Bonneau A - Bone metastases are frequent in many cancers and devastating. They can be a challenge to treat. Use adjuvant analgesics and do not concentrate solely on opioids.Knowing how to switch to another route of opioid administration is a key skill in providing palliative care. Remember orthopedic surgeons; involve them early in case you need to treat a potential pathologic fracture ahead of time to keep a limb functional.