Wellness Despite Bone Metastasis

I've clinically seen hundreds of men with advanced prostate cancer where the tumors invaded the bones. I can say with certainty that this scenario is not a death sentence. But, for those brave men in this situation, let's ensure we can provide some valuable guidelines.


What is Bone Metastasis in Prostate Cancer


Bone metastasis in prostate cancer refers to the spread of cancer cells from the prostate gland to the bones. Prostate cancer commonly metastasizes to bones, particularly the spine, pelvis, and long bones of the legs. Bone metastases can sometimes, but not always, cause significant complications and affect a patient's quality of life.


General information about bone metastasis in prostate cancer:


Frequency: Bone metastasis is a frequent complication of advanced prostate cancer. It is estimated that around 70% of men with advanced prostate cancer will develop bone metastases during the course of their illness.


Symptoms: Bone metastasis does not always cause symptoms, though it can sometimes cause various symptoms, including bone pain, fractures, spinal cord compression, and elevated calcium levels in the blood (hypercalcemia). Bone pain is the most common symptom, often affecting the back, hips, pelvis, or other bones. The pain may be persistent or intermittent.


Diagnosis: Bone metastasis is typically diagnosed using imaging tests such as bone scans, X-rays, computed tomography (CT) scans, magnetic resonance imaging (MRI), or positron emission tomography (PET) scans. These tests help identify bone metastases' location, extent, and characteristics.


Treatment: The management of bone metastasis in prostate cancer aims to control symptoms, improve quality of life, and extend survival. Medical Treatment options may include:

Systemic therapies: Hormone therapy (ADT) is the mainstay treatment for metastatic prostate cancer. It aims to lower the levels of male hormones (androgens) to slow down the growth of cancer cells. In addition, other systemic therapies such as chemotherapy, immunotherapy, and targeted therapies may be used in some instances.


Bone-targeted therapies: Medications like bisphosphonates (e.g., zoledronic acid) and denosumab are commonly used to reduce the risk of skeletal-related events (SREs) such as fractures or spinal cord compression. These drugs help strengthen bones and alleviate bone pain.


Radiation therapy: External beam radiation therapy or radionuclide therapy (radioisotopes) can be used to target and relieve pain in specific areas of bone metastasis.

Natural and Lifestyle methods


Lifestyle approaches like what we encourage at XY Wellness may help support overall health, enhance the quality of life, and potentially complement conventional medical treatments. Here are some lifestyle and natural approaches that may be beneficial:


Diet: Maintain a well-rounded, nutritious diet that includes plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats. Some studies suggest that a diet rich in plant-based foods and low in processed meats may positively impact prostate cancer progression. Avoid losing too much weight while fighting advanced prostate cancer with bone metastasis.


Regular exercise: Be careful but not fearful to exercise. Engage in regular physical activity, as it can help improve bone strength, reduce pain, and enhance overall well-being. While bone fractures can happen in men with bone metz, it is unlikely. Careful but consistent exercise will be way more rewarding than harmful.


Adequate sleep: Prioritize quality sleep and ensure you're getting enough restorative rest each night. Good sleep is essential for overall health and may aid in managing pain and promoting healing.


Nutraceutical supplements: Many of the supplements we recommend in men with advanced prostate cancer help reduce inflammation and therefore reduce pain, lower the side effects from ADT treatment, and support an anti-cancer environment. 


Support groups: Joining support groups or connecting with others who have prostate cancer can provide emotional support, information sharing, and coping strategies. Many organizations and online communities offer support to prostate cancer patients and their families.


The elements of the XY Wellness method are crucial in keeping men well with bone metastatic prostate cancer. If you have this type of disease, know you can live long and well for a long time. Do the work along with the medical therapies, and you will continue to do great. I have clinically seen it multiple times. Let us know how we can help. 


Yours in Good Health, 


Dr. Geo, Co-founder & Medical Director