Difference between arthritis and bone metasases

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PHD1993 - 01 Mar 2006 22:16 GMT

Starting to have chronic low to mid level pain in hip - day and night;
standing, setting, and laying down; able to handle with either ibuprofen
(800 mg TID - three times daily) or acetaminophen (2000 mg BID - twice
daily).

Any rule-of-thumb way to differentiate?

Currently on second round of biochemical failure.

Thoughts?

Thanks,

Sam Hutcheson

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Steve Kramer - 02 Mar 2006 07:17 GMT

I am sorry to hear that, Sam. You were doing so well after the orch.

What is your PSA now? Last I heard was August. Have you had three rises
in PSA since then?

I suspect your pain is not from cancer.... yet.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06
PSA .07 .05 .06 .09 .08 .132
Non Illegitimi Carborundum

> Starting to have chronic low to mid level pain in hip - day and night;
> standing, setting, and laying down; able to handle with either ibuprofen
[quoted text clipped - 10 lines]
>
> Sam Hutcheson

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Skids - 02 Mar 2006 13:20 GMT

Arthritis can be debilitating and very painful. Depending on the severity,
it can be a constant never ending pain that even some of the strongest drugs
will not ease. A simple x-ray should show arthritis.

> Starting to have chronic low to mid level pain in hip - day and night;
> standing, setting, and laying down; able to handle with either ibuprofen
[quoted text clipped - 10 lines]
>
> Sam Hutcheson

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PHD1993 - 02 Mar 2006 14:02 GMT

Thank you all for the feedback - it was my belief that it was arthritis,
however.... Given my PSA started at 0.50 prior to the RRP the last three
readings (all within 4 months) were 0.2, 0.3, 0.3 - with another result due
by the end of the week. It would seem that my PCa just does not develop
anything more than low levels of PSA.

I guess the words-of-wisdom I was looking for was more in the line of either
arthritis only hurts when you move, or arthritis can hurt all the time. The
location and probable source of the discomfort is indeed at a joint which
would add support to the arthritis. I guess my next step is to go have it
confirmed via X-ray.

Again, much thanks to everyone for their on-going information, support, and
understanding.

Sam H.

> Arthritis can be debilitating and very painful. Depending on the severity,
> it can be a constant never ending pain that even some of the strongest
[quoted text clipped - 14 lines]
>>
>> Sam Hutcheson

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Skids - 02 Mar 2006 14:17 GMT

Arthritis comes in many different flavors.

I have arthritis in my lower back. A constant ,sometimes agonizing pain.
Vioxx would take the edge off of the pain but now that is off the market
it's hard to get much relief from anything else.

I have it in my knees. A constant ,sometimes agonizing pain. Not much helps
with that.

I have it in my neck, left shoulder, left hip and both wrists. Those are
mostly the hurts when you move type. Ibuprofen helps with those most of the
time.

> Thank you all for the feedback - it was my belief that it was arthritis,
> however.... Given my PSA started at 0.50 prior to the RRP the last three
[quoted text clipped - 31 lines]
>>>
>>> Sam Hutcheson

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Leonard Evens - 02 Mar 2006 15:24 GMT

> Starting to have chronic low to mid level pain in hip - day and night;
> standing, setting, and laying down; able to handle with either ibuprofen
[quoted text clipped - 10 lines]
>
> Sam Hutcheson

I agree with the others that arthritis and related muscular pains can
cause such pain. I take 500 mg of naproxen twice a day, and I am
usually but not always pain free. Last week I had to resort to Vicodin.

It doesn't seem from what you say that your cancer could be advanced far
enough to cause bone pain, but we are only guessing. Unfortunately,
you will just have to see what testing reveals.

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