Had prostatectomy 2 years ago. All PSA's since then < 0.1 inlcuding the one in Feb 07. Have had mild, dull hip pain for last 4 weeks (right side only). Only hurts when sitting. Have a new bicycle with narrow seat. Pain worse after riding so I quit riding. My doctor (GP) did a quick exam and is sending me for bone scan, supposedly suspecting a hairline crack in hip bone. Do the symptoms fit this preliminary diagnosis? By the way, had MRI bone scan before surgery in 2005 which was negative for bone cancer. Should I go ahead with the bone scan for the value of it finding other things?
2007-03-30 07:27:58 · 7 answers · asked by Robert J 2 in Science & Mathematics ➔ Medicine
it's quite unlikely that you have bone mets from your prostate CA. it's much more likely that your musculoskeletal pain is just a strained muscle from riding the bike. unfortunately, in today's medico-legal climate, most doctors need to be overly cautious and i don't blame your doc for ordering the scan to r/o bone mets.
if he was looking for a hairline fracture, he wouldn't order a bone scan- just plain films would do.
2007-03-31 09:26:49 · answer #1 · answered by belfus 6 · 1⤊ 0⤋
My husband had prostatectomy 2 years ago, all PSA's since then 0.0; clear bone scan before the surgery. So I know a bit about it.
I would say not to worry...sounds like you are having a problem from the bicycle seat, or as your doc says, a crack in the hip bone. Go ahead with the bone scan...it never hurts to double check. Chances are it will be ok, though.
2007-03-30 07:37:55 · answer #2 · answered by Sally G 5 · 0⤊ 0⤋
hairline crack after riding a bike....nyaah...
unless you are SWEVERELY osteopenic or porotic....i highly doubt that...
the first thing that i would look at would be disc disease and do you have a sciatica from sitting on that teeny bike seat....
i would usggest a CT or MRI of the LS spine
NOW, did you have the prostatectomy for prostate CA? If so, then maybe doing a bone scan is in order, but not for trauma (riding the bike) but for a late metastatic spread of the cancer...
if you had your prostate removed, of course your PSA would be <0.1...
so, maybe he is looking for a recurrent CA and not telling you...
good luck
2007-03-30 16:13:22 · answer #3 · answered by Anonymous · 1⤊ 0⤋
There may be other factors your Dr is considering: If you are slender build, there is a greater chance of osteoporosis. If you are taking meds to reduce testosterone or its effects, you are at greater risk for bone loss. The scan is painless and lasts about 20 min. No big deal. Better than a broken pelvis or snapped femur head.
2007-03-30 07:34:52 · answer #4 · answered by davidosterberg1 6 · 1⤊ 0⤋
A affected person’s indications, actual examination, and results of imaging tests, and blood tests would propose that bone maximum cancers is latest. yet in maximum circumstances, medical doctors would desire to verify this suspicion via analyzing a tissue or cellular pattern below a microscope (a technique conventional as a biopsy).
2016-10-01 22:55:38 · answer #5 · answered by ? 4 · 0⤊ 0⤋
Your over 50 right? A little Te isotope won't hurt you. Check your body for any hot spots. good to know.
2007-03-30 07:37:40 · answer #6 · answered by Anonymous · 1⤊ 0⤋
Whom do you trust more on medical advice? Is it your doctor or a bunch of ordinary people ?
2007-03-30 07:31:58 · answer #7 · answered by Gene 7 · 0⤊ 0⤋