Which specialist treats multiple myeloma?

Multiple myeloma is a cancer of plasma cells in the bone marrow. A haematologist-oncologist confirms the diagnosis, assesses disease activity and selects treatment. Blood and urine testing, bone imaging, and sometimes a marrow examination help guide decisions. Kidney specialists may help when myeloma affects kidney function, while orthopaedic or spinal teams may assess bone damage. Treatment can include medicines, combinations, targeted therapy, and selected transplant approaches. Related conditions such as MGUS or smouldering myeloma may need a different monitoring plan.

Bring blood and urine results, scan reports, medication details, and a record of pain, infections, thirst, constipation, weakness or numbness. Ask which tests are needed to assess bone marrow, kidney function, calcium and bone strength. Discuss the treatment goal, how medicines are given, dental care before bone-strengthening treatment, and whether a transplant assessment is appropriate. Tell the team about new back pain or changes in walking.

Call the treatment team promptly for worsening bone pain, unusual thirst, repeated vomiting, confusion, reduced urine, fever, or new weakness. Sudden severe back pain, leg weakness, loss of bladder or bowel control, or numbness around the groin can signal spinal cord compression and requires emergency care. Do not wait for a routine appointment when these neurological symptoms appear.

What tests confirm myeloma and show its activity? Who will coordinate my care? How are my kidneys, calcium level and bones being monitored? Which medicines or targeted therapy are suitable? Should I meet a transplant team? Which back pain, weakness, fever, or urine changes need same-day help?