Chemo induced Fibromyalgia

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Jaanee
Jaanee Member Posts: 69
Chemo induced Fibromyalgia
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  • Jaanee
    Jaanee Member Posts: 69
    edited April 2008

    Hey, anyone else out there end up with Fibromyalgia after finishing chemo?

    I had 4 AC - 1 Taxol and 3 Taxotere. I have the 'expected' neuropathy from the chemo. I also ended up with unexpected Taxol SE of second-dergee burns to my hands and feet. The oncologists said they'd never seen that happen. The onc nurse said I was the third one she's seen. Funny how that is since they all work in the same office. 

    Anyways - I expected to start feeling better when chemo ended on 21 Feb but just kept going downhill. The muscle and joint pain that usually acccompanied the neupogen shot didn't go away and two months later I could hardly lift my feet. Everything hurt all the time.

    The oncologist said it wasn't related to chemo.  My primary physician did a bunch of lab tests and having ruled out everything else settled on Fibromyalgia. (That's called a differential diagnosis - medical eenie meenie mynie mo!).So I started using Lyrica and the pain is much less, more manageable - which is another indicator that the problem really is fibromyalgia.

    SOOOO now I'm wondering where did this come from? I can't help but think it's a result of the chemo treatments. Don't get me wrong, I would have had the chemo even if I knew how things would end. But the oncologists are sure that the two things aren't connected. I'm positive they are. Is there anyone else out there who's ended up with Fibromyalgia or long lasting muscle and joint pain after finishing chemo???????

  • sam52
    sam52 Member Posts: 950
    edited April 2008

    Yes.....me!

    I also had taxotere and had major side effects.Lots of things that the onc said he had never seen before.Also had long-term muscle and joint problems.....could barely walk, and felt that I would never be normal again.

    I finished chemo (4x FEC and 4 x taxotere) in June 2002 and still have muscle problems, although thankfully not as frequently.I got a dx of fibromyalgia about 3 years ago when I was in constant pain and the rheumatologist prescribed amitryptiline. It is not as severe, but still there, and I am convinced that it is caused by chemo - taxotere in particular.

    Best to you,

    Sam

  • txred9876
    txred9876 Member Posts: 392
    edited April 2008

    I have severe neurapathy and all over achiness since I finished Taxol in June 06. I had to go to a pain managment doctor it was that severe. I am on Lyrica (it was working but had to lower the dose due to swelling), time released morpine (small dose),  and tegretol.

    Taxol was rough for me. I am still quite stiff when I have sat for a period of time or getting out of bed.

    Tina

  • luckymel
    luckymel Member Posts: 643
    edited April 2008

    I finished Taxol a year ago, and have had severe neuropathy and muscle and joint pain ever since.  I haven't been officially diagnosed with fibromyalgia and don't want to be.  I saw a rheumatologist, and he prescribed Lyrica (which I can't take due to sleepiness) and asked me if I thought I had fibromyalgia, and I said I didn't want to go there, so he dropped it.  I take neurontin and timed release morphine, and I do fine with that.  My oncologist was kind of clueless about the whole thing, sort of denied that Taxol could cause such symptoms and said that he had never seen it before...so I changed oncologists.  I get much more understanding from my new oncologist.  I know several others who have had similar problems, so I'm not sure why some oncologists are so sure it isn't related to chemo.  They'll never convince me.

  • Jaanee
    Jaanee Member Posts: 69
    edited April 2008

    I wish there was some way to get the oncologists to read this board. I had my six-week follow-up (after finishing chemo) with the onc today. When he came into the exam room he spent a few minutes reading my chart then asked, "So, why are you here?"

    I'm changing oncologists.

    We all have taxol or taxotere in common, and the everlasting joint/muscle pain. What about neulasta or neupogen? Did anyone also take those?

    Luckymel, I'm new to this fibromyalgia stuff. Why do you want to avoid a diagnosis of fibromyalgia?  

  • Fi_in_oz
    Fi_in_oz Member Posts: 49
    edited May 2008
  • luckymel
    luckymel Member Posts: 643
    edited April 2008

    Jaanee, I agree with you - you definitely need to get a new oncologist - whatever did he mean by "why are you here"??

    In answer to your question, I don't want to be diagnosed with fibromyalgia for a couple of reasons.  To begin with, your medical information isn't private, and follows you around.  I don't want to be discriminated against, or to pay higher insurance rates, because I have been diagnosed with fibromyalgia.  People with chronic diseases, and pain related diseases, are not the insurance industry's ideal candidates for any kinds of insurance.  Employers, should they find out, might not want to hrie someone with fibromyalgia, either.  Maybe I'm being paranoid, but I would just prefer NOT to have any additional labels attached to be.  Being a cancer patient is bad enough. 

