I need physical therapy suggestions for HT side effects.

I have experienced serious and discouraging stamina/fatigue problems with HT therapy and am now seeing a physical therapist for help. He has searched literature and has not found anything specific.

Does anyone have specific exercise suggestions? Maybe strength training or aerobics?

I completed SBRT/CyberKnife 26 May 2017.
Since I was a Gleason 9, the RO at Winthrop Hospital recommended 2 months HT before and 6 months after.

I have been on Eligard (same drug as Lupron) for almost 7 months now. Stamina problems started about 6 weeks ago.

The worst of the side effects I have been experiencing is serious physical fatigue after mild exercise.
If I walk 4 blocks, I have difficulty walking the 5th block. I stop & rest every 50 feet or so because of muscle fatigue.

I found that greatly increasing water, fruit and vegetable consumption was energizing. As well as really good sleep and lots of sunshine. I had completely eliminated caffeine, carbonated and acidic drinks and started drinking green tea several times a day. I am hoping that these dietary changes meant less work for my body and less in the way of stimulants that can end up taxing one's energy. I also was found to be Vitamin D deficient and started taking supplements.

I assume that your doctor is doing the usual blood testing to make sure you have no deficiencies or levels out of whack. ADT can certainly cause the symptoms you are complaining of but so can a number of other factors that are unrelated to ADT.

But assuming your problems really are from your treatments, walking is good exercise as are other forms of light aerobics. At the same time you should try to include some strength training in your mix. ADT tends to leech calcium from your bones and reduce your muscle mass. Strength training with heavy-ish resistance helps to offset the loss of bone and muscle. Pay particular attention to working your upper legs. The mechanical stress will help the bones stay strong and a bit of extra leg strength will help to keep you from falling during your brisk, aerobic hikes through the slippery NYC slush.

My DH is still seeing a physical therapist for the same sorts of reasons, though your symptoms sound a bit worse. He is doing both aerobics and resistance, and feels like it is really helping, though he still comes back exhausted from sessions.

The PT says that not falling is probably the most important thing (Dave has been on HT for three years, had to discontinue Xgeva due to osteonecrosis, so presumably his bones are not in great shape). So exactly like Peter just said, leg strength exercises are really good.

Good luck -
-- Carolyn