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Hip Pain And Prostate Cancer

Can Back Pain Be A Symptom Of Prostate Cancer

Recognizing Prostatitis vs Prostate Cancer | Ask a Prostate Expert, Mark Scholz, MD

Prostate cancer cells may spread to a persons bones.

There can be a connection between back pain and prostate cancer, but back pain alone is not necessarily a sign of the disease.

In advanced prostate cancer, cancer cells spread beyond the prostate to other parts of the body. These cells usually spread to the bones first, and doctors refer to this as bone metastasis.

If prostate cancer spreads to the bones, it most often reaches the spine, ribs, and hips. This occurs in stage 4 prostate cancer, and it can cause pain. According to ZERO, an advocacy group, bone metastases will affect more than 60 percent of men with advanced prostate cancer.

Individuals with chronic back pain that has no obvious cause should see a physician for an evaluation.

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.

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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Treatments For Prostate Cancer Spread To Bones

If prostate cancer spreads to other parts of the body, it nearly always goes to the bones first. Bone metastasis can be painful and can cause other problems, such as fractures , spinal cord compression , or high blood calcium levels, which can be dangerous or even life threatening.

If the cancer has grown outside the prostate, preventing or slowing the spread of the cancer to the bones is a major goal of treatment. If the cancer has already reached the bones, controlling or relieving pain and other complications is also a very important part of treatment.

Treatments such as hormone therapy, chemotherapy, and vaccines may help with this, but other treatments specifically target bone metastasis and the problems it may cause.

Types Of Hip Bone Cancer

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Bone cancer falls into one of two categories: primary and metastatic. Primary bone cancer begins in the bones whereas metastatic bone cancer spreads from other parts of the body. Metastatic cancer is due to metastases from other cancers, most commonly breast and prostate.

These are four main types of primary bone cancer that can affect the hip:

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How Much Pain Might I Have

Some men have no pain at all. Men who do have pain experience different levels of pain. Some men only feel mild discomfort and are able to carry out their daily activities as normal, but other men find that the pain affects their daily lives.

Only you can describe how your pain feels. Another man with advanced prostate cancer may not feel pain in the same way. So predicting how much pain you might have is difficult, as it varies from man to man.

How much pain you have will depend on several things, including:

  • where the pain is
  • whats causing the pain
  • how soon your doctor or nurse can help you manage the pain
  • finding the right pain relief for you
  • taking the right amount of pain-relieving drugs at the right times
  • how tired you feel
  • how well you feel in general
  • if you feel anxious
  • if you feel depressed.

Bone Loss From Prostate Cancer Treatment

Testosterone, the male sex hormone, fuels the growth of prostate cancer but it also is crucial to bone health. Treatment of prostate cancer with hormone therapy, also called androgen deprivation therapy , blocks the production of testosterone which stops or slows the growth of the cancer. Without testosterone, bones can become weak and break more easily. When a man is on ADT, recovery from a bone fracture takes longer than for other men. It is especially important for men taking ADT to speak with their doctor about how to plan for and manage the bone loss before a problem arises. Bone strength can also be decreased as a result of radiation and chemotherapy used to treat prostate cancer.

Fortunately there are ways to strengthen and repair your bones including medicines and lifestyle changes.

  • Bisphosphonates can prevent the thinning of the bone and help make them stronger
  • Oral bisphosphonates include Fosamax and Actonel
  • The intravenous bisphosphonate is Zometa
  • Strive for a healthy diet and make sure to get enough calcium and vitamin D
  • When exercising, include weight bearing and muscle strengthening exercises
  • Avoid tobacco and excessive alcohol

Learn

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What You Need To Know About The Prostate Can Enlarged Prostate Cause Hip Pain

A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.

While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.

Simulation Planning And Treatment

Bone Metastasis: Treatments, Scans & Side Effects | Ask a Prostate Expert, Mark Scholz, MD

UFPTI’s simulation, planning, and treatment guidelines for prostate cancer have previously been published . For target delineation, the CTV included the prostate and when applicable, the proximal seminal vesicles. The planning target volume expanded upon the CTV by 6 mm in the cranial and caudal direction and by 4 mm axially. The femoral heads of all patients were contoured before treatment planning dose constraints to the femoral head were as follows: for conventional fractionation, V55 Gy < 1 cm3 and V50 Gy < 10% is less than 10%) for hypofractionation, V45 Gy < 1 cm3.

