Osteitis pubis: Been having continuing... - Advanced Prostate...

Advanced Prostate Cancer

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Osteitis pubis

farmanerd profile image
13 Replies

Been having continuing groin pain even after my bladder infection cleared. CT scan didn't show anything that could be causing it, so into the tube for an MRI of my pelvis. Radiologist determined that I have osteitis pubis -- inflammation of and around the pubic symphysis of my pelvis. Anyone else have this most likely latent side effect of RARP? What activity level modifications were necessary? Prescription NSAIDs? PT? I am making an ortho appointment to see what will be best to squash this before it becomes chronic. Hoping someone has experiences to share.

A few weeks ago, my second opinion RO for ART said that its good to have groin pain cleared up before radiation so that there is no potential confounding of sources of side effects. Also concerned that my ability to exercise through ART (and possibly a concurrent six months of ADT) will be seriously impacted by this diagnosis.

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farmanerd
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NPfisherman profile image
NPfisherman

Of course, seek the advice of your MD--some info:

healthline.com/health/ostei...

Some exercises:

livestrong.com/article/4859...

See....you are better already.... (I hope this helps and you feel better soon--no joking)

Don Pescado

farmanerd profile image
farmanerd in reply to NPfisherman

It's been a bit of a pain to get a cross-discipline diagnosis.

ncbi.nlm.nih.gov/pmc/articl...

dovepress.com/management-of...

I now walk half the distance in twice the time after lunch. (baby steps)^2 will get me there.

Ortho scheduling in process. Now have to see how this impacts what primary RO wants to do and when.

NPfisherman profile image
NPfisherman in reply to farmanerd

Hoping that they find something that helps and soon....when it is possibly multifactorial, then the plot really thickens... I would do what feels comfortable, give it time, and don't push too hard... Good luck...

Fish

Drcrunch profile image
Drcrunch

Osteitis is a crazy diagnosis. Get X-rays taken in the frog leg position on both sides to compare the acetabular cavity. Groin pain common from there and overlooked many times. Also rule out aseptic necrosis of femur head

farmanerd profile image
farmanerd in reply to Drcrunch

My MRI report:

"FINDINGS:

There is marrow edema and enhancement in both pubic bones adjacent to

the pubic symphysis. The symphysis shows normal alignment and spacing.

There is periosteal edema and mild soft tissue edema in the adjacent

adductor muscles. The prostate gland is absent. Urinary bladder

appears normal. There is no pelvic mass or lymphadenopathy. There is

no free fluid or abscess. The hip joints show no acute abnormality.

There is no focal bony lesion.

IMPRESSION:

Osteitis pubis with prominent bony and adjacent soft tissue

edema/inflammation."

ncbi.nlm.nih.gov/pubmed/173...

Drcrunch profile image
Drcrunch in reply to farmanerd

Looks like a stress injury to adductor tendon. I guess you played a lot of soccer or football.This osteitis is common in Australian football players.

farmanerd profile image
farmanerd in reply to Drcrunch

Please stop trying to diagnose. You have insufficient data and . . . that's not the question that I asked and I'm fairly certain that is not the intent of this discussion board.

No matter what the statistics say, when the data supports the improbable, but not impossible, conclusion, then that is the path followed. Heck, probability is on the side of not having PCA, but here we all are anyways.

Drcrunch profile image
Drcrunch in reply to farmanerd

Sorry, just trying to help on a casual way. I have forty years in Orthopedic and know something I guess. I guess I can’t send you a bill.

farmanerd profile image
farmanerd in reply to Drcrunch

You would probably agree that there is no benefit in questioning a diagnosis without a full patient history or exam or films to view; however, there would be benefit in sharing experiences with treatment plans for this diagnosis or simply how to find/select an ortho who deals with pelvic issues and not just knees, shoulders, hands, the more common injuries. I do a lot of home renovation work, yard and garden work, day hikes and really want to get back on my recumbent bike . . . so I don't want this to become a chronic condition. I have an RO appointment for next week to finalize plans and see whether or not treatment can commence with this issue.

j-o-h-n profile image
j-o-h-n in reply to farmanerd

Come on now, Drcrunch was just trying to help... I think you owe him an apology.

If you don't apologize I will haunt you with bad jokes....

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 04/04/2019 7:18 PM EDT

rocket09 profile image
rocket09

I had an infection and had to be on antibiotics for over a month .Cipro. I had swelling plus pain. Once the infection was gone I walked a lot every day and the pain and swelling has subsided . I am still walking lots. It helps. Good luck!

in reply to rocket09

You were lucky to survive being on Cipro that long without serious consequences. That is nasty stuff.

rocket09 profile image
rocket09 in reply to

It was my savior at that time. i am sure I would have died without it. I had no side effects.

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