Having radiotherapy treatment for bone cancer

Radiotherapy uses high energy x-rays to kill cancer cells. You have treatment in the radiotherapy department of the hospital.

You have the treatment broken up into a course of smaller dose treatments called fractions. You usually have a fraction every day, from Monday to Friday, with a rest at the weekend.

Most commonly, you have radiotherapy once daily, for a few weeks or days. For Ewing sarcoma you might have radiotherapy and chemotherapy at the same time. This is called chemoradiotherapy.

Radiotherapy planning

Before you begin your treatment, the radiotherapy team carefully plan your external beam radiotherapy.

The radiotherapy room

Radiotherapy machines are very big and could make you feel nervous when you see them for the first time. The machine might be fixed in one position or able to rotate around your body to give treatment from different directions. The machine doesn't touch you at any point.

Before your first treatment, your therapy radiographers Open a glossary item will explain what you will see and hear. In some departments the treatment rooms have docks for you to plug in music players. So you can listen to your own music while you have treatment.

Photo of a linear accelerator

Your radiographers will help you to lie on the couch. You will be in the same position that you were in for the planning appointment. If they used a plastic shell at the planning appointment then they will use this again.

The radiographers line up the radiotherapy machine using the marks on your body or on the shell. Once you are in the right position, they leave the room.

During the treatment

You need to lie very still. The machine makes whirring and beeping sounds. You can't feel the radiotherapy when you have the treatment. 

Your radiographers can see you and hear you on a CCTV screen in the next room. They can talk to you over an intercom and will ask you to raise your hand if you need anything. But it is important to stay as still as possible. 

You won't be radioactive

This type of radiotherapy won't make you radioactive. It's safe to be around other people, including pregnant women and children.

Travelling to radiotherapy appointments

You might have to travel a long way each day for your radiotherapy. This depends on where your nearest cancer centre is. This can make you very tired, especially if you have side effects from the treatment.

You can ask the therapy radiographers Open a glossary item for an appointment time to suit you. They will do their best, but some departments might be very busy. Some radiotherapy departments are open from 7am till 9pm.

Car parking can be difficult at hospitals. Ask the radiotherapy staff if you are able to get free parking or discounted parking. They may be able to give you tips on free places to park nearby.

The radiotherapy staff may be able to arrange transport if you have no other way to get to the hospital. Your radiotherapy doctor would have to agree. This is because it is only for people that would struggle using public transport and have no access to a car. 

Some people are able to claim back a refund for healthcare travel costs. This is based on the type of appointment and whether you claim certain benefits. Ask the radiotherapy staff for more information about this.

Some hospitals have their own drivers and local charities might offer hospital transport. So do ask if any help is available in your area.

Side effects

Radiotherapy for bone cancer has some side effects including:

  • feeling tired or weak
  • reddening of the skin in the treatment area
  • loss of any body hair in the treatment area

Other side effects depend on which part of the body is being treated. Not everyone has all the side effects of radiotherapy.

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