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Treatment should be a mixture of radiation (if the pain does not improve and if the cancer is starting to spread too close to the spinal cord), chemotherapy (he should change to a new chemo now and that will also slow down the mets to the spine), zometa (an IV bone strengthening drug that you will take once every 3-4 weeks while at chemo), and making sure he is getting enough vitamin D and calcium in his diet or with supplements (they should check his current level of vitamin D in the blood).
Bone mets can usually be very well controlled, and using the zometa medicine is crucial. A doctor should closely be following his pain and giving him pain medicines for this. He should never suffer. If the pain does not improve quickly by using pain meds and changing chemo, then they should consider radiation. Just know that he will need to stop chemo for awhile around the time of radiation, as you can't give too many treatments all at once.
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