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Back Pain From Prostate Cancer

Treatment For Metastatic Cancer

What are the Symptoms of Prostate Cancer?

Radical prostatectomy and radiation therapy are generally used to treat localized prostate cancer. However, for patients that eventually develop locally advanced or metastatic cancer, hormone or radiation therapy may be required.

Hormone therapy is used to inhibit the growth of prostate cancer cells.

More than 85% of men who receive hormone therapy develop metastatic castration-resistant prostate cancer within 3 years of hormone treatment. This is caused by prostate cancer cells adapting to low androgen levels.

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Do All Men With Advanced Prostate Cancer Have Pain

No, not all men with advanced prostate cancer have pain. Men who do have pain experience different levels of pain. Pain is more common in men whose cancer has spread to their bones. If the cancer has spread to several places in your body, you might not get pain in all of these places.

With the right treatment and management, pain can usually be relieved or reduced. Tell your doctor or nurse if youre in pain or your pain relief isnt working well.

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  • The prostate gland is a male reproductive organ that produces fluids to feed and protect sperm cells.
  • Many men experience urinary changes as they age. In many cases, these changes do not need specific treatment.
  • When urinary changes cause problems, they can be treated successfully by lifestyle changes, medication, surgery or a combination of the three.
  • For problems such as blood in the urine, pain on urination, inability to urinate or uncontrollable urine flow, see your doctor promptly.

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Symptoms Of Metastatic Prostate Cancer

Metastatic prostate cancer means that a cancer that began in the prostate gland has spread to another part of the body. It is also called advanced prostate cancer.

If your prostate cancer has spread you might:

  • have bone pain
  • feel generally unwell
  • have weight loss for no known reason

You might have specific symptoms depending on where the cancer has spread to. These symptoms can also be caused by other medical conditions so might not be a sign that the cancer has spread.

Who Should I See For Lower Back Pain

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Your primary care physician knows you best and should be your first contact for lower back pain. If he or she is unable to diagnose or treat the issue, you may get referred to a specialist, such as a rehabilitation physician . These specialists practice a comprehensive approach to lower back pain, and can diagnose and treat a variety of conditions that have lower back pain as a symptom.

Later, you may get referred to a physical therapist, a chiropractor or another practitioner depending on the nature of your back pain. The good news is that surgery is rarely needed for lower back pain. Only about one in ten patients needs lower back surgery, Chhatre says.

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What Are The Types Of Prostatitis

Types of prostatitis include:

  • Acute bacterial prostatitis : A UTI causes an infection in the prostate gland. Symptoms include fever and chills. You may experience painful and frequent urination or have trouble urinating. Acute bacterial prostatitis requires immediate medical treatment.
  • Chronic bacterial prostatitis : Bacteria become trapped in the prostate gland, causing recurrent UTIs that are difficult to treat.
  • Chronic pelvic pain syndrome, or CPPS : CPPS is the most common prostatitis type. Prostate gland inflammation occurs in approximately 1 out of 3 men. As the name implies, this type causes chronic pain in the pelvis, perineum and genitals.
  • Asymptomatic inflammatory prostatitis : This condition causes prostate gland inflammation but no symptoms. You may learn you have this condition after getting tests to find the cause of other problems. For example, a semen analysis for infertility may detect asymptomatic inflammatory prostatitis. This type doesnt need treatment.

Excess Weight And Prostate Cancer

Maintaining a healthy weight is important for lowering prostate cancer risk, doctors say. “Being overweight or obese may increase your risk for certain types of prostate cancer,” says Dr. Briggs. “Maintaining a healthy weight may lower your risk. You can do that by exercising regularly and making healthy dietary choices, such as eating lots of fruits, vegetables and whole grains, and eating less red meat and fewer processed foods.”

