Musculoskeletal pain

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LizM
LizM Member Posts: 963

I don't know if it is the rain or the fact that I switched from Arimidex to Femara 3 months ago and the Femara is kicking in (and is any kinder to me than Arimidex which my oncologist warned me about) or what but I am having a lot of musculoskeletal pain and it makes me feel like my breast cancer has spread through my body.  I hate the fact that after treatment is over the responsibility is left up to us to report symptoms of pain but we must take drugs to reduce recurrence and one of the main side effects is musculoskeletal pain which is pain in the muscles, joints and bones.  Now how am I suppose to know the difference between the drug and mets?  Plus I am taking Fosomax plus D and I just looked at the side effects of that drug and the 2d most common is musculoskeletal pain so now I am taking two drugs with this side effect.  My latest pain is my neck.  My shoulders and upper arms also bothered me on Arimidex but now my neck is added to the mix.  How is one suppose to move on and live your life and forget about breast cancer with this constant reminder and fear the pain you are feeling is mets.  I know that it is a better prognostic factor to have hormone receptor positive breast cancer and I should be glad I have a drug to take BUT at least if you are ER/PR negative and you have pain you don't have to wonder if it is from the drugs to prevent recurrence or it IS a recurrence.  Sorry I just had to vent. 

Comments

  • saluki
    saluki Member Posts: 2,287
    edited October 2007

    Liz-To me if you've had musculoskeletal pain in your shoulder's it does not seem unusual to have

    it in the neck if you think of all the muscles and nerves that they have in common and that are  needed to affect your movement.

    Don't know where you live but, I live in Pennsylvania and I can tell you my musculoskeletal pain has worsened with the change in seasons.  You can tell the weather by my body.  I've become a human barometer.  And you are right on schedule with the femara pain---About 3 months in when it started to be a real concern.

    I think there is a little voice in the back of your head that tells you when a pain is really out of the ordinary for you--more than just arthritic or musculoskeletal----or if its lasting too long.

    But if your pain is so generalized and the same degree all over Femara is the likely culprit. A few years ago I thought Arimidex would be worse but I've changed my mind.  They are both

    nasty.   

  • JoanofArdmore
    JoanofArdmore Member Posts: 1,012
    edited October 2007

    Hi Liz,

    I hear you.Sounds like a vehement Femara rant!

    My pain, aside from knees and hips, is in my back.It was with me all through chemo, and of COURSE has gotten much worse after years on femara.I have to sit in a chair to clean out the fridge.

    When I was done chemo and on AI, I complained to my onc about back pain.Before you could say "knife", I was having bone and CT scans.

    Everything was fine.I had "DEGENERATIVE" actvity going on in my back.

    And we all know femara increases arthritis.

    No, mine doesnt get worse with the weather.But in my reading I grew to understand it is Rheumatic arthritis which makes joints swell, and gets worse in cold or damp weather.Mine is osteo.

    My take-home message from your thread is that Arimidex was better to you than Femara is.

    Hmmmm.My onc , miserable about my poor QOL, has just offered me switching to Arimidex."See if it's better for you."

    I'm afraid to trade the devil I know for the devil I dont.

    I think.

    Good luck!

    joan

  • LAphoenix
    LAphoenix Member Posts: 452
    edited October 2007

    Liz,

    I know what you mean!  I've been on Femara and Fosamax for 8 months and have experienced weird pains all over my body.  I take the Femara at bedtime and sometimes in the middle of the night I'll be woken up by throbbing pains in seemingly random spots on my person.  Sometimes in my knees, sometimes in the area around my mastectomy, sometimes in my ribs, etc.  So of course I'm lying there thinking, is it mets?  By morning the pains are usually gone and I'm a little less hysterical.  I also have joint pain and stiffness that comes and goes, especially after sitting or lying down for a while.  My daughter calls it my Frankenstein walk.  But none of my pain is what I would call continuous, and I can usually tame it with Advil or Aleve.  I think that's what distinguishes met pain from Femara pain.  And some of the pain has, over time, just become familiar to me (and I've had scans and blood tests that indicate no cancer).  But I too have thought how ironic it is that the medication that we take to keep bone mets away causes very similar symptoms.  I've never considered not taking the Femara, but it certainly sucks that we have to endure these painful side effects!

