Excruciating Lymphedema Pain and Cannot Get Meds
Hello all,
I had a lumpectomy in 2010 and did not have any problems with lymphedema until 2016. I am an avid swimmer, surfer, and weightlifter but what did me in finally and gave me my first bout was a computer-related job where I had to repetitively click a mouse. I went for lymphedema massage classes and learned to perform the massage on my own. In the two years since then I have had a few recurrences,, nothing serious and I was able to calm them down with massage and switching the mouse to my other arm.
However, a week ago I bruised my arm and as soon as it happened I said "On no!" (after following admonitions to not take blood pressure or IV on that arm) and sure enough I am having a severe bout. Like always it is excruciating, stabbing, searing pain in my armpit. I have taken double doses of ibuprofen, tylenol, aleve, and meloxican and have been performing the massage. I have been to two doctors about this, begging for stronger pain meds such as Tramadol which I have taken in the past, only to be told we do not prescribe opiates for this type of thing.I was given 10 mg nortriptyline which I took last night and tonight to no avail.
My oncologist is in another state as I have moved to NYC and fly in to FL for appointments with her. I am at my wit's end. Today I called the pain doctor who gave me the nortriptyline on Friday. Didn't get her but the person on call, through the answering serviceBegging her to please prescribe something stronger as I cannot take this pain another minute.
Again I am told we do not prescribe anything stronger for lymphedema, just take the tylenol and give the nortriptiline a few weeks to work. I am at my wit's end with this horrible pain in my armpit. I can totally see why people resort to the street to buy drugs. Can anyone tell me what to do, please? This opiate hysteria enrages me as they have no idea what people are going through.
Comments
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surf, oh please don't resort to street drugs. That's a slippery street to go down. I know some that never did recover going down that route. But I totally get your frustration and feeling. Can you try gabapentin made into a cream or lidocaine with ketoprofen (sp?) made into cream. These are strong drugs that my mom got for her shingles nerve pain in the face.its good because it doesn’t cross your brain up like edible drugs. A pain specialist will order these up probably not a MD as you need to seen regularly. Oh dear please let us know what happens.
I'm in a pain study now starting Monday and we are doing virtual reality for a half hour a day. Ive been practicing before I start. So far it really makes me forget my nerve pain in my sciatic nerve. You might want to rent a virtual reality game and see if it gives you relief until you can find a solution.
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No street drugs, hugz4u, that was hyperbole!
The doctor did prescribe gabapentin (in addition to nortriptyline) but in capsule form. I took it for two nights and hated the way it made me feel when I woke up in the morning. I will ask about cream but here is a question.
I do still have some leftover Tramadol from a prior injury. I was thinking I could take that but I'm afraid it conflicts with the nortriptyline? I have seen some things online about seizure risk. Doesn't look like many are reading this thread but does anyone know if this is in fact a real risk or just a cya? Reason being every drug has risks, but if it's not really something to worry about I'm inclined to try it.
That's a really cool thing about the virtual reality study! i wish I could get into that. How dod you practice, through video games?
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Your regular doc might look at you funny if he doesn't know about compounding your drugs. That is putting it into a cream. It's very popular in Europe. My relative had soft tissue damage in forearm and they made a cream with the same kind of drugs you take orally for that particular injury. Then they had him wrap it in Saran Wrap to keep it from rubbing off and to increase heat. It worked for him. Not sure about the heat part as I'm not a pharmacist and this might not be appropriate for all drugs. Oh I wish VarociousReader would see this post. I am sure it is her that is a pharmacist that helps us here. She's clever with her drug interactions. Don't take a risk mixing drugs!
There really is not much practise with virtual reality. You just got to learn how to use it and then do it. It's easy and I'm not a gamer, never held a joystick before.
The study guys came and set up the equipment and said I could try it out before my study starts on Monday. The study is:I will be doing it for 30 min a day, six days a week for four weeks and filling out a pain score log daily. They will call me once a week and question me. Anyone could do this on their own to see if it works for them. So far it's a major distraction from pain as it is soooooo engaging. It will be interesting to see how the study turns out. A few from this forum from my area have already done it and like the results. Oh bonus I get 400 dollars for doing it.
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Ok been in touch with Varaciousreader. She's not a pharmacist but due to numerous chronic injuries etc she has a chronic pain doc that prescribes her and she is well versed in pain drugs.
You definately need your own specialist chronic pain doc to address pain issues ASAP.if your pain doc won't address this then switch to a new doc. Nerve pain is the worst.
First stop. Go to urgent care facility or emergency tonight to address pain with proper drugs. Once chronic pain doc looks at you then you need to see a lymphedema therapist to gain control.
She said tramadol is a strong drug that needs a doc to supervise. Nortriptyline won't help short term for acute pain. Neutrontin can cause annoying side effects but should subside after a few days effects and pain should subside too.
Keep in touch. You must address this immediately. There is no bravery in suffering.
I don't think I read that your wearing a sleeve or gauntletglove but that might calm things down a bit. You should wear daily if you indeed have lymphedema. Especially for sports and weights. Try wearing a two sizes small underamour men's only compression tee with no netted inserts sewn in. Just the compression in your pit might give you relief as it does when my nerves flare up a bit. Also Try backing off the weights and sports. Something could be setting you off. You'll have to test yourself thru trial and error because not exercising could make it worse for short term. Pulling heavy weight that yournot use to is bad so don't increase yet till you know what's going on. You don’t get rid of lymphedema unless it’s early stage so when you get a recurrence it’s just LE rearing it’s ugly head. We have to control it daily even if it doesn’t hurt.
