Ways to manage pain in advanced prostate cancer

As well as traditional treatments for pain in advanced prostate cancer, there are other things you can do that may help you to feel more comfortable and manage your pain.

Complementary therapies

You may find complementary therapies helpful. Some people say they feel more in control because they're actively doing something to support their health. Others find they feel more relaxed and positive about themselves. However, more research is needed to know whether complementary therapies can relieve the pain itself. 

Complementary therapies are meant to be used alongside conventional treatments, rather than instead of them. Tell your doctor or nurse about any complementary therapy you're using or are thinking of using.

Some complementary therapies have side effects and some may interfere with your cancer treatment. You should also tell your complementary therapist about any cancer treatments you're having, as this can affect what therapies are safe and suitable for you.

There are many different complementary therapies available. The following are some of the more common ones. 

Acupuncture

This is where very thin needles are inserted into the skin at specific points on the body. Acupuncture is sometimes available on the NHS and can be prescribed alongside other treatments. Acupuncture might not be suitable if you have lymphoedema.

Reflexology

This is a form of massage to specific areas of the hands or feet that are believed to be linked to other areas of the body. It might help you feel more relaxed and less anxious.

Aromatherapy 

This is where natural oils from plants are added to baths, inhaled with steam or used in massage, such as a gentle hand massage. Different oils are said to have different effects, such as helping you feel calm, relaxed, or energetic. 

Gentle massage

This can help you to relax, relieve stress, improve blood flow and improve your mood. It’s important not to put deep pressure on any areas that are affected by cancer, particularly areas that are sore or tender, or where you're having radiotherapy.

Hypnotherapy 

This is where a therapist talks to you and helps you feel relaxed and calm. It could help you to cope with some of the effects of cancer and treatment.

Finding a complementary therapist

Some hospitals, cancer clinics and hospices offer complementary therapies. If you choose your own therapist, make sure they're properly qualified and belong to a professional organisation.

You can find advice about finding a therapist on the Complementary and Natural Healthcare Council website.

Macmillan Cancer Support and Cancer Research UK also have further information about different types of therapies and important safety issues to think about.

Managing pain in advanced prostate cancer fact sheet

This fact sheet is for anyone with advanced prostate cancer who is having problems with pain. It describes ways to treat and control the pain as well as where to get support. 

Download or order fact sheet

Practical tips to help manage your pain

Some of the following ideas may be helpful:

  • Rest when you feel tired and try to get a good night’s sleep. Talk to your doctor or nurse if there’s something that might be affecting your sleep. This could be anything from urinary problems to anxious thoughts keeping you awake.
  • Change your position frequently to stay as comfortable as possible and prevent stiffness.
  • Hot or cold packs may help to relieve some types of pain. Wrap them in a towel so they don’t hurt your skin. Hot water bottles can also be helpful.
  • Do something to take your mind off the pain such as listening to music, reading, watching television or chatting with a friend or family member. As simple as it sounds, it really can help.
  • Try relaxation techniques, such as deep breathing, listening to relaxation music or having a bath. These can help you to feel more comfortable and take your mind off the pain. 

References and reviewers

Updated: March 2026 | Due for Review: March 2029

  • British Pain Society. Cancer pain management: a perspective from the British Pain Society, supported by the Association for Palliative Medicine and the Royal College of General Practitioners. London: British Pain Soc.; 2010.
  • Davies A, Buchanan A, Zeppetella G, Porta-Sales J, Likar R, Weismayr W, et al. Breakthrough Cancer Pain: An Observational Study of 1000 European Oncology Patients. J Pain Symptom Manage. 2013 Nov;46(5):619–28. doi:10.1016/j.jpainsymman.2012.12.009
  • Lahousse A, Roose E, Leysen L, Yilmaz ST, Mostaqim K, Reis F, et al. Lifestyle and Pain following Cancer: State-of-the-Art and Future Directions. J Clin Med. 2022 Jan;11(1):195. doi:10.3390/jcm11010195
  • National Institute for Clinical Excellence. Guidance on cancer services: improving supportive and palliative care for adults with cancer : the manual. London: National Institute for Clinical Excellence; 2004.
  • Royal Berkshire NHS Foundation Trust. Acupuncture patient guide. 2024.
  • Win Myint O, Yoong SQ, Toh E, Lei F, Jiang Y. Effectiveness of Massage Therapy for Cancer Pain, Quality of Life and Anxiety Levels: A Systematic Review and Meta-Analysis. J Clin Nurs. 2025 Jan;34(1):49–87. doi:10.1111/jocn.17547 PubMed PMID: 39558520.
  • Liz Smith, Urology Specialist Therapy Radiographer, The Royal Marsden NHS Foundation Trust
  • Andrew Hunnisett, Trainee Advanced Specialist Practitioner Uro-Oncology. Royal Preston Hospital
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