    The other reason is just that I don't want to admit to myself that I have any other chronic illnesses.  I'd prefer just to tough it out and pretend that I don't.  And I don't want to give myself any excuses to not do something, either. 

    That said, I do think that I've had definite changes since chemo...I'm just not giving in to it.  But if anyone asked me if chemo could cause fibromyalgia, I'd say yes.

  • maxgirl
    maxgirl Member Posts: 407
    edited April 2008

    Mel: I feel exactly the same about having fibromyalgia diagnosed.  It would really depress me to have that label.  Right now I just have aches and pains and get a little tired. Laughing

    And, yes, I think chemo can lead to FM. 

    Max 

  • Jaanee
    Jaanee Member Posts: 69
    edited April 2008

    I guess I'm happy that I have a reason for how I felt and something to help me feel better. So being diagnosed with Fibromyalgia doesn't bother me. I'm happy to be able to take the Lyrica and have a "normal" day 

    I love my primary care physician. Not only does she take the time to listen until she has the whole story but she also just agreed that "of course chemo can bring on fibromyalgia". She said she has seen it many times. Now why can't the onc's see the great big flashing association between pumping us full of poisons that cause nerve damage (neuropathy) and fibromyalgia (which is thought may be brought on by repeated nerve stimulation).

    Is it ego? Can it be that they can't cure it so they don't want to see it?

    Mel - I'm not sure what having the tag of FM will do to my insurance since I work for a large university. I think they'd catch on anyway when I keep re-filling my prescription for Lyrica.

    The good news is that my PCP said that chemo induced Fibromyalgia tends to improve over a period of two to four years. There is hope at the end of the tunnel.

  • maxgirl
    maxgirl Member Posts: 407
    edited April 2008

    That is good news, Jaanee.  What a great PCP you have!

  • ifeelhelpless
    ifeelhelpless Member Posts: 1
    edited November 2012

    Hello everyone. I was looking for info about fibromyalgia and Chronic fatigue Syndrome developped with medication and I found this place. I developped fibromyalgia and Chronic fatigue after malpractice with anesthesia. I have known some other people who developped fibromyalgia too with antibiotics and statines and I was wondering if any of you has had the same problems with medication.

    Thank you.

  • Mad4it
    Mad4it Member Posts: 1
    edited May 2013

    Hi, I am fed up of being in constant pain and not being able to get quality sleep I decided to search the web for any positive help I could find. So here I am. I am British but its irrelevant where in the world we are as the after effects of having Breast cancer, chemotherapy, radiotherapy and tamoxifen are the same.



    After many tests, MRI, CT, X-Rays, blood tests etc I was told I had Fibromyalgia. This diagnosis came in November 2010 from a Consultant Rheumatologist who went on to say that if I lost 2 stone (28lb) in weight I would be free from all Fibro symptoms!!! Well, 2 and a half years and 2 and a half stone lighter my fibromyalgia is with me on a daily basis and is getting more painful.



    It's reassuring to know that we are not losing our minds and that the pain we are suffering is not "all in the mind" when there are sites like this to get information, advice and assistance from.



    Here in the UK Fibromyalgia isnt recognized as much as it is in the US whichnis really annoying in its self.



    One day, with medical science on the up, Fibromyalgia will be a recognised syndrome with one day a possible cure too.



    Thank you for posting your question on here.

  • RodeoTimeAgain
    RodeoTimeAgain Member Posts: 10
    edited June 2013

    I realize this was posted 5 years ago, not sure why it took me this long to find this information. Yes, yes and yes!!! I was first dx'd with BC back in 1999 and had 4 rounds of AC followed by weekly Taxol for 12 weeks, the first 6 weeks of which I had radiation concurrently. I did get a really bad burn on my neck but other than that, meds kept the neuropathy at bay. Months (and now years) later, I've been dealing with musculoskeletal pain in different forms: burning, sharp shooting, deep dull bone achy, joint pain (I attribute that to arthritis), and muscular pain.

