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Cam any one please told me how to manage back pain in myeloma patient , low back pain specially while standing or walking

A MyMyelomaTeam Member asked a question 💭
Wymondham, UK
June 4
 · 
Reactions
A MyMyelomaTeam Member

Sorry you are going through this.

In myeloma, low back pain is often due to bone weakness or spine involvement. Usual help includes painkillers (doctor prescribed), bone-strengthening treatment like Zoledronic acid, back support, and gentle movement.

Avoid heavy lifting or long standing. If pain gets worse or there is leg weakness/numbness, please seek urgent medical review.

Hope you feel better soon.
Heat and positioning
Warm compress for muscle-related pain
Rest with pillow support under knees when lying down
Avoid long standing periods — sit and rest frequently

When to seek urgent help

Go to hospital urgently if:
Sudden worsening back pain
Weakness or numbness in legs
Difficulty walking Loss of bladder or bowel control
(These can suggest spinal cord compression)

I am not a doctor its experienced l having arthritis R-A and A-S for over
15 years

June 5
A MyMyelomaTeam Member

Fentanyl works. It’s the tiniest patch that lasts for 3 days. Talk to a Pain Management Specialist.
Paula🌹

June 5
A MyMyelomaTeam Member

Kyphoplasty for my back pain. Fairfax Hospital, Fairfax VA. 9 vertebrae affected. It was in and out and home for dinner, pain free.

June 5
MyMyelomaTeam

Managing low back pain while standing or walking with myeloma can be really challenging, but there are several approaches that may help. It's always best to work closely with your care team to find the right combination for you.

Here are some options worth discussing with your doctor:

- Bone-building medications like Show Full Answer

Managing low back pain while standing or walking with myeloma can be really challenging, but there are several approaches that may help. It's always best to work closely with your care team to find the right combination for you.

Here are some options worth discussing with your doctor:

- Bone-building medications like bisphosphonates or denosumab can help prevent further bone damage that leads to pain
- A back brace to help stabilize your spine and reduce pressure
- Physical therapy (PT) — as one MyMyelomaTeam member shared, "I cannot say enough good about PT. It gave me what I needed to walk again"
- Pain medications prescribed by your doctor, which may include opioids for severe pain (though these carry risks like constipation and dependence)
- Procedures like kyphoplasty if vertebral fractures are contributing to your pain — this involves injecting bone cement to stabilize the spine
- Radiation therapy if a lesion or tumor is pressing on nerves Some gentler, complementary options that may also provide relief alongside your treatment include:

- Acupuncture or acupressure
- Gentle yoga or meditation
- Medical massage
- Heating pads or ice packs for temporary relief
- Adjusting your sleeping position or bed angle

One important caution — avoid taking over-the-counter pain relievers like ibuprofen or aspirin without checking with your oncology team first, as these can interfere with myeloma treatments and may cause kidney harm.

It's worth asking your doctor about palliative care support too, which focuses on keeping you as comfortable as possible at any stage.

June 4

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