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Rakendra's picture
Posts: 198
Joined: Apr 2013


Exercise  is always mentioned as an important adjunct  to any Pca treatment program, but lets look at why.  Any cancer will shrink you, and make you weak.  With advanced Pca, all testosterone is eliminated from the system thru the use of drugs or castration, and this has insidious effect.  How important is T?  A woman who takes testosterone supplements, (yes, steroids), lifts heavy weights and takes the supplements and does the diet can actually  build as muscular a body as a Natural competitive male body builder.  My body at 81 is a result of this kind of program.  T supplementation is now one of the fasted growing treatments in the field of

anti-aging.  See, “Testosterone For Life - Abraham Morgentaler (eBook).


    Dr. Morgentaler suggests that most men should be taking T supplementation at around age 40-45.  So, if a normal older male needs T supplementation, what are the effects of NO testosterone?  The reverse for a man of what happens to a woman who takes T.  The male body becomes like a female body.  You lose muscle all over your body, you become weak, your penis shrinks, you get tired more easily, winded more easily, and more depressed with possible poor appetite and poor sleep.  In other words, your quality of life and health take a big hit.  Not only that, but your immune system becomes much weaker as well.  Combine this with the effect of normal old age, and you have a possible disaster scenario.  And most older men do not ordinarily have a regular exercise program.

            I weighed 204 in my picture.  I now weigh 174, and no longer have a body.  I can only lift about 40% of the weight I used to lift.  However,  I can still go to the gym, can still swim, can still stick to a good diet, and can still remember life when I still had balls.  I mention this so that it can be understood how much no T affects a man, and how very important it is to work out.  With advanced Pca, you need 30 METS a week of exercise.  That might be walking for 30 minutes six days a week.  Not everybody can lift.  I recommend Matrix Workout by Dr. Ron Laura for weights.  It uses very light weights, but still gives a great workout.

     If you decide to walk only, buy some light hand dumbbells – even if only one or two pounds.  As you walk, mimic curls, lat raises, and all upper body weight movements as you walk.  At home, you can use the dumbbells to do the Matrix routine.  You do not have to do the program for 30-40 minutes straight.  You can do a few sets throughout the day.  The main thing is to try to stop the muscles from atrophying.


   Your quality of  life with advanced Pca can go down fast unless you start the battle ASAP, and an exercise program needs to be at the top of the list. 

Love, Rakendra




VascodaGama's picture
Posts: 3356
Joined: Nov 2010

Thanks Rakendra for this most useful post.

I also believe that diet and physical exercises have helped me tremendously is countering the side effects of the treatments.

With or without T life is just very different. I can now compare both status, and the period Off-drugs has been wonderful because it gave me back what was missing.

I hope you too manage to get back most of what is missing. Have you given a though on TRT patches?

Best wishes.

VG  Cool

hopeful and opt...
Posts: 2327
Joined: Apr 2009


Walking with Weights This Winter? Leading Physical Therapist says "Not So Fast!"

Mel Cave, Director of Physical Therapy at Somers Orthopaedics Offers Tips for Safer Alternatives to Adding Weights While Walking

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While walking with weights does increase caloric burn somewhat, the effect is negligible and not worth the increased risk of injury to ligaments, tendons and muscles.

Carmel, NY (PRWEB) January 24, 2013

The health benefits of walking have long been known. More than 2,400 years ago, Hippocrates said, "Walking is a man's best medicine." Today we know that walking, like other forms of regular exercise, improves cardiovascular health, controls weight, reduces stress and helps maintain overall strength and fitness. And walking is the easiest and safest form of exercise. It can be done anywhere, requires no special skill or instruction and no equipment except a pair of well-fitting walking shoes. Americans have gotten the message. According to a 2012 report by the Sports and Fitness Industry Association, there are more than 78 million fitness walkers in the United States. But can walkers increase the intensity of their workouts and derive more benefits from the exercise by carrying hand weights or strapping on ankle weights when they walk? Opinion isn't unanimous, but most medical and fitness professional think not.

“The goal of walking with weights is to burn more calories and improve muscle tone in the arms and legs, says Mel Cave, M.S., D.P.T. and Director of Physical Therapy at Somers Orthopaedic Surgery & Sports Medicine Group. Adding weights while walking can cause injury. There are better ways of intensifying a walking program.”

“While walking with weights does increase caloric burn somewhat, the effect is negligible and not worth the increased risk of injury to ligaments, tendons and muscles. The risk is similar with hand and ankle weights, comments Mr. Cave. Walking with even light weights strapped to the ankles changes the gait significantly and, especially as the walker tires, can lead to improper body alignment, which in turn can cause painful knee, hip and back injuries. Walking with hand weights – either small dumbbells or wrist weights – offers little in the way of toning benefits but increases the natural, gentle momentum of the walker's swinging arms beyond their normal extension; the over-swinging can cause injury.

