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Urology (Expert Forum)
Hip Pain
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Hip Pain
by distressed1, Aug 21, 2006 12:00AM
Hi, can you tell me about the pain that comes when prostate cancer has spread to bones such as the hip? I'm 46 and have been treated for prostatitis a couple of times in the past, the last time being 8 months ago. Each time, my doctor has treated me with antibiotics and the symptoms have gone away within 2-4 weeks.
I'm having what I think is a recurrence of it now (pain in left testicle and thigh, slower than normal urine stream, and at one point a slight fever) but do not remember having pain that radiated into my hip before. Reading various descriptions of prostate problems on the web has made me very anxious because I've read that prostate cancer can spread to the hip and cause pain. The pain I have is all on the left side (same as the testicle that aches) and is more of a dull ache that comes and goes rather than extreme pain. I'm on my 4th day of antibiotics and a little of the testicle pain has gone away but I still feel pain in my hip.
At the risk of sounding like a hypochondriac, I'm hoping you can can help me better understand how far along one must be before prostate cancer spreads. I'm driving myself crazy while I wait for lab results, and just want to try and ease my mind. Thank you for your time.
I'm having what I think is a recurrence of it now (pain in left testicle and thigh, slower than normal urine stream, and at one point a slight fever) but do not remember having pain that radiated into my hip before. Reading various descriptions of prostate problems on the web has made me very anxious because I've read that prostate cancer can spread to the hip and cause pain. The pain I have is all on the left side (same as the testicle that aches) and is more of a dull ache that comes and goes rather than extreme pain. I'm on my 4th day of antibiotics and a little of the testicle pain has gone away but I still feel pain in my hip.
At the risk of sounding like a hypochondriac, I'm hoping you can can help me better understand how far along one must be before prostate cancer spreads. I'm driving myself crazy while I wait for lab results, and just want to try and ease my mind. Thank you for your time.
Doctor's Answer
by Kevin Pho, MD, Aug 22, 2006 12:00AM
, Aug 22, 2006 12:00AM
One of the dangers of prostate cancer is that it can spread to the bone, leading to bony-type pain of varying severity.
A simple X-ray would be a reasonable point to start. Further imaging can be considered with an MRI or bone scan.
If prostate cancer is suspected, a rectal exam to evaluate the prostate, as well as blood PSA test can be considered.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
A simple X-ray would be a reasonable point to start. Further imaging can be considered with an MRI or bone scan.
If prostate cancer is suspected, a rectal exam to evaluate the prostate, as well as blood PSA test can be considered.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments
by distressed1, Aug 23, 2006 12:00AM
To: Prostate
0
