Dad just diagnosed. Need advice

Hi Bob!

Hope you are keeping well. 

COVID symptoms were not too bad for us. Thankfully we all recovered. All negative now! Dad has pain in lower leg, which started once he got COVID. 

Endoscopy now 14th February. Unfortunately no date earlier. 

Hopefully wont effect PSA.

Took him to walk in today as the pain was too much. The GP there ruled out DVT or anything like that but did say he needs an MRI to rule out prostate cancer spread to bones. Obviously this has panicked us the idea didnt even cross our minds.

Can prostate cancer go straight to side of knee?

Il call Macmillan tomorrow to see what they say.

His next PSA is due mid February. Can PSA increase that quickly in 6 months? I dont know what to think now 

Any advice please would help.

Thank you Bob. Yes he is 79. I think this may be an old injury that has been triggered. He does a lot of walking, sit ups, squats etc! Went to A&E today (nightmare experience) but he got seen. Doctor there said he has a slight temperature so gave antibodies. Hopefully that may help. So much going on. Spinning plates!

I expect you mean, "Antibiotics" about all they seem to give anyone, if in doubt.
Yes A&E a place to avoid, go in with one problem & come out with another + Omnicron - if you don't already have it!

Yes, if it is ACL there's often that twinge/sharp localized pain as a warning that it's teetering on the edge. When it really ruptures it's quite a few steps up in pain and restriction of movement. With ageing, feet tend to flatten and gait changes to a more splay footed style, which puts strain on the ACL. You should be able to find a good insert at a chemist, though some of them are more into appearance than function.

Jules

Wilco's cheapo Senna, I find works better than the well known brands. - Works for me! But I'm not on a strong pain killer thankfully.

Yes, if it's a badly torn ACL they are extremely painful and pain killers don't seem to do much. I had a minor tear which slowly healed itself over a few months but my partner had a more serious rip for which she had an arthroscopy. The arthroscopy was an almost instant fix, though that's not always the case. Drs are more reluctant to go for surgery/arthroscopy now than they were a few years ago.

Sharp stabbing pain on the inside of the knees sort of just behind the kneecap?

I was prescribed enema type glycerin suppositories to use before some scans while my PCa was being figured out. I used them once or twice when I had temporary constipation. I think you can buy them without prescription, even if inserting them is a slightly odd experience.

Jules

Edited by member 27 Jan 2022 at 01:06  | Reason: Not specified

An orthopedic surgeon would be the right choice. I'm in Australia so our health system is different to yours. If there's going to be a long delay for public health, maybe you'll have to go private.

Jules

Dad lost his balance and fell from the bed on Thursday night so we booked a last minute appointment with an orthopedic surgeon for Friday night. X-ray shows slight wear and tear and grade 1 fracture, which he says would not cause this much pain. MRI was this afternoon, results on Tuesday. He said that will show up everything. He examined the knee and said it wasn't hot to touch or swollen so difficult to tell. He thinks it could be, inflammation, torn ligament or prostate cancer spread into bones. Last PSA 6 months ago was 0.01. can mets happen so quickly? Unless its another cancer? Which it prob isnt. 

None of the painkillers are working so now he is on liquid morphine.