Causes of Bone Pain and Treatment Options
Mar 20, · Soft marrow, which produces bone and blood cells, lies in the center of many bones. Disease within the bone or diseases that affect the mineralization or remodeling of bone, as well as problems inflicted upon the bone (breaks, bruises, or infections), may result in pain. Bone pain: Injuries such as bone fractures or other musculoskeletal injuries cause bone pain. Less commonly, a tumor may cause bone pain. Less commonly, a tumor may cause bone pain. Joint pain: Stiffness and inflammation often accompany joint pain.
Whether you overdid it on the tennis courts or have been typing way too much, there are many reasons why one or more of your joints might be achy. Joint pain is defined as experiencing discomfort around one or more of your joints, according to the U.
National Library of Medicine. While general pain is a common signal, you may also have swelling, warmth, tenderness, redness, and pain with movement around the area. Afhe what if your joints hurt and you have no idea why? In rare instances, your joint pain might be a signal that something pretty serious is going on, such as a sexually transmitted disease or an autoimmune disorder.
Your joints have been supporting you your entire life, and that can be hard on them over time—especially when it comes to weight-bearing joints like your knees and hips, says Michael B. Gerhardt, M. Cartilage, a gel-like substance that helps cushion your joints, also wears down with time, he says. Gerhardt says. In addition to mskes knees and hips, you can also develop joint pain in your shoulders over time.
Having an injury earlier in your life—whether it was treated or untreated—can increase your risk of having joint pain later, Dr. Gasbarro says. There mmakes a few different ways this can happen, but problems like a ligament tear, tendon issues, or a bone mskes can lead to inflammation over time, Dr. Bursitis ypur the swelling of the bursa, a small, fluid-filled sac that acts like a cushion between acche bone and other moving body parts, like your muscles, tendons, or skin, according to the National Institute whqt Arthritis and Musculoskeletal and Skin Diseases NIAMS.
Bursitis can cause swelling and pain around your muscles, bones, and joints. You can also develop bursitis from an unrelated injury, like limping after you have low back pain —that can lead to bursitis in your knee or hip, Dr.
Your thyroid is a small, butterfly-shaped gland in the front of your neck, and it makes hormones that control the way your body uses energy. Rheumatoid arthritis RA is different than the wear-and-tear kind osteoarthritis that commonly develops with age. RA is an autoimmune disorderand it disproportionally boness women: Of the more than 1. Tender, swollen joints and feeling stiff in the morning are classic RA symptoms.
Although not all these causes of joint pain can be cured, they can be treated. Some will require a course of antibiotics or other prescription meds. Others how to size a boiler improve on their maks with time and rest.
But any lingering pain in your joints should be reason enough to check in males your primary care doctor. Knees are the most commonly affected joint, but hips, ankles, and wrists are also likely targets. You might need IV antibiotics, and your doctor might need how to fix a cigarette burn in leather car seat drain fluid from the infected joint.
Left untreated, septic arthritis can lead to full-body sepsiswhich can be fatal. Protein is an incredibly important nutrient that helps you stay satiated, build muscle, and feel energized—but you can have yohr much of a good wgat. Symptoms of gout like heat, swelling, redness, and hard-to-ignore pain commonly appear first in your youg toe, then spread to other joints.
Drinking too much alcohol or sugary drinks, getting dehydratedwhat is a polarized capacitor taking certain types of medicines like beta-blockers can also bring on a bout of gout. Carrying too much weight puts you at risk as well. Every year, a reported 30, people are bitten by a tick carrying the. Borrelia burgdorferi or Borrelia mayonii bacteria that cause Lyme disease. But the Centers for Disease Control and Prevention believes that true number is much higher— up toPodesta explains.
Early symptoms of Lyme include fatigue, fever, yor, and in many cases, a bullseye-shaped rash. You might also develop neck stiffness and sore hands and feet. Over time, your heart and nervous system may be affected as well. People with lupus have an overactive immune system that can mistakenly target joints, as well as skin, blood, kidneys, and other organs.
Along with swollen, painful joints, you may develop a butterfly-shaped rash across your cheeks, but symptoms are different for everyone. Hair losstrouble breathing, memory problems, mouth sores, and dry eyes and mouth can also be signs of lupus. It affects women more than men and, surprisingly, is most common among sexually active teen girls. If you have it, yoru may develop one hot, red, swollen joint though some people end up with several painful large jointsalong with other STD symptoms, says Dr.
Those might include a burning sensation when you urinateas well as penis discharge or increased vaginal discharge. Support from maes like you helps us do our best work. And sign up for our FREE newsletter here for daily health, nutrition, and fitness advice.
