Best way to ice hands and feet
Hi. I will be starting chemo early February and will have six rounds of herceptin, taxotere and carboplatin 3 weeks apart. I’m looking for ideas on the best way to ice during taxotere. My MO and nurses are not giving me any ideas. Also, do you need to ice during carboplatin? I’ve only heard of icing during the taxanes, but I read that neuropathy can be side effect of carboplatin also.
Thanks so much
Comments
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Hi Rockcity;
Take an old pair of warm socks and cut off the toes to keep the rest of your feet warm. Fill up a plastic bag with crushed ice. Cover your toes with the ice (top and bottom). For hands, also fill bags with crushed ice. Make a claw with your hands and sink your finger tips into the bag.
I don't know about the need to ice during carboplatin because I didn't have that chemo.
I think it is ok to take a couple minutes’ break if the cold is too much to bear.
Good luck!
Stephanie
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I take a couple of small frozen water bottles with me and hang on to them during treatment. It's worked well for me. You can order ice socks from Amazon. They are easy to use.
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Thank you for the ideas. Is it important to ice the whole hands and feet or just fingers and toes? Also how long did you ice before/ and after the taxotere portion
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I used bags of frozen peas that I brought in a cooler. I used large bags for each foot, then held two bags on my lap on a towel and dug my fingers in. I also kept ice chips in a Tervis Tumbler to keep in my mouth to help prevent mouth sores. I iced from 10 minutes before the start of Taxotere until 10 minutes after. I received IV pre-meds for about 30 minutes, then Taxotere first, followed by Carboplatin, then Herceptin, and the Taxotere was infused over about 60 minutes. I did not ice for neuropathy prevention, I iced to keep my nails. I used supplements for anti-neuropathy with the blessing of my MO, 30g of L-Glutamine (10g, 3x day, dissolved in a cold non-acidic drink) and a standard vitamin B6 capsule.
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Hi SpecialK,
Did you need to switch out bags of peas partly through taxotere or did the original bags stay cold enough for the entire hour plus?
For potential neuropathy, my MO suggested 200mg a day of B6 and 60 mg of alpha lipoic acid per day. She said that no one ices. Here on breast cancer.org it seems common
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Hi SpecialK,
Did you need to switch out bags of peas partly through taxotere or did the original bags stay cold enough for the entire hour plus?
For potential neuropathy, my MO suggested 200mg a day of B6 and 60 mg of alpha lipoic acid per day. She said that no one ices. Here on breast cancer.org it seems common
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The chemo nurses provided me with two small medical wash tubs filled with ice. I wore lightweight socks and those cotton lightweight gloves. When Taxol started, I put in my hands and feet - bringing them out periodically. When it was over, my nurses brought me towels and I put on dry socks. Worked like a charm. My sister did the same thing.
The thing I appreciated the most - Benadryl had no power over me. The minute I put those hands and feet and ice, I was wide awake!
Neither my sister nor I lost any finger or toenails. I have VERY MILD neuropathy in my right toes. I pulled that out of the ice more.
But it helped us. GOOD LUCK!
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rockcity - I am skeptical about icing for anti-neuropathy, but I am a believer in icing to prevent nail loss. The peas stayed cold enough to make it through the entire infusion of Taxotere, but frozen peas are pretty inexpensive - you could bring extra ones and swap out half way through. I even re-froze the peas when I got home! I have found that nursing staff will often discount icing, but I was willing to do it, and once they found I didn't need to involve them they were fine with it. Nail loss is really problematic so I wanted to try to prevent it every way I could.
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It sounds like peas or ice can do the job. Thanks for the suggestions. Chemo day is certainly not going to be restful between the icing and the cold caps. My MO wants me using Ativan for nausea and I was afraid I would be “out of it” for chemo sessions. With all of the icing of my hands, feet and head, I don’t think I’ll be resting at all. It sounds like it’s going to b crazy
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My nurses filled bags with crushed ice for me and gave me small towels to put underneath. I didn't need to bring anything. I was the only one icing but they were more than happy to help me. I did the same as others, thin socks and rolled the Baggie over and under toes and dug my fingers into the other bags. I would wear the surgical gloves they have there so my fingers didn't get wet. I iced probably up to my second knuckle. I did have to pull them out occasionally. No lost nails and no neuropathy
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My chemo place prided endless ice gloves for protection against neuropathy and nail loss. Once one pair thawed out, new ones were provided. I can’t believe this is not common practice in the US and that bags of frozen peas need to to be brought along.
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traveltext - it depends on the center, but there isn't crushed ice at my center so nurses wouldn't be able to provide it, or tubs to put it in, and I had chemo at the largest private oncology practice in the US. I know some centers have the mitts and some are now providing scalp cooling also, but it is not standard practice by any means. Some centers also provide lunch, snacks and beverages but mine did not do that either, other than readily available water.
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SpecialK - my infusion center doesn’t have ice so the peas are sounding like a good idea. Did you put your foot on the bag of peas or the bag of peas on top of your foot? For your hands did you just hold a small bag in each hand? Were the tops of your hands covered with the bag of peas or just the fingers and palms
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rockcity - I brought a small towel and put my feet on top of it and placed the peas over the front of each foot. I used large bags for my feet to make sure the pinky toes were totally covered. For my hands I put a towel on my lap and put both bags of peas on the towel, then dug my fingers in like a claw so the nails and fingers were kind of embedded. Keep in mind I was doing this for my nails, not trying to prevent neuropathy so I was less concerned about the whole foot or whole hand. I would occasionally take one hand out and pick up my cup to get ice chips for my mouth too.
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I bought ice socks and ice mitts on amazon and put them in the freezer at home. When it was time to go to the cancer care center for an infusion of taxol, I'd pull them out of the freezer, put them in a little cooler and take them with me. I wore them the first 20 minutes of taxol treatment and the last 20 minutes and asked the nurses to put the socks/mitts (in a plastic bag) into the freezer they have in the back room.
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