Bone weakening?

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One year ago today I received HDR Brachytherapy this was followed by 20 sessions of Radiotherapy in January/ February my PSA is now less than 0.1, before this I was recommended to take a vitamin D supplement to help with bone health and did! Hormone therapy was started the previous August (3 monthly Prostap) having had the double treatment my last one was in June this year. Unfortunately last week during an encounter with a Bull! I fell twisting my ankle breaking it quite badly, thanks to the once again wonderful NHS I now have a plate and 9 different screws holding it all together and am on a somewhat difficult road to recovery! It would rather seem that my prostate treatment has maybe affected my bone strength?? And maybe others on this journey should consider more serious attention to bone health ?  Any thoughts, comments and experiences would be interesting and could hopefully help other brothers!

  • There are loads of things to strengthen or maintain bone strength.

    you also need to calm down on the bull fighting.

    Adcal and Alendronic acid is the normal GP prescribed way of maintaining bone strength.

    there are other ways, but do you have a Dexter scan diagnosis of your plight? If not that may be a start. Then you’re signposted from their.

    Rest up and make a gp enquiry, at the very least.

  • Hello  

    You are quite correct, Hormone Therapy leads to a degeneration of your bone structure. Testosterone is important in keeping your bones strong and this being reduced can lead to Osteoporosis.

    Like you i managed to fall over a suitcase in the dark. A double pirouette and pike and a soft landing a little "industrial language" and lo and behold a broken rib.

    I would always encourage anyone on Hormone Therapy to ask for a prescription for Calcium and Vitamin D tablets to help keep the old bones up to strength. As  has said in the post above there's also Adcal and Alendronic acid. I personally have refused this latter treatment after reading the list of side effects. As always with any medication, ensure your team are aware of any supplements you are proposing to take.

    Thank you for the post and bringing this to our attention. I wish you well with your continued recovery.

    Best wishes - Brian.

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  • Hi  , sorry to hear that you came of worse than the bull but am not surprised!  Just something to consider, but it is my understanding that PCa seems to be linked to trauma, so make sure that if you ever have a suspected metastatic spread, that you mention your break to your team.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • I think beyond a certain age you should be referred for a DEXA scan after a fall and broken bones. This will indicate the state of your bones and if you have osteopetrosis or osteopenia they may recommend  medications to help with bone strength. If you are on Hormone Therapy this will be a factor in deciding whether to put you on medication.

    I broke a hip a couple of years ago and was prescribed alendronic acid to help build my bone strengh,

    Rob

  • Hi RD, my husband was not advised to take calcium and vit D while having treatment. He was later this year with osteoporosis., I think you raise a really important point for men on ht! My husband is now prescribed the supplements - they will help prevent further weakening but will not put back the bone density he has lost. He did not fancy the side effects of the medication to do that!