Have pain and swelling that is uncommon and feel alone.
So I have spent hours reading these boards to see if other women have symptoms like me, because I know, that lymphedema is not suppose to hurt, but it can.
My pain seems very different than what I have read on here. So my pain feels like I am deeply bruised. I do not have the pins and needles or burning. I really feel like someone has beat my lower arm and my hand. That is the side that I had my axillary node dissection on.
I have been in PT since my surgery back in Jan 2012. I had cording and got that under control. My therapists are awesome and trained in Lympedema. I have been in a sleeve and a gauntlet during chemo and have been fine UNTIL I hit chemo 2. For some reason, about 7 days after chemo, my hand and arm would swell, hurt and bother me like it is now. I felt like it would aggregate my cords that were already good. So I would do my PT at home and about a week before my next chemo, it would go away. And this happened for 3 of my 4 chemos.
Well, I'm done chemo. I'm two weeks out, and my arm is worse this time. It's so bad that it hurts to wear my sleeve. My lymphedema therapist said to take it off because a sleeve should never hurt that bad. She believes that it is some sort of inflammation, since it doesn't look exactly like lymphedema and could possibly be a mix of vascular and lymphedema since it comes and goes with each chemo. However, she did admit that she had never seen this before. Advil or Tylenol does not help the pain or inflammation.
Any advice would be great. When I asked my onc about this after treatment 2, and the pain was only in my hand but I had swelling in the arm, he said it might be carpal tunnel. It's not and that was stupid. He knows I'm not left handed and I had no other signs of that.
Comments
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Go to your family doctor. Can it be cellulitis or a problem with the nerve in the elbow?
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Gobucks, taxane based chemo is a risk for LE, and it can also cause neuropathy.
Yeah, I got the carpal tunnel diagnosis also when I got LE in my hand--nice fallback, when you're stumped.
Make sure, there's no sudden swelling where you need to rule out a blood clot, and otherwise I would definitely attribute it to the chemo.
Are you done with chemo?
If the sleeve hurts, it's not going to help you. Pain brings more swelling.
It's a bit concerning that your LE PT is stumped, and but if you trust her, it makes sense to go back and see her.
My vote is for taxane based swelling and neuropathy. On top of some LE.
I hope you're feeling better, and are you done with the T/C?
Kira
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Taxol can cause peripheral neuropathy. Have you talked to your oncologist about your problem? Peripheral neuropathy can resolve or be permanent. If your PT is not seeing more lymph edema than I doubt this is the source of your pain.
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Actually Taxanes are listed in the Best Practices Guidelines for LE as causing LE, so it could be multifactoral.
The fact that it peaks near chemo and then ebbs, sure sounds like the taxol is involved.
There is no real treatment for peripheral neuropathy, but some of the oncs will try vitamin B and for pain will use gabapentin.
Definitely worth bringing to a doctor's attention, but it sounds like your onc was not all that helpful, unfortunately.
Also, you can educate the LE therapist.
And I read your post more carefully, so you're done with chemo--and hopefully this will settle down.
A researcher is working on nonsteroidals to treat LE, and he found Advil increased swelling--just a thought, it's not a common drug, but if it's not contraiindicated, maybe one of your doctors could prescribe ketoprofen.
Kira
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Yes, I'm done chemo. I had my 4th and last dose dense of taxotere and Cytoxan exactly 14 days ago. What exactly is peripheral neuropathy?
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Peripheral neuropathy is damage/injury to the nerves--and peripheral means in the hands/feet--out iin the extremities, not in the central nervous system. Very common with taxol and often goes away on it's own with time, but can linger.
Here's a mayo clinic link about it
http://www.mayoclinic.com/health/peripheral-neuropathy/DS00131
Kira
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So just to let you know, I won't get offended, but do you think my LE lady could use some help? She is not cocky at all and listens. She also knows how lots of people feel about LE, so I feel as though she would be open to learning or listening......especially when one of her patients is in pain. She even gave me her email and number and told me to contact her if it got worse because she was uncomfortable with me waiting throughout the weekend, but understood since I did this for my other rounds.
I guess the reason why I feel comfy with them is because they have done wonders with my cording and educating me on everything. I have full range of motion cause of them.
Thank everyone -
I'm all finished, but my pain doesn't know that. my LE has pain to it, not all the time but it's there. I told my GP that I thought I had peri. neur. (which at thistime i don't remember what it is) all he said is it is possible-- I'm remiss in gettin my scan this time-I'm moving and other stuff happened..But that's when I was hoping to get some answers myself. So I really can't help--But I think LE is painful
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I'm with Kira on it being multifactorial. Have you had axillary radiation? It can also cause neuropathy, and depending on what part of the brachial plexus is affected, the pain can be restricted to hand and/or lower arm. If there is a vascular component (eg arterial insufficiency), you may find that your hand gets turns blue or gray, and the pain is worse when your hand is raised. Wearing compression can also make arterial insufficiency worse. KS1
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Gobucks,
If your LE therapist is a good therapist, she'll appreciate the information and want to help and learn from this situation. And it sounds like she really cares.
I'd vote to let her know how you're feeling and see what she suggests.
KS1--you're so smart! Arterial insufficiency is also a thought, along with the reaction to taxol.
Gobucks--Please let us know how you're doing.
Here's the info on neuropathy on bc.org,
http://www.breastcancer.org/treatment/side_effects/neuropathy.jsp
Kira
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I haven't had axillary radiation yet. I meet with my RO on Monday to start getting everything scheduled. I will definitely start reading and researching what you all have sent me. If it gets worse over the weekend I'll call my doc or LE therapist or even post on here. thanks girls
Krista -
Gobucks, do you think a second opinion is in order from a LE therapist? Why I ask is that I have one I use most of the time - i love her, she's gentle and warm, she is calming and reassuring. But she has a few gaps in her training, that's the best way to put it. So, there is another LE therapist i see for the technical stuff or for stronger guidance - learning to wrap, having her give me a second opinion. She's a bit more business-like so is a bit less relaxed. I think both are pretty good, but in different ways.
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