Vent about Permanent Neuropathy

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  • april25
    april25 Member Posts: 772
    edited December 2015

    Sloan15 -- My neuropathy didn't get better until after chemo stopped, although the foot-tenderness would come and go. I never got the pins and needles, just weakness. I went to a neurologist to get my leg nerves tested, and they were affected. Thankfully things improved after chemo. Now I have to check to see if my arm nerves were affected from radiation! Again, no pins and needles, just weakness.

    Kind of odd that your doc said that about regretting not having chemo if cancer returns... People can get reoccurrances even with chemo... so does that mean they might regret having chemo???

    I didn't have an oncotype, but that's because I was already slated for chemo being HER2+ and grade 3.

  • april25
    april25 Member Posts: 772
    edited December 2015

    Anyone get nerve-damage from RT? I might have... gotta go get it checked out. BS seems to think weakness in my arm might be from RT hitting nerves under my arm...

  • BookLady1
    BookLady1 Member Posts: 253
    edited December 2015

    april25 - so sorry for this extra pain you have. I see my Rad Onc next Tues and that is a topic we will be discussing. The Truncal Lymphodema I have includes range of motion limits and some numbness in the underarm area. Definitely rads, I think. More collateral damage, right? I'll let you know what he says...hoping for some peace for all, today ✌️❤️ Linda.

  • tazbear89
    tazbear89 Member Posts: 46
    edited December 2015

    I am another one that is fighting nerve and joint pain from taxol. Last week's #7 tx was awful because the pain started 2 days earlier than it had been and last until yesterday and I get tx on Fridays. I am seriously considering only doing 10 of the 12 tx, but as someone said in an earlier post, if it comes back, what will my level of regret be. My MO did tell me that if my whole being is against gettng the last 2 treatments, then he will understand and stop. I will also be doing radiation for 6 weeks and will be on tamoxifen and am seriously looking at a hysterectomy. Yes, I want to cover my bases. My biggest worry is my lymph node involvement. That is where I am on the fence. I have no family hx of bc and did the genetic test and it came back negative. Was told that I have clear margins and that my tumor growth was extremely slow. BS's words were that it needs a walker to grow. I am also thinking about my job which I am on concrete floors 8 hours a day and I have been off since I had my bmx in July and then chemo after. Unfortunately, I responded too well to chemo to the point I wasn't able to work. When I start radiation, I will go back, but I will be starting off part time and working my way back into it.

    The NP for my MO did prescribe gabapentin, but after reading up on it, I am almost afraid to take it. I have anxiety and depression in which I am only taking ativan right now, but the fact that it can cause suicidal thoughts scare the crap out of me. Plus it could make my nausea and fatigue worse. I was told to take it at night because of the drowsiness, but I am a hard sleeper anyway.

    Okay, I am rambling, it has been a long day and I had chemo this morning. I will be calling the MO on Monday morning to express my fears about taking the gabapentin and see what they say.

    I would like opinions or thoughts from others and I know that that decision is entirely up to me, but I would like some input and I will be continuing to read the thread when I am not so foggy.

    Have a good night and I hope everyone can get some good sleep


  • tazbear89
    tazbear89 Member Posts: 46
    edited December 2015

    After reading some more posts, I forgot to say that I feel more muscle weakness with jpint pain and zingers from the pelvis down through my feet and in my wrists and forearms. My fingertips are acting like they have eczema and peeling and so are my nails. Doesn't matter what I use on them, it works for a very short time. I feel fortunate that I have no issues with numbness as of yet and I'm so sorry for everyone that does.

    A lot of insight that lmy brain needs to digest over the weekend.

  • BookLady1
    BookLady1 Member Posts: 253
    edited December 2015

    tazbear - you are being hit with a lot right now! As to the Gabapentin, I can share this: like you, I cope by doing research. Maybe since you've done the homework you can make that leap, talk to doctor about your fears, then try the med at a dose comfortable for you. If you have adverse side effects, you will know about them from your research. Gabapentin helped me through what I hope is the worst of my neuropathy pain in my wrist and hands. I spent a horrific, sleepless night in a hotel room with my family, pacing the floors, crying, biting on a washcloth to keep from crying out from the stabbing, shooting pains coming at me like electric shocks. Never experienced anything like it. In the morning MO prescribed Gab, took it, pain subsides. (I took a higher dose that day while the pain was intolerable and it did make me feel slow and drozy.) Regular, maintenance dose after that gave me relief and no side effects. Not taking it now as the pain has lifted - twinges every so often that I can deal with. It is there if I need it.