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6. Or, it could be infectious (septic) arthritis.
May 17, · The definition of bone pain is aching, tenderness, or another discomfort in the bone. Bone pain is one of the most common symptoms of bone cancer, so people should not overlook it. . With fibromyalgia syndrome, you hurt all over and tend to be very tired. You get generalized pain in your bones, with tender points that if touched produce sharp bursts of pain. Women - particularly middle-aged women - tend to suffer from this much more than men, and it is often seen in those with irritable bowel syndrome. May 22, · This is a form of arthritis where the cartilage between two bones erodes, causing the bones to rub against each other, leading to pain and discomfort. Due to .
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Measure content performance. Develop and improve products. List of Partners vendors. There are many potential causes of bone pain, ranging from a bone bruise or fracture, to less common albeit very serious causes, such as bone cancer or infection.
While associated symptoms and the quality of your pain e. Bones are complex living tissues comprised of an inner "spongy" bone and surrounded by solid "compact" bone. Soft marrow, which produces bone and blood cells, lies in the center of many bones. Disease within the bone or diseases that affect the mineralization or remodeling of bone, as well as problems inflicted upon the bone breaks, bruises, or infections , may result in pain. To understand the potential causes of bone pain, it's best to start with the two most common causes—a bone bruise and a bone fracture:.
A bone bruise most commonly occurs when a bone hits a hard surface, as in a fall from a great height. This impact creates tiny breaks in the outer layer of the bone, in addition to bleeding underneath the periosteum—a thin layer of tissue that covers bone.
Besides significant bone pain with exquisite tenderness to the touch, swelling and discoloration often occur. Keep in mind, other than trauma or injury, osteoarthritis is a common culprit behind bone bruises. This is because as the cartilage between bones wears away or degenerates, the bones begin to rub against each other—a trauma that can eventually develop into a bruise. A fracture refers to a broken bone, which may occur as a result of trauma, bone weakening from osteoporosis , or repetitive stresses on the bone.
Besides a sharp, stabbing pain that worsens with movement or when pressure is applied, swelling and bruising around the fracture may occur. In some cases, the area involving the fracture will appear deformed. Vertebral compression fractures —also called spinal fractures—cause back pain and are most common in individuals with osteoporosis. These fractures may result from simple tasks like performing a household chore, sneezing, or coughing. Here are some less common causes of bone pain, many of which are serious and require the care of more than one specialist for example, an orthopedic surgeon and an oncologist.
Osteomalacia refers to decreased bone mineralization and subsequent bone softening. This bone condition most commonly occurs as a result of vitamin D deficiency. While not always present, the dull, aching bone pain of osteomalacia tends to be worse with activity and bearing weight. In addition to generalized bone pain and tenderness, a person with osteomalacia may experience one of the following:. Paget's disease is a chronic bone condition that affects older adults.
In this disease, the bone remodeling process in which old bone is removed and new bone is formed goes awry. This leads to the formation of excess bone that is brittle or abnormally shaped. While many people with Paget's disease have no symptoms—their condition is often found incidentally on an X-ray performed for another purpose—if symptoms do occur, bone pain is the most prominent one.
Keep in mind that while Paget's disease can affect any bone in the body, it most commonly targets the spine, pelvis, femur thighbone , humerus upper arm bone , and skull. Bone pain is the most common symptom of bone cancer. The pain usually comes and goes at first and then becomes constant. Besides a deep or dull aching pain that is worse at night and during activity, swelling around the bone, weight loss, and fatigue may occur with bone cancer.
Primary bone cancers, ranging from most common to least, include:. Both osteosarcoma and Ewing's sarcoma are more common in children and adolescents. Chondrosarcoma is most common in adults older than 40 years. Metastatic bone cancer refers to cancer that begins in another organ most commonly, the breast, lung, thyroid, kidney, and prostate and spreads metastasizes to the bone.
Cancer that spreads to the bone weakens it, causing pain and making the bone more prone to breaking. Multiple myeloma is a cancer of plasma cells, a type of immune system cell that normally produces antibodies. These cells grow abnormally and uncontrollably within the bone marrow and eventually cause a multitude of symptoms including:.
With leukemia, abnormal blood cells grow uncontrollably within a person's bone marrow. This excess growth of cancer cells leads to overcrowding within the bone marrow, which causes bone and joint pain. The aching bone pain—which is most common in acute lymphoblastic leukemia , but may also occur in acute myeloid leukemia or myelodysplastic syndrome—is usually felt in the long bones of the arms and legs, as well as the ribs. An infection of the bone—called osteomyelitis—causes dull bone pain, along with swelling, warmth, redness, and tenderness around the affected area.
