Hi, this may just confuse the issue but as with so much of this cancer stuff it is rarely straightforward at least not in my experience. Having been off ADT for two years following RP, radiotherapy and three and a half years on ADT my psa decided to rise (early May). An eight week wait , risen some more, back to the urologist and cholene pet scan. A metastatic cancer site was found in my right scapular. Referred on to the oncology SABR team and another ct scan which showed that the bone met was 6.5 cm in each direction which shook me a bit especially as it was at the limit of what was treatable. I had the SABR treatment last week but it will be 3 months before the follow up scan which may prove a long wait. The pain element is where the story gets fuzzy. Around March time I was getting some shoulder twinges which I put down to a work injury, I work as a landscape gardener albeit semiretired. This gradually worsened until a visit to my GP and rotator cuff injury/damage was the diagnosis and a course of Naproxen anti inflamatories restored movement and removed most of the discomfort. All fine !! When I saw the urologist and mentioning the shoulder issues he felt that it was most unlikely that the cancer and the pain were linked. The oncology team felt that there was almost definitely a connection and have prescribed painkillers accordingly. So at the moment I am waiting to see what legacy of collateral damage to the shoulder I shall be left with, and of course what lies ahead prognosis wise. I have no idea if there was one shoulder problem or two but inevitably it's the cancer that takes centre stage.
Never boring or predictable this cancer journey
All the best Nigel