    Pain is not good for you! Hoping this passes for you, soon. ✌️❤️ Linda

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited December 2015

    tazbear89, Has your MO ever shown you a graph chart called Adjuvant Online? It breaks down how much benefit you get doing chemo, doing anti-hormonals, and doing both. I have got to wonder, with such a slow growing BC as you describe, what is the benefit of giving you a full throttle chemo like AC/T. I never had to endure anything from the the taxane group, but it is so harsh and the SEs so nasty that I would want to be sure that it had a pretty good benefit to risk ratio. What I mean is, what is your absolute advantage of doing all those rounds of chemo? You know, the anti-hormonal group is generally the go-to drug therapy for slow-growing ER+/PR+ BC, right?

    Well, there may be some details you left out that lend themselves more to doing 12 rounds of chemo (like, possibly your age?) But I still think if you saw the Adjuvant Online, it might help you in your decision whether to do the final two rounds or not.

    Furthermore, with chemo, the biggest bang for your buck was probably in the first half of your treatment. The amount of potential cancer cells killed reduces geometrically with each round of chemo. So sayeth my MO and his minions.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited December 2015

    Bosum - oh, oh. Sounds like you've got an idiot. If he can use a computer, tell him to google CIPN. It will blow his socks off. This is just Wiki, but all the major cancer web sites have posted articles. Of course WE all know WHAT it is, but was amazed to see in writing the 30-40% number.

    Chemotherapy-induced peripheral neuropathy (CIPN) is a progressive, enduring, and often irreversible condition featuring pain, numbness, tingling and sensitivity to cold in the hands and feet (sometimes progressing to the arms and legs) that afflicts between 30% and 40% of patients undergoing chemotherapy.

    Sending my wishes for a speedy sign off.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited December 2015

    Ya know, when I hear of these encounters with pig-headed docs who insist chemo doesn't cause ______ (in this case CIPN) it really kind of makes me wish they would have to undergo chemo themselves and see what kind of SEs they end up with. It's not so much that I am wishing cancer on anyone, but it seems that short of actually experiencing it themselves, they just stubbornly refuse to HEAR what we report to them. (I have the same reaction over Lymphedema denial too.)

    Good Luck with the paperwork BB but, really, can't you dump that guy?

  • tazbear89
    tazbear89 Member Posts: 46
    edited December 2015

    Elimar and Booklady- Thank you so much for your input. It has helped and I took a half of the gaba because the nerve pain started today. I will also ask about the Adjuvant Online graph. I am actually now leaning towards not doing the last 2 treatments. I feel that my body is tired and has had enough of the drugs. I just turned 44 and if I remember right (with chemo brain) that they were trying to give me the best ratio for it not coming back. So Dec 28th with be the last chemo for me and I am not going to dose dense it like I thought I might. My body will definitely not be able to handle it and the neulasta shot too.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited January 2016

    I have to support those who have said that you CAN get improvement after the 2-year point. I feel that I have. My feet are tolerating cold much better this year than last. I have had a bit more feeling come back. I can't even remember the last "percentges" I wrote down on this thread, but my left foot feels only 5-7% numb now, the right about 8-10% numb. The numbness is worst in the tips of toes, calloused areas on my toe pads, and balls of feet; but it has gotten a lot better (very slowly) over time. The big breakthrough was a few months back when I could feel water temperature with my toes again.

    Everyone is not the same. I know it's called CIPN for a reason, but I am hoping that the "P" can get taken out of my equation. I'm not elderly and I have no co-morbidities that would prevent healing. That is definitely in my favor. I hope my body can bounce all the way back. I'm goin' for it!

    p.s. Keep moving those feet--keep the circulation as pumped up as you can . I think that is the key.


  • Denise-G
    Denise-G Member Posts: 1,777
    edited January 2016

    I have neuropathy from Taxol in my right foot ball and tips of my right foot toes. I am 4 years out from treatment. It has improved during

    this past year slightly!! I was not expecting that to happen! The only change in my diet/meds/supplements is I added Magnesium with my Calcium. Not sure if that can help, but it is the only thing I did differently!


  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited January 2016

    The electric shock pains shooting in my foot are the worst SE. They front 1/3 of my foot is numb and my balance is lousy on that foot. I have to wear stable shoes or I twist my ankle and fall over to the ,left

  • Rmanmom
    Rmanmom Member Posts: 31
    edited January 2016

    I am relieved to find this thread. I just had a neurological workup and have been diagnosed with Sensory Neuropathy nearly 3 years PFC. Very frustrating! Fortunately I am not in pain but I have a lot of numbness; fingertips of both hands, surgery side hand/arm either cold or burning, numbness on the ball of my right foot sometimes shooting into my leg. I drop things, feel off balance and have had nausea which I assumed was the Tamoxifen but my doctor said neuropathy can affect the digestive system. I had 6 rounds of taxotere late 2012-early 2013. I did have some tingling in both hands and arms soon after chemo but it subsided after a while. I have gone from running 5Ks to having trouble folding laundry in a matter of months. So far she has perscribed 100mg of B6 plus a topical Gabapentin cream. She said me getting a flu shot may have triggered a full blown attack. Has anyone heard of this? She feels it will subside but may take some time. Fortunately I work from home. I was able to power through chemo but I feel like I cannot power through this.

