Muscle and joint pain after chemo

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Jenda
Jenda Member Posts: 4

i am 3 weeks post chemo.  I had 18 chemo cocktails, six rounds - carboplatin and taxol and then 2 weeks of just taxol, and then start all over again.  I experienced terrible neuropath, it was so painful I thought my fingers and toes would fall off.    The last month knocked me for a loop.  I had problems with low white blood cell count, and ended up skipping one week just to heal.  By the end of the two weeks I felt pretty good, but then I went in for my last chemo and I think it was a mistake.  My white blood cell count was at .8 and I had the chemo, then the next day had the Neulasta.  It has been downhill ever since.  I am in so much pain in my legs and abdomen that I am reduced to tears, something I never did the entire time I was on chemo.  My doctor has me  oxycoden the entire time I have been going through chemo.  I was also put on gabapentine.  Any suggestions as I am feeling so sad and discouraged.  Then this week a CT is done and they find nodules in one of my lungs and a couple of lymph nodes in my abdomen. 

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  • bluesmama
    bluesmama Member Posts: 125 Member
    edited January 2017 #2
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    I just started...

    I'm sorry you have to deal with the pain. Most of us have. Mine is a dose dense schedule of carbo-taxol then two weeks off then again on the third week. So I will get clobbered. I didn't feel the horrible bone pain until day 2 and now it's day 3. I have 3 more of these cycles to go. How many more do you have before you're done? I hear it could get worse before it gets better but it sounds like you may be nearly done.

    The treatment is often worse than the disease in many ways. It is likely a reaction to the Taxol and if you're taking any shots to help with your counts, that will compound the pain. Drinks tons of fluids to help flush out the chemo as fast as possible. Complain loudly to your doctors. I found walking around as much as I could helped and even opening the windows seemed to numb my limbs down from the cold and provide some relief at night when I can't sleep. 

    Hang in there. We're always listening.

  • NoTimeForCancer
    NoTimeForCancer Member Posts: 3,369 Member
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    Jenda, I am sorry to hear you

    Jenda, I am sorry to hear you are having so much pain.  I don't know if where you live or if your insurance will allow it but how about an alternative treatment like accupuncture?  Try to remember, you just subjected your body to a  lot of chemicals!  Please don't be too hard on yourself.  Hopefully you can find some relief.

  • Jenda
    Jenda Member Posts: 4
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    bluesmama said:

    I just started...

    I'm sorry you have to deal with the pain. Most of us have. Mine is a dose dense schedule of carbo-taxol then two weeks off then again on the third week. So I will get clobbered. I didn't feel the horrible bone pain until day 2 and now it's day 3. I have 3 more of these cycles to go. How many more do you have before you're done? I hear it could get worse before it gets better but it sounds like you may be nearly done.

    The treatment is often worse than the disease in many ways. It is likely a reaction to the Taxol and if you're taking any shots to help with your counts, that will compound the pain. Drinks tons of fluids to help flush out the chemo as fast as possible. Complain loudly to your doctors. I found walking around as much as I could helped and even opening the windows seemed to numb my limbs down from the cold and provide some relief at night when I can't sleep. 

    Hang in there. We're always listening.

    Thank you for your response.

    Thank you for your response.  I finished with my chemo 3 weeks ago.  I anticipated starting to feel better by now.  Instead I feel so much worse.  So much muscle and nerve pain.  I see you joined in 2014.  have you gone through chemo before?  I also see you just started so I am confused.  Do you go every third week?  My treatments were every week, but I got the carboplatin every third week.  Yes I drank plenty of water, still do.  I am just starting with an acupuncturist.  I hope you do as well as one can when under this treatment.  

  • Jenda
    Jenda Member Posts: 4
    edited January 2017 #5
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    Jenda, I am sorry to hear you

    Jenda, I am sorry to hear you are having so much pain.  I don't know if where you live or if your insurance will allow it but how about an alternative treatment like accupuncture?  Try to remember, you just subjected your body to a  lot of chemicals!  Please don't be too hard on yourself.  Hopefully you can find some relief.

    Thank you.  I have heard that

    Thank you.  I have heard that chemo patients can have increased pain after the treatments are done.  I guess I have to be patient but it is hard when you are in more pain after the treatment than you were during them!  I see you have been on here since 2013.  Are you an ovarian cancer survivor?

  • bluesmama
    bluesmama Member Posts: 125 Member
    edited January 2017 #6
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    This is my second time

    The first was uterine cancer. I left an ovary behind to avoid menopause and I was low risk for recurrence. I got unlucky and the same cancer type was on my ovary. I've had 28 rounds of daily radiation with Cisplatin. That was horrendous. I just started the Carbo-Taxol. I had major surgery too back in October to stage and debulk the tumor and the pelvic area. 