“We see damage to walkers' shoulders and upper arm ligaments and tendons caused by unnatural stretching of the arms while carrying weights,” says Mr. Cave. “And walking with weights may even work against the goal of burning more calories since the added weight may cause the arms and then the legs to move more slowly, wiping out even the small, additional calorie utilization.” An additional risk is that carrying hand weights can cause a rise in blood pressure in some people, thought to result from tightly gripping the weights.

A safer way to use weights to intensify a walking workout is with a weighted vest, which distributes the additional weight evenly around the body's core, which can support the weight without excessive strain. “There are many other ways to increase the impact of a walking program without special equipment,” says Mr. Cave. “Walk for a longer time; walk faster; find hills to walk up; walk up stairs; swing your arms more vigorously; try alternating your walking pace with some gentle jogging; set goals for your walking and track your progress.”

Maintaining proper form while walking is straightforward: The spine should be straight, the head aligned with the back and the gaze focused about 20 feet ahead. Arms should be bent slightly at the elbow, held close to the sides and should swing forward and backward, not across the body. A warm-up stretching program is recommended. This will help prevent muscle soreness and stiffness which can result in unnecessary injury. The stretching program should include ankle, knees and hip muscle groups. Additionally, the program should incorporate thoracic and pectoral stretching for improvement in posture and respiratory function.

Medical and fitness professionals agree that adding weight training to any exercise program is a good idea, but it should be separate from a walking routine. Working out with weights increases metabolism, which causes the body to burn more calories; it strengthens bones and it improves strength and flexibility, which reduces the risk of injury. But the best way to work out with weights is at home or at the gym, not while walking.

“Walking is ideal exercise,” says Mr. Cave. “It's low impact, it can get your heart pumping, it burns calories, it can be done by almost everyone and it confers all the benefits of moderate exercise with little risk of injury. As Charles Dickens famously said, 'Walk and be happy; walk and be healthy. The best way to lengthen out our days is to walk steadily and with a purpose.'”

Somers Orthopaedic Surgery & Sports Medicine Group, founded in 1988, is one of the most comprehensive and specialized practices in the region. http://www.somersortho.com

Melvin Cave, M.S. D.P.T., is Director of Physical Therapy at Somers Orthopaedic Surgery & Sports Medicine Group with 4 New York area physical therapy locations: Carmel, Hopewell Junction, Mt. Kisco and Newburgh.


Rakendra's picture
Posts: 198
Joined: Apr 2013

The above information is exactly correct - and was written for the benefit of well individuals.  Certainly there are more effective ways to create upper body strength than walking with weight.  However, my suggestion was for individuals who have advanced PCA, are older, and are not used to an exercise program and are looking for a place to start.  One or two pound dumbells are not likely to create any kind of problem, but nothing is correct for all.  It would have been safer if I had added that anyone starting an exercise program should check with the doctor first.

         The above information by hopeful is a vauluable contribution to this thread.  Thank you.  Love, Rakendra

hopeful and opt...
Posts: 2327
Joined: Apr 2009

BACKGROUND: Physical activity improves health in prostate cancer survivors; however, participation rates are low.

PURPOSE: This study aims to determine the effects of an implementation intention intervention on physical activity and quality of life in prostate cancer survivors.

METHODS: Prostate cancer survivors (N = 423) were randomly assigned to a standard physical activity recommendation, a self-administered implementation intention, or a telephone-assisted implementation intention. Physical activity and quality of life were assessed at baseline, 1, and 3 months.

RESULTS: Analyses of covariance using multiple imputation showed that physical activity at 1 month increased by 86 min/week in the standard physical activity recommendation group compared with 168 min/week in the self-administered implementation intention group (P = 0.023) and 105 min/week in the telephone-assisted implementation intention group (P = 0.35).

CONCLUSIONS: A self-administered implementation intention intervention resulted in a meaningful short-term increase in physical activity. Supplementation with additional intervention strategies and more frequent intervention may improve longer-term exercise.

Written by: 
McGowan EL, North S, Courneya KS.   Are you the author? 
School of Human Kinetics and Recreation, Memorial University of Newfoundland, Physical Education Building (PE 2022B), A1C 5S7, St. John's, NL, Canada. emcgowan@mun.ca

Reference: Ann Behav Med. 2013 Jun 20. Epub ahead of print. 
doi: 10.1007/s12160-013-9519-1

PubMed Abstract
PMID: 23783829

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