Health
Is there any help with chemotherapy-induced neuropathy? |
Dear Dr. Roach: I have seen many articles related to diabetic neuropathy, but my situation is different.
I’ve been working on neuropathy in both legs for two years as a result of the chemotherapy I received to fight breast cancer.
I’ve tried everything including acupuncture and am currently using gabapentin but neither helps.
The cream rubbed on my feet works for about 20 minutes, so I can fall asleep.
Whenever I raise them, I think my feet are better. But I can’t sit all day! Is there anything I can do to reduce my numbness? I also have balance problems and sometimes I have to use a cane.
I am 73 years old I want to go back on a trip, but I am worried about my legs. -KD
Answer: Chemotherapy is often effective in combating cancer, but most cancer chemotherapies have side effects, including platinum-based chemotherapy often used for breast cancer and other cancers. May damage peripheral nerves.
“Neuropathy” is a term used for all types of nerve damage, and the cause may be obvious, but as with your neuropathy due to diabetes or chemotherapy, even after careful evaluation, as in your case. There may be no apparent cause.
You will receive many letters about unexplained neuropathy.
The literature on chemotherapy-induced neuropathy recommends exercise and physical therapy as first-line treatments. It improves function, reduces the risk of falls, less to reduce numbness, and helps improve quality of life.
Given the anxiety of the feet, physical therapy may be the most important treatment for you. The therapist can also check that the cane is properly fitted and in place.
I often tried gabapentin (neurontin) or a similar drug, pregabalin (lyrica), with less success.
There is evidence that duloxetine (cymbalta) is effective in reducing pain and improving numbness, and those treated with duloxetine had a better quality of life than placebo. Finally, in preliminary tests, a combination cream containing baclofen, amitriptyline, ketamine showed some advantages.
Dear Dr. Roach: Ear, nose, and throat specialists told me not to use nasal drops containing oxymetazoline, such as afrin. This is because over time it damages and erodes the tissues of the septum and nose.
It was stated that a simple salt solution was used instead. Is this true? I used 2 shots of this nasal spray and my sinuses and nose were clean but very uncomfortable.
Be careful as I have had a constructive rhinoplasty and a tissue-reducing septal plastic surgery. — SL
Answer: I sincerely agree with the ENT doctor. Prolonged use of oxymetazoline nasal sprays such as Afrin can cause problems with the lining of the nasal cavity.
However, sprays such as Afrin may be effective.
For example, this is recommended for people with a cold or sinusitis before boarding an airplane, as it is very effective with short-term use (up to 3 days).
Saline spray is an excellent long-term solution for many, and your otolaryngologist knows your anatomy more than anyone else.
If you have never had surgery or your otolaryngologist tells you, if saline alone is not enough, you can consider testing nasal drops, such as fluticasone (Fronase).
Dr. Roach regrets not being able to respond to individual letters, but will include them in columns whenever possible. Readers can email questions [email protected] Or send an email to 628 Virginia Dr., Orlando, FL 32803.
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