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Bone Metastasis

WHAT YOU NEED TO KNOW:

Bone metastasis is cancer that starts in one area and then spreads to a bone. Some examples are lung, breast, thyroid, prostate, and kidney cancers. Bone metastasis often happens in the spine, upper arm or leg bone, ribs, hips, or skull. Cancer that spreads to a bone can weaken the bone and increase your risk for fractures.

DISCHARGE INSTRUCTIONS:

Seek care immediately if:

  • You break a bone.
  • You have sudden sharp pain, or the pain spreads to other areas of your body.
  • You have new or worsening pain that does not get better with medicine.
  • You cannot move part of your body, or it is numb.
  • You have loss of appetite, nausea, or severe thirst, or you are vomiting.
  • You are urinating more than usual, or you feel tired, weak, confused, or sleepy.
  • You have back or neck pain, constipation, and trouble urinating.

Contact your healthcare provider if:

  • You have muscle weakness, or you are unusually tired.
  • You have new pain that seems to be coming from a bone.
  • You have questions or concerns about your condition or care.

Medicines:

  • Prescription pain medicine may be given. Ask how to take this medicine safely.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider or oncologist as directed:

You may need ongoing tests, bone scans, or treatment. Write down your questions so you remember to ask them during your visits.

Do not smoke:

Smoking increases your risk for new or returning cancer, and can cause bone loss. Smoking can also delay healing after treatment. Ask your healthcare provider for information if you currently smoke and need help quitting.

Limit or do not drink alcohol as directed:

Alcohol can decrease bone mineral density and weaken your bones. Limit alcohol to 2 drinks per day if you are a man. Limit alcohol to 1 drink per day if you are a woman. A drink of alcohol is 12 ounces of beer, 5 ounces of wine, or 1½ ounces of liquor.

Manage your bone metastasis:

  • Prevent falls. Wear shoes that fit well and have soles that grip. Wear shoes both inside and outside. Remove objects from walkways and stairs so you do not trip on them. Place cords for telephones and lamps out of the way so that you do not need to walk over them. Remove small rugs or secure them with double-sided tape. Install bright lights in your home. Use night lights to help light paths to the bathroom or kitchen.
  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, lean meats, beans, and low-fat dairy products. Your healthcare provider may recommend that you get more calcium and vitamin D. Calcium and vitamin D work together to build and protect bones. Good sources of calcium are dairy products, broccoli, tofu, almonds, and canned sardines. Vitamin D is in fish oils, some vegetables, and fortified milk, cereal, and bread. Vitamin D is also formed in the skin when it is exposed to the sun. Ask your healthcare provider how much sunlight is safe for you.
  • Go to physical or occupational therapy as directed. A physical therapist can teach you safe exercises to strengthen your bones and muscles. Strong muscles can help protect bones. An occupational therapist can teach you how to do your daily activities safely.
  • Keep a pain diary. Include where you feel the pain and if anything helped relieve it. Bring your pain diary to follow-up visits with your healthcare providers.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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