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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.
I am sorry you are having such bad sciatica pain
you should see a conventional MD or DO doctor and get an examination of your lower back and siatia area
you should get an MRI scan of your lumbar and sacral spine to look for areas of pinched nerves in these areas causing your pain
you may benefit from a steroid injection if they find the source of the pinched nerve and siatica pain to help decrease swelling and pressure on your nerves there.
if you have a history of homone refractory prostate cancer, you should get a bone scan to check for spread of prostate cancer.
prostate cancer can spread to bones and joints and grow and cause pain and pressure on nerves.
you may need palliative radiation therapy to the area to shrink prostate cancer if it has spread.
zytiga is only used when the prostate cancer grows despite lupron anti-testostetrone therapy.
let me know if you have questions.
since your prostate cancer has metastasized, you need to stay on anti-testosterone lupron therapy
you should still see a doctor
and get an MRI scan of your lower back and siatica and pelvic area to check for pinched nerve.
that information can help show what may be causing your pain
and then a treatment plan can be made for your pain.
I see. you could have arthritis or bursitis or a bone spur causing pressure on the femoral nerves or siatica nerves which run down from the sacrum down into the leg
an MRI scan of the area can really help see what is going on in the area.