Prior to beginning my IMRT treatment I was put on lupron and casodex. The casodex was used to prevent a tumor "flare". As I understood it the "flare" could manifest as lower back and hip pain. The casodex was only for a month but the lupron is for two years.
I have had the usual SE's from the lupron but have adjusted. I did have some muscle pain in my upper legs but began taking vitamin D and calcium. Also b12. Pain cleared up rapidly with the daily dose. I do not know if there is a cause and effect but it sure seemed to be one to me.
Good luck with the proton treatment.
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones