Neuropathy question

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AussieAssCancer
Posts: 258
Joined: Sat May 21, 2016 10:16 am

Neuropathy question

Postby AussieAssCancer » Thu Dec 01, 2016 1:57 am

Hi guys,

Just wondering whether anyone experienced the same thing? I'm seeing my oncologist in a couple of weeks for the results of my scan/bloods next week so will ask then but thought I'd check here first.

I finished chemo at the end of August and they dropped the Oxaliplatin for the final round to due onset of neuropathy.

It got much worse, particularly in my feet with random bolts of pain, permanent pins and needles and toes curling etc overnight.

Now, it's changed but is difficult to describe, other than that my feet now feel like they've been in a wet sock all day. They're still super sensitive (i.e. I can't walk on grass in bare feet) but generally speaking it's not too unbearable.

My question is: Is the change from Constant Pain to wet sock feeling indicative of an improvement?

I can live with this if this is as bad as it gets and I'm confident it's not getting worse but obviously, is prefer an improvement!

Cheers,

GK
Dx Oct '15 w/ Stage 3c RC/ CEA 8
Nov '15 - Jan '16: 3x FOLFOX and 5wks Chemoradiation w/ Xeloda
March '16: ULAR w/ temp ileostomy
Complete pathological response incl 0/12 nodes
May - Aug '16: 9x FOLFOX (dropped Oxaliplatin for final Rd due to neuropathy)
Clear CT scans in April ‘16 (NED), Dec ‘16, Aug ‘17, Feb ‘18, March ‘19, Feb ‘20
Feb '17: Ileostomy reversed
CEA Post Surgery: ALWAYS 2

Blog: kickingrectalcancerintheassblog
https://kickingrectalcancerintheassblog.wordpress.com/

plastikos
Posts: 351
Joined: Wed Jan 14, 2015 6:09 am

Re: Neuropathy question

Postby plastikos » Thu Dec 01, 2016 2:19 am

Hi GK,

It's different for every patient I think. My symptoms ranged from numbness of my fingers and toes to pins and needles sensation. Now more than a year after my last exposure to Oxaliplatin I have no residual neuropathy. Hoping for the same for you as well.
St. IV Colon CA @ 37, male, Kras wild, MSI-high (2014)
11/2014 Right Hemicolectomy + Liver Resection
12/2014 - 6/2015 FOLFOX + Cetuximab
10/2015 - Recurrence liver
Liver resection 10/2015
FOLFIRI 11/2015 - 5/2016
Recurrence liver, nodes 11/2016
Pembrolizumab started 12/2016 -> pseudoprogression(?) -> biliary obstruction -> biliary stenting
Chemo 4x: most mets inactive and smaller on PET-CT
March 2017 - Back on Pembrolizumab again
Sept 2017 - SIRT - > NED
2019 NED

AussieAssCancer
Posts: 258
Joined: Sat May 21, 2016 10:16 am

Re: Neuropathy question

Postby AussieAssCancer » Thu Dec 01, 2016 2:27 am

Thanks Plastikos. Good to hear there's hope :)
Dx Oct '15 w/ Stage 3c RC/ CEA 8
Nov '15 - Jan '16: 3x FOLFOX and 5wks Chemoradiation w/ Xeloda
March '16: ULAR w/ temp ileostomy
Complete pathological response incl 0/12 nodes
May - Aug '16: 9x FOLFOX (dropped Oxaliplatin for final Rd due to neuropathy)
Clear CT scans in April ‘16 (NED), Dec ‘16, Aug ‘17, Feb ‘18, March ‘19, Feb ‘20
Feb '17: Ileostomy reversed
CEA Post Surgery: ALWAYS 2

Blog: kickingrectalcancerintheassblog
https://kickingrectalcancerintheassblog.wordpress.com/

teri3
Posts: 405
Joined: Fri Jan 09, 2015 11:03 am

Re: Neuropathy question

Postby teri3 » Thu Dec 01, 2016 9:27 am

I've had neuropathy since chemo last year it was improving slowly but I had to go back on chemo in August and the pins and needles feeling got worse but I believe it's hand foot syndrome. My oncologist suggested taking B6 twice a day and it seemed to help. But everyone is different and I've talked to people who it took years to resolve but it resolved.
Hugs,
Teri
58 yrs old female
MSS KRAS mutation G12V
adenocarcinoma sigmoid colon dx 11-14
sigmoidectomy 11-14
Stage 3A
3 out of 20 lymph nodes involved
started FolFox 1-27-15
11 rounds FOLFOX last one 6-30-2015
7-29-2015 PET clear
5-14-2016 CT 2 nodules one in each lung
Confirmed pulmonary metastasis stage 4
FOLFIRi + Avistin started 8-16 11 rounds complete 12-16
CT 12-16 nodules shrunk chemo break wait and see :?
CT growth
VATS l lung 4 10 17
VATS r lung 4 24 17
CT 2 nodules r up and l low :(

nomoretacos
Posts: 51
Joined: Sun Mar 27, 2016 5:57 pm

Re: Neuropathy question

Postby nomoretacos » Thu Dec 01, 2016 5:40 pm

My neuropathy started after my last chemo treatment and is now constant - I thought I was lucky and escaped unscathed! It started off with a weird shiver/pins and needles down my lower calves to my feet multiple times a day which has now ceased but then I noticed my feet were numb and it has never left. Its a strange feeling that's hard to describe, it's not painful at all and something I can live with as long as it doesn't get worse. I haven't been able to discuss it with my Onc as I've since been discharged but might mention it with my GP I'm seeing next week to see if there's anything I can do or take
03/16 Dx Stage IIIC, sigmoid resection surgery,T3 N2b M0, 7/20 nodes, 4 tumor deposits, CEA 3.7, age 31
04-10/16 Folfox with delays and reductions
10/16 Post chemo CT scan shows two non specific spots (one liver, one lung)
11/16 Port removed
12/16 CEA 0.9
09/17 NED
03/18 NED

esk2poo
Posts: 499
Joined: Sat Dec 17, 2011 7:17 am
Location: New Jersey

Re: Neuropathy question

Postby esk2poo » Fri Dec 02, 2016 7:18 am

Sorry, just about 5 years out from my last chemo. Still have a lot of pain in the feet, wet sock feeling, walking/balance issues, and peedles. Pins and needles. My hands don't hurt too much but a lot of difficulty with fine motor skills. Forget texting. After a year and a half, my onc said I was one of the lucky ones that had permanent neuropathy.
Dx 8/23/11 stage 3b crc
3 of 11 LN's
resection 9/15/11
folfox start 10/31/11 12 sessions
De-ported 6/2012
clear CT 7/2012
Clear colonoscopy 9/2012

PainInTheAss
Posts: 678
Joined: Tue Jul 02, 2013 3:08 am

Re: Neuropathy question

Postby PainInTheAss » Sun Dec 04, 2016 6:55 am

Hello, sorry you're having to go through this.

When I was going through treatment, I found a study on neuropathy that showed a general trend for neuropathy to appear or progress to the peak of symptoms anywhere from the first infusion until about three months after the last infusion. There is a lot of variation in this, so just asking a few people isn't going to give the full range of possibilities.

The study also showed the symptoms dissipating anywhere from a few weeks after the peak of symptoms to two years after the last infusion. Again, there is a lot of variation. I had read some posters here saying that they had even more improvement after three years.

I am over two years from my last infusion and the neuropathy is almost gone in my hands. I have some still in my feet, but I don't have the problems with losing my footing that I did at first. I rarely had pins and needles, so just that wet sock feeling. I saw a slow, gradual improvement. It's so slight that I almost didn't notice it as it was happening.

The one thing I do notice is that crampy, muscle locking that happened after staying in one position for too long has almost disappeared. I am soooo happy about that. The pain of moving after getting "locked" was so much that it made it hard to move after sitting. I almost feel like my old self now, and that feels great.
47yo single mom of 4 (24, 21, 18, 16) at Dx
6/13 - RC T4b IIIc 5LNs on PET CEA 5.4
8/13 - Finish chemorad
10/13 - APR/hyst+ovaries/perm colostomy 2/12 nodes+
6/14 - Finish Xelox 6 rds
1/15 - CT clear CEA 0.2
10/15 - CT/MRI clear CEA 0.7
4/16 - CT clear
10/16 - CT/MRI clear CEA 0.6
5/17 - PET clear? Follow up MRI to verify inflammation

