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Back ache and metastasis

Posts: 89
Joined: May 2012

I have developed really bad back ache in the center of my lower back. It seems much more severe and localised than my usual back problems which I have had for a long time

Is there any way my Pca could have spread to my back in such a short time.

My last PSA was 0.8 up 0.06 from 3 months ago and it is one year since I finished IMRT


I know that a bone scan or MRI could tell if the cancer has spread but they are very costly procedures and I have no insurance ,

My last bone scan was a year ago.

Posts: 351
Joined: Jan 2011

I would recommend a chiropractor first.  I have a bad back, had surgery years ago, also have DJD in every joint in my body.  My back is hurting me differently, but PSA is stable.  Do not really trust PSA, but it is helpful.  

Good luck.



ralph.townsend1's picture
Posts: 359
Joined: Feb 2012

My psa is about 0.8 with alot hip and back pain. Just did the Bone and CT scan, bone clear and lypmh node tumor's still there. The Doctor's at MDACC said pain was related to cancer medicine Zytiga. Every prostate cancer medicine has side effect as they said.

Your psa is still low as mine is!

Mike is right on about psa, don't trust it totally and maybe massage would help?

VascodaGama's picture
Posts: 3406
Joined: Nov 2010


I think you are overly judging your PCa case. Back pain could be from metastases at bone but it could be from other causes too.

The PSA increase alone cannot diagnose you with metastases in bone. Image studies are the only way to locate the cancer but those tests are not that reliable when the cancer is micro. False negatives is common when the PSA is low. In any case, painfull metastases are usually seen in conventional bone scans (non expensive).

Surely you could guess the reason to be cancer and restart HT or you may try ways to relief the pain. However, the best shot is to get an opinion from your oncologist.



Posts: 89
Joined: May 2012

Thanks VG

The one thing I can never do again is to start HT. It alsmost killed me. My urologist put it down to my age. I was very strong before I had HT and now

I am still very weak. I had many bad side efects too. Heart problems, diabetes, nausea, vertigo. My urologist said I can start 50mg casodex daily if the cancer spreads.

So I will wait and see. 


Posts: 227
Joined: Apr 2010

"Your PSA is still low as mine is".........Not sure if I am on the right page, but .06 to .8 is low??? Please explain. To me, .06 to .12 is doubling, and .06 to .8 is 13+ times the previous reading...I think I am missing something here, subjective pain readings aside. Please explain.

Posts: 89
Joined: May 2012

Hi ob66

I think that I did not make my PSA numbers clear in my post.

I had HT with IMRT a year ago so the PSA readings are irrelevant until the effects of the HT wear off so I am told.

9 months after my single thre month HT injevction my  PSA was 0.74 which my urologits said was good. Three months later (Jan 2013)it was 0.8

which means a rise of only 0.06 over three months which seems good.  My next PSA test in April will be important and aferwards I will see my urologist


Posts: 89
Joined: May 2012

Yes massage helps a lot if you can find a masseuse who understands the problem as knows what to do. But th relief is only temporary.

Occaisionally I find one. But where I live (Thailand) most of the masseurs are beautiful girls who offer a lot more than

a massage.

I don't  take any cancer medication so I am still not absolutely sure if my back pain is an any way related to my Pca.

The pain is very localsed right in the middle of my lower back and other than NSAIDS (which I now can't take) nothing helps.


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