    I am absolutely convinced it was the Taxol which kicked this off. The pain is very similar to that which I experienced on Taxol. Years later when dx'd with Ovarian Cancer, I had 4 rounds of Cisplatin & Taxol every 3 weeks, and after the first round, the pain was so excruciating, I had an incident where I had to crawl back to bed, I could not stand on my legs. My chemo nurse recently confirmed for me that this is a potential long term side effect of Taxol. I had been told years ago by another doctor that Leukemia patients reported this long term side effect from Taxol; it may be a different cancer but the same drug. While Lyrica did not help, I take Neurontin (which is in the same class of drugs as Lyrica) and that makes the pain more bearable.

    I'm glad I am not the only one, but it also really sucks that I'm not the only one either. At least I have some answers/validation at the very least. This website has been such a great resource of information that I haven't been able to find other places.

    Good luck all! Am so sorry you're dealing with this as well. I too would not necessarily change my treatment plan if I had to do it all over again. It is just frustrating that while my life expectancy/quantity of life may be good, my quality of life unfortunately is not what I had hoped for at this point in my life. Trust me, I do count my blessings; I just find it ironic that I've battled cancer multiple times and beat it only to be fighting with chronic pain/fatigue/Fibromyalgia. One day at a time (one hour if necessary) is my motto :)

  • Corina1965
    Corina1965 Member Posts: 1
    edited August 2013

    I feel like you were writing about me. I had BC three years ago. I had mastectomy, radiation and chemo (taxol). Today I suffer from excruciating pain and fatigue. My oncologist and chronic pain doctors had no diagnosis after three years and seemed to be at a loss. I was referred to a rhumetologist who finally diagnosed me with fibromyalgia. Although he couldn't treat me, I was delighted that at least I had a diagnosis. My family physician is treating me with slow release morphine and Lyrica and I'm finally getting some relief. Moral of the story - I am totally convinced that taxol chemo led to my fibromyalgia. I have no doubt about it.

  • 5thSib
    5thSib Member Posts: 141
    edited November 2013


    I too am having issues with fatigue, muscle pain, flu-like symptoms (probably the worst part), tightness in my chest, bone pain, and joint pain. I was diagnosed with BC a year ago and finished all treatments in July.I had AC and Taxol followed by radiation. My MO told me in August he suspected fibromyalgia but did other tests for lupus, thyroid, and arthritis. All that came back negative. I saw a rheumatologist this week and he thinks it is chronic fatigue syndrome. I think they overlap some on symptoms and when you look up one, you find the other. I do have fatigue, but it's the pain that bothers me most. He prescribed neurontin and a muscle relaxant, Norflex. He said it will take some time for it to work and I go back in 6 weeks. We'll see. I'm also trying to improve my diet and eat more whole foods, dark greens, and fruits.

  • Mallory107
    Mallory107 Member Posts: 223
    edited November 2013


    Well, I did not undergo chemo/radiation/hormonal and have just been diagnosed with Fibromylagia.


    I did have a double mastectomy. I fully believe that this surgery/recovery has brought on fibro and that the medical community chooses to ignore this. I have studied fibro in depth and it can absolutely result after a trauma-either physical or emotional. I also think the body can react to even the slightest amount of misalignment. For example, I know that I changed my posture after the surgery to roll my shoulders in bit and I think this was enough to through my whole body off.


    I am taking amytripataline and it is really helping. Another thing I started, which is the BEST thing that I have done for fibro and for surgery rehab, is trigger point therapy and osteopathic manipulations. I went through a lot of PT after the surgery but I never felt the difference in my body and my range of motion that I did after one trigger point session. She was able to restore all of the range back to my shoulders and take away the painful burning in my hips. It helps with my migraines too (which I never had before either).


    good luck- fibro is terrible b/c nobody really wants to talk about it with you or even believe you sometimes...esp docs!


    I highly recommend this book: Fibromyalgia & Chronic Myofacial Pain A survival Manual you can get it on Amazon

  • MandalaB
    MandalaB Member Posts: 111
    edited November 2013


    I finished treatments in Feb of 2013- had 4 AC/ 12 Taxol/BMX/Rads from May 2012 to Feb2013. I had been on Tamoxifen for 6 months until June because the leg pain that felt like baseball bats was so intense. They took me off of it.

    I was feeling so good FINALLY around May- June and I started walking 2 miles along the ocean every day and went on a completely vegan raw foods diet ... 100% organic. I am doing everything right. I lost 30 lbs of the 50 I put on since dx, I do not take any RX meds - and I have developed over the last 2 months the most excruciating pain in my right knee and leg. I see my PCP Friday- MO for a followup on 11/19.... I have also broken a rib going to a chiropractor and my toe by kicking a door since completing treatment too. My PCP says my bones have been weakened due to the radiation. Every treatment I had- they threw the big guns at me. Now I'm feeling it, terrified of what the 1 year scan is going to bring and hoping I'm still clear. It's only a year out and I'm feeling like this already, despite every attempt to be healthy and active !?