    I know for radiation, the side effects got worse after I was done before it got better. And of course, just as soon as I feel better, I'm back to being sick. I'm counting the days. It's been over 100 days and I have about another 100 more days. 

    I know it's frustrating. I think I cry more out of frustration than anything else. Take it one day at a time. The healing may be too subtle to pick up on now but you are all resilient. You will get through this. I promise.

  • Jenda
    Jenda Member Posts: 4
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    bluesmama said:

    This is my second time

    The first was uterine cancer. I left an ovary behind to avoid menopause and I was low risk for recurrence. I got unlucky and the same cancer type was on my ovary. I've had 28 rounds of daily radiation with Cisplatin. That was horrendous. I just started the Carbo-Taxol. I had major surgery too back in October to stage and debulk the tumor and the pelvic area. 

    I know for radiation, the side effects got worse after I was done before it got better. And of course, just as soon as I feel better, I'm back to being sick. I'm counting the days. It's been over 100 days and I have about another 100 more days. 

    I know it's frustrating. I think I cry more out of frustration than anything else. Take it one day at a time. The healing may be too subtle to pick up on now but you are all resilient. You will get through this. I promise.

    I am so sorry to learn that

    I am so sorry to learn that you are going through this.  i don't understand why the ovarian cancer progressed to the point you needed to have debuliking.  Were they not monitoring your C125?  You must be a very strong person to undergo so many treatments.  Do you mind me asking how old you are?   I just turned 65.  I had the same surgery last July.  Three weeks post surgery  I started chemo.   I wish you the best.  Please keep in touch.  

  • bluesmama
    bluesmama Member Posts: 125 Member
    edited January 2017 #8
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    Jenda said:

    I am so sorry to learn that

    I am so sorry to learn that you are going through this.  i don't understand why the ovarian cancer progressed to the point you needed to have debuliking.  Were they not monitoring your C125?  You must be a very strong person to undergo so many treatments.  Do you mind me asking how old you are?   I just turned 65.  I had the same surgery last July.  Three weeks post surgery  I started chemo.   I wish you the best.  Please keep in touch.  

    I'm 42.

    It's been a strange trip for me for sure. But honestly, I'm feeling good today. I take it day by day and make sure I go to therapy once a week to decompress.

    I thought I got away with just a simple hysterectomy two years ago but now I've got bigger scars! So while I'm not happy about the bone pain, constipation, fatigue, chemo brain, gum disease, and pending hair loss... it's been pretty mild so far on the carbo-taxol. Now, I may change my mind after the last infusion come March. Hope you're feeling better. :) 

  • LorettaMarshall
    LorettaMarshall Member Posts: 662 Member
    edited January 2017 #9
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    bluesmama said:

    I'm 42.

    It's been a strange trip for me for sure. But honestly, I'm feeling good today. I take it day by day and make sure I go to therapy once a week to decompress.

    I thought I got away with just a simple hysterectomy two years ago but now I've got bigger scars! So while I'm not happy about the bone pain, constipation, fatigue, chemo brain, gum disease, and pending hair loss... it's been pretty mild so far on the carbo-taxol. Now, I may change my mind after the last infusion come March. Hope you're feeling better. :) 

    Jenda~Just another OC friend saying hello

    Hello Jenda:

     Misery doesn’t love company when you’ve been diagnosed with any kind of cancer, much less the kind we have on this board.  Your pain is understandable, and not unusual for having been exposed to so many chemo treatments.  As to your remark to “BluesMama”, debulking is performed as a precautionary measure to stop the further spread of the cancer.  So any “non-essential” organs that can be taken out are usually removed.  Monitoring our CA-125 count is secondary in that it is an indicator of tumor activity.  Anytime it is over the customary count of 35 and continues to escalate is time for a scan to see what’s going on.  In my case, it was already Stage IV because there were innumerable tumors throughout the peritoneal fluid in my abdomen.  But even before surgery was even thought of as a possibility, I had to undergo chemo treatments that consisted of 6 treatments of Carboplatin/Taxol (each session 3 weeks apart).  It’s been my experience that while some tumors were reduced in size, others “cropped up” when a scan was performed.  So we do the best we can, but with no guarantee of results.  What Stage IV Ovarian Cancer patients can most hope for, short of a miraculous healing, is a long period of time without a sudden rise in our CA-125 count.  It’s called “Progression Free Survival” (PFS).  I had this discussion with my oncologist again last week when I had my 5th of 6 treatments this go round.  I said to him, “And as a Stage IV the most I can hope for is hopefully a long period of time in between further spread of this cancer.”  He agreed.  Yes that’s the goal.  I do hope you have an oncologist who is “leveling with you.”

