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Is back pain constant with prostate cancer?

Prostate cancer and back pain. Advanced prostate cancer can sometimes cause chronic back pain. This usually happens in the later stages, when cancer spreads to the bones in the spine.

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Advanced prostate cancer can sometimes cause chronic back pain. This usually happens in the later stages, when cancer spreads to the bones in the spine. The prostate is a walnut-sized gland that sits below the bladder and wraps around the urethra. This gland is part of the male reproductive system and is involved in the production of semen. In advanced prostate cancer, cancer cells spread beyond the prostate to other parts of the body. These cells usually spread to the bones first. Doctors refer to this as bone metastasis. If the spine is affected, a person may experience back pain. This article looks at the link between back pain and prostate cancer. It also examines the options for pain relief. Symptoms Back pain caused by prostate cancer that has spread to the spine may have some of the following symptoms, depending on where the cancer is located: pain increases with movement

pain is worse at night or when lying down

stiffness in the back or neck

difficulty walking

less sensitivity to pain, cold, and heat

numbness, weakness, or tingling in the legs or arms

Risk factors The primary risk factor for developing back pain is if cancer progresses and metastasizes to the bones, particularly in the back. In addition, one of the most significant risk factors for prostate cancer, in general, is aging, which can also contribute to back pain. According to the American Cancer Society, this type of cancer is rare among males under 40. About 60% of cases happen in males over 65. The average age at diagnosis is around 66. Another risk factor for prostate cancer is ethnicity, but researchers do not understand why. The ACS states prostate cancer is more common in African American males and Caribbean males with African ancestry. These males also tend to be younger when prostate cancer first develops. The disease is less common in Asian Americans and Hispanic or Latino males than in non-Hispanic people who are white. Having a family member with the disease may also increase a person’s chances of developing it. Other risk factors for prostate cancer may include: an unhealthful diet

obesity

exposure to certain chemicals

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When to see a doctor Anyone who has already received a prostate cancer diagnosis and begins to experience recurring back pain should see a doctor as soon as possible. Unexplained back pain can indicate that cancer has spread. People with back pain who are concerned about the risk of prostate cancer should speak to their doctors. Prostate cancer often causes no symptoms in the early stages. According to the National Cancer Institute , the most common method of detecting this cancer in the United States is prostate-specific antigen (PSA) screening. Levels of this protein increase when the prostate is dealing with irritation, swelling, or the growth of cancerous cells. The U.S. Preventive Services Task Force recommends that males ages 55–69 discuss the risks and benefits of prostate cancer screening with their doctors. Diagnosis To determine whether a person’s back pain is related to prostate cancer, a doctor may order X-rays. These may reveal denser, more opaque bone tissue, called ivory vertebra, which most often occurs due to prostate cancer or breast cancer spreading to the spine. A magnetic resonance imaging (MRI) or computerized axial tomography (CAT) scan will show any damage or disease affecting the discs, ligaments, and other soft tissues that may result from metastasized prostate cancer. Doctors can also diagnose bone metastases using a bone scan. This involves injecting a small amount of radioactive dye into a vein. The technician then scans a person’s body with a special camera, and the dye helps reveal bone damage that may result from cancer. Other causes of back pain Back pain, particularly in the short term, is a very common medical complaint. Possible causes can include: strains or sprains

overexertion

injuries

damaged, ruptured, or deteriorating discs in the spine

spinal stenosis

pressure on the spinal nerves

sciatica

abnormalities of the spine, such as scoliosis

arthritis and other inflammatory diseases

kidney stones

infections

abdominal aortic aneurysms However, if a person’s back ache is chronic, and they also have prostate cancer or are more at risk for developing it, it is a good idea to see a doctor as a precaution.

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