           

    Amy

  • LizM
    LizM Member Posts: 963
    edited October 2007

    Thanks ladies for your responses.  I had similar neck pain/stiffness which starts in the back of my head and goes up the back of my head while going thru chemo.  I thought it was from wearing a hat all the time but it continued on Tamoxifen.  Then I had an ooph and started Arimidex and it went away but I developed other problems like severe abdominal pain (gas pains) which lasted for about 6 months and then went away.  I had some of the joint/muscle pain with Arimidex and sometimes which was bad at times and got better.  As some of you know I asked to switch to Femara because I thought it was the better drug and because I thought it might treat me better.  My oncologist seemed to think the side effects from Femara would be worse because it is known to reduce estrogen even lower than Arimidex.  I have to admit he may have been right.  My musculoskeletal pain seems to be worse on Femara.  I was getting by on Arimidex with only taking two Advil a day or one regular strength aspirin.  Right now I am taking Advil every 6 to 8 hours.  I live in Maryland and it has been raining this week so I hope if the weather gets better so will my pain.  I guess I just got worried because I was use to the other pains I had with Arimidex  which was mainly my uppper arms and shoulders and hands and feet.  The added neck pain scared me a little thinking Ok now I have a new pain I need to watch and if it is constant and persists I may have to ask for a scan which scares the heck out of me.  However, I do know my body and this neck pain is similar to what I have experienced before and I do believe it is the muscles of my neck and is starting in the shoulders although I don't really know if I would recognize bone pain.  Anyway, I'm rambling but thanks again for your support.

  • Nanners
    Nanners Member Posts: 10
    edited October 2007

    Wow.  All I can say is ditto!!!!!  Thanks to all of you for letting me know that I am not a hypochondriac.  My story is exactly like yours, LizM, except that my oncologist thought that my pain might be better on Femara than it was on Arimidex.  Not true.  Hang in there, everyone.

  • LizM
    LizM Member Posts: 963
    edited October 2007

    Nanners, how long were you on Arimidex before you switched to Femara.  I was on Arimidex for a year and have been on Femara for almost 3 months.  I am finding the joint/muscle pain is worse on Femara which is a bummer.  I have been studying my pain because it is different and to see if it is something I need to be concerned about.  I think the neck pain is muscle spasms that come and go.  My neck feels very tight and I have pain in my shoulders.  I had upper arms/shoulder pain with Arimidex but not this bad and the neck pain is somewhat new also but I did have trouble with it while on Taxol and a while after.  I was doing some research on the internet and read an ASCO briefing on a study that showed a high incidence of rotator cuff tendonitis, carpal tunnel syndrome and osteoarthritis.  I', wonder if my shoulder pain could be my rotator cuff and my neck pain caused by the shoulder pain.

  • TenderIsOurMight
    TenderIsOurMight Member Posts: 4,493
    edited March 2008



    Hi Liz and Ladies,



    We understand your worry, Liz, also taking these AI's. It's enough to make you worry, sensing the intensity of the muscle aches, and the bone aches which seem to accompany them.



    The neck of course, is a paramount place in the body to reflect the "S" word, as in stress. And for we women it often shows in the neck. Hold your neck in a peculiar position, and the next thing you know it, your paraspinal neck muscles are tense, then your shoulder muscles (deltoid, rhomboid, lat dorsi, etc..) start a flittering. Soon it just is one big knot of a kink, and you're reaching for the Advil every 6 to 8 hours.



