Vent about Permanent Neuropathy
Comments
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KCMC - So sorry to hear all the problems. With that many areas affected I would definitely make an appointment with a Neurologist. I was told you can see some improvement up to 2 years after the end of TCHP. Other people have been told 3 years. They didn't talk about H&P, but that's a question to ask since you only finished that 2 month ago. Gabapentin is of course only for pain and not for numbness.
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Hi NotBroken - oh I agree about the cold weather. Or the barometric changes. Or the phases of the moon (LOL). So sorry to hear your pain is back. Are you taking anything that might help?
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Minus Two, thank you, I think I will make an appointment with a neurologist, at first it was just itchy during treatment but ice packs usually took care of it. Then it started to tingle, burn and then shooting pains. I have to take the Gabapentin, I held out as long as I could it makes me so tired but I notice if I miss a dose the pain is worse. I hope it does clear up. 2-3 years is a small price to pay as long as this beast does not come back.
I was listening to Dr. Stubblefields podcast on BCO and he mentioned that Carboplatin has a 'coasting' effect and sometimes the neuropathy takes a while to show up and gets worse before it gets better. Ugh!
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Is there any way you could try acupuncture? I go to the integrative health center in our hospital. They only work with cancer patients so it must have some benefit documented.
They say it works the best if you start as soon as you can to when the symptoms start.
Also I would personally try b complex and b12 . Thorne bitamin makes a good methylated formulation.
The neuropathy webcast on the homepage is helpful as it explains that different drugs do different things to the nerves.
It's hard to say if it will be permenant. The gabapentin etc helps with the pain but there isn't good science regarding rebuilding the nerves.as of now conventional medicine doesn't have a lot of curative solutions in that area.
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Yes, I do have access to Acupuncture, my general practitioner performs it, I will call about making an appointment, I have done it with him in the past for fatigue before my cancer diagnosis and it helped, thank you for recommending it! I am taking a B complex and Alpha Lipoid Acid. I am running low on my b's I will look into the Thorne brand. Thank you so much
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NotBroken and MinusTwo and KCMC
YES to barometric changes, for me if a cold front is approaching I can tell, or a very rainy weather system. On those days I can feel as if I've been beaten with a bat all over, very achy. Once the front arrives I will feel better.
YES, acupuncture helps with the neuropathy burning pain and tingling. I go to an acupuncture doc who practices the Asian method of working with the meridians of the body to keep in balance. When I first went, soon after chemo ended, I went 3x a week for 2 weeks then once every 2 weeks, now I still go every 3 or 4 weeks. I think of him and my massage therapist as necessary for my wellness.
KCMC I have systemic neuropathy, it has made my legs weak. Also if I have had a busy day, in the evening my whole body will feel it; my mastectomy area will feel tight and nervy, I will be tingly in legs and feet and arms, back will be painful. If I have a good night's sleep, I will usually feel better in the morning and start the cycle over. Acupuncture does help, especially it helps for me with the burning painful feet and legs. Nothing helps the leg weakness except rest.
Mary
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Also just a note about Bvitamins. The dietician at the cancer said to never take more folic acid than is the RDA so read that label carefully. the Thorne vitamin is a dose of 2 capsules but I just take one daily to avoid to much folic acid and it is the methyl form. I take the Methyl form of Vitamin B's because I had a test and even eating high amounts of foods with B vitamins I was very low. They ruled out Pernaciious anemia which would also be good to check because it is a common occurance among cancer patients.
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Sorry to interject on the current posts of vitamins and accupuncture. Wanted to write a quick post that will give some hope to those 2+ years out from their CIPN.
RIGHT NOW (over 5 years PFC) I would say that my CIPN is only about 4% in my left foot, and 5% in my right foot. I have a couple toes that feel 99% normal, and almost nothing in balls of feet now. What it feels like is that the nerves regenerated in all the harmed areas, BUT it seems like where I might have had (let's say) 10 nerves, only 7-8 are there now to do the work. Although ALL areas of my foot have feeling now, some just have less feeling than before all the damage occured.
What did I start with, CIPN-wise? Here's an old excerpt from a post I wrote at about the 7 mo. point:
When the neuropathy began, I would say that my left foot was 45% numb and the right was 55% numb. After the New Year, it seemed that I might have improved to 40% numb and 50% numb, respectively. Really, it was hard to distinguish, and it seemed like I would have some days better than others. Now, I would say I might be at 35% and 45% numb, left and right. The other day, my toes could finally feel the hotness of bathwater. Just a little.