A fever may also be present. Osteomyelitis may occur as a result of bacteria within the bloodstream seeding the bone or from an infection that spreads to the bone from an adjacent soft tissue or joint. Osteonecrosis occurs when a bone's blood supply is compromised, resulting in death of bone and bone marrow cells and subsequent bone collapse.
In addition to pain, limited use of the affected area is common. For instance, with osteonecrosis of the hip, a person may limp and require the use of a cane or walker. Besides serious injury or trauma, the most common risk factors for developing osteonecrosis include:.
Sickle cell anemia is an inherited disease caused by a mutation in the gene that codes for hemoglobin, a protein that delivers oxygen within your red blood cells to your organs and tissues. The abnormal hemoglobin in people with sickle cell anemia called hemoglobin S leads to crescent-shaped red blood cells that are sticky and stiff. Unfortunately, these sticky, stiff cells get stuck to the walls of small blood vessels, eventually blocking blood flow and oxygen delivery—a phenomonen called a vaso-occlusive crisis VOC.
Bone pain from a VOC can be intense and felt in the legs, arms, and back. Triggers are variable and often unknown, but may include:. Because sickle cell anemia is a genetic disease, vaso-occlusive crises may begin in babies as young as six months old and last throughout life.
It's important to seek medical attention for any type of bone pain, especially and more urgently if your pain is severe, persistent, worsening over time, or associated with swelling, redness, warmth, a fever, unintentional weight loss, or a palpable mass or lump. The diagnosis of bone pain usually involves a detailed medical history, physical examination, and one or more imaging tests. Depending on a doctor's underlying suspicion, blood tests or a biopsy may be warranted. During your appointment, you can expect your doctor to ask you several questions related to your bone pain.
Examples of potential questions include:. Your doctor will also examine surrounding muscles and joints and evaluate your ability to bear weight and move the affected bone. For many bone pain diagnoses, blood tests are warranted.
For instance, in order to confirm a diagnosis of Paget's disease, your doctor will order an alkaline phosphatase blood level which will be elevated due to the high rate of bone turnover going on. For a suspected bone cancer diagnosis, several blood tests will be ordered by an oncologist, especially if the cancer is metastatic and the primary cancer site is unknown.
While certainly not an exhaustive list, some of these blood tests that may be ordered include:. Lastly, to diagnose multiple myeloma, your doctor will order a blood and urine protein electrophoresis.
These tests look for the abnormal protein produced by plasma cells called a monoclonal M protein. To rule out or in various diagnoses, such as bone cancer, an infection, or Paget's disease, a biopsy of the bone may need to be taken.
A biopsy entails removing a small piece of the affected bone and sending it off to a laboratory for examination under a microscope.
To diagnose a cancer of the bone marrow, such as leukemia or multiple myeloma, your doctor will perform a bone marrow aspiration and biopsy. Various imaging tests may be ordered to diagnosis the culprit behind your bone pain.
These tests may include:. In certain cases, it can be tricky to distinguish bone pain from joint pain or muscle pain , for which there are many possible causes. The good news is that along with an examination by a healthcare provider, imaging tests often, an X-ray or MRI can definitively sort out whether bone or soft tissue is causing your pain. Your treatment regimen will depend on your underlying diagnosis. Keep in mind, for many bone-related diagnoses, the treatment plan may be quite complex, involving more than one intervention.
While most bone pain diagnoses require more advanced therapies, a bone bruise can be treated with simple, self-care strategies once a fracture is ruled out :. Besides alleviating your bone pain, your doctor may use various drugs to address the underlying cause. To ease your bone pain, your doctor may recommend Tylenol acetaminophen or a non-steroidal anti-inflammatory drug NSAID like Advil ibuprofen.
For more severe pain, like that associated with cancer, fracture, or a vaso-occlusive crisis, your doctor may prescribe opioids, which are much stronger pain medications.
A type of medication called a bisphosphonate is used to treat osteoporosis, Paget's disease, and bone damage caused by cancer. Bisphosphonates work by blocking the absorption of bone. Antibiotics, given through the vein intravenous , are necessary to treat a bone infection. Vitamin D. Treatment of osteomalacia depends on the underlying cause, but if due to vitamin D deficiency most common , aggressive vitamin D supplementation under the care of your provider is essential.
Thankfully, with vitamin D repletion, the improvement in bone pain can be significant, occurring within weeks. Cancer Therapies. Chemotherapy is the main treatment for acute leukemias, and is also used in the treatment of bone cancer. Depending on the type of cancer, other therapies may be utilized. For example, the treatment of multiple myeloma is complex and often entails a regimen of multiple drugs including:.