What Was My Experience with Chemotherapy-Induced Neuropathy?

It's important to discuss chemotherapy-induced neuropathy because it can significantly impact the quality of life for those undergoing cancer treatments. Understanding and learning how to manage this side effect can help others navigate their journeys more smoothly.

What Was My Experience with Chemotherapy-Induced Neuropathy?
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This article explores my personal experience with chemotherapy-induced neuropathy, a condition many cancer patients face during treatment. It's important to discuss chemotherapy-induced neuropathy because it can significantly impact the quality of life for those undergoing cancer treatments. Understanding and learning how to manage this side effect can help others navigate their journeys more smoothly.
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I was diagnosed with stage IV rectal cancer, and my cancer treatment plan included chemotherapy, which led to the development of neuropathy. Here, I share my story, coping strategies, and practical advice to help others facing similar challenges with peripheral neuropathy.

What is Chemotherapy-Induced Neuropathy?

Chemotherapy-induced neuropathy, also known as chemotherapy-induced peripheral neuropathy (CIPN), occurs when chemotherapy drugs cause damage to the peripheral nerves. These nerves, part of the peripheral nervous system, carry messages between the brain, spinal cord, and the rest of the body. The damage leads to various symptoms, such as tingling, numbness, and pain, particularly in the hands and feet. This condition can make everyday tasks challenging and affect overall well-being. Understanding CIPN is crucial for cancer patients to manage its impact and maintain a better quality of life during and after treatment.
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Receiving chemotherapy can cause neuropathy because certain chemotherapy drugs are toxic to nerves. These drugs, such as platinum-based drugs, vinca alkaloids, and proteasome inhibitors, are designed to kill rapidly dividing cancer cells. However, they can also affect healthy cells, including nerve cells, which can damage nerves. This damage disrupts the normal function of the peripheral nerves, causing symptoms of neuropathy. The extent of the neuropathy depends on factors like the type of chemotherapy drug, dosage, and individual patient differences.

When Did I First Notice Symptoms?

One of the side effects of the chemotherapy drugs I received was numbness in my hands and feet. This phenomenon gradually became more and more serious as the number of treatments increased. As the condition becomes more severe, it will become difficult to slowly walk up and down stairs or to button and twist shirts.
Because of the numbness in my feet, my sense of balance became very weak, and I am afraid of falling when going up and down stairs. The numbness in my hands caused me to not even feel the current position of the buttons on my shirt. I can't feel the touch when holding something, such as when I was using my computer keyboard. I can only use one finger to press the keyboard enter.
When I take a shower, if I close my eyes and flush, I will easily lose my balance. I need support on the wall because the feelings on my feet are very weak, and I cannot maintain equilibrium. There was even one time when I was at home and suddenly found that one of the shoes on my feet was missing.
Because my feet had no sense of touch, I didn’t even know that one of the shoes was not on. The oncologist said that if the situation is too serious, the drug must be stopped. If it is continued, it may cause lifelong irreversible neurotoxicity.
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These early symptoms gradually worsened, making everyday tasks more challenging. The tingling in my fingertips was the first sign, which slowly spread to my toes. As the numbness set in, it became difficult to feel the texture of objects or even tell if something was hot or cold. The burning pain and sensation of pins and needles made it hard to sleep at night. Additionally, I noticed a weakness in my hands, making it hard to hold onto things without dropping them. Recognizing these early signs helped me communicate with my oncology team and adjust my treatment plan accordingly.

Living with Chemotherapy-Induced Neuropathy

Living with chemotherapy-induced neuropathy presented numerous daily challenges, both physically and emotionally. Adjusting to these new limitations required patience, resilience, and a proactive approach to managing symptoms.

What Were My Daily Challenges?

The physical challenges I faced due to neuropathy were significant and impacted many aspects of my daily life. Simple tasks became difficult, and I had to adapt to new ways of doing things.
  • Difficulty with Fine Motor Skills: Tasks like buttoning shirts, tying shoelaces, or writing became frustratingly hard.
  • Balance Issues: Walking on uneven surfaces or navigating stairs felt precarious, increasing the risk of falls.
  • Pain: Constant tingling, burning, and shooting pains in my hands and feet made it hard to concentrate or sleep.
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Emotionally and mentally, dealing with neuropathy took a toll. The persistent symptoms and limitations brought on a range of emotions that I had to manage daily.
  • Frustration: The inability to perform simple tasks without difficulty led to frequent frustration.
  • Anxiety: Worrying about the progression of symptoms and potential injuries from falls added to my anxiety.
  • Adapting to New Limitations: Accepting that some activities might be permanently altered was a tough mental adjustment.

