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When Bone Pain Is More Than Just Arthritis
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When Bone Pain Is More Than Just Arthritis


Bone pain is a common complaint, especially among older adults, and it’s often dismissed as arthritis. While arthritis is indeed a leading cause of joint and bone discomfort, not all pain should be automatically attributed to it. In some cases, persistent or unusual bone pain can signal something more serious — including infections, fractures, or even bone tumors.

Key Differences:

  • Pain at Rest or at Night: Arthritis pain typically improves with rest. If your bone pain worsens at night or keeps you awake, it could be a red flag.
  • Swelling or a Lump: Arthritis affects joints, but if you notice a hard lump or swelling in your limb, particularly over a bone, or in soft tissue, it may not be arthritis.
  • Pain That Doesn’t Improve with Treatment: Arthritis pain usually responds to anti-inflammatory medications, physiotherapy, or lifestyle changes. Persistent pain despite treatment needs further evaluation.
  • Fractures Without Trauma: Sudden fractures without a fall or injury may indicate weakened bones due to underlying disease.
  • Fever or Fatigue Alongside Pain: These could suggest bone infections or malignancies, not arthritis.

 

Could be a tumor?

While rare, bone tumors — both benign and malignant — can cause deep, aching pain that worsens over time. Cancers such as osteosarcoma or metastases from other organs (like breast, prostate, or lung) can settle in bones and cause severe symptoms. Early diagnosis by an orthopedic oncologist is crucial. Imaging tests (like X-rays, MRI) and, if needed, a biopsy can help determine the exact cause of the pain.

 

Don't Ignore the Signs

If you’ve been treating your pain as arthritis but aren't seeing relief — or if your symptoms don’t align with typical arthritis — it’s time to dig deeper.

 

Concerned about Persistent Pain?

Consult Dr. Lokesh Garg (hyperlink), expert in orthopedic oncology at SHALBY Sanar International Hospital, Gurugram.

Dr. Lokesh Garg, Senior Consultant

Orthopaedics

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