Depending on the type of cancer, other therapies may be utilized. Lee, … Bone pain worse at night (symptom description): Bone pain worse at night is listed as a type of or related-symptom for symptom Bone pain.. Am Fam Physician. Reply. Metastatic bone cancer refers to cancer that begins in another organ (most commonly, the breast, lung, thyroid, kidney, and prostate) and spreads (metastasizes) to the bone. Your treatment regimen will depend on your underlying diagnosis. Besides significant bone pain with exquisite tenderness to the touch, swelling and discoloration often occur. Osteomyelitis may occur as a result of bacteria within the bloodstream seeding the bone or from an infection that spreads to the bone from an adjacent soft tissue or joint. A fever may also be present. 2018 Aug 15;98(4):205-13., Causes of Bone Pain and Treatment Options, Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. (n.d.). Primary bone cancers, ranging from most common to least, include: Both osteosarcoma and Ewing's sarcoma are more common in children and adolescents. Thank you, {{}}, for signing up. Paget's Disease. Read our, Medically reviewed by Jonathan Cluett, MD, Medically reviewed by Erin Pereira, DPT, OCS, Medically reviewed by Rochelle Collins, DO, Medically reviewed by Jay N. Yepuri, MD, MS. Medically reviewed by Eva Umoh Asomugha, M.D. Our free recipe guide shows you the best foods to fight inflammation. Typically, this pain arises when a person goes through some form of trauma, such as a … Bone pain is the most common symptom of bone cancer. Bisphosphonates work by blocking the absorption of bone. What Is High or Low Alkaline Phophatase Mean? Fractures due to excessive bone weakening, Bone pain (felt most commonly in the back or chest and triggered by movement), Corticoisteroid use, especially with prolonged use and high doses, Having certain underlying medical conditions, like, Weather or air conditions like cold, windy, or low humidity. Primary bone cancers, ranging from most common to least, include: Dealing with chronic inflammation? Antibiotics, given through the vein (intravenous), are necessary to treat a bone infection. Surgery may be utilized for various bone pain diagnosis, such as: Some bone pain diagnoses can be prevented, most notably bone fractures that occur as a result of osteoporosis. How Diabetes Can Contribute to Bone Disease. Vertebral compression fractures—also called spinal fractures—cause back pain and are most common in individuals with osteoporosis. When asked why pain is worse at night, most of them just have a blank look, as if they are thinking about cleaning out the trunk of their car and realizing they never check the spare tire. After a diagnosis, a treatment plan will follow, which may entail one of many therapies, such as medication to ease pain, physical therapy, and/or surgery. Chondrosarcoma is most common in adults older than 40 years. Depending on a doctor's underlying suspicion, blood tests or a biopsy may be warranted. What Is Causing Your Achilles Tendon Pain? The abnormal hemoglobin in people with sickle cell anemia (called hemoglobin S) leads to crescent-shaped red blood cells that are sticky and stiff. In this disease, the bone remodeling process (in which old bone is removed and new bone is formed) goes awry. To ease your bone pain, your doctor may recommend Tylenol (acetaminophen) or a non-steroidal anti-inflammatory drug (NSAID) like Advil (ibuprofen). In addition to various exercises, your physical therapist may utilize heat, ice, massage, or ultrasound and recommend an assistive device to ease your pain and prevent falls (e.g., a cane if a pelvic or leg bone is affected). This leads to the formation of excess bone that is brittle or abnormally shaped. Have you experienced any recent trauma or injury? Pain in your legs and feet at night, or when trying to sleep, is often a symptom of peripheral artery disease (PAD).. Disease within the bone or diseases that affect the mineralization or remodeling of bone, as well as problems inflicted upon the bone (breaks, bruises, or infections), may result in pain. Chemotherapy is the main treatment for acute leukemias, and is also used in the treatment of bone cancer. Ensure proper vitamin D intake (a supplement may be required). Here are some less common causes of bone pain, many of which are serious and require the care of more than one specialist (for example, an orthopedic surgeon and an oncologist). Here’s how to make the best of it at bedtime with a broken bone: Take your