Desperate for some answers and insight

Hi there,

In May last year my dad had a raised PSA, upon further checks his PSA raised from under 10 to 80 in 2 weeks. He underwent tests and we were told his cancer unfortunately had metastasis to his bone. However all other scans come back positive. No cancer had moved to organs, just to his bones. He started hormone therapy immediately and we saw a drop in his PSA. However late last year his PSA begun to rise. First to 180 range, then 240 and then into the 600's. He has now started a round of chemotherapy. 10 sessions, 3 weeks apart. After his first chemo session his PSA was around the same, although the doctor alerted us it could rise rapidly which isn't always a bad thing, and he has since just finished his second treatment and we are awaiting his next results from the second session. HOWEVER, over the weekend my dad attended a rugby game, upon sitting in his seat in the crowd a spectator two rows behind him was pushed and fell on my dad. In particular on his back, where he has had most of his pain. Since then, when I have spoken to my dad he told me his back and felt fine and then the other night he told me he was in alot of pain. I know this may be an irrational question but could having this man fall on my dads back evoke the cancer in a bad way? I understand it could crack or fracture his bones as they are weak but could the fall have a direct correlation with cancer activity in the future?

I know I am very vague on my knowledge of his PSA and gleeson score, but if anyone who has been in the same position and been exposed to cancer share their experiences it would be much appreciated.


Thank you

I hate to also have the chance to welcome you, but you're here.

I have bone mets as well, and am on Prolia with my intermittent Lupron, so nothing at the level of your dad's meds, but bones are of interest to me.

From what my uro and oncologist have explained, I am at a significantly higher risk of "skeletal events". That includes bones that can be more easily broken, and bones that break under what otherwise might be acceptable stress. So I am very cautious.

I have never heard that an injury would make PCa in the bones grow faster. Nothing of the like.

I have to confess that when I hear the terms "natural medicine and alternative therapies" I have a fairly negative knee-jerk reaction. I think a man has to do his due diligence to be sure he has gotten the best available evidence-based conventional medical team first, and then if he has any time or energy left, he can look at the off-the-mainstream treatments, but always giving the conventional doctors a veto.

I personally swill down supplements by the handful but all my doctors -- my PCP, my MO, my RO, my uro, heck, my podiatrist -- they all know everything I take and any of them could get me to stop taking any and all supplements if they gave me a reason why they thought is was harmful.

So, I guess, I decline to answer until I know what sort of alternative therapies your dad has in mind.

We would love to have your dad join us here. We have lots of guys here who have been where he is now -- quite a few of them having been there a long time ago -- and it might be reassuring for your dad to find that he is neither all alone nor anywhere close to the end of his options.

Re: Dr JimO,

He asked me to review his posting above before he posted it and I told him it was OK. He's still trying to feel out the rules for forum participation by practitioners such as he.

My preceding note was written before I heard from him and was not written with him in mind.