Vent about Permanent Neuropathy

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

    It's the terms "under-reported" and "under-recognized" in that article that are so disturbing.

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

    would love to have mine go away, steroids are funky. I lost my sense of smell after sinus surgery but recently had a steroid shot for back pain, bingo and smell is back,

    Wierd

  • jumbledbamboo
    jumbledbamboo Member Posts: 158
    edited May 2016

    hi everyone. I am kind of different... I had brain damage from a stroke that caused neuropathy on the left side of my body and the right side of my face. However, since my chemo it has gotten much more painful again. I have lost all feeling in the tips of the fingers on both my hands. Now the bottoms of both my feet are very painful and prickly. I have topped off on the gabapentin and refuse to.take lyrics as I felt so drunk with it. Not in a good way lol. So I am just a ray of sunshine ! Anyway, for a long time the gabapentin worked. It will take at least two weeks before the gabapentin.starts to take affect. So if someone tried gabapentin and it didn't work, maybe give it another try

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

    bb, glad we are active as well.

    Not sure what I did but my back is happier

    New back guy gave me a brace to wear, just for an hour or so and dang but it helps me feel better so, yeah my stress level is down

    Picking up my foot orthotics on tues, so hoping they help my poor feet even just a bit

    Enjoy the holiday


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

    jumbled - are you on the gabapentin for pain? It was my understand that it doesn't help with just numbness.

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

    I guess I do have some pain, only it is not really painful. That's not doubletalk. What I mean is, sometimes (usually at night when I am just sitting) I will notice that my feet feel like I spent the day walking on hot sand. But to be even more accurate than to just say they feel burned, they actually feel "Indian burned." The bottoms feel like they have a friction burn. Since I know this is just a phantom sensation, I try to ignore it. It's always gone by the next day.

    That said, I have gotten a tiny bit of feeling in the tips of some toes. That has happened within the last six mos. (so after the two year point.) Overall, my feet are down to about 10-15% numbness now.

    Hope others are continuing to improve.

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

    Elimar - your descriptions are great. I can always identify with your sensations because you describe the feelings so cleverly.

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

    My neuropathy is in my feet (at least the neuropathy I'm aware of!). I've never had pain, just burning. Not tingling, just burning. Bottoms of feet just like Elimar.

    If I were to write a mathematical function of the amount of burning felt, the coefficient for CummulativeTimeOnFeet would be slightly higher than the coefficient for HardnessOfSurface with a smaller coefficient for AmbientOutdoorTemperature, but the function would have a negative coefficient for ConsecutiveHoursOffFeet. Does that make sense?

    Walking across the length of a Costco parking lot on a hot day can be worse than a 5 mile hike in the shade on a soft dirt trail. Standing on hard concrete painting for 3 hours is worse than an 8 mile hike on soft dirt trail.

    Ultimately, it comes down to cumulative pressure on my soles over time and the ambient temperature.

    I dream of a shoe insert that is both cushioned and very very cold. I spoke with a guy that made orthotics for a diabetics and he had never had that request which makes me wonder, is this burning sensation not the norm?

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

    QuinnC, got it. My variation is that my feet, like yours, probably are reacting to pressure over the course of a day; however, my feet will take warm ambient temp. over cold any day. My feel feel more normal in the summer, despite the "friction burns." The colder weather and my feet getting cold tends to make them feel achy like arthritis (and maybe it is arthritis) but also I get a "crushed" feeling along with the cold. This was much worse in the first year. I used to say it was like being in a fishing shanty with an elephant standing on my feet.


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

    Elimar - I recently sprained my ankle (not neuropathy related) and the orthopedist told me I had terrible arthritis on the tops of my feet (near the ankle). Really? He asked if I was in pain. "No, will I be?" I said. His response, was "If you aren't now, you probably will never be." Phew! Of course, now that I know, I do notice some pain, but nothing that noticeable or as bad as the neuropathy (funny how we can distinguish different types of sensations in our feet).

    "A crushed feeling," like someone squeezing your feet from the top and bottom?

    I think the heat thing might be about swelling, further putting pressure on the screwed up nerves. I don't know. I started Vit B spray last fall and my neuropathy has gotten a lot better, but that's not a controlled study, so can't say that is why. I can now go on hikes, even when it is warm (though not always) and not even think of my feet.

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

    Yes, I have the same things going on. I have continued to take B-6 and B-12 since my original chemo.

