Bone pain or tendernessAches and pains in bones; Pain - bones
Bone pain or tenderness is aching or other discomfort in one or more bones.
Bone pain is less common than joint pain and muscle pain. The source of bone pain may be clear, such as from a fracture following an accident. Other causes, such as cancer that spreads (metastasizes) to the bone, may be less obvious.
Muscle aches and pains are common and can involve more than 1 muscle. Muscle pain also can involve ligaments, tendons, and fascia. Fascia are the s...
If more pressure is put on a bone than it can stand, it will split or break. A break of any size is called a fracture. If the broken bone punctures...
Metastasis is the movement or spreading of cancer cells from one organ or tissue to another. Cancer cells usually spread through the blood or the ly...
Bone pain can occur with injuries or conditions such as:
- Cancer in the bones (primary malignancy)
- Cancer that has spread to the bones (metastatic malignancy)
- Disruption of blood supply (as in sickle cell anemia)
- Infected bone (osteomyelitis)
- Injury (trauma)
- Loss of mineralization (osteoporosis)
- Toddler fracture (a type of stress fracture that occurs in toddlers)
See your health care provider if you have bone pain and do not know why it is occurring.
When to Contact a Medical Professional
Take any bone pain or tenderness very seriously. Contact your provider if you have any unexplained bone pain.
What toExpect at Your Office Visit
Your provider will ask you about your medical history and do a physical exam.
Some questions that may be asked include:
- Where is the pain located?
- How long have you had pain and when did it start?
- Is the pain getting worse?
- Do you have any other symptoms?
You may have the following tests:
- Blood studies (such as CBC, blood differential)
A complete blood count (CBC) test measures the following:The number of red blood cells (RBC count)The number of white blood cells (WBC count)The tota...
- Bone x-rays, including a bone scan
- CT or MRI scan
A computed tomography (CT) scan is an imaging method that uses x-rays to create pictures of cross-sections of the body. Related tests include:Abdomin...
- Hormone level studies
- Pituitary and adrenal gland function studies
- Urine studies
Depending on the cause of the pain, your provider may prescribe:
- Anti-inflammatory medicines
- Laxatives (if you develop constipation during prolonged bed rest)
- Pain relievers
If pain is related to thinning bones, you may need treatment for osteoporosis.
Osteoporosis is a disease in which bones become fragile and more likely to break (fracture).
McCormack RG, Lopez CA. Commonly encountered fractures in sports medicine. In: Miller MD, Thompson SR, eds. DeLee and Drez's Orthopaedic Sports Medicine. 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 13.
Weber TJ. Osteoporosis. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 243.
Whyte MP. Osteonecrosis, osteosclerosis/hyperostosis, and other disorders of bone. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 248.
Review Date: 5/9/2015
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.