What are the possible short-term side effects?
Radiotherapy to the spine may cause a number of short-term side effects. However, everyone is different and you’re unlikely to experience all of the same side effects as someone who is receiving the same treatment as you.
If you’re concerned about any side effects during your radiotherapy treatment to the spine, we encourage you to speak with your care team who can help you with strategies to manage your side effects.
Types of short-term side effects
Skin reaction
Two to three weeks after your treatment begins, your skin may become red, dry and tender. This reaction will peak about a week or so after treatment ends and usually returns to normal four weeks after treatment finishes.
Your nurses will show you how to care for your skin and manage any skin reactions. Tell your nurse if you’re worried about a skin reaction or are experiencing any skin changes.
Pain and discomfort
We will provide you with information to help control any pain or discomfort you may be experiencing. If required your doctor will also prescribe pain relief to help control any pain.
Pain flare
Radiotherapy to bone areas in the spine can cause a temporary increase in pain in the area being treated. It can occur after one dose of radiation and usually lasts for 12 to 36 hours. Let us know as soon as possible if you experience a pain flare, as we can control this with the use of additional pain medication.
Fatigue
You may feel tired or lack energy for daily activities during your treatment. You may feel increasingly tired as you reach the end of your treatment. This is a common reaction to radiotherapy and each person is usually affected to varying degrees. Fatigue usually eases a few weeks after treatment finishes. Finding a balance between rest and activity will help you manage daily life.
How can I manage skin changes?
Moisturise twice a day
Your care team will recommend a cream to help manage any skin changes. At the start of your treatment, apply cream to the area being treated twice a day. As treatment progresses, you may need to apply the cream three to four times per day. Do not apply cream within the hour prior to your treatment, as cream needs to be well absorbed. Let your nursing team know if you continue to experience skin changes.
Wear loose fitting clothing
Avoid wearing tight fitting clothing that could potentially rub or irritate the skin. Loose cotton underwear is best.
Avoid excessive temperatures
Avoid exposing the treatment area to excessive temperature including direct sunlight, heat packs, ice packs, saunas or hot spas during the course of your radiotherapy. Do not use talcum powder or sunscreen in the treatment area.
Wash with warm water and pat dry
You may wash the skin that is being treated with warm water and a mild non-perfumed soap. Pat dry the skin – do not rub.
Side effects specific to your treatment area may include:
Radiotherapy to the cervical spine
Difficulty swallowing
Difficulty swallowing is a common reaction when the throat is in the treatment area. The throat may become inflamed and feel painful when swallowing or produce a sensation like a lump in the throat. Early assessment by your doctor and nurse may help to prevent swallowing difficulties from becoming worse.
Radiotherapy to the thoracic spine
Inflamed oesophagus
This is a common reaction when the oesophagus is in the treatment area. You may feel pain when swallowing or a sensation like a lump in the central chest area. If you experience discomfort or notice any changes, let your care team know as soon as possible. Dietary changes may be required, or a referral to a dietitian if needed.
Nausea and vomiting
If your treatment area is near your stomach, you may experience nausea and vomiting. To help manage this your doctor may prescribe you anti-nausea medication. You may need to take this before treatment for your comfort.
Radiotherapy to the lumbar spine
Nausea and vomiting
Refer to the ‘Nausea and vomiting’ section under Thoracic spine above
Bowel irritation
Bowel irritation may occur two to three weeks after treatment starts. Symptoms may include:
An increase in the amount of times you use your bowels
Softer/looser bowel actions
Bowel irritation can be more noticeable if you’re also receiving chemotherapy. It is usually temporary and returns to normal two to three weeks after finishing treatment. Let your nurse know as soon as possible if you experience diarrhoea, or notice mucus or blood in your bowel movement. They will monitor the severity of the irritation and can also provide advice to help you manage. Dietary changes may be required, or a referral to a dietitian if needed.
Radiotherapy to the sacral spine
Bowel irritation
Refer to the ‘Bowel irritation’ section under Lumbar spine above.
Bladder irritation
There can be irritation to the bladder lining and urethra (the tube that you urinate through) when you’re having treatment to the sacral spine.
Symptoms may include:
The need to urinate more often, including overnight
A sudden urge to empty your bladder
A burning sensation when you urinate
Let your nurse know as soon as possible if you experience any irritation as they can provide advice and treatment options to reduce your discomfort.
Radiotherapy to the spine
Radiotherapy to the skin Radiotherapy to the bone Radiotherapy to the abdomen Radiotherapy to the brain and skull Radiotherapy to the breast Radiotherapy to the chest Radiotherapy to the female pelvis Radiotherapy to the male pelvis Radiotherapy to the head and neck Radiotherapy to the prostate