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Signs Of Prostate Cancer

  • Abdominal pain: Pressure on the organs surrounding your prostate can cause lower abdomen pain and soreness.
  • Anemia: Often prostate cancer patients develop anemia caused by bone marrow infiltration, androgen deprivation or treatment related toxicity.
  • Bloody semen: Inflammation or infection of the prostate gland can cause blood in the semen.
  • Bloody urine : Cancer of any part of the urinary tract including prostate cancer can cause of blood in urine. However, this can also be a symptom of other conditions such as kidney stones or urinary tract infections.
  • Fatigue: A number of factors can cause fatigue in cancer patients. Treatments and medications, stress, depression, and lack of appetite are factors of fatigue.
  • Problems urinating and incontinence: Anything that enlarges the prostate gland surrounding the urethra can obstruct the urethra, causing urination retention problems, trouble starting urination, incomplete emptying or a weak urine stream.
  • Leg inflammation: The patient may experience leg inflammation or swelling if the prostate cancer tumor metastasizes into the bladder and blocks the urine is coming from the kidney.
  • Lower back pain/Spinal compression: Lower back or hip pain can occur when bone metastasis occurs and the spinal cord is compressed.
  • Weight loss: The functioning of the body, or treatments such as chemotherapy, can cause weight loss.

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Acute Bacterial Prostatitis And Back Pain

Prostate Problems, Low back pain

This is another type of prostate infection. Its less common than chronic bacterial prostatitis and it typically occurs in men who are in their late thirties to forties. Its also similar to chronic prostatitis with symptoms like pain, fever, and chills. However, acute bacterial prostatitis can also cause back pain. The pain is usually located in the lower back and its often severe.

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Recurrent Prostate Cancer Symptoms

Prostate cancer that returns after treatment is considered recurrent. When it returns to the area around the prostate, the disease is classified as a local recurrence. If the cancer is found in another part of the body, the recurrent cancer is considered metastatic. If the cancer metastasizes outside the prostate, it most likely develops in bones first. Metastatic prostate cancer most often spreads to the liver, bones and lungs.

After initial treatment for prostate cancer, PSA levels are expected to drop dramatically. The first sign of recurrent prostate cancer may be a rise in the PSA level. Other symptoms of recurrent cancer may depend on whether and where the cancer has spread. Symptoms include:

  • Blood in the urine
  • Difficulty breathing

Patients should discuss any symptoms with their doctor and ask about scheduling regular PSA tests after treatment.

The pudendal nerve innervates the few striated muscles within the prostatic capsule. The parasympathetic nerves emanate from S2 to S4 and form the pelvic nerve. The sympathetic preganglionic nerves, which reside in the thoracolumbar region between T6 and L2, provide the major neural input to the prostate and reach the pelvis through the hypogastric nerve .

Anatomic structures and major veins of the male pelvis.


Anatomic structures and major veins of the male pelvis.



Symptoms Of Prostate Cancer

Although you cannot feel the presence of prostate cancer, there are signs to be aware of.

However, it is worth noting that these can also be signs of benign prostatic hyperplasia . Some common symptoms include:

  • Frequent or easy breaks and fractures
  • Swelling in your legs and pelvic area
  • Numbness in the feet, legs, and hips

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What Are The Complications Of Prostatitis

Men with acute bacterial prostatitis may develop . This widespread inflammation can be life-threatening. It requires immediate medical treatment.

Antibiotics can cause an upset stomach. Men with chronic bacterial prostatitis may need lots of antibiotics to treat recurring infections. Some people develop antibiotic resistance, making treatment ineffective.

Asymptomatic inflammatory prostatitis can lower sperm count, affecting fertility.

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What Is Prostate Cancer

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In prostate cancer, normal cells undergo a transformation in which they not only grow and multiply without normal controls, but they also change in their microscopic appearance and can invade adjacent tissues. Prostate cancer cells form into malignant tumors or masses, which then overwhelm surrounding tissues by invading their space and taking vital oxygen and nutrients. Cancer cells from these tumors can eventually invade remote organs via the bloodstream and the lymphatic system. This process of invading and spreading to other organs is called metastasis. Common metastatic locations where prostate cancer cells may eventually be found include pelvic lymph nodes, and bones. The lungs and the liver may also show deposits of, or metastases from, prostate cancer, but that is less common.

