你知道腰部痛可能是癌症先兆嗎?
- George Huen
- 3 days ago
- 4 min read
我今晚聽到個消息都幾唔開心，我之前有個病人，腰痛得好緊要，每日食緊有媽啡類嘅止痛藥先好啲，嚟到我度都治療咗5次，第一、二次嚟我度治療後，雖然有舒緩咗好多，但離開後一兩小時又再痛到癲，我已經知道可能唔係我可以處理到嘅問題，我叫佢必須去照MRI，佢照完後化驗師講佢好大機會係Cancer，之後佢無再搵我，我send message 畀佢都無覆，隔咗成個半月佢終於覆返我話係癌症，已經擴散到盆骨，依家住係醫院等人生最後倒數。
佢係我嚟到英國後第２個遇到因為癌症而腰部極烈痹痛的病人，第１個遇到因癌症腰痛嘅係一個由香港過黎倫敦讀書嘅27歲男仔，呢個男仔同樣經過我兩次治療無效後，我強烈建議佢要照MRI，最終都係確診患癌。
而佢大約40歲，孤身一人由香港帶埋隻貓嚟英國，係度住咗大約4年。我得知消息後都幾感慨嘅，因為我係佢身上見到我自己曾經嘅影子，因為當初移英我都係一個人走，都係諗住帶埋隻貓一齊移民，但係後尾無帶到留咗畀我媽媽，因為我睇到我媽媽更加需要隻貓。
為什麼我想分享這個故事？
因為我不想再看到下一個同樣的遺憾。
腰痛是很常見，但如果出現以下情況，千萬不要掉以輕心，以為只是「休息不夠」或「睡姿不好」：
痛楚劇烈，甚至影響日常生活。
長期依賴處方級別的強效止痛藥。
經過幾次治療（如物理治療、按摩、脊醫等）後，痛楚不但沒有減退，反而反覆加劇。
伴隨不明原因的體重下降、夜間痛楚加劇、發燒或疲勞。
如果你或你身邊的朋友正經歷這些「警號」，請務必儘快尋求專業醫療診斷，排除如肺癌、骨癌或癌症轉移等隱藏的危險。及早發現，永遠是治療的關鍵。
When Back Pain Masks Something More: A Practitioner’s Warning on Red Flags
Tonight, my heart is heavy as I received news that no practitioner ever wants to hear.
I had a patient who was suffering from excruciating lower back pain, relying on morphine-based painkillers daily just to get by. He came to my clinic for five sessions in total. After the first two treatments, he experienced temporary relief, but within an hour or two of leaving, the severe pain would always return with a vengeance.
Recognizing that this pattern fell far beyond what musculoskeletal therapy could safely manage, I strongly urged him to get an MRI. Following the scan, the radiologist informed him that there was a very high probability of cancer. After that, he stopped reaching out. No matter how many messages I sent to check on him, there was no reply.
It was only after a month and a half that he finally messaged me back. The diagnosis was cancer, which had already metastasized to his pelvis. Now, he is hospitalized, spending his final days counting down his remaining time.
He was around 40 years old, living alone in the UK for roughly four years after moving from Hong Kong with his cat. Hearing this news filled me with deep emotion, as I saw a reflection of my own journey in him. When I first planned my move to the UK, I was also going to bring my cat with me. In the end, I chose to leave her behind with my mother, knowing my mother needed her companionship much more.
A Second Encounter with a Silent Threat
He is actually the second patient I have encountered in the UK whose severe, debilitating lower back pain turned out to be cancer.
The first case involved a 27-year-old young man who had moved from Hong Kong from London to study. Just like this recent case, after two of my treatments failed to produce lasting relief, I strongly advised him to get an MRI. Sadly, that case also ultimately led to a cancer diagnosis.
Why Am I Sharing This Story?Because I never want to see another tragedy like this repeated.
Lower back pain is incredibly common, but you must never brush it off as mere fatigue, poor posture, or lack of rest if you or someone you know experiences the following red flags:
Intense, debilitating pain that severely disrupts daily life.
Heavy reliance on prescription-strength or opioid painkillers just to manage daily discomfort.
Rapid recurrence of pain shortly after receiving conservative treatments (such as physical therapy, massage, or chiropractic care) where the pain fails to subside or actually worsens.
Constitutional symptoms such as unexplained weight loss, worsening pain at night, persistent fever, or profound fatigue.
If you or anyone around you is experiencing these warning signs, please seek professional medical diagnosis immediately to rule out hidden dangers such as primary bone tumors, lung cancer, or metastatic bone disease.
Early detection remains the single most critical factor in treatment. Stay safe, listen to your body, and cherish every moment.
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