Hi All, my husband was diagnosed with stage 4b prostate cancer in January. Has done triplet therapy and PSA has gone down from 186 to 0.05 (it was 0.03 last month, so a tiny increase but hopefully just a blip). But he started getting shoulder pain about 6 weeks which is worrying me. He says it feels like a trapped nerve, and it could just be a human issue (and nothing to do with cancer) but I think every ache or pain will always be worrying now. We spoke to our oncologist who was happy to refer him for a shoulder MRI for peace of mind and we’re waiting for results. But someone else just mentioned to me that it could be referred pain from his liver or spine, and we should push for further scans. Has anyone encountered this? We’re asking our oncologist’s advice on this but I have to say googling referred should pain has freaked the hell out of me. But also trying to rationalize that his PSA is low and all other markers seem fine…
Hello Anna (Anna42)
Thanks for your post. Don't forget we are not medically trained on here, just fellow PCa sufferers, however I can throw some light on this, but remember this is my personal experience.
I had a bad shoulder pain, it hurt and i was unable to sleep on that side. As usual I told my oncologist (report any changes to your body). One look and she said 3 words "Rotator Cuff Injury" and off to the GP I went - next day I had been seen, diagnosis confirmed and I was sent away with a sheet of exercises and a resistance band. 6 weeks of exercises and I was back to normal.
I am not saying this is what it is - but with a low PSA - it may just be old age.
My advice to everyone is the same - keep away from Dr Google and AI and let your medical team work through the diagnostic process.
I wish him a speedy recovery and for you - less anxiety.
Best wishes - Brian.

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I’m in the same boat as Brian Millibob with a rotor cuff injury. It’s maddening and I live with it. But it’s excruciating.
I have on the other side cancer met in my shoulder which doesn’t hurt at all, yet.
From a cancer perspective you did the right thing in asking your cancer team to tell you if it needs investigating.
I have had huge pain in my chest and back with nerve pain and the first thing that was tested was compression of the spine. Thankfully after all the searches there are no problems.
I sincerely hope there’s nothing to worry about but the tests will ensure your calmness.
Good luck
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