Almost all prostate cancers arise from the glandular cells in the prostate. Cancer arising from a glandular cell in any organ in the body is known as adenocarcinoma. Therefore, the most common type of prostate cancer is an adenocarcinoma. The most common non-adenocarcinoma is transitional cell carcinoma. Other rare types include small cell carcinoma and sarcoma of the prostate.

Older men commonly have an enlarged prostate, caused by a benign condition called benign prostatic hyperplasia . Prostate gland cells simply keep growing in number in the prostate gland in BPH. BPH can cause urinary symptoms but is not a form of prostate cancer .

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Back Pain Can Actually Be Caused By Prostate Cancer And By The Time This Happens The Cancer Has Spread It Is At An Advanced Stage

In general, prostate cancer causes no symptoms, begins Kenneth Peters, MD, chief of urology for Beaumont Hospital, Royal Oak, MI.

Dr. Peters continues, In advanced cases, the cancer can metastasize to the bones, leading to back pain. Urinary retention or incomplete emptying of the bladder due to an enlarged prostate can at times be perceived as low back pain.

Low back pain has many possible causes, and there are different kinds of LBP, in that it can present in different ways.

Sometimes its accompanied by tingling or numbness radiating down a leg.

Sometimes LBP occurs only when you are in certain body positions, such as bending over, or standing up after sitting for long periods.

And there are people for whom LBP occurs only in the morning after getting out of bed, then dissipates soon after.

Sometimes low back pain is nearly constant but dull in nature.

The persistence is something to be concerned about, even if the level of pain is dull.

If youve been experiencing low back pain and it doesnt seem to be related to certain body positions and/or has not gone away after a week or two, do not blow this off.

Rather, bring this to the attention of your doctor and ask that your prostate be examined and that cancer be ruled out.

Dr. Peters, in practice for 30+ years, is board certified by the American Board of Urology. One of his specialties is treating bladder pain.

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Does Prostate Cancer Pain Come And Go

Pain is a common problem for men with advanced prostate cancer, although some men have no pain at all. Pain can be caused by the cancer in the areas it has spread to. If you have pain, you can usually get rid of it with the right treatment.

Pain can be caused by a number of things, such as: a tumour growing in your prostate , a blockage of blood flow to the area , or an infection . It can also be the result of a physical injury or a surgical procedure .

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Is Prostate Cancer Curable

Prostate cancer is the most common type of cancer among men, second only to skin cancer. Learning that one has any type of cancer isnt easy, but the first question on most patients minds after diagnosis is, is prostate cancer curable?

The short answer is yes, prostate cancer can be cured, when detected and treated early. The vast majority of prostate cancer cases are discovered in the early stages, making the tumors more likely to respond to treatment. Treatment doesnt always have to mean surgery or chemotherapy, either. Non-invasive radiation therapy can effectively treat prostate cancer in the case of Pasadena CyberKnife, radiosurgery treatment generally takes less than a week, and you can typically resume your normal activities the same day you receive treatment.

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What Causes Back Pain

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Its not always clear what causes back pain, but fortunately, the majority of factors that lead to discomfort in this area of the body are more likely to be a minor injury than they are to point towards some kind of carcinoma, including prostate cancer. Indeed, the most common causes of back pain in men, according to Healthline, are:

  • Cancers of the Lymphatic System
  • Skeletal disorders
  • Pulled muscles and lifting-related injuries
  • Histologic tumors and cancers of body tissues
  • Osteomyelitis
  • Metastatic prostate cancer

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How Is Prostatitis Treated

Treatment depends on the type of prostatitis.

