Not too long ago, I had a patient who was being referred to me by a gerontology doctor for a Balance Assessment. This is patient has a PMHx of Depression, Prostate cancer and Breast Liposarcoma. He complained that he doesn't feel that his walking is as steady as pre-cancer. The initial assessment results showed that his manual muscle testing of lower limb as well as Berg was almost full score. So I assumed perhaps it has to do with depression and did not think too much about other possibilities.
During a follow-up session, he brought an article about the type of cnacer treatment which he received -- "androgen-deprievation therapy for prostate cancer patient." The article explained that this testosterone reducing therapy can cause side effects such as reduced muscle strength, reduced bone mass and increased body fat. This then made me becoming more aware of the side effects of this type of therapy.
I am glad that he brought my attention to the article. This has taught me to always investigate further with the type of co-mordity treatment which the patient is receiving and whether it has side effects towards physio related problems.
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1 comment:
This really emphasises the fact that once our 4 years of uni is up we will still need to study. It aint over if we wont to stay in touch, its going to be a lifetime of study and research.
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