Bone pain or tenderness
Aches and pains in bones; Pain - bonesBone pain or tenderness is aching or other discomfort in one or more bones.
Considerations
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 pain
Muscle aches and pains are common and can involve more than one muscle. Muscle pain also can involve ligaments, tendons, and fascia. Fascias are th...
Read Article Now Book Mark ArticleFracture
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...
Read Article Now Book Mark ArticleMetastasizes
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...
Read Article Now Book Mark ArticleCauses
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)
Sickle cell anemia
Sickle cell disease is a disorder passed down through families. The red blood cells that are normally shaped like a disk take on a sickle or crescen...
Read Article Now Book Mark Article - Infected bone (osteomyelitis)
Osteomyelitis
Osteomyelitis is a bone infection. It is caused by bacteria or other germs.
Read Article Now Book Mark Article - Injury (trauma)
- Leukemia
- Loss of mineralization (osteoporosis)
Osteoporosis
Osteoporosis is a disease in which bones become fragile and more likely to break (fracture).
Read Article Now Book Mark Article - Overuse
- Toddler fracture (a type of stress fracture that occurs in toddlers)
Home Care
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 to Expect 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)
CBC
A complete blood count (CBC) test measures the following:The number of white blood cells (WBC count)The number of red blood cells (RBC count)The numb...
Read Article Now Book Mark ArticleBlood differential
The blood differential test measures the percentage of each type of white blood cell (WBC) that you have in your blood. It also reveals if there are...
Read Article Now Book Mark Article - Bone x-rays, including a bone scan
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CT or MRI scan
CT
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...
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A magnetic resonance imaging (MRI) scan is an imaging test that uses powerful magnets and radio waves to create pictures of the body. It does not us...
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Hormone level studies
Hormone level
Blood or urine tests can determine the levels of various hormones in the body. This includes reproductive hormones, thyroid hormones, adrenal hormon...
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- Urine studies
Depending on the cause of the pain, your provider may prescribe:
- Antibiotics
- Anti-inflammatory medicines
- Hormones
- Laxatives (if you develop constipation during prolonged bed rest)
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Pain relievers
Pain relievers
Over-the-counter (OTC) pain relievers can help relieve pain or lower a fever. Over-the-counter means you can buy these medicines without a prescript...
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If pain is related to thinning bones, you may need treatment for osteoporosis.
Osteoporosis
Osteoporosis is a disease in which bones become fragile and more likely to break (fracture).
Read Article Now Book Mark ArticleReferences
Jones RL. Malignant tumors of bone, sarcomas, and other soft tissue neoplasms. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 192.
Kim C, Kaar SG. Commonly encountered fractures in sports medicine. In: Miller MD, Thompson SR. eds. DeLee and Drez's Orthopaedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 10.
Weber TJ. Osteoporosis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 230.
Whyte MP. Osteonecrosis, osteosclerosis/hyperostosis, and other disorders of bone. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 234.
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Back pain and sciatica - InDepth
(In-Depth)
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Low back pain
(Alt. Medicine)
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Bone cancer
(Alt. Medicine)
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Osteoarthritis
(Alt. Medicine)
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Osteomyelitis
(Alt. Medicine)
Review Date: 4/27/2023
Reviewed By: Linda J. Vorvick, MD, Clinical Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.