How Did I Manage Physical Symptoms?

Managing the physical symptoms of neuropathy required a combination of practical tips and personal strategies that made daily life more bearable.
Practical tips for managing physical symptoms included:
  • Using Warm Gloves and Socks: Keeping my hands and feet warm helped reduce tingling and pain.
  • Avoiding Extreme Temperatures: Staying away from very hot or cold environments prevented exacerbation of symptoms.
  • Gentle Exercises: Activities like yoga and stretching improved circulation and reduced stiffness.
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Personal strategies that helped alleviate symptoms included:
  • Taking Medications: I incorporated Alpha lipoic acid and Benfotiamine supplements into my routine to help alleviate chemotherapy-induced peripheral neuropathy. These supplements are known for their neuroprotective properties, which can help reduce nerve damage and improve nerve function.
  • Practicing Relaxation Techniques: Engaging in deep breathing exercises, meditation, and mindfulness became an essential part of my daily routine. These relaxation techniques helped me manage the stress and anxiety associated with neuropathy.
  • Infrared Therapy: I found infrared light therapy to be particularly beneficial in managing my symptoms. The infrared light helps to improve blood circulation and reduce inflammation, which can ease pain and promote healing in the affected nerves.
  • Acupuncture: Acupuncture targets specific pressure points in the body, which helps stimulate the body's natural pain-relief mechanisms, reduce nerve pain, and enhance my overall sense of well-being.

Seeking Medical Help

Seeking medical help and maintaining open communication with my healthcare team was crucial in managing chemotherapy-induced neuropathy.

How Did I Communicate with My Healthcare Team?

It was essential to discuss all symptoms with my doctors to ensure they could adjust my treatment plan effectively. Open communication helped them understand the severity of my condition and find ways to alleviate my symptoms.
Sharing my personal experiences with seeking medical advice and adjustments to my treatment plan made a significant difference. I learned the importance of being proactive and detailed when describing my symptoms to my healthcare team.
  • Sharing Detailed Descriptions of Symptoms: I described the intensity, frequency, and type of pain or discomfort I was experiencing.
  • Adjusting Chemotherapy Doses: My doctors sometimes adjusted the doses of chemotherapy drugs to minimize the neuropathy without compromising the treatment.
  • Exploring Alternative Treatments: We looked into alternative treatments, such as acupuncture and transcutaneous electrical nerve stimulation (TENS), to help manage the symptoms.
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Tips for Others with Chemotherapy-Induced Neuropathy

Living with chemotherapy-induced neuropathy can be challenging, but several strategies and tips can help manage symptoms and improve your quality of life. Here are some practical tips based on my experiences.

What Can You Do at Home?

Managing neuropathy at home involves simple lifestyle changes and home remedies to ease symptoms and prevent further complications.
  • Keeping Hands and Feet Warm: Use warm gloves and socks to reduce tingling and discomfort.
  • Avoiding Tight Shoes: Wear comfortable, well-fitting shoes to avoid additional pressure on your feet.
  • Using Assistive Devices for Daily Tasks: Tools like jar openers, button hooks, and grab bars can make everyday activities easier and safer.
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A healthy diet and staying hydrated are also crucial. Eating a balanced diet rich in vitamins and minerals supports overall nerve health, while proper hydration helps maintain good blood flow and reduces the risk of cramps and muscle spasms.

How Can You Stay Active?

Staying active is vital for managing neuropathy, but choosing safe and gentle exercises is essential.
  • Gentle Stretching: Regular stretching can improve flexibility and reduce stiffness.
  • Walking: Low-impact walking is excellent for maintaining cardiovascular health without putting too much strain on the nerves.
  • Low-Impact Activities: Activities like yoga, tai chi, and swimming can help maintain muscle strength and coordination.
My personal exercise routine included daily stretches and short walks, which helped alleviate some of the pain and improved my overall mobility. Incorporating these activities into my daily routine not only reduced my neuropathy symptoms but also boosted my mood and energy levels.