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Symptoms Of Prostate Cancer Spread To The Lymph Nodes

Lymph nodes are part of a system of tubes and glands in the body that filters body fluid and fights infection.

There are lots of lymph nodes in the groin area, which is close to the prostate gland. Prostate cancer can spread to the lymph nodes in the groin area, or to other parts of the body. The most common symptoms are swelling and pain around the area where the cancer has spread.

Cancer cells can stop lymph fluid from draining away. This might lead to swelling in the legs due to fluid build up in that area. The swelling is called lymphoedema.

Where Does Prostate Cancer Spread

The most common place for prostate cancer to spread to is the bones. It can also spread to the:

A large tumour in the prostate gland can spread into or press on areas around the prostate, such as the back passage or urethra. The urethra is the tube which carries urine from the bladder to the outside of the body.

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The Initial Causes Can Enlarged Prostate Cause Hip Pain

One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.

Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.

If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.

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Symptomatic treatment of an enlarged prostate usually involves a combination of medication and lifestyle changes. A diet rich in fruits and vegetables may be the best option if you suffer from chronic urination. It will help the body adjust to the increased size of the prostate. Also, taking regular urination intervals will help retrain the bladder to function properly. Inactivity also contributes to urine retention, and cold temperatures can increase the urge to urinate.

Invasive treatment of enlarged prostate includes medication that relieves the pressure on the urethra and bladder. However, if the condition is severe, it may require surgical intervention. If treatment is not successful, the enlarged prostate can become a potentially life-threatening disease. As the hormone levels in the body change, the enlarged prostate can lead to various complications, including urinary retention and even cancer. This is why it is critical to see a doctor for further evaluation.

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Pain In Advanced Prostate Cancer

Advanced prostate cancer-related pain in the hips, back, ribs, or groin is often described as a dull, deep pain, similar to a toothache, and is much different than most other pain that comes after overuse or general soreness.

Recent research has shown that many men with advanced prostate cancer often ignore pain and pain-related symptoms, do not discuss pain with their healthcare providers and have difficulty discussing pain-related symptoms with caregivers and healthcare providers.11 Men should definitely discuss any type of pain they are feeling with their healthcare provider at the first possible sign and be sure to express the degree to which it affects them so that their provider can test appropriately.

Pain in the hips, back, ribs, or groin as a result of advanced prostate cancer can often be treated, however, treatment is typically palliative in nature. Palliative care involves treating symptoms, such as bone pain, but not curing the underlying condition causing the symptom. Although the treatment regimen for an individuals prostate cancer can be adjusted in attempts to cure the cancer, the cancer typically is incurable once it has become widespread in the bones. This is why bone pain as a result of advanced cancer is treated palliatively. The main types of treatment for bone pain as a result of prostate cancer include, medications, radiation, and surgery.1-4

Urinating Frequently During The Day

It may be more difficult to notice a change in frequency during the day than at night. Most of us dont go around counting how many times we use the washroom in a given day!

Besides, whats normal, anyway?

Normal urination during the day is considered to be within a range offour to seven times for most healthy adult men. If youre going more often than this, it could indicate a prostate issue.

It can be easy to miss this sign. Drinking more water or caffeinated beverages than usual can be an easy explanation for a few extra trips.

Even a night out for dinner with a few more glasses of beer than usual can cause several extra trips to the bathroom because alcohol is a diuretic, meaning it triggers anincrease in urine production.

Diuretics cause your kidneys to process more salt and water out into your urine, resulting in increased volume that makes you need to go more often.Source:WonderWhizKids.com

But like your nighttime routine, if you notice an ongoing pattern of having to go more often during the day, ask your doctor about it. A simple blood test and rectal examination is often the first diagnostic step, which is quick and painless.