    But my major complaint is lack of feeling in my toes & the balls of my feet. This causes lack of balance. Unfortunately because I can not feel anything, I ended up falling when I was on vacation. Broke my humerus in four places and had my shoulder & arm immobilized for 6-8 weeks. Now I'm in the 2nd week of PT because my shoulder & arm no longer work after being immobilized for so long. So, thanks neuropathy - that I can't open my car door, or move the shower curtain, or get the dishes out of the cupboard or a hundred other every day things. And thank heavens it was my left (non-dominant) arm.

    As you can imagine, now my balance is even more shaky. I HATE walking like an old lady.

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

    MinusTwo, I hope the PT will be helpful to restore your mobility and improve your balance. Just one of the many ways we continue to pay for BC and its treatment. Ugggh!

    (I had one fall, and it was way back in the first month of my CIPN. I fell because I was sitting and my foot must have fallen asleep (circulatory, I mean) but because of the CIPN I could not tell that had happened. So, when I went to rise, it was like standing on nothing and I toppled sideways into a restaurant chair and wall. It gave me a bad ankle sprain that I can still feel twinges from even now. Luckily, I have not had another incident since then.)

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

    Bosum - I sure wish there were a Yoga class somewhere close. I know myself too well to believe that I would drive 30 minutes to a class. Not happening! But I like the idea about retraining the brain. I know if I started walking & building up core & leg strength again, my balance would be better.

  • LauraSD
    LauraSD Member Posts: 16
    edited July 2016

    Hi Ladies:

    I am 7 months out from chemotherapy. I have generalized decreased sensation in my feet and toes and an overall constant, low grade foot pain. My toes often feel like they are about to cramp. Those first few steps in the morning are particularly painful, but then the intensity subsides. I feel very much like a 90 year old when I get up and shuffle through the pain. I also drop things a lot and occasionally have pain in my hands, but not much.

    I read somewhere, maybe in this board, that you can put your feet and hands in ice packs, like the cold caps used to prevent hair loss, and that decreases the chances of getting CIPN. I think the post I read was dated 2008, so this is not new information. I am so disappointed that my oncologist and/or the chemo prep class didn't discuss these preventative measures. So little time was spent on discussing these side effects. I feel as if the oncologists are so focused on getting rid of the cancer at all costs, that they under-emphasize or even invalidate patients with these life altering side effects.

    I have told my oncologist at every recheck visit that I have PN. I read about trying alpha lipoic acid and I asked my doctor what she thought. She said I could try it, but did not know a dosage. Since CIPN is so common, I expected the oncologist to be knowledgeable about treatment options. She didn't have much to offer me other than, "give it time, it may get better". I went to an integrative medicine specialist and have been trying several supplements- Carnitine, glutamine, alpha lipoic acid, cercumin and fish oil. I haven't really felt a difference. I am now trying acupuncture, massage and nerve stimulation and may try some herbal medicines. It is frustrating because I feel like once the cancer treatment is finished, they feel their job is done and abandon you to deal with the side effects on your own.

    I do appreciate that I am cancer free. I am thankful and feel blessed that I handled chemotherapy with minimal discomfort. I am also thankful that I don't have the balance and falling issues that many of you are experiencing. However, it is hard to accept that this may be the new "normal".

  • Blownaway
    Blownaway Member Posts: 760
    edited July 2016

    Laurasd - My onco has me on 600 mg of Gabapentin and it has really helped with my "toxic poly neuropathy" and also the joint/muscle pain associated with Tamoxifen. I can only take it at night due to its own side effects ( brain fog, drowsiness, etc) She also has me on 150 mg of Effexor to relieve Tamo hot flashes.

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

    bb, so you were walking with heavy flat footed? Gee that is me and the nuero guy I saw gave me a pt slip for gait therapy

    Gonna keep in mind but for now gonna see the nuer surgeon next week for the weakness in my legs

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

    Wonder why a skin biopsy cept maybe she figured as a survivor, insurance cover it

    Weird, will let you know how new doc goes

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

    I had the needle test done by 2 dif guys, both basically showed same although I only have report from one but picking up the other one tomorrow

    I did not have chemo but did take al for 5 year

    I am guessing mine is that or old injury

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

    I'm looking forward to your report also Proud. Like Bosum, I got tired of doctors. Since there is only occasional pain and 'they' can't do anything to fix the the "frozen ice block" feet, I said thank you & good bye. But falling because I couldn't feel a tiny step with my feet & breaking my arm in four places has scared the crap out of me. Maybe when I finish PT for the shoulder I'll go back to the neurologist & see what's new.

