Bone Pain: Is It a Sign of Bone Cancer? - Orthopedics

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Bone cancer pain?


Hello, doctor.
Recently, I've been experiencing irregular pain in my hands and feet for over two weeks.
Sometimes the pain is in the thumb joint, other times in the calves, and sometimes in the soles of my feet or shoulders.
The pain comes in sharp bursts or a few times, and then I also feel numbness in my feet.
My feet hurt after walking for a while.
I visited an orthopedic doctor who took X-rays and said there were no issues with my lower back and advised me to monitor the situation.
The pain is not very noticeable in the morning and occasionally occurs at night, but it’s not particularly worse in the evening, and there are no lumps or anything.
I looked up my symptoms online, and it mentioned bone cancer.
What are the chances of that? I'm really scared.
Do you have to be in severe pain for it to be bone cancer?

Yi, 20~29 year old female. Ask Date: 2018/05/25

Dr. Li Yongheng reply Orthopedics


Hello, based on your age and the symptoms you described, the likelihood of developing bone cancer is low.
In young individuals, the most common site for bone cancer is around the knee joint, while the probability of bone cancer occurring in the hands is extremely low.
You do not need to worry excessively.
Thank you for your question.

Reply Date: 2018/05/25

More Info


Bone pain can be a concerning symptom, especially for individuals who are aware of the potential for serious conditions like bone cancer. However, it's important to understand that not all bone pain indicates cancer, and many other benign conditions can cause similar symptoms.
From your description, it seems that you are experiencing intermittent pain in various locations, including your thumb joint, calves, and shoulders, along with some numbness in your feet. The fact that you have already consulted an orthopedic doctor and had X-rays taken, which showed no significant issues in your lumbar region, is a positive sign. Typically, bone cancer presents with more persistent and severe pain, often localized to a specific area, and may be accompanied by other symptoms such as swelling, tenderness, or even fractures.

Bone cancer, particularly primary bone cancers like osteosarcoma or Ewing's sarcoma, is relatively rare compared to secondary bone cancers that originate from other parts of the body and spread to the bones. The typical age group for primary bone cancers is younger individuals, often under 20 years old, while secondary bone cancers are more common in older adults with a history of other cancers.
Your symptoms, such as the intermittent nature of the pain and the absence of significant findings on X-rays, suggest that it is less likely to be bone cancer. Conditions such as arthritis, tendinitis, or even overuse injuries could be responsible for your discomfort. Additionally, neuropathic pain could explain the numbness you are experiencing in your feet, which might be related to nerve compression or other non-cancerous conditions.

It's also worth noting that bone cancer pain typically worsens over time and is often described as a deep, persistent ache that may not improve with rest. In contrast, your pain seems to be sporadic and not specifically worse at night, which further reduces the likelihood of it being cancer-related.

If you are still concerned about your symptoms, it would be advisable to follow up with your healthcare provider. They may recommend further imaging studies, such as an MRI or a CT scan, if they suspect any underlying issues that were not visible on the X-ray. Blood tests can also help rule out other conditions, such as infections or inflammatory diseases.

In summary, while it is natural to worry about serious conditions like bone cancer when experiencing unexplained pain, the characteristics of your symptoms and the results of your initial evaluations suggest that it is less likely to be the cause. Continuing to monitor your symptoms and maintaining open communication with your healthcare provider will be key in addressing your concerns and ensuring appropriate care. If your pain worsens or new symptoms develop, do not hesitate to seek further medical advice.

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