Leukemia or myelodysplastic syndromes (MDS) can cause bone or joint pain, usually because your bone marrow has become overcrowded with cancer cells. At times, these cells may form a mass near the spinal cord's nerves or in the joints.
Bone pain can occur in leukemia patients when the bone marrow expands from the accumulation of abnormal white blood cells and may manifest as a sharp pain or a dull pain, depending on the location. The long bones of the legs and arms are the most common location to experience this pain.
Persistent fatigue, weakness. Frequent or severe infections. Losing weight without trying. Swollen lymph nodes, enlarged liver or spleen.
Some symptoms, like night sweats, fever, fatigue and achiness, resemble flu-like symptoms. Unlike symptoms of the flu, which generally subside as you get better, leukemia symptoms generally last longer than two weeks, and may include sudden weight loss, bone and joint pain and easy bleeding or bruising.
Leukemia starts in the soft, inner part of the bones (bone marrow), but often moves quickly into the blood. It can then spread to other parts of the body, such as the lymph nodes, spleen, liver, central nervous system and other organs.
While the exact cause of leukemia—or any cancer, for that matter—is unknown, there are several risk factors that have been identified, such as radiation exposure, previous cancer treatment and being over the age of 65.
In CLL, the leukemia cells grow out of control and crowd out normal blood cells. These cells often build up slowly over time. Many people don't have any symptoms for at least a few years. In time, the cells can spread to other parts of the body, including the lymph nodes, liver, and spleen.
"A patient may be tested for leukemia if he or she has unexplained weight loss, night sweats or fatigue, or if he or she bruises or bleeds easily," Dr. Siddon says. "Sometimes routine blood work shows an unexplained elevated number of white blood cells."
Stage 1 – A patient has high levels of white blood cells and enlarged lymph nodes. Stage 2 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes. Stage 3 – A patient has high levels of white blood cells and is anemic.
So while you may be able to see if you have genetic markers for future cancer development, there's currently no home test available that can tell you whether you have leukemia currently. Possible tests available for home use can give you an idea of your overall health and risk factors, but they can't diagnose leukemia.
Leukemia starts when the DNA of a single cell in your bone marrow changes (mutates). DNA is the “instruction code” that tells a cell when to grow, how to develop and when to die. Because of the mutation, or coding error, leukemia cells keep multiplying.
Chronic leukemia often causes only a few symptoms or none at all. Signs and symptoms usually develop gradually. People with a chronic leukemia often complain that they just do not feel well.
Some leukemia symptoms, such as fever, vomiting, fatigue, aches and night sweats often resemble the cold, flu or other common illness. If symptoms don't go away at a normal pace (1-2 weeks), or you notice a combination of these symptoms at one time, make an appointment with your doctor for a diagnosis.
Bone or joint pain is a common form of pain in leukemia — members have discussed feeling pain in their back, neck, legs, and other joints. As one member wrote, “I have had pain in my shoulders, both arms, and thigh bones.”
Spotting bone and joint pain
Bone pain caused by leukaemia is most commonly felt in the long bones of the arms and legs, or in the ribs and sternum of the rib cage.
However, sometimes these aches or pains can be the sign of a more serious underlying condition such as leukaemia. Although bone pain is the most common of these symptoms in leukaemia, according to our patient survey, muscle pain or back pain can precede a leukaemia diagnosis in 11% and 13% of cases, respectively.
Chronic leukemia usually gets worse slowly, over months to years, while acute leukemia develops quickly and progresses over days to weeks. The two main types of leukemia can be further organized into groups that are based on the type of white blood cell that is affected — lymphoid or myeloid.
There are too many lymphocytes in the blood, but there are no other symptoms of leukemia. Stage 0 is indolent (slow-growing).
During the progression of leukemia, white blood cells (neoplastic leukocytes) found in bone marrow may begin to filter into the layers of the skin, resulting in skin lesions. “It looks like red-brown to purple firm bumps or nodules and represents the leukemia cells depositing in the skin,” Forrestel says.
Age: The risk of most leukemias increase with age. The median age of a patient diagnosed with acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL) or chronic myeloid leukemia (CML) is 65 years and older. However, most cases of acute lymphocytic leukemia (ALL) occur in people under 20 years old.
They occur in unusual places – In cases of leukaemia, quite often bruises will appear in places that you wouldn't normally expect, especially; the back, legs, and hands.
Acute leukemia symptoms can often appear suddenly
With acute leukemia, symptoms tend to develop very quickly. You may suddenly spike a fever that won't go away, develop an infection for no apparent reason, or start bleeding spontaneously from your nose or gums and not be able to stop it.
If caught early, leukemia can be cured by undergoing several cancer treatments.
Chronic lymphocytic leukaemia is a type of cancer that affects the white blood cells and tends to progress slowly over many years. It mostly affects people over the age of 60 and is rare in people under 40. Children are almost never affected.