    So, how about a little Spa therapy for you, Liz? Know any friends with a hot tub? Add some epsom salts and sit for a bit with your shoulders in and wow, they'll relax. Then some heat at night via a heating pad. Even a short term prescription of some Flexeril works wonders for muscle spasm. And by all means, try to look inward to seeing what else may be tensing you out. Perhaps you want to try the Arimidex again. Of the 3 AI's, the advice is to switch until you find the one with the lowest SE's. I'm almost up on my Arimidex 5 years, and boy do I not want to start switching around in spite of my SE's.



    Lastly, very doubtful, but are you having any arm heaviness on the affected side? LE can creep in, 30% fluid expansion without clinical pick up and it certainly puts strain on our shoulder and neck. Just a thought.



    I feel for you Liz...

    Tender

  • Pharmmom
    Pharmmom Member Posts: 300
    edited October 2007

    I have it too.  I had horrible back pain Sat night.  We had alot of humidity and I know that plus my arimidex made it worse. 

  • sjandtj
    sjandtj Member Posts: 31
    edited October 2007

    I first tried the inhibitors,,,Aromasin, then Arimidex.  The bone pain was so bad I told my oncon no way was I taking them.  He put me on tamoxifen even though I am post menupausel.  I have pain with it also and it seems to be increasing as the months go by,  I have been on it since April.  It is the joints in my hands and feet that hurt the worst,  Plus the usual lack on energy.  I think all of them have there draw backs.  I told my Oncon I would give it a year,,,then decided if it is worth the pain.  Quality of life has to count all so!

    Good luck

    Steph

  • Lynne
    Lynne Member Posts: 641
    edited November 2007

    Liz

    I was on Arimidex for a year and a half (after a complete hysterectomy Dec 2005) before I switched to Femara in March. I was having the aches and pains on Arimidex too, but I think they are worse on the Femara. I'm switching back to Arimdex next month (when the Femara pills run out).

    I'm so sick of all the side effects. I was diagnosed 2.5yrs ago (at 43), and just want to be back to my old self again. 

    I keep telling myself only 3 more years on these pills. I'll keep taking them, but I won't be happy about it! : )

    Lynne

  • sassy
    sassy Member Posts: 38
    edited November 2007

    Liz,

    could you give us more info on that study you've read regarding rotor cuff tendonitis (Spell?) as I am having a rough time for a few weeks in my upper left shoulder, where the collarbone meets the shoulder and I am now wondering if this could be caused by Arimidex, too?! What else is next??? Thanks.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited November 2007

    I just got over a hot flash! LOL

  • LizM
    LizM Member Posts: 963
    edited November 2007

    Thanks ladies for your responses.  I am analyzing my new pains now and am seriously considering asking my oncologist to put me back on Arimidex. 

    Steph,  you indicated you had bone pain.  Can you describe it because I am having a hard time distinquishing between muscle, joint and bone pain.  My upper arms, shoulders, upper back and neck all hurt.  Most of the time it feels like it is in the muscles and that the muscles are tight but sometimes I ache like it might be in the bones.  It is the bone pain I worry about more than the muscle pain.

    Lynne, I was on Arimidex for a year and tolerated it pretty well, had some joint/muscle pain but not like on Femara.  Could you explain to me the difference in your pain on Arimidex as compared to Femara.  I don't really want to switch back as I do believe Femara is a very good drug but I don't think it is better enough to endure more pain.

  • wallan
    wallan Member Posts: 1,275
    edited November 2007

    Hi there:

      I am on aromasin now for 6 months and I too have a sore neck and shoulders. Tight and achy.I didn't even consider this to be the AI. So I am sort of relieved others on AI's have it too for my own selfish reasons... but I am sorry that you are suffering.

    Wendy A

  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited November 2007
    Hi there everyone..I was on tamoxifen for a year and then switched to Arimidex for four years and the fosamax for two..I finished up a year ago with the AIs..I too had the pain on the arimidex...but it became less invasive after a time..I had a frozen shoulder while I was on it...but I figured it was worth it to me...I say switch to the one you can handle the best..
  • LizM
    LizM Member Posts: 963
    edited November 2007

    Hi Lisa, questions for you.  Did your muscle/joint pain go away after you stopped Arimidex? and Are you still taking Fosomax or has your low bone density improved?