    This taxol crap is for the birds. I love how some of us get these horrible pains from these drugs, but some MO's refuse to look at anything but their Rx pad. I'm 37 and feel like I am 80. I wonder if my leg is broken or stress fractured too? It's been getting worse with activity.

    argh.

  • rubypop
    rubypop Member Posts: 1
    edited January 2014
    I too have had breast cancer and chemo and was told by oncologist that all my aches and pains were caused by chemo. However I have recently been diagnosed with fibromyalgia. If i had known that I would have to put up with these other ailments I would not have had chemo. At least there was a chance that I would get better, now I'm told this doesn't get better, it can only be controlled. My quality of life at the moment is not very good at all. Doctors are, however, trying to regulate my meds so hopefully in the near future it will be much better
  • Kicks
    Kicks Member Posts: 4,131
    edited January 2014

    There are no ABSOLUTES with FM/fibromyalgia!    More is being learned all the time but so much more is necessary.  It isn't necessarily an end to a good quality of life.  I was DXd FM in 1995 and fought it til 1998/99 when it left as rapidly as it presented.

  • nandita
    nandita Member Posts: 3
    edited March 2014

    Sorry to say but I've also got these aches and pains. I've had two mastectomies followed by the chemo cycles, one (operation and 6 cycles chemo) in 2010 and one(Operation and 3 cycles chemo)  in 2012. The first time the chemo was fec, the second time taxol and endoxan. Its after the second one that these aches and pains started. I'm going to show this site to my oncologist. !

  • Woogshaw
    Woogshaw Member Posts: 8
    edited October 2014

    I too had BC with chemo (taxotere), double mastectomy followed by radiation.  Since the chemo I have had excructiating pain mainly in my legs, however all over my body too.  I take Lyrica and Percocet which has made it bearable,  I too, believe taxotere caused the fibro.  My pain management doctor says it can disappear as quickly as it showed up.  I hold onto that hope!  Although my life is severely changed, I would not have changed my course of treatment and I am grateful to my doctors for keeping me alive!  I wish this fibro crap disappears for all of us sooner than later!  God Bless all of you! 

  • mustang12
    mustang12 Member Posts: 2
    edited October 2014

    The Taxanes (group of drugs) do cause Fibromyalgia, among other disorders of the nervous system(s).  In my case it was Paclitaxel or "Taxol."  It is widely known that these drugs damage nerves, what doesn't seem to be disclosed is how severe this damage can be and how frequently it is occurring.  I was stage III, - nothing life threatening going on, this was not "to save my life" like so many assume. A big maybe it will keep it from showing up somewhere else years down the road...pfft. 

    I am absolutely sure I should not have agreed to the taxol portion of chemotherapy treatments.  I had two other drugs, a/c, and felt good after completing them so I have no problem there.  The Taxol was completely different. (which at first I turned down actually, until my onco. made a fuss)   I had hand numbness after the second treatment, but not severe at that point. My onco left it up to me whether to do another treatment or partial or none. I opted for a partial dose, a very poor choice I know now. That Doctor knows the risks and did not advise me one way or another, I'm not the doctor in the room and he sees this same thing all the time.  After the last half-dose treatment, i was unable to walk upright and extreme dizziness set in, it was horrible and lasted weeks.  Treatment was stopped - too late.  I'm convinced he should have stopped all treatment when I presented with the beginnings any nerve damage symptoms, as it is well known this condition is usually progressive/ continues to get worse. To learn all this only after the damage is done is the crushing part, for me anyway, I thought I could trust a doctor - that's laughable now.  I was in extremely good health prior to Chemo. Now I can't work, and am in constant pain, never feel like I've slept...on and on.  This kind of life is not what I was trying to protect, now it's an insult that I might live longer, great.    Sorry to be so blunt, this is MY truth though, not anyone else's.

    God bless all of you.

  • Woogshaw
    Woogshaw Member Posts: 8
    edited September 2015

    @Mustang12...I too cannot work. After all my chemo was done, I too could not stand for weeks. However, I feel some of that is understandable due to the "poison" that is going in our body. After all the research I did about stage III, these drugs were definitely needed to kill the cancer. Unfortunately they don't have anything better that doesn't have such bad side affects. I don't think you should distrust your doctor. They try the most recent and effective drugs for the stage that your at. What do you do to manage your pain? I take Lyrica and Percocet. My pain doctor just prescribed me to go to aquatic therapy and TaiChi. He said "the studies" are showing these do make a difference. So, I will try. I hope you feel better!

