Geez. I don't know then. Surprised to hear of such a complication from the surgery. Mine was in 2022 with no after effects. I'm just hoping for no BCR. I hope your back starts to do better soon. Maybe you could try a different PT. I'm in Michigan and used Pure Healthy Back center for a lower back issue unrelated to the surgery. It really helped. Stretch daily now with exercises designed for my specific back problem. From your post you sound like you're no stranger to exercise. Just need to find the right PT center to identify issue and prescribe the right exercise to relieve it. Best of luck. It's bad enough to get PCa and not to have another issue added to it.