     Now as to bad news, when I had a PET/CT scan in October 2016, the cancer had spread to my windpipe, plus the fluid in the Peritoneal Space around my lungs is increasing but not greatly.  There is increased tumor activity near the gastric area and more in my pelvis.  Now the good news is that although I was originally diagnosed with Stage IV Peritoneal Carcinomatosis and Ovarian Cancer Stage IV in November of 2012, I am still alive and now beginning my fifth year.  I can’t count the times I wondered “how much longer—how much more?”  But I’ve never become despondent to the point that I said, “Life isn’t worth it.”  Anytime I have questioned my longevity, the Lord has reminded me that He will let me know “when” and my time isn’t up yet! 

      And to be honest, this last series has taken a toll on me as well.  Originally I was left with Neuropathy in mostly my ankles, and when I lie down flat on my back, my feet and ankles feel numb.  Now this time around, I also have the “numbness and tingling” in my fingers, plus tongue sensitivity.  I’m keeping my teeth brushed and gums massaged and using the Biotene toothpaste and oral rinse at least every 4 hours.  So I haven’t had any mouth sores, and I’m thankful for that.  But sorry to say, you will just have “unexplainable pains” that crop up out of the blue.  I write down those instances on the calendar and tell my doc about them. 

     In the last two weeks, I called and they made an appointment for me to come in because my left leg was red and swollen and felt hot to the touch.  This can be a sign of a blood clot, but it wasn’t.  But an ultrasound is the only way you can tell for certain.  So keep a check on that.  But even as I am writing to you, I have some pain in my left breast, some pain in the center of my back, and a sharp pain in the top of my head.  I’m just saying, no telling where you will hurt with this type of cancer, and especially while you’re on chemo.  This series has been harder on me than others.  My body is naturally weakening with time, because I’m not getting better, I’m slowly progressing downward, but who won’t take 4 years and counting and thank God for it.  I do.  Yes, it can be depressing.  And after a continuous period of one little thing after another, I have thought to myself, “Just how much of this do I want to tolerate?”  After all, there will be a time when stopping treatments will be a decision that I will make.  But at the slightest sign of feeling better, I think to myself, “Yes, I can do this again!” 

     Painful it is.  Discouraging it is.  But how many choices do we have?  With my next treatment, I will have endured 18 treatments of chemo, plus targeted radiation, and Cytoreductive surgery, in which my ovaries, fallopian tubes, omentum, spleen, gallbladder and portions of my intestines were removed.  Ever since the intestinal “remodeling”, nothing has been regular and bowels vacillate between diarrhea and constipation.  But that’s better than intestinal blockage, so we have to “look for the silver lining” amidst all the things we don’t like. 

     As for the .8 WBC and they still gave you chemo, I am surprised!  My oncologist would NOT have given me a treatment at that low level.  Your body has been subjected to a torturous routine, as has others of us here, but the choices are few, and the treatment is standard for Ovarian Cancer.  To say we’re sorry to hear of your troubles is an understatement.  I can only tell you that others of us have similar problems and yet we hope that the torture treatment will result in a long period of time when we can catch a second breath and continue to enjoy some of the things and people we most love in this life.

     It hurts to read your story, and for us to tell you that you’re not alone, isn’t helping your pain.  But we do “feel your pain.”  This last week, I’ve been walking around the house with 2 canes—that’s how weak I am.  And all of a sudden two days ago, I ate a high-protein bar and suddenly became sick and nauseous.  I did take an anti-nausea pain but I couldn’t think of eating anything.  I stayed in bed for the better part of Saturday and Sunday.   Now it’s Monday, and though my fingers and tongue are still tingling, I’m down to “one cane!”  And today, I think I’ll make it a bit longer.  This gives new meaning to the expression “out of the BLUE”!  One minute we’re just fine, the next minute, we wondering, “What’s happening?”  We may not always be able to tell you what you want to hear, but we really are here to commiserate with you, ‘cause there’s lot of aches and pains in our little world. 

     We can and do pray for one another, and we will pray for you as well.  How much more is a question we find ourselves asking all the time, and we’re always hoping that the “more” will be worth the pain we’re enduring.  That’s our goal—feeling normal and pain free if only for a time!  Welcome to our family.

     Love Loretta, Age 77 & hopefully will reach 78 on February 12, 2017!

     

  • Soup52
    Soup52 Member Posts: 908 Member
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    Loretta, it's good to hear

    Loretta, it's good to hear you are soldiering on. It's all such a hard road.... God bless you!

  • saritab
    saritab Member Posts: 4
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    Hang in there

    I was diagnosed in 2009 with stage 1c, did six rounds of taxol/carbo, the last few treatments were painful. It's been 7 yrs and my ca125 jumped to 93, so back in for testing this next week.