This study discussed various aspects of painful malignant bone tumorsincluding physiology of bone, mechanisms of bone metastasis and itscomplications with a spot light on pain types and mechanisms.Furthermore we highlighted the available management strategies for painfulbone tumors whether medical, radiotherapy or surgical.The role of interventional radiology in the management of bone tumors waselaborated with a special focus on cementoplasty indications, techniques andcomplications.Twenty patients with 25 painful malignant lesions were treated usingcementoplasty for the purpose of alleviating their pain. The study showed thatpatients clearly benefited from this technique in alleviating pain whether inspinal or extraspinal lesions with minimal complication rates comparable tointernationally published similar studies.The main factors of success are proper patient selection, operator experienceand proper guidance method employment.As more advances in the cement constituents and ancillary techniques such askyphoplasty and thermal ablation this technique is nominated to further expandinto a wider patient population with less incidence of complications.