Why is Emotional Support Important?

Seeking emotional and mental health support is vital when dealing with the challenges of chemotherapy-induced neuropathy. The emotional impact can be just as significant as the physical symptoms.
  • Talking to Family and Friends: Sharing your experiences and feelings with loved ones can provide comfort and support.
  • Joining Support Groups: Connecting with others who are experiencing similar experiences can offer valuable insights and a sense of community.
  • Seeking Counseling: Professional counseling can help you develop coping strategies and manage the emotional strain of living with neuropathy.
My personal experiences with emotional support were incredibly positive. Talking to family and friends helped me feel less isolated, and joining a support group allowed me to share my journey with others who understood what I was going through. Counseling provided me with tools to handle anxiety and frustration, making it easier to stay positive.

Key Takeaways from My Experience

Dealing with chemotherapy-induced neuropathy taught me several important lessons that shaped my approach to my overall cancer journey.
  • The Value of Communication with Healthcare Providers: Regularly discussing symptoms with my healthcare team ensured that my treatment plan was adjusted to manage neuropathy effectively.
  • The Importance of Self-Care: Prioritizing self-care activities, like gentle exercises and healthy eating, helped manage symptoms and improved my overall well-being.
  • The Need for Emotional Support: Seeking emotional support from family, friends, and professionals was crucial in maintaining a positive outlook.
These experiences helped me develop resilience and adapt to new challenges, which were essential in maintaining my quality of life during cancer treatment.
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Advice for Others Facing Chemotherapy-Induced Neuropathy

If you're dealing with chemotherapy-induced neuropathy, here are some pieces of advice that might help you navigate this challenging time.
  • Be Proactive in Seeking Help: Don't hesitate to discuss your symptoms with your healthcare providers and seek adjustments to your treatment plan if necessary.
  • Take Care of Your Body: Focus on self-care activities, maintain a healthy diet, and stay hydrated.
  • Stay Connected with Loved Ones: Lean on your support system for emotional support and practical assistance.
Staying positive and managing symptoms can make a big difference in your journey.
  • Focus on What You Can Control: Concentrate on the aspects of your life that you can manage and improve.
  • Celebrate Small Victories: Acknowledge and celebrate the small achievements in your journey.
  • Seek Out Resources and Support: Use available resources, such as support groups and counseling, to help manage your symptoms and emotional well-being.

Life with Chemotherapy-Induced Neuropathy

Navigating life with chemotherapy-induced neuropathy is a challenging journey, but it can be managed with the right strategies and support. By understanding the symptoms and seeking appropriate medical advice, you can find ways to alleviate discomfort and maintain a good quality of life.
Implementing practical tips, such as keeping hands and feet warm, staying active with gentle exercises, and seeking emotional support, can make a significant difference. Remember, you are not alone in this journey—lean on your healthcare team, loved ones, and support groups to help you through it. Stay proactive, take care of yourself, and focus on the positive steps you can take each day.

References

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  1. Lu, W., Giobbie-Hurder, A., Freedman, R. A., Shin, I. H., Lin, N. U., Partridge, A. H., Rosenthal, D. S., & Ligibel, J. A. (2020). Acupuncture for Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer Survivors: A Randomized Controlled Pilot Trial. The oncologist, 25(4), 310–318. https://doi.org/10.1634/theoncologist.2019-0489
  1. Syahrir, M., Andayani, Y. D., Norman Djamaludin, Maksudin, E. S., Muharramah, P. F., Kgs. M. Rosyidi, Hasnawi Haddani, & Erial Bahar. (2020). Efficacy of Alpha Lipoic Acid Supplementation In Chemotherapy-Induced Peripheral Neuropathy. Bioscientia Medicina : Journal of Biomedicine and Translational Research, 5(1), 94-98. https://doi.org/10.32539/bsm.v5i1.162
  1. Stringer, J., Ryder, W. D., Mackereth, P. A., Misra, V., & Wardley, A. M. (2022). A randomised, pragmatic clinical trial of ACUpuncture plus standard care versus standard care alone FOr Chemotherapy Induced peripheral Neuropathy (ACUFOCIN). European journal of oncology nursing : the official journal of European Oncology Nursing Society, 60, 102171. https://doi.org/10.1016/j.ejon.2022.102171
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Written by

Jack Wang