  • SoCalLisa
    SoCalLisa Member Posts: 13,961
    edited November 2007

    Hi Liz...it did take a while for the pain to go away after I stopped...and now every once in a while it still aches.. I still take FosamaxD..I tried stopping it for about a year, but it seems I still need it...I was in natural menopause when I started the Arimidex and it seemed to make me go thru it once again..but then they put me on neurontin for my neuropathy and it stopped the hot flashes...

    One thing that really helped with muscle/joint pain was an antiinflammatory gel called Voltaren..I got it in Europe but they can make it here in a formulary pharmacy with a RX...my niece is a pharmacist in Canada and they made it for the Canadian Olympic Team...anyhow it is put out across the counter in Europe, so when any of my friends takes a trip there I ask them to get me a couple of tubes...Now all the people here use it for arthriitis etc... worth a looksee...

    When I started the arimidex my bone density was way above average but plummeted after 18 months on it...good thing to have it checked often, I think..

  • Lynne
    Lynne Member Posts: 641
    edited November 2007

    Liz

    On Arimidex, it was a lot less pain, it involved my fingers, ribs, and lower back. Femara involves those plus my feet, knees, neck, and arms. The pain on femara is more intense also. The hot flashes are still about the same.

    Lynne

  • LizM
    LizM Member Posts: 963
    edited November 2007

    Thanks ladies,

    Lisa, my daughter and her husband live in London.  I will ask her to check if she can buy volteran OTC there.  Thanks for the tip.

    Lynne,  How long were you on Arimidex before you switched to Femara and why did you switch?  For me also, I have more pain with Femara.  My pain before involved my upper arms (which were more painful on Arimidex) and was more of an overall joint/muscle pain.  With Femara my pain/stiffness/achiness is in the muscles of my upper arms, shoulders, upper back and neck.  I also feel it more in my hands and feet.  My oncologist warned me it might be worse with Femara but my sister had a much harder time with Arimidex than Femara.  I guess it really does depend on the individual. 

  • HensonChi
    HensonChi Member Posts: 357
    edited March 2009

    I was glad to find these old posts on Femara.  I have been experiencing terrible back pain the last few weeks, and keep wondering where this pain is coming from. I started it about 2 months ago and don't know if I can live with the pain.  Does anyone know if it gets better with time?

  • christiekoe
    christiekoe Member Posts: 16
    edited February 2019

    I’m happy that I found your post. I started Anastrozole January 1. The past several weeks, I’ve experienced upper headaches with back pain between my shoulder blades and tightness in my neck shoulders and jaw, all on the right side of my body (opposite side as breast cancer). My oncologist has recommended that I stop taking the Anastrozole for two weeks to see if it is SE of the medicine. I have found it hard not to be anxious over new aches and pains. Trying to learn a new normal. Has anyone else ever experienced similar se on Anastrozole as mine?

  • EmilyS
    EmilyS Member Posts: 4
    edited February 2019

    I have been on the AIs for 30 months. Starting about a year ago I had increasing left shoulder pain. By the time I decided I couldn't bear it anymore and had an MRI, I had shredded tendons throughout my shoulder. I had rotator cuff surgery in December. I am off the arimidex for two months now as I recover. I believe Ihave suffered the rare excruciating SE of severe tendon problems from these drugs. I'm trying to decide what to do now. Please take care of yourself.

  • EmilyS
    EmilyS Member Posts: 4
    edited February 2019

    tendon ruptures rare side effect of NCbI.nih.gov

  • Ganaa
    Ganaa Member Posts: 2
    edited April 2019

    Hi ladies,

    I am on Anastrozole since last Oct. first 3 month I had headache. Now since Jan this year I have right armpit shoulder neck Clavicle pain. My cancer was left side. My blood and ultrasonic tests are fine. But I have been worrying still. Does anyone have armpit pain like me

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