testing765
Posts: 324
Joined: Tue Aug 19, 2014 9:41 am

Re: Neuropathy question

Postby testing765 » Sun Dec 04, 2016 2:33 pm

Hi. I started to have some numbness in my fingers, so my oncologist stopped the oxaliplatin after nine treatments with it. The neuropathy did not start for me until I was completely finished with the folfox chemotherapy. It got really bad, pins and needles constantly in both hands and feet. I tried gabapentin when the neuropathy first started, but the gabapentin caused me to lose my balance and I stopped it for awhile. I also tried duloxetine which is an antidepressant that has been shown to help with diabetic peripheral neuropathy. The duloxetine did not seem to help so I stopped taking it. I eventually went back to the gabapentin, and I stopped getting negative side effects from it. I am now 1 year and 8 months from the last chemotherapy treatment. I never had a wet sock feeling, but the pins and needles and numbness has lessened. I am walking a lot more, the neuropathy increases while I am walking, but the walking seems to lessen the neurotherapy throughout the rest of the day. I hope your condition improves, it can take a long time though.
male-age 44 at diagnosis
8/14-clnscopy
8/14-CT scan,no mets
9/14-left colectomy,CEA 2.2 before surgery
pT2pN2bpM0
3 cm tumor in dscnding colon
7/23 pos LNs
low grade MSI stable
10/14-start folfox
1/15-CT & PET scan and sigmdoscopy- no mets
3/15-finish folfox
9/15- clnscopy- 3 polyps removed
10/15- CT scan, NED
10/16- CT scan, NED, CEA 1.6
10/17- clnscopy- 4 polyps removed, CT scan NED, CEA 1.8
10/14 1.9; 4/15 2.8; 5/15 2.4; 9/15 2.8; 12/15 3.1; 1/16 3.0; 4/16 2.5; 7/16 2.5; 10/16 1.6; 1/17 1.9

Swirdfish
Posts: 290
Joined: Sun Jun 19, 2016 3:57 am

Re: Neuropathy question

Postby Swirdfish » Mon Dec 05, 2016 4:46 pm

I did round two of folfox yesterday, no nausea but just cold sensitive to throat I also have got pins and needles twice that comes and goes.

Is that neoropathy?
06/2016 Went in for colonoscopy came out with a tumor. Age 35
12cm from verge at junction. Rectal cancer.
Clinical stage T3 NO MO
Temp illestomy
Completed 5FU and Radiation
LAR surgery planned 13 Oct 2016
Completed ULAR surgery 11-10-2016.
0/22 nodes
pT3 N0 M0 R1
Stage 2A

Pathology reviewed and changed
ypT3 N0 M0 R0

Started folfox 21-11-2016
5-4-17 NED
Reversal 12-4-17

AussieAssCancer
Posts: 258
Joined: Sat May 21, 2016 10:16 am

Re: Neuropathy question

Postby AussieAssCancer » Tue Dec 06, 2016 12:08 am

Thanks guys. Seems like it's a really variable phenomena. As I said, it SEEMS to be getting better and like Testing said, it may well have something to do with walking more, which I'm trying to do lose some weight and get fit for my reversal surgery in Feb...

Swirdfish - that is a very common side effect from
Folfox and while I think it's a form of neuropathy, it's not the long lasting type that we're talking about. If it hangs around though (ie doesn't stop shortly after you've touched something cold) then you should tell your oncologist as they will adjust the amount of Oxaliplatin that you receive to avoid permanent damage.

Cheers,

GK
Dx Oct '15 w/ Stage 3c RC/ CEA 8
Nov '15 - Jan '16: 3x FOLFOX and 5wks Chemoradiation w/ Xeloda
March '16: ULAR w/ temp ileostomy
Complete pathological response incl 0/12 nodes
May - Aug '16: 9x FOLFOX (dropped Oxaliplatin for final Rd due to neuropathy)
Clear CT scans in April ‘16 (NED), Dec ‘16, Aug ‘17, Feb ‘18, March ‘19, Feb ‘20
Feb '17: Ileostomy reversed
CEA Post Surgery: ALWAYS 2

Blog: kickingrectalcancerintheassblog
https://kickingrectalcancerintheassblog.wordpress.com/


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