Pain, spine & orthopaedic care in Ocean & Monmouth County, NJ
Spine condition

Spinal tumors: evaluation and referral

How GSMC evaluates possible spinal tumors and coordinates referral to oncology and specialized spine tumor centers.

Overview

Spinal tumors are uncommon. They can start in the spine or spread there from cancer elsewhere in the body (metastatic tumors, the more common type in adults). Some are non-cancerous (benign) but still press on nerves or the spinal cord.

GSMC can help evaluate symptoms and imaging and coordinate referral to oncology and specialized spine tumor teams. Treatment of spinal tumors usually involves a team that may include oncology, radiation oncology and spine surgery.

Watch and learn

Video: “Spinal Cord Tumors - Mayo Clinic” from Mayo Clinic on YouTube. It loads from youtube-nocookie.com only when you press play. Shown for general education; GSMC did not produce it. Watch on YouTube

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Symptoms

  • Back or neck pain that is constant, worse at night or not related to activity
  • Unexplained weight loss or a history of cancer with new back pain
  • Numbness, weakness or balance problems
  • Bladder or bowel changes (seek emergency care)

Causes

  • Metastatic cancer (for example breast, lung, prostate, kidney or thyroid)
  • Primary tumors of bone, nerve or spinal cord
  • Blood cancers such as multiple myeloma

How it is diagnosed

MRI with and without contrast is the main test; CT, bone scan or PET may be used. A biopsy may be needed to confirm the diagnosis.

Treatment options, step by step

A spine surgeon looks at the whole picture, including options short of surgery. Not every step applies to every person.

  1. Self-care and lifestyle

    Report red-flag symptoms right away rather than waiting.

  2. Physical therapy and medications

    Pain control and physical therapy as part of a coordinated plan.

  3. Injections and nerve blocks

    Nerve blocks may help pain in selected cases.

  4. Minimally invasive procedures

    Kyphoplasty may stabilize certain painful vertebral fractures caused by tumors, as part of a team plan.

  5. Surgical evaluation

    Referral to oncology and spine tumor surgery for biopsy, radiation, or surgical decompression and stabilization.

Nonsurgical alternatives

Many spine problems are managed without surgery. See our nonsurgical options and holistic and lifestyle care guides.

Related surgeries

Call 732-202-3000 to confirm which surgeon performs this procedure and where.

When to seek urgent care

Call 911 or go to the emergency department for new or rapidly worsening weakness, numbness in the groin or inner thighs, loss of bladder or bowel control, or severe pain after a fall or accident.

Frequently asked questions

Does back pain mean I have a tumor?

Almost never. Tumors are a rare cause of back pain, but certain warning signs should be checked promptly.

Does GSMC treat spinal tumors?

We evaluate symptoms and imaging and coordinate referral to oncology and specialized spine tumor teams for treatment.

What is an emergency?

New weakness, numbness in the groin or loss of bladder or bowel control needs emergency care: call 911.

This page is general patient education and does not replace advice from your own clinician. Individual results vary.

Talk with a GSMC specialist

We will review your history and imaging and explain your options. Many plans, including Medicare, are accepted. We verify benefits before scheduling procedures.