7th September 2020

A 65-year-old man with a known diagnosis of multiple myeloma has had a poor response to his latest round of chemotherapy

A 65-year-old man with a known diagnosis of multiple myeloma has had a poor response to his latest round of chemotherapy. He presents with bony pain in his lumbar spine which he says is 5/10. He denies any lower limb weakness, sensory changes, saddle numbness or incontinence. Lumbar X-ray demonstrates multiple vertebral lytic lesions but no fractures or spinal cord compression.

For the patient above, please select the SINGLE most appropriate initial treatment option. Select ONE option from the list above.