Managing Back Pain and Symptoms During Lung Cancer Treatment

Q: Managing Back Pain and Symptoms During Lung Cancer Treatment

Hello： Currently, the tumor treatment response seems to be good, and the likelihood of metastasis is low. <br>Weight may be slightly lower in the summer, which is acceptable. <br>It is recommended to avoid prolonged sitting and to engage in moderate exercise daily for improvement

Lower back pain

Hello Doctor: In March of this year, I was diagnosed with stage 3B lung adenocarcinoma and am currently undergoing targeted therapy with Alectinib.
A CT scan in June showed a significant reduction in the tumor size, and a bone scan in April was normal.
My job requires me to sit for long periods using a computer.
Recently, I have experienced occasional soreness in my lower back and knees when bending over to wash dishes or wash my hair.
I also feel lower back pain when lifting heavy objects, but the symptoms improve when I straighten my body.
Occasionally, I experience sharp pain near the tailbone and on both sides of my buttocks.
Recently, I have noticed a clicking sound in my joints while walking.
My weight has typically been around 52 to 53 kg, but it has recently dropped to 50 or 51 kg at times.

1.
Is this a sign of drug resistance?
2.
Could this be bone metastasis?
3.
What are the early symptoms of bone metastasis? How can I detect if there is metastasis?
4.
Is this weight change normal?
5.
How can I improve my condition?
6.
Thank you for your response, Doctor.

Xiao Ke, 40~49 year old female. Ask Date: 2022/07/25

Dr. Yang Wenda reply Pulmonology

Hello: Currently, the tumor treatment response seems to be good, and the likelihood of metastasis is low.
Weight may be slightly lower in the summer, which is acceptable.
It is recommended to avoid prolonged sitting and to engage in moderate exercise daily for improvement!

Reply Date: 2022/07/25

More Info

Managing back pain and other symptoms during lung cancer treatment can be a complex issue, especially when dealing with a diagnosis like stage 3B lung adenocarcinoma. It’s great to hear that your tumor has shown significant reduction in size following targeted therapy. However, the symptoms you are experiencing, such as back pain, knee discomfort, and weight fluctuations, warrant careful consideration.

1. Pain Management: The back pain you are experiencing, particularly when bending or lifting, could be related to several factors. It may not necessarily indicate bone metastasis, especially since your bone scan was normal. Pain can arise from muscle strain due to prolonged sitting or improper posture, particularly if your work involves long hours at a computer. It’s essential to maintain good ergonomics at your workstation, ensuring that your chair and desk are set up to promote a healthy posture. Regular breaks to stretch and move around can also help alleviate discomfort.

2. Bone Metastasis Concerns: While your symptoms could raise concerns about potential bone metastasis, the normal bone scan is a reassuring sign. Early symptoms of bone metastasis can include localized pain, which may worsen with activity or at night. However, given your recent imaging results, it’s more likely that your pain is related to muscular or postural issues rather than metastatic disease. If you continue to experience pain or if it worsens, further evaluation may be warranted.

3. Identifying Symptoms of Bone Metastasis: Early signs of bone metastasis can include persistent pain in the affected area, which may be accompanied by swelling or tenderness. Other symptoms might include fractures with minimal trauma or changes in mobility. If you notice any new symptoms, such as significant pain that does not improve with rest or over-the-counter pain medications, it’s crucial to discuss these with your oncologist.

4. Weight Fluctuations: Weight changes can occur for various reasons during cancer treatment. It could be related to changes in appetite, metabolic changes due to the cancer itself, or side effects from medications. A drop in weight from 52-53 kg to 50-51 kg may not be alarming, but it’s essential to monitor your nutritional intake. Ensure you’re consuming a balanced diet rich in proteins, vitamins, and minerals to support your overall health and maintain your weight.

5. Improving Symptoms: To manage your back pain and other symptoms, consider incorporating gentle exercises such as stretching, yoga, or physical therapy into your routine. These can help strengthen your back and improve flexibility. Additionally, using heat or cold therapy may provide relief for muscle soreness. If your symptoms persist, consult with your healthcare provider about pain management options, which may include medications or referrals to specialists such as physical therapists or pain management clinics.

6. Communication with Your Healthcare Team: It’s vital to maintain open communication with your oncologist and healthcare team. They can provide tailored advice based on your specific situation and may recommend further imaging or tests if they deem it necessary. Regular follow-ups are essential to monitor your condition and adjust treatment as needed.

In conclusion, while managing back pain and symptoms during lung cancer treatment can be challenging, understanding the potential causes and implementing strategies for relief can significantly improve your quality of life. Always consult with your healthcare provider before making any changes to your treatment or management plan.

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