Chronic prostatitis/chronic pelvic pain syndrome. Treatment for chronic prostatitis/chronic pelvic pain syndrome aims to decrease pain, discomfort, and inflammation. A wide range of symptoms exists and no single treatment works for every man. Although antibiotics will not help treat nonbacterial prostatitis, a urologist may prescribe them, at least initially, until the urologist can rule out a bacterial infection. A urologist may prescribe other medications:

  • cans such as chondroitin sulfate
  • muscle relaxants such as cyclobenzaprine and clonazepam
  • neuromodulators such as amitriptyline, nortriptyline , and pregabalin

Alternative treatments may include

  • warm baths, called sitz baths
  • local heat therapy with hot water bottles or heating pads
  • physical therapy, such as
  • Kegel exercisestightening and relaxing the muscles that hold urine in the bladder and hold the bladder in its proper position. Also called pelvic muscle exercises.
  • myofascial releasepressing and stretching, sometimes with cooling and warming, of the muscles and soft tissues in the lower back, pelvic region, and upper legs. Also known as myofascial trigger point release.
  • relaxation exercises
  • phytotherapy with plant extracts such as quercetin, bee pollen, and saw palmetto
  • acupuncture
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    Symptoms Of Prostate Cancer You Shouldn’t Ignore

    posted: Jul. 12, 2019.

    After skin cancer, prostate cancer is the second most common type of cancer in men. It affects 1 in 6 men in the United States and is the leading cause of death among American men, after lung cancer.

    However, dont let these statistics scare you. When detected early, the cure rate is very high. Most men who are diagnosed and treated before the cancer has spread to other parts of the body have a survival rate of 96 percent or higher.

    The prostate is a gland about the size of a walnut and is located between the bladder and urethra. It is responsible for producing fluid for semen. Prostate cancer is typically a slow-developing progressive disease.

    Men over 65 years old, those with a family history of the disease, or who are African-American have an increased risk of developing prostate cancer.

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    Can I Lower The Risk Of Prostate Cancer Progressing Or Coming Back

    If you have prostate cancer, you probably want to know if there are things you can do that might lower your risk of the cancer growing or coming back, such as exercising, eating a certain type of diet, or taking nutritional supplements. While there are some things you can do that might be helpful, more research is needed to know for sure.

    Testing Options For Prostate Cancer

    Prostate cancer warning

    There is no one age for prostate cancer testing, but the American Cancer Society makes recommendations about prostate cancer screenings. According to the ACS, patients in any of these groups should consider asking their doctor about testing:

    • Men age 50 or older who have an average risk of prostate cancer and a life expectancy of at least 10 more years
    • Men age 45 or older with a high risk, including African-American men and those with a first-degree relative who had prostate cancer before age 65
    • Men age 40 or older who have a higher risk, such as more than one first-degree relative diagnosed with prostate cancer at an early age

    Expert cancer care

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    Soreness In The Groin

    When prostate cancer spreads, its common for cancer cells to go to your lymph nodes and then move to more areas of your body. The lymph nodes are a network of glands that help your body filter fluids and fight infections.

    There are several lymph nodes in your groin. These are the ones closest to your prostate, so its common for the cancer to spread to them first. Cancer cells prevent your lymph nodes from draining fluid and working properly. When this happens, your lymph nodes swell. As a result, you might experience pain or soreness in the area.

    What Treatment Can I Have

    There are different ways to treat pain. Whats best for you will depend on a number of things, including whats causing the pain, your general health, how you are feeling emotionally and what sort of things you do in your daily life. Because pain involves all of these things, treating it often means using a few different approaches.

    You might need treatment for the pain itself, such as:

    Pain might be a sign that your prostate cancer treatment isnt working as well as it was. A different treatment for your cancer may help the pain. Possible treatments include:

    • hormone therapy
    • a type of radiotherapy called radium-223.

    There are other things that may also help with pain, including:

    • complementary therapies
    • emotional support
    • treatments for other causes of pain, such as antibiotics to treat infection.

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