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General questions and discussion about multiple myeloma (i.e., symptoms, lab results, news, etc.) If unsure where to post, use this discussion area.

Questions about Bone Pain

by MissMolly on Fri Dec 07, 2012 5:36 pm

I have pain everywhere, for a whole variety of reasons. I think I may also be having bone pain, but am not sure. Appreciate others perspectives on this issue and what it feels like.

Both of my shins hurt lately -- a lot. I have terrible heel pain in my right heel, likely from severe plantar fascitis (fits the diagnostic criteria). Some days it is so bad I'm not sure my foot will hold my weight. I have pain in my rib cage for no apparent reason on my left side. It isn't constant, but it is there regularly. Hurts when I push on the area.

Also, something new that has started at night when I lay down to go to sleep I get this very strange, very uncomfortable tight feeling in the center of my breastbone. I'm not sure if it is from the bone, or from something else. If it were further to the left, I'd wonder if I was having angina or a heart attack. But instead it is in the center of my chest.

Lastly, I'm tired all the time -- profoundly tired. Last BMB in July was 10% with 91% abnormal (that was double what it was a year prior when I was first diagnosed with MGUS). Last M-spike (IGg) was 1.1 (also double from where I started -- each time has been incrementally higher than the last).

Am due for tests in January. Should I be asking for a whole body MRI?

MissMolly
Who do you know with myeloma?: Self; Grandfather died from multiple myeloma
When were you/they diagnosed?: April 2011 MGUS; July 2012 SMM
Age at diagnosis: 49

Re: Questions about Bone Pain

by MissMolly on Fri Dec 07, 2012 5:46 pm

I always forget something -- in this case something important: my lower back kills me all the time and my hips, especially the left, feel like they are on fire at night. The pain wakes me up it gets so bad.

MissMolly
Who do you know with myeloma?: Self; Grandfather died from multiple myeloma
When were you/they diagnosed?: April 2011 MGUS; July 2012 SMM
Age at diagnosis: 49

Re: Questions about Bone Pain

by Nancy Shamanna on Fri Dec 07, 2012 7:45 pm

Hi Miss Molly, I am not sure I would want to wait until January for tests if you are in that much pain. I know I had severe low back pain, and it led to vertebral fractures. I didn't know at the time that I had multiple myeloma.. Of course I wished I could have avoided having the compression fractures by knowing sooner about the dx. Perhaps your doctors would order X-rays for the pain...have you had bone density tests done too? Not sure about MRI's, but other tests can also be definitive for having multiple myeloma, and thus starting treatment for it.

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Questions about Bone Pain

by NStewart on Sun Dec 09, 2012 12:09 pm

Miss Molly-
I agree with Nancy - don't wait until January. Call your oncologist's office and report the extent of your pain. I recently started getting pain in my left shin with increased activity, I'm in PT right now for rehab following a knee replacement. I've had to stop doing some of the exercises in PT because of severe shin pain. When I saw my oncologist this week I reported it and he ordered new skeletal x-rays. I reminded him that the skeletal survey doesn't do the entire leg. So, he ordered separate studies done of my lower legs. And, what was found? I have lesions in both of my fibulae, the smaller of the 2 lower leg bones.

Ask for a skeletal survey, studies of the tibia and fibula, MRI, PET/CT. And, do it this week. We can have much bone damage even when our cancer numbers don't appear to be very high.

Let us know how things turn out,
Nancy S in Phila

NStewart
Name: Nancy Stewart
Who do you know with myeloma?: self
When were you/they diagnosed?: 3/08
Age at diagnosis: 60

Re: Questions about Bone Pain

by Dr. Jason Valent on Mon Dec 10, 2012 9:44 am

I would consider doing a PET scan to try and better identify if the bone pain is related to myeloma bone lesions or not.

Dr. Jason Valent
Name: Jason Valent, M.D.
Beacon Medical Advisor

Re: Questions about Bone Pain

by genk on Fri Dec 28, 2012 7:20 pm

Before before my 7 compression fractures started in thoracic spine area I had severe rib pain perhaps 18 months before finally getting a correct diagnosis of multiple myeloma in Aug 2011.

genk
Name: Ed
Who do you know with myeloma?: myself
When were you/they diagnosed?: August 2011
Age at diagnosis: 61

Re: Questions about Bone Pain

by MissMolly on Wed Jan 02, 2013 12:07 pm

Thank you everyone who has commented. This forum is such a great lifeline. I'm just about a year and a half into this often confusing "wait and see" journey where there don't seem to be many concrete answers.

Unfortunately, I was unable to get in any earlier to see my oncologist, so I have an appointment for next week as well as my 6 month appointment at NIH for the Natural History Study. I will be pushing hard for additional imaging studies to make sure nothing else is going on with my bones. I will post again when I know more...

MissMolly
Who do you know with myeloma?: Self; Grandfather died from multiple myeloma
When were you/they diagnosed?: April 2011 MGUS; July 2012 SMM
Age at diagnosis: 49

Re: Questions about Bone Pain

by Canuck Bob on Fri Jan 04, 2013 5:44 pm

I got to multiple myeloma with severe arthritis that included two artificial hips. One of the factors leading to my diagnosis was severe pain. My GP and I were convinced it was arthritis but found multiple myeloma during the process of testing.

My pain reduced dramatically from a quick response to chemo and is very manageable.

My bone scans came back acceptable but my lower back does hurt and my hips cause me grief. I take no pain meds.

I place skeletal concerns and cautions at the top of my list for my part as a member of my multiple myeloma team. It seems too easy to get caught up in blood chemistry and endure the skeleton for me.

I found out my multiple myeloma had been smoldering for years because an accident that broke some ribs never healed. It was easy to misread the multiple myeloma bone pain as arthritis. If I had decided to research that earlier instead of enduring it we may have found multiple myeloma before it ran away.

Canuck Bob
Name: Bob
Who do you know with myeloma?: Myself
When were you/they diagnosed?: Feb. 2011
Age at diagnosis: 57


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