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What Should I Do If I Have Pain

Let your doctor or nurse know about any pain you have as soon as possible. The earlier you ask for help, the easier it will be to get your pain under control. With the right treatment and management, your doctor and nurse should be able to help you control your pain.

Dont think that you are complaining too much or that you should put up with pain. You shouldnt have to accept pain as a normal part of having cancer. Pain will affect your daily life if it isnt properly controlled.

As well as treatments, there are things you can do yourself that might help with your pain.

What questions might my doctor or nurse ask about my pain?

Your doctor or nurse will ask you questions about your pain to try to get as much information about it as possible. This will help them work out the best treatment for you. They might ask you the following questions.

  • Where is your pain?
  • What does it feel like? For example, is it a stabbing pain, or a dull ache?
  • When did the pain start? How often do you get it? How long does it last?
  • Does it wake you at night?
  • Does anything help?
  • Have you tried any pain-relieving medicines? Did they help?
  • Does anything make it worse?
  • How does your pain make you feel? For example, do you feel anxious or depressed? Does this affect the pain?
  • How does the pain affect your daily life?

Who Is At Risk

A special message about pain for men with prostate cancer in the bones

Research into the subject found certain risk factors that are common amongst people whove experienced prostate cancer. Age is a primary factor in the incidence of prostate cancer. Approximately 60 percent of the cases of prostate cancer are in men over 65 years of age.

Family history is another factor that studies have pointed to as a correlation. Cancer genes are hereditary and can be passed down from one generation to another.

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An enlarged prostate can also be the cause of other problems. If the enlarged prostate is causing symptoms, the best treatment would be a natural remedy. In the meantime, there are treatments for a wide range of conditions that cause a man to experience pain. A common surgical procedure involves an electric loop, laser, or electro-stimulation. The procedure is a safe and effective option for treating enlarged or symptomatic BPH.

The Initial Causes Hip Pain After Radiation For Prostate Cancer

One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.

Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.

If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.

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Symptoms Of Prostate Cancer Spread To The Bones

The most common place for prostate cancer to spread to is the bones. This can include the:

The most common symptom if cancer has spread to the bone is bone pain. It is usually there most of the time and can wake you up at night. The pain can be a dull ache or stabbing pain.

Your bones might also become weaker and more likely to break .

When prostate cancer spreads to the spine, it can put pressure on the spinal cord and cause spinal cord compression. This stops the nerves from being able to work properly. Back pain is usually the first symptom of spinal cord compression.

Spinal cord compression is an emergency. You should contact your treatment team immediately if you are worried you might have spinal cord compression.

Do You Live In Fear Of Prostate Cancer Every Time Your Hip Bone Area Begins Aching As You Imagine That This Is A Metastasis From A Tumor In Your Prostate

Ibandronate May Be Alternative to Radiotherapy for Metastatic Prostate ...

Every prostate cancer is unique, says Michael Herman, MD, Director of Urologic Oncology at South Nassau Communities Hospital in Oceanside, NY.

Occasionally, there are aggressive prostate cancers that spread to the bones early , but the majority of prostate cancers take years to spread to the bones, if in fact they ever do, continues Dr. Herman.

In most cases of these metastases, the first area is actually the bones including the hip.

Luckily, many prostate cancers are not aggressive, and if men are diagnosed with these types of prostate cancer, they typically die with the disease, not because of the disease.

The important thing is to distinguish between these non-aggressive, or indolent, prostate cancers, and the more aggressive types.

As of now, the only way to know whether or not you have an aggressive or indolent prostate cancer is to go to a urologist and get screened for prostate cancer.

If it turns out that you are at risk for aggressive prostate cancer, a prostate biopsy may be necessary.

If youre having hip pain but have not been diagnosed with prostate cancer, chances are exceedingly high that your hurting hip is musculoskeletal in origin or reacting to pressure applied to it such as from a tight seatbelt.

Prostate cancer metastases to the spine, pelvis and femur. Wan-Hsiu Liao, Sheng-Hsiang Lin and Tsu-Tuan Wu, CC BY-SA 2.0/creativecommons.org/licenses/by-sa/2.0/Wikimedia Commons

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