pain medication as directed, and allow sufficient time for it to take effect just before you are ready for sleep. An anti-inflammatory diet can help. An infection of the bone—called osteomyelitis—causes dull bone pain, along with swelling, warmth, redness, and tenderness around the affected area. Cancer that spreads to the bone weakens it, causing pain and making the bone more prone to breaking. Physical therapy is also useful for improving bone strength and health in people who have osteoporosis or osteomalacia. Here are some strategies to optimize your bone health and strength: To prevent bone bruises, wear protective gear during contact sports (e.g., shin guards and knee or elbow pads) and seatbelts while riding in a vehicle. Osteonecrosis. Injury. Besides serious injury or trauma, the most common risk factors for developing osteonecrosis include: Sickle cell anemia is an inherited disease caused by a mutation in the gene that codes for hemoglobin, a protein that delivers oxygen within your red blood cells to your organs and tissues. Thankfully, with vitamin D repletion, the improvement in bone pain can be significant, occurring within weeks. For instance, with osteonecrosis of the hip, a person may limp and require the use of a cane or walker. While most bone pain diagnoses require more advanced therapies, a bone bruise can be treated with simple, self-care strategies (once a fracture is ruled out): Besides alleviating your bone pain, your doctor may use various drugs to address the underlying cause. For a medical symptom description of 'Bone pain worse at night', While associated symptoms and the quality of your pain (e.g., sharp and stabbing versus dull and achy) can provide clues as to the "why" behind your bone pain, imaging and/or blood tests are often needed to pin down the exact diagnosis. Treatment of osteomalacia depends on the underlying cause, but if due to vitamin D deficiency (most common), aggressive vitamin D supplementation under the care of your provider is essential. Triggers are variable and often unknown, but may include: Because sickle cell anemia is a genetic disease, vaso-occlusive crises may begin in babies as young as six months old and last throughout life. Bone Cancer: Diagnosis and Treatment Principles. A fracture refers to a broken bone, which may occur as a result of trauma, bone weakening from osteoporosis, or repetitive stresses on the bone. Keep in mind that while Paget's disease can affect any bone in the body, it most commonly targets the spine, pelvis, femur (thighbone), humerus (upper arm bone), and skull., American College of Rheumatology. A proteasome inhibitor—a drug that target cells, like plasma cells, that make a lot of protein, An immunomodulatory drug—a medication that uses your own immune system to target the cancer, Removing damaged bone and tissue from an infection, Stabilizing bone from a cancer that has weakened or broken it, Removing part of a bone to improve blood flow in osteonecrosis. Is your pain constant or does it come and go? Are you experiencing other symptoms (e.g., fever, weight loss, or muscle weakness)? Maren Auxier Thursday, February 8, 2018 At 12:12 pm. Bone pain (type of symptom). Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The diagnosis of bone pain usually involves a detailed medical history, physical examination, and one or more imaging tests. More Arthritis Types & Related Conditions, Combined positron emission tomography (PET)/CT scan, non-steroidal anti-inflammatory drug (NSAID). While not always present, the dull, aching bone pain of osteomalacia tends to be worse with activity and bearing weight., American Academy of Orthopedic Surgeons. To understand the potential causes of bone pain, it's best to start with the two most common causes—a bone bruise and a bone fracture: A bone bruise most commonly occurs when a bone hits a hard surface, as in a fall from a great height. In certain cases, it can be tricky to distinguish bone pain from joint pain or muscle pain, for which there are many possible causes. Peripheral artery disease leg pain can occur anywhere in your leg, but the most common places to feel pain are in the muscles of your calf, thigh or buttocks. Many conditions and events can lead to bone pain. Osteomalacia refers to decreased bone mineralization and subsequent bone softening. Waltham, MA: UpToDate. For more severe pain, like that associated with cancer, fracture, or a vaso-occlusive crisis, your doctor may prescribe opioids, which are much stronger pain medications.