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited January 2016

    Rmanmom, CIPN has somewhat of a pattern (like a good number of ladies on this thread report the onset within a few mos. after chemo stops) but it can also be very individual. Tho' it can vary, usually it's all CIPN and join the club of feeling disgruntled by it all. I am one of the more numb than pain ones too (and thanks for telling me that the name is Sensory Neuropathy, 'cause now I don't have to pay anyone to stick a label on mine.) I know the meds can help with the pain, but I have not heard of them helping with numbness. Everyone says B6, so that is probably the best bet. I took some but now just take it in my B-complex. Not sure if it really helped or if it is mainly time that does the healing.

    The other night, for the first time, I had a shooting pain from a numb area in my foot, to my thigh, to my hip. That was the only time in three years that I ever had such a thing. It woke me up from sleep. I like to think I just made a new nerve connection.

  • Rmanmom
    Rmanmom Member Posts: 31
    edited January 2016

    Thank you for responding elimar. I have read through this thread and it is amazing how varied, yet similar everyone's experience has been. I know there is nothing to combat the numbness, not sure why she gave me the Gabapentin, maybe just to give me something LOL! Hoping the B6 kicks in. The worst of it, being right handed, is the numb hand and arm. I can live with the foot with proper footwear. I am also hoping the B6 combats the fatigue, although that may just be lack of sleep (I sleep well just up early with a high schooler and don't get to bed early enough) as well as the Tamoxifen. The lack of balance is disconcerting but I am being careful when out and about.

    Guess I just need to be patient.

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited January 2016

    Rmanmom - like Elimar, I have had gradual improvement from the numbness & no pain - 2+ years down the road from last chemo. Most of the feeling in my fingers has come back (hooray & can zip up my own jeans). I'm feeling some things in my feet, but most toes and the ball of my feet are still mostly numb. Today I tried to wear Sperry Docksiders with thick socks and they were uncomfortable. I had to go back to Easy Spirit Traveltimes since they have a thicker, spongier sole. So is it better to have some feeling or be totally numb? There appear to be pluses & minuses each way. Glad I have no pain but maybe feeling is over-rated. I don't take Gabapentin since I don't have pain. I do take 1000mcg of B-12 and 100mg of B-6. My neurologist said too much B-6 is worse than none.

  • Rmanmom
    Rmanmom Member Posts: 31
    edited January 2016

    Thank you MinusTwo. My doctor said to only take the B6 for 6 months. She also wants me to have my B12 and mercury levels checked at my next bloodwork. If B12 is low she will consider shots and if mercury is high she will consider chelation. Most shoes are okay as long as they offer support. No Uggs I am finding I cannot walk in them at all. While I have no pain, I am finding the gabapentin has loosened up my tight and stiff neck. Since I seem to have suffered a full blown attack, I suspect recovery will be very slow and I am trying to be optimistic and as active as possible.

    My doctor is very holistic so it will be interesting to see what she comes up with. If anything works I will be sure to post it.

  • dsgirl
    dsgirl Member Posts: 276
    edited January 2016

    Hello again

    Reporting back on the use of the foot doctor supplied remedy that is a supplement, so not approved by FDA. I have used it since early December, now for over 1 1/2 months, only one a day as per the foot docs instruction, (the bottle says 2 per day), and I do notice more feeling in my feet, and can tell when the floor feels cold to my feet, I did at first get more pain at nite though, but found if I keep my feet outside the covers, they don't heat up and no pain all nite. I used to put on socks when going to bed, no more. I will get another bottle of the stuff and take it until I see the foot doctor in April, and will post again. Are the nerves in my feet getting back to a healthy state? Wish I knew. Will quiz the doctor a bit more next visit as to results shown by other patients, most of whom I am guessing are diabetic patients with neuropathy from that.

    Best wishes to all for better days with less foot pain.

    dsgirl

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited January 2016

    A BC member posted a new study that finally admits we're not nuts >>>The study included 462 women who had survived cancer—including breast, lung, colon, ovarian or blood cancers. At an average of six years after cancer diagnosis, 45 percent of them still had symptoms of nerve damage, such as loss of feeling in their hands and feet...." Maybe more docs will get on board with telling us up front.

    http://medicalxpress.com/news/2016-01-nerve-chemo-affect-cancer-survivors.html

  • angelfaith456
    angelfaith456 Member Posts: 83
    edited January 2016

    Absolutely! Me too!