    ******UPDATE******

    09/2015...Well, my pain has steadily increased. I now take Lyrica and OxyContin. The fatigue is unbelievable. I sleep so many hours of the day. However, since being on the Oxy I have no pain at all all day! So, that is a major plus. Downside, my body is now very addicted to opioids, if I miss a dose I start having bad withdrawals. I guess there's no winning solution here, but I DO LIKE NOT HAVING PAIN FINALLY. I'm out 4 year now I hope the pain and fatigue. Go away soon. Good luck ladies and God Bless Us All

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited October 2014

    I was dx'd with fibro waaaay before chemo.  There are over 100 causes of fibro, one is chemical sensitivity. You all could be on to something there. Chemo left me with some PN in my feet. I tend to be more weather sensitive, atmospheric changes flatten me, as does bright lights, noise, and crowds.

    None of it it fun

  • annetteallan
    annetteallan Member Posts: 1
    edited September 2015

    I finished chemo over a year ago. been on tamoxifen since then . I thought I was alone on this one. have been having muscle aches, joint aches, hip and knee pain and pain in my butt which is the worst ever. haven't been diagnosed with fibromyalgia but am seeing the doc again this week . they thought I had pyriformis syndrome and after weeks of physio it is still there . mainly affects me when I sit for long periods of time. . now pain in hips getting much worse.... I was perfectly fit and well prior to this. i think it is either from the chemo...or the tamoxifen . did I mention the numbness in my hands ???? killer sometimes !!!!

  • Moderators
    Moderators Member Posts: 25,912
    edited September 2015

    Dear annetteallan, Welcome to the community, although we are sorry that your cancer treatment and subsequent effects have brought you here. We notice that this particular thread has not been active in awhile. You may want to start a new topic on this subject to garner more response. Stay connected and let us know how you are. The Mods

  • Blownaway
    Blownaway Member Posts: 760
    edited September 2015

    I can't believe what I'm reading!!!! Others with the same symptoms as myself. Deep aching bone pain, much like flu/fever pain but worse down the back of my neck/spine, into the shoulders and down arms, hips, thighs, there isn't many places that don't hurt. I had Taxotere, Carboplatin and Herceptin (which gave me heart failure - LVEF down to 35%). The T/C was also stopped early (4 infusions instead of 6) due to severely burned feet, bloody nose, streaming eyes (too much to go into right now) but my labs were bad also.

    I am experiencing joint weakening, particularly knees and hands, elbows, wrists. Almost constant headaches.

    I have lost most of my short term memory and mental congnitive......whatever and work is suffering greatly. Not sure how long I can hand in there with the job.

  • Blownaway
    Blownaway Member Posts: 760
    edited September 2015

    Can anyone tell me what kind of doctor to see for a dx as to whether or not I have fibromyalgia stemming from the Taxotere/Carbplatin or if my symptoms is just pain from Tamoxifen? I am stopping the Gabapentin because it drugs me so bad during the day, but the pain is getting worse again, along with the hot flashes, insomnia.....

  • glennie19
    glennie19 Member Posts: 6,398
    edited September 2015

    Blownaway: are you only taking the gabapentin at bedtime? If you are taking during the day, try just taking at bedtime to help with pain/insomnia/HF's at night so you can sleep. That's what I do. Also, taper off the med, don't stop abruptly.

    I see a Rheumatologist about my Fibro, have done for years,, Rheumy can test you for the Fibro trigger points. Possible place to start.

  • Blownaway
    Blownaway Member Posts: 760
    edited September 2015

    Thanks glennie19 - I had bumped my self up to taking 300 mgs at night, 200 mgs midmorning and another 200 mgs mid afternoon. Gab did help me sleep and the pain and hot flashes were much better but I was so doped up all the time......I gradually reduced the daytime doses to nothing and bumped up the night time dose to 400 mgs but felt too dopey to drive myself safely to work. I was having trouble with mental issues on the job anyway and couldn't work at all on the Gab. I stopped the Gab at night (had some insomnia, anxiety and weepiness yesterday) Last night, I took an Ambien to make up for it and feel so much better and more alert today than I have since starting the Gab. I'm hoping the onco has another idea up her sleeve for the all over body pain which I am not sure stems from Tamoxifen or delayed onset chemo issues.

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