What I wrote above is about the degree of numbness, but he area of numbness is definitely reduced also. I barely feel it in my heels anymore.
My changes were more noticeable the first couple years, but I still had A LOT of healing after the 2-year mark. I was never immobilized by my CIPN. I kept my feet active, kind of bossed them around really, and I urge all of you to do the same, if possible.
I still have not given up to one day have "old normal" feet. At this rate, it may take 10 years. My cancer is gone now, so I plan to be around to find out if I am right.
Healing wishes to everyone posting here.
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Excellent news, Elimar!
Lyn
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I'm bumping this in hopes that those affected will read my post just above and remain hopeful for their own healing.
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Eli - how nice to see you. Hope all continues to go well. Miss ya.
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I already have peripheral neuropathy. Now I am going to have chemo neuropathy. This is scary, but to go through this with a reasonable assurance of fifteen years more of life (68 now), it is worth it. I know that it heals slowly, to the point that it doesn't seem like there is any progress. I have asked for a referral back to neurology, but they are one short, because the one I saw has retired. If there is some way to prevent further loss-- but the icing hands and feet is going to set off aches, and the devices that do it are apparently quite expensive.
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I am sticking with Lyrica
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what is the dosage schedule? I take two 300 caps of gabapentin in morning, two at two pm, and three at bedtime. Often I miss, particularly the afternoon dose.
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McBaker - it really makes a difference to ice your hands & feet. Start 30 min before & keep it up 30 min after. I used frozen peas in zip lock bags for my hands and put my feet in coolers with ice bags. The nurses brought my extra bag of peas to switch out 1/2 way through. Yes - it was FREEZING. I wear turtlenecks at 75 degrees and often have gloves on in my house at 70. But I shudder to think how bad my neuropathy would have been w/o icing.
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I will be discussing it with them. My right ankle is getting rubbery again. I thought I would be able to get through the winter with just boots, but may have to go back to my New Balance shoes with AFO.
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The perfect idea one time I gave my son a bag of peas for his ear because he had things it into something. He ate the peas once his ear was feeling better So I guess you have a snack on the way home 😊 I wish I had posted here I tried this method during chemo because I have terrible neuropathy in both my hands and feet
Which part Of the therapy did they recommend it.I have ice in my mouth during taxotere or maybe it wascarboplantin.
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I was told to ice during taxotere and to keep the cold on for 30 minutes before & after. I've since read things that indicate carboplatin may be a problem too, but no way could I have kept the cold on any longer.
For that same reason (in addition to the cost) I didn't choose to cold cap. Luckily my hair grew back with the addition of Biotin to my vitamin stash.
Eeeuuu... No way would I have considered eating the peas after dragging them back & forth for 6 treatments with the thawing & then re-freezing in between. I bought the cheapest peas I could find and put them in zip lock bags - well marked. I was never to happy to throw something away.
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Has anyone "enjoyed" a dramatic increase in neuropathy many months after your final chemo treatment? Although I still had numbness up to my shins, my finger tips and nails felt numb and stepping down a curb remained scary, I felt like I'd made significant improvement in the months since I completed treatment. Then suddenly, the neuropathy in my right / dominant / non- cancer side hand increased dramatically...numbness, tingling and decreased grip strength. 😣
As an aside, this started after a shingles attack, but that was on the other side of my body. Probably a coincidence? My GP said a pinched nerve was unlikely based on my symptoms.
I already take Lyrica for severe Fibromyalgia. After 142 medical visits over two years with cancer and spinal / SI joint issues, I'm reluctant to start down the rabbit hole with neurology visits. Any ideas, folks?
Lyn
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bye yes if you read about the neuropathy webinar on the home screen the doc talks about neuropathy that kicks in after chemo. It has a name and it is something to do with the damage to the DNA from platinum therapy at least if I am recalling the details.My neuropathy in both feet and especially hands came on 3 months after chemo.