  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited January 2016

    We need B vitamins when stressed and B is needed for nerves I wonder if stress depletes the B reserves and if we are deficient makes us more sensitive to the neuropath

  • QuinnCat
    QuinnCat Member Posts: 3,456
    edited February 2016

    Elimar and Denise-G, I will echo (again) what you said. I finished chemo in August of 2012 and was told not to expect much improvement after year one; someone else said two years. At the end of year 3, I noticed I had greatly improved over the previous 9 months. The only thing I did different was add B-complex spray from Garden of Life.

    BosomBlues - I don't know about stress, but a couple of weeks ago I wore some new shoes, went shopping out of town and managed to create blisters on my little toes. It was so bad I had to hobble into a Wal-Mart to get some gel bandages. By the time I got home that night, and for the next few days, I swear my neuropathy was back with a vengeance! I've been on my feet for those long days of shopping on concrete before without this affect, so it might have been the stress of painful feet (unrelated to the neuropathy). Things are back to the norm now.

  • Gingerbrew
    Gingerbrew Member Posts: 2,859
    edited February 2016

    What is a B-complex spray from Garden of Life

    I still have neuropathy in my feet and a little tingle in my hands 5 years after treatment. I am only tacking a multiviamooin Silver Something. Anithistamine. Vitamin D a big dose, Ant acid preventer, 150 Effexor. Dr took me off of Tamoxifen a few eeks ago because I got blurry vision and some vertile double vision. The effexpor is the only dialy rx now.

    Any ideas?

  • septembersong
    septembersong Member Posts: 287
    edited March 2016

    Hi everyone,

    I haven't posted here in ages but swing by occasionally. I'm writing today to see if anyone reading this thread is in the Boston area and would be interested in joining a study at Mass General.

    I've had pretty severe neuropathy--numbness only--in my feet since being treated with Taxol back in 2008. I've pursued a few avenues to improve things, mostly physical therapy. I see a physiatrist who's prescribed a number of drugs and treatments, none of which have changed things.

    When I was treated last year for Hodgkins lymphoma at Dana-Farber, my oncologist told me of a study looking at the use of a sulfa drug (sulfasalazine) to treat painful neuropathy. I met with the doc and the study coordinator today. It's an eight-week trial requiring four on-site visits.

    While I don't think it's likely this will help me after eight years, anything I can do that might help ANYBODY dealing with this situation feels like a good deed.

    If anyone reading this is interested in learning more about the study, please PM me.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited March 2016

    the sole on my left foot is numb 11 months PFC. It's either that or the sudden shocks pain.

    Twisted my ankle and fell in a parking lot today. Cracked a rib Guess I'm going to have to start carrying a cane like an old lady. It never ends

  • Blownaway
    Blownaway Member Posts: 760
    edited March 2016

    My oncologist finaly sent me to a neuroncologist who just diagnosed me with "polyneuropathy". I had complained at every appt and in between with burning feet, numb fingers, no sense of smell, short term memory problems, cognitive skills deteriorated, word recall, widespread pain..... I am at the 2 year mark and was told that after such a long time, my symptoms will not improve. Apparently, there are drugs that may have helped me if administered earlier on. I would urge anyone who suspects neuropathy to complain louder than I did and hopefully not be permanently affected. I have quit my job of 18 years (accounting) because I can no longer do the work and have filed for SSA disability. Is anyone else in my shoes?

  • proudtospin
    proudtospin Member Posts: 5,972
    edited March 2016

    cloe, sorry for the fall, i confess to keeping a cane in the car for times when my legs are tired or if sidewalk is uneven

    Feel better

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited March 2016

    LOL. I had one in the car when I fell. The foot felt OK when I went into the store. On the way back to the car it was numb and when I stepped down it was on the side of it. I can't balance on that foot to get dressed. The pain suddenly hits like someone stepping on my foot in cleats.

    . 2 ladies helped me up and said I was lucky I didn't get run over. The cane stays with me now. I got a hiking pole for walking the dog so I don't look old around the neighborhood

  • Blownaway
    Blownaway Member Posts: 760
    edited March 2016

    Has anyone else permanently lost their sense of smell? I also have very little taste. Lately I think I smell burned plastic but I know its all in my head because its everywhere I go. Before the plastic "phantom" smell, it was a fruity snowcone syrup smell which wasn't so bad.

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