Exercise and bone metastases from prostate cancer? Is it safe?

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07/18/23

Is it safe to exercise if you have bone metastases (bone mets) during cancer? Can you exercise the bone with the metastasis? If yes, what exercises are safe, and how much?

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References:
- Cormie, P., Newton, R. U., Spry, N., Joseph, D., Taaffe, D. R., & Galvão, D. A. (2013). Safety and efficacy of resistance exercise in prostate cancer patients with bone metastases. Prostate cancer and prostatic diseases, 16(4), 328–335. https://doi.org/10.1038/pcan.2013.22
- Men on ADT and ASRIs perform home-based elastic band exercises:
Hanson, E. D., Alzer, M., Carver, J., Stopforth, C. K., Lucas, A. R., Whang, Y. E., Milowsky, M. I., Bartlett, D. B., Harrison, M. R., Bitting, R. L., Deal, A. M., Stoner, L., Hackney, A. C., & Battaglini, C. L. (2022). Feasibility of home-based exercise training in men with metastatic castration-resistant prostate cancer. Prostate cancer and prostatic diseases, 10.1038/s41391-022-00523-8. Advance online publication.
- Increases in bone density in the bones with metastases after exercise:
Rief, H., Petersen, L. C., Omlor, G., Akbar, M., Bruckner, T., Rieken, S., Haefner, M. F., Schlampp, I., Förster, R., Debus, J., Welzel, T., & German Bone Research Group (2014). The effect of resistance training during radiotherapy on spinal bone metastases in cancer patients - a randomized trial. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 112(1), 133–139.
- Cyclic compressions reduce bone metastases growth and reduce bone wasting:
Lynch, M. E., & Fischbach, C. (2014). Biomechanical forces in the skeleton and their relevance to bone metastasis: biology and engineering considerations. Advanced drug delivery reviews, 79-80, 119–134.

Disclaimer: The information in this video should not be used as medical advice. Always consult with your own medical professional, as they know your specific case and medical history.