you are having trouble sleeping, your doctor may prescribe a mild sleeping tablet for you. Other general ways of relaxing, and helping to reduce your pain, include:

• listening to relaxation tapes
• applying heat and gentle massage to painful areas
• a long soak in a warm bath

At any time, if your pain is not controlled it is important to let your doctor or Macmillan nurse know as soon as possible. Macmillan nurses are specialists in advising on pain and symptom control, and giving emotional support. You may also ask to be referred to a specialist in palliative medicine. These are doctors who are experts in treating symptoms such as pain. They often work alongside Macmillan nurses. You can ask your doctor to refer you to one of these doctors, so that they can be involved in your care.