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A MyMyelomaTeam Member asked a question 💭
Santa Ana, CA

What about quality of life? I just had another BMB and it was just as painful as the first. The only good thing is that it lasted for a few minutes instead of an hour. It seems that there is no norm when getting pain medicine for it.

March 28, 2023 (edited)
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Answer Summary

Members discussed the wide variation in bone marrow biopsy experiences, from painless procedures to unbearable suffering, with the... Read more

Members discussed the wide variation in bone marrow biopsy experiences, from painless procedures to unbearable suffering, with the overwhelming consensus being that pain levels depend heavily on the skill and technique of the practitioner, adequate use of local anesthesia, and whether sedation or conscious sedation is offered. Several members shared practical advice, including requesting sedation in advance (such as Versed and Fentanyl), asking for CT-guided biopsies in a hospital setting, taking anti-anxiety medication like Xanax before the procedure, ensuring the practitioner allows time for lidocaine to take full effect, and advocating firmly for pain management options even if not initially offered by the doctor. A recurring theme was frustration over the lack of consistent pain protocols and the need for patients to speak up and insist on humane treatment, with many members expressing that no one should have to endure severe pain during a procedure that can be made tolerable with proper preparation and compassionate care.

A MyMyelomaTeam Member

I’ve done nearly every kind of needle-related procedure imaginable in my 38 years of anesthesia practice and I know that some things just hurt- BUT, there are gentle practitioners and not-so-gentle ones and many ways to avoid most of the pain of BMB except for the aspiration or “sucking up” the marrow after needle insertion. That hurts for a few seconds. Slow injection of local anesthetic using the smallest needle possible (27 gauge usually) reduces the burn of the local and ample amounts help. Taking pain medication or anti-anxiety medication is helpful. If you don’t have it, get it. Tell the person doing it what you’re afraid of. Unless they’re callous, they will strive to be gentle. I don’t like BMB but have another one coming up, will be done in the office, then out the door. My treatments over the past few years have greatly influenced how I perform procedures and talk with my patients. I’m still at it but looking forward to retiring. Please know as a patient that I worry about each and every one I take care of and rejoice in their little victories as well. God Bless Us all!

August 9, 2023
A MyMyelomaTeam Member

I deal with my local oncologist as well as my MM Specialist. I was diagnosed with MM back in 2006 and coming up on my 17th anniversary of dealing with this horrible cancer. After having about eight bone marrow biopsies and dealing with the pain, l was able to convince both of my oncologists that I don't want to do them. Each surprisingly agreed and said that by monitoring my Kappa Light Chain numbers through my Myeloma panel were a more accurate way of keeping track of my cancer counts. I haven't had a bone marrow biopsy in ten years and don't miss them at all.

August 9, 2023
A MyMyelomaTeam Member

@A MyMyelomaTeam Member,
My first BMB was a bust. They didn’t get enough. It was the size of the tip of a pencil. The second they got plenty. It depends on the experience of the doctor or techs.
Paula🌹

August 4, 2025
A MyMyelomaTeam Member

I had in April 2023 my Bone Marrow, and I was sedated, and went smooth the procedure.
But in 2002, and in 1996, were awful and painful.
I think you need to work and talk to your doctor about changing the way without anesthesia.

September 21, 2023
A MyMyelomaTeam Member

My husband had a bone marrow biopsy done twice. He did not describe the procedure as painful. Just some soreness the next day, which did not last long. He drove himself home. It is the technique that makes all the difference. His oncologist had worked at Fox Chase cancer center. She recommended a particular tech. It does make a difference

August 27, 2023

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A MyMyelomaTeam Member asked a question 💭
Santa Ana, CA