Indications for use of corticosteroids - hypercalcaemia and bone pain

Role

Corticosteroids have a role in managing pain from bone metastases (as an adjunct alongside analgesia and radiotherapy) but are not first-line treatment for malignancy-associated hypercalcaemia itself, where IV bisphosphonates/denosumab remain the definitive therapy
Bone pain from skeletal metastases is common in advanced cancer (particularly breast, prostate, lung, myeloma) and often requires a multimodal approach beyond simple analgesia alone

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