How common is persistent bone pain in multiple myeloma?

Multiple myeloma affects plasma cells in the bone marrow and can weaken parts of the skeleton. Pain is often felt in the back, ribs, hips or another specific area. It may become noticeable with movement or be present when resting. A person with known myeloma should not assume a new ache is simply part of the condition, because other causes also need consideration.

Your care team uses symptoms, examination, blood tests and imaging in context. The aim is to identify the cause of pain and check for effects on bone strength or nearby nerves.

Tell your haematology or oncology team about pain that is new, persistent, more intense, or limiting ordinary movement. Describe the precise site, whether it began suddenly, and whether coughing, walking or lying down changes it. This information helps the team decide on imaging, pain support and advice about activity.

Follow your prescribed treatment and pain-management plan. Before adding an over-the-counter medicine, check with a clinician or pharmacist because some medicines may be unsuitable with kidney problems or other treatments.

Seek urgent medical care for sudden severe pain, a fall followed by bone pain, inability to stand, new leg weakness, numbness around the groin, or changes in bladder or bowel control. These signs need rapid evaluation.

Ask whether your symptom pattern suggests imaging, whether you need to change activity while waiting, and what pain options fit your current plan. Ask who to contact if symptoms worsen outside normal appointment times.