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Axillary Node Nerve Pane
I was diagnosed with Stage IV Melanoma in 2013, I had a complete axillary node dissection in Dec of 2012. My pain, it's nerve pain and can come and go for the rest of your life, started right after the drain tube was removed. I was prescribed Gabapentin ( ☢🧠🤯) and for whatever reason I quit taking it. Once my pain started it never went away, my surgeon said some never get it and some never lose it, why can't I be this lucky with the lottery! I've also lived with terrible pain in my back from injuries, my last MRI showed that I no longer had any disk left at L-10 & L-11 causing breath taking nerve pain around my ribcage/back to front.FINALLY; Back on Gabapentin (for sure) it's the only thing so far that helps with the pain. I agree you should see another doctor but honestly, my experience, if they aren't a Surgical Oncologist they probably won't be much help. Also, you can take all the pain pills you want, OTC, narcotic, you name it, if it's not for nerve pain it won't help. NOW GABAPENTIN has one Awful possible side effect, lymphedema! In your arms and especially your legs. Swelling like you've never seen, no nerve pain, but plenty of pain from swelling. Now, not to be discouraged, Some people get past that with TUMERIC. It is a vitamin that you can buy at any pharmacy. That's my next move. I spoke with a girl who is taking 1800mg of Gaba a day, I take 600mg prn, she said Turmeric has taken away the swelling completely and she has Zero Nerve Pain! Sorry for being so long winded but if someone tells me about something I want to know as much as possible.
Lymphedema is no fun, especially when it affects your every day life, I hope you find a doc who will be able to help you. Keep doing the exercises for sure, Again your pain may leave and not return, if so run with it! If it does you will definitely need help managing it, no matter what stage it's in!!
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LCDC2B I’m so sorry about what you are going through. I hope you’re able to get relief. Unfortunately I’ve been taking Turneric and a host of other supposed anti-pain supplements for about 10 years to no avail. Good idea about the surgical oncologist however
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See if your obviously crazy medical team can prescribe... lidocaine ointment, you rub it all over the surfaces of where the pain is flaring up, and it dulls the nerves of the pain and it makes a big difference. The other thing I use for flare ups is my pump. I never let it get out of hand but understand what pain you're talking about.... I had every node removed in my left arm. If you don't have a pump you can get one for free. I did. It works amazing. Helped me through some painful evenings. The organization Is called “Connie Cares". The ointment you can put in hard to reach places and it really helped me with Flare ups. Also walking seemed to help. It allows the gravity to help the flow of the fluid find another clan to join. I wish you luck! ~M~
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Thank you Surfette, I still put my feet on the ground one at a time as most of us do. I certainly feel blessed and not one ounce of self pity.
Let me say I am sorry if I upset you or anyone else (clans?) for responding to your post regarding lymphedema pain. As I clearly stated I Do Not have breast cancer but I'm a survivor, the same as all others.
Your post came up in a Google search about Tumeric for side effects
of Gabapentin. Tumeric is a Vitamin not an anti-pain supplement.The only reason I commented on your post is because lymph nodes are just that, the pain that comes with having 1-26 removed is nerve pain. It is not specific to any one type of cancer or person.
I didn't sign up for a sorority when I was diagnosed, I signed up to fight. Unfortunately you don't find a lot of long term survivors of stage IV metastatic Melanoma of unknown origin, (MC-1), for qualification purposes. Therefore, for me, I don't care what type of cancer you have when it comes to experiences not specific to any one type. If you can help me or vise versa, I will take in all you have to offer.
So again, I am sorry for commenting on your post, perhaps the moderators of this site should tell Google that the links should only come up in searches for lymphedema pain in direct association to Breast Cancer. Our experience, strength and hope should never be shared with someone outside of our "clan", that would just be silly and pretentious.
God bless...
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LCDC2B wait, gosh, I didn't mean to imply you should not comment on my post?? And I am not sure what is meant by "clan" but then I don't consider myself part of any "clan." I'm not a ribbon-wearer, I don't march for Komen or do any of those things. Breast cancer has taken enough of my life and I feel no obligation to "volunteer" or "give back" or any of that. I'm trying to enjoy what is left of my life and if that is selfish, so be it.
As far as Turmeric, it's been described by my vitamin store as a supplement so that's what I call it, and I hope it does work for you, unfortunately for me, not the case, nor any of the other things I take that seem to work for various things, but none of them lymphedema pain.
Hugz4u sorry I didn't get back to you. In fact I did consider strongly going to the ER but my friend gave me the name of a doctor I should see to inquire about medical marijuana. Not sure if that topic is allowed here (??) anyway I am signed up for the program and until that kicks in he did give me some prednisone and Percocet to get me through this surf trip I am currently on in another country. The plane trip was a horror (altitude?) but a bloody Mary inflight and a couple beers in the surf van later and I was feeling fine. Interestingly paddling for waves and keeping my arm moving seems to help.
We'll see what happens the rest of the week. I will probably scour the rest of the lymphedema posts to see if I am missing anything; I just kind of became panicked knowing this trip was coming up, I barely speak the language, etc etc. Pura Vida!
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Micmel I am not sure what this pump is but I will check it out, thanks!
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