Bone Metastasis

What is bone metastasis?

  • Bone is one of the most common sites cancer spreads to
  • Types of Bone metastasis:
    • Osteolytic lesions- destruction of a healthy bone structure
    • Osteoblastic lesions– weak and unstable
  • Most common types of cancer that can spread to the bones (bone metastasis/lesions) include:ribs
    • Multiple myeloma
    • Breast
    • Prostate
    • Thyroid
    • Lung
    • Kidney
    • Melanoma
    • Non-Hodgkins lymphoma

**Assessment with a Physical Therapist is highly recommended for any form of bone metastasis or primary bone lesions because of the vulnerability of the bones, high risk of fractures and various other musculoskeletal injuries.

Rehabilitation interventions for bone metastasis:

  • Assessment of type of bone lesion
  • Pain management & symptom relief
  • Fracture risk reduction education
  • Fall prevention techniques & mobility aid(s)
  • Home environment modifications & transfers
  • Biomechanical education & stabilization techniques
  • Exercise prescription & counselling
  • Physical Activity & sport precautions/contraindications
  • Postural education & sleep position education
  • Footwear education