New Groin pain

I am mCRPC and have been under HT for 22 months or so with a PSA at DX of 121. Lupron drove the PSA down to .9, for close to a year, but I ended up raising to as high as 178 and started Zytiga/Prednisone in October. Right before Christmas my PSA was down to 4 and I was feeling great. I ride a recumbent trike quite a bit, but the last time was 1/1/2017 because of the weather.

Then last week, one day I woke up with bad pain around the inside of my hip/groin on both sides. I swear I could not point to anything that I did to cause an injury and I had been feeling great with only a very minor twinge or two in the couple of days leading up to the big pain flareup. Since then I have a terrible time rolling over or getting out of bed and walking, even with a walker, is quite painful.

I saw my PCP about this and she was a bit stumped, finally settling on it being a pelvis problem. She did a cursory look and did not see much swelling and thought she could rule out stomach issues. She prescribed rest and I've gladly stayed in bed basically for about 5 days, with very little improvement. I take oral morphine sulphate twice a day, and since this new pain, I have also taken close to the max of my breakthrough Oxycodone, which I hadn't used really at all since September. My PCP now wants to do a pelvic CT scan since I have not really improved and it effects my QOL so much by making walking so difficult. I am not due for one of those for a couple of more months with my oncologist.

With the very good results I've been having with the Zytiga, I really don't think it is cancer-related. My mets are bone spots in my ribs, spine (prior to spot radiating them this past fall), and possibly skull and thigh. A couple of lymph nodes have been somewhat enlarged from time to time, but have generally shrunk or stayed the same size.

I am not super anxious to take the CT scan now and likely have them say, yeah there is some inflammation so rest up some more. I guess I am inclined to give it another few days or a week and see if it improves first. So far, it hasn't seemed to get much better; maybe just a very little. It is hard to tell when I am so loopy from the opioids.

Anybody have any thoughts or similar experience?

Hello GMOOSE2,

I always follow your posts and appreciate your loyalty here on the website. I know that we have some common threads in our treatment history, including ZYTIGA ...

I know that a few days of "rest and relaxation" can work wonders, in some situations.

However, if you don't feel any improvement in the next few days --- I think you might want to get that scan scheduled in the near future ... rather than waiting a couple of months down the road.

It sounds like your daily living is being impacted right now, so you have my concern and compassion, GMOOSE2.

I am really hoping you can get some answers ... and hopefully, get some relief for this situation.

Yes, winter weather can DEFINITELY have an impact on daily fitness goals, as you referenced in your post. This winter, I have been walking on the recreational trail around the local lake, when weather allows. On icy or stormy days, I walk at indoor locations. In the winter, I also visit the local recreation center, where they have fitness equipment and a nice walking track around the second level.

I wanted to let you know I was thinking of you and hoping that you can get your pain issued addressed, diagnosed, and resolved ... you might have to take a proactive approach and schedule a scan in the near future ... hoping that you feel better SOON !

You have my support, prayers, and "Healing Well" thoughts, GMOOSE2 !

Handshake of support, extended to you,
"Cyclone Team Fan" ~ Iowa State University