Bone metastases develop in approximately 30-70% of all cancer patients. Pain is a universal human experience condition and it is a common question for people to seek health care. The study aimed to describe the efficacy and roles of different strategies in the control of bony pain in metastatic cancerous patients. This is an observational study carried out, from the 1st of December 2018 to the 30th of December 2019. Exactly 100 cancerous patients were enrolled. Patients were assessed before received of pain control modalities, in the beginning, and at the end of treatment. Bone pain scoring was used from 0 (no pain) to 10 (the worst pain). Our findings regarding sex, there were 51 (51%) male and 49 (49%) females. The mean age was 57.3±11.2 years, and the most frequent age group was 41-50 years as 37 (37%). Among cancer types, breast cancer comes in 1st rank cases studied in our research 37 (37%), followed by prostate cancer 24 (24%). Spine vertebrae were the most site figured 52%, followed by pelvic bones in 36%. Most patients didn’t require surgery. Whereas 15% of patients underwent cord decompression, 13% required internal fixation and only four patients performed for vertebroplasty. The sharp pain was commonly described by 40%, followed by stabbing nature in 15%. Frequent pain was more prevalent in 60% of patients, whereas constant pain presented in 40%. The night was the commonest timing of feeling pain in 55%. After receiving treatment, several modalities cause shifting of the pain scoring downward. Combination of more than strategies more efficient than of use one option for manage of bone pain with a better outcome, and prognosis.