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

    Bosum - I agree I need balance exercises - but I have to finish shoulder/arm PT first since I still can't lift my arm to get things out of the cupboard or dry my back or even close my own car door. UGH!! I have started going to the gym after PT and riding on the recumbent bike and walking the treadmill for awhile. We'll see how long that lasts.

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

    I belong to a gym close to my house, yeah recumbent bike, treadmill o some days and pool help all things

    I have done a ton of pt and basically sort of tired of that, course at one point I overdid the pt thing and totally messed my back so now going easy and figure it need advise

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

    My old normal "smart" nerves: Someone is rubbing a feather over my pinky toe and I can feel it.

    My new normal "dumb" nerves: Someone is rubbing coarse sandpaper on my pinky toe and I can feel it. Or it it tree bark? Maybe it is berber carpeting? Well, I'm pretty sure there is something touching me anyway.

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

    Eli - funny girl. I can feel my pinky toe. Also the tops of the next 3 toes, but not the bottoms. What bothers me the most is the lack of feeling in the balls of my feet. Unfortunately I'm walking like an old lady since I'm afraid to fall again after I broke my arm (because I couldn't feel my feet no less).

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

    Minustwo. Are you describing my foot exactly? Numb like that and get fierce electric shocks at intervals Fell a couple of months back and broke a rib. Sometimes throat suddenly feel wooden and I start limping So hard to predict.

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

    I don't feel in danger of falling...so sorry to hear that more than a few have fallen and broken something. What kind of reactions do the doctors have when hearing the cause is the CIPN? Is it an "oh well, that happens" or a more humane reaction?

    Feeling in the tops of my toes came back to almost normal. The "necks" of my toes did also but the toe pads are numb, as are the balls of my feet. I think that the new nerves have a hard time regrowing into the more callousy areas...just guessing.

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

    I have had the emg test done twice.....One said I have neuropathy and one said No! But I know my feet are Numb!

    So, got new set of nuerologist and nuerosurgeon and the nuero guy wants to redo the test himself as he thinks other test were goofies

    Blood tests today to see if I am vit b deficient or if lyme is present. I think I will test positive on both but this time hoping to have something in former off treatment

  • dtad
    dtad Member Posts: 2,323
    edited August 2016

    Hi all...So sorry you are dealing with neuropathy. I have CIDP which is an autoimmune neuropathy. Ive had it for 15 years prior to my BC diagnosis. So I truly know how you all feel. It has been life altering for me. Much more so than my BC diagnosis. It infuriates me that docs do not disclose this very serious SE of chemotherapy. Not saying you shouldn't do chemo. Just saying it should be discussed before making the decision whether or not to have it. IMO it's important to remember that no matter what, it is a choice, your choice, not the docs. We all need to make our own informed treatment decisions and I respect all of them. Good luck everyone.

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

    Eli - I haven't seen my MO since I broke my arm, but I'll report his reaction when I do. I expect 'ho-hum'. The ortho doc is an "upper arm/shoulder" specialist & wasn't interested in feet problems. Oh, other than to tell me if I fell again I'd be in surgery.

    ChloesMom - really weird about the numb throat.

    Proud - I've been thinking I might go back to the neurologist & get the tests done, but I'm so sick of docs. And I'm not sure what an updated diagnosis would gain me since there's nothing to be done. Also I'm fortunate that while I have profound numbness, I rarely have any pain.

    Bosum - sorry to hear you're back to square one.

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

    proudtospin, What will a third neurologist do for you? NOT help your CIPN, and there are fifty pages right here to suggest that. Sure you can go to a third neurologist as a "tiebreaker" on the other two tests, but why? You DO have neuropathy. You already know that, test or no test.

    If you have pain, a doc will give you some drugs that might help. If you have balance issues, PT might help. Of the supplements B-6 (maybe B-12) might be of help. If you are numb, you are out of luck. That pretty much condenses the last 50 pages into four sentences.

    Does no one else become tired of seeing (and paying) doctors that cannot help?

    MT, just missed seeing your post but, again I say, until some miracle breakthrough occurs, I just don't think more docs are the answer. Of course, we are all free to spend our money as we choose, and tune out the opinions of people who write on discussion boards also.

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

    Yes, I get tired of seeing doctors whether they might be useful or not. I want to throw all of them in the trash so my life doesn't revolve around doc appointments.

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