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Avatar universal

met. to thigh bone/hip

What can be done about breast cancer met. that make even a bit of walking painful? On 3/10/09 Radioloist report read:"mixed areas of lysis and sclerosis in the right intertrochanteric region, femeral neck, superior public ramus, and ischium are all increased compared with film of 1/29/08.  Increased patchy sclerosis is also seen the the right ililum. Overall, this likely indicated interval progression of metastatic disease,  No definite fracture is id. Possible significan findings, may need action."  My oncologist said I probably pulled a muscle. It doesn't feel like it. I think I may have pulled a muscle once and it felt better in about a week. I used to be pretty athletic, still swim (without kicking now) about 1250 yards every other day and, until this hip pain, walked about 3 miles on the nonswim days.( 5 days/week)  I'm  5 5  128-130 lbs. I'm young. The pain has been getting worse. I can walk no more than about 100 feet without intense pain. I've left messages with my nurse practioner per doctors proto-call but they have not returned calls. My internist says to trust the oncologist. I don't want to over react and I'm trying to be brave for my kids but I'm very worried. Ever heard of this before?  What can be done to help leg/hip/mobility -- aside from more painkillers?
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Avatar universal
Dear Doctor,
Thank you for your reply.  It is very helpful to know to limit my exercise to non-impact activities for now, not try to push through this pain.

Pain medication and radiation are two things that you mentioned that my oncologist has not spoken about so I will ask him about those options when I see him. I've been trying hormone therapy and zoledronic acid for 16 months.

Thank you very much for sharing your knowledge with me all the way from Bangalore.
Sincerely, acaliforniamom
Helpful - 0
322973 tn?1239904438
MEDICAL PROFESSIONAL
Hi,
You are tackling your cancer very bravely.
A lot can be done to reduce the hip pain. Painkillers (NSAID tablets, morphine, patches) are of course one logical intervention. Bisphosphonate (example zoledronic acid) injections every month may help with the pain, and also reduce the chances of fractures etc. Radiation therapy to the affected bone too is an effective way of managing pain. In women with ER or PR positive cancers, hormones are beneficial in bone mets. Next-line chemotherapy too may be an option. Please discuss all options with your oncologist.
Please confine youreself to non-impact forms of excercises for now.
All the best, and God Bless!
Helpful - 0

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