Exactly as John mentioned a good onco-doc can get you a markers of bone breakdown lab tests like: Pyrilinks-D (Dpd) or Metra (Dpd). Which can indicate effects of PCa on a patient. Radiologically a bone mineral density with quantitative CT scanning (QCT) is used which may show things. Others things can be done for bone density tests, too. When detriorated enough it is dibilitating for a patient.
Bisphosphonate compounds used for bone issues: Fosamax, Actonel, Aredia (IV)*, and of course Zometa (IV)*. Zometa is considered probably the most powerful and is alot more potent than Fosamax, of course cost is hugely different as is delivery into the patients system. Zometa & Aredia is an IV situation *= you could have Acute Phase Response seen within 24-36 hours after the first IV done, could be: fever, chills, bone and muscle aches, malaise and occassional kidney injury (wow is that mentioned to patients hopefully).
Almost like it is a (LOL) a communist plot, many patients could instead have taken DES, estradiol patches or emcyt and if you read about
them very carefully, they help or atleast maintain bone issue intergrity and memory...where as the profittable LHRH drugs (Lupron, Zoladex et al) they rob the patient of bone density and memory loss and muscle mass, etc. Almost like they want you to become their zombie and hooked on their drug protocol and maybe for life. Have you noticed the poster 'child' patient of PCa in the docs offices...call it truth in advertising they are showing a puggy older guy of whom if you didn't look like that when you came in (I didn't)...you soon will be(started to look like that on ADT3)...so accept the plurality of your poster looking like that one and I think that is why they don't show a poster of Charles Atlas or Hulk Hogan (LOL).
But how nasty of me to mention such, this is why you should question everything and all the time. I am not saying the above drugs are your only choices, there are many others not widely known and even some onco-docs might not know them well enough to prescribe them. I just wish more patients knew all their possible choices and had more of a say in what they would like done unto them as treatments, and heaven forbid maybe in their best intrest$. The options you have (perhaps) is hire and fire till you get the type of doc you wanted and not the 'Soup ****' type like on Seinfeld's tv show. Even doctor Strum says do not be afraid to 'drop the doc' if he is not working with you to satisfy your wishes, desires or work with you. In the words of Johnny Cockeran if the doc don't fit, maybe you should quit. (well paraphrased, we seen the glove in the DRE's segment and hey, it got personal after that). Laugh-laugh!