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Mine started after the 4th round of TCHP. The doc said he could decrease the dose for rounds 5 & 6, but based on my cancer, he preferred to continue with full strength. My choice was to go for it. As it was, I still didn't have pCR and had to go back for four rounds of AC chemo after my surgery. The CIPN got worse for awhile - or maybe I was just learning how to cope. Then it seemed to back off some - particularly in my fingers. Now 4+ years later, most of my feet are still numb and it climbs up my shins at times; and my fingers are "almost" numb or have diminished sensation. I can at least do up the zipper on my pants (which I couldn't at first) but I have trouble swiping phones & tablets or picking up coins off a table. I continue to be grateful that I don't have much pain.
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My occupational therapist says to get a pan of beans, corn, rice, or something like that, and move your hands around in that. She had one with pinto beans and some marbles in it, probably for the client to close her eyes and pick out the marbles. Knitting or crocheting or something like that is also recommended. I have four bags of rice and beans for nuking for hotpacks, overkill. I am going to empty two of them for stimulation. I remember when I was younger, typing made my hands feel more alive. Same principle. For neuropathy, use it or lose it is really applicable.
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I have been miserable as of late. I have many worries and I suspect stress is a huge factor. Lately when I walk or stand it feels like my legs are so shaky and weak. I have been here before and thought I was going to be wheelchair bound and then had significant improvement. This is just the damnist affliction but when it acts up like this it is frightening.
MCB, my mother had occupational therapy for arthritis and they had her doing the marbles.
Minus, I thought of you yesterday. I was driving and at a red light I thought I was applying my breaks but my car wasn't stopping. Finally I slammed them on but it was strange in that I could not feel the pressure I was applying. Obviously as of late my feet are numb. Do you have difficulty driving?
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Thanks for the input, all. The marble / bean idea is interesting. I'd wondered about the putty that you squeeze.
My neuropathy started during my Taxol infusions. I also has Adrimyacin (sp?) and Cytoxan, but no platinum drugs. I had re-read the seminar transcript, but don't recall him mentioning a sudden worsening so many months after chemotherapy concludes, particularly with the AC+T protocol.
NotBroken, my mom had similar issues from cardiac-related neuropathy. For some time she was able to drive during low traffic times and chose routes with lower speed limits. Seeing one's independence in jeopardy must be very scary. I'm sorry this is happening to you.
Lyn
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NotBroken - So sorry to hear about the recurring leg weakness. Is it worth talking to a neurologist again? So glad you were able to stop the car. I don't have trouble driving but I too have looked for other routes. I really don't want to drive in construction zones - particularly in the rain or at night - so back streets have become my friends.
My physical therapist gave me a container of stuff like Silly Putty that I was supposed to squeeze. And she told me it would be good to play dominoes for pennies to I'd have to pick up both the tiles & the pennies.
Happy New Year to everyone. May the side effects diminish - even if they don't go away.
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NotBroken, I have some neuropathy caused by chemo, and when it was at its worst I could not safely drive and so had to have someone else do whatever driving was needed. As you described, the problem was that I had problems operating the pedals of the car -- I felt that I was pressing down on the brake pedal, for example, but the car was not slowing as much as I had intended. Part of the problem was that my feet were partially numb, so it was difficult to get an accurate "feel" for how much or how little pressure I was applying. But a bigger part of the problem, I think, was that at that point I was so weak that I was physically unable to put much pressure on the pedals even though I felt that I was making a good effort. You mentioned that lately your legs have been very shaky and weak, so I wonder if weakness is a part of your problem as well as the numbness. If you haven't already done so, perhaps you could talk to your doctor or a physical therapist about the weakness to see if something could be done about it. I know you said you had had significant improvement when you were shaky and weak before, so perhaps you can figure out how to do it again. I wish the best of luck to you; I know how frustrating and scary it can be when you can't do the things that you want to do.
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I have an electromyogram scheduled for the twenty-third. I have a baseline one from two years ago. Still frustrated because the Neuro SE are affecting me more severely than those in the weekly taxol group. But there is the positive that I am feeling pretty good today Monday the 31st, with my next chemo scheduled Thursday the third.
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McBaker - definitely do talk to your doc before the next chemo to see if he/she wants to consider reducing the dose.
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Planning on it. The issue came up during my visit with breast surgeon. Gotta have my list of concerns. Need to keep up with my journal, too.
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Hi, has anyone tried Horizant? I was having so many problems with my feet and went through high doses (2,700mg/day) of Gabapentin, then Lyrica, and am now on Horizant (600mg/day). It is a slow-release Gabapentin, really. It is so wonderful. I sure notice a difference when I don’t take it.
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