Neuropathy or CIPD???

Posted by oliver8112000 @oliver8112000, Aug 30 9:32pm

I had Chemo in 1981 for AML Leukemia, no neuropathy. Then again 2007-2008 for BC. Last tx was 2-5-2008. No neuropathy. Out of the blue in March 2011 it started in my right toes. Dr. My Oncologist wrote it of from Chemo. Come Summer 2023 Cape May, Stone Harbor, I had to hold onto my sister’s and niece to walk and my fingers felt like needles. Neurologist did EMG. Next step was Spinal Tap to determine CIPD. He wasn’t ready to go that route. Just redid EMG, abnormal again, now next up scheduling the Spinal Tap. Has anyone on this board had this Treatment? I do not have diabetes either.

Interested in more discussions like this? Go to the Neuropathy Support Group.

Profile picture for dlydailyhope @dlydailyhope

@oliver8112000
I was not diagnosed with CIDP. I was diagnosed with idiopathic small fiber neuropathy (started with burning and pins and needles in feet) and also congenital narrow spinal canal causing early spinal stenosis, degenerative disc disease, cervical myelopathy (spinal cord compression/flattening injury), and neurogenic claudication causing all sorts of symptoms. I had daily headaches, neck/shoulder pain, tinnitus, arm/hand weakness/numbness, bladder control issues, lower back/hip/buttocks/legs/feet pain/numbness/weakness, walking and balance issues, etc. I had 2 cervical spine surgeries, 1 lumbar spine surgery and carpal tunnel surgery on right hand 2022-2025. The decompression and fusion surgeries in my spine helped relieve some of my symptoms but have some permanent spinal cord and nerve root injuries due to delayed diagnosis and treatment.

I hope you get more answers to your questions on what your test results show, why they are doing or not doing certain tests, if tests are needed/risks, etc.

Did they do extensive bloodwork to check for neuropathy causes and to rule out things? Are you working with a hematologist/oncologist to do your bloodwork? Neurologists do certain bloodwork but a hematologist may be more thorough for potential causes to your symptoms.

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Hello, I have what they call ‘late effects’ from the Chemotherapy and Total Body Radiation for my Bone Marrow Transplant for my AML Leukemia in 1981. My Breast Cancer DX in 2007 was a ‘late effect’. The list is long. My Neurologist said the Office will be calling me to set up appointment for the Spinal Tap. Then go from there. Sending prayers your way. 🙏🏻

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Profile picture for John, Volunteer Mentor @johnbishop

Hello @oliver8112000, I'm not a doctor but from what I've read chemotherapy treatments can cause neuropathy Chemo Induced Peripheral Neuropathy (CIPN) vs Chronic Inflammatory Demyelinating Polyneuropathy (CIPD).
The GBS/CIDP Foundation has a good video on sorting out your diagnosis and treatment - https://www.gbs-cidp.org/cidp/.

There is also a discussion on CIDP that may be helpful to learn more:
-- CIDP (Chronic Inflammatory Demyelinating Polyneuropathy)
https://connect.mayoclinic.org/discussion/cidp-chronic-inflammatory-demylinating-polyneuropathy/

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Hello John I want to thank you for that link to the video. So informative. I learned much from watching it. Thank you again.

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Profile picture for oliver8112000 @oliver8112000

Hello again, you have really been through so much. Funny, with the EMG tests, the last one they did I think it was on 8/14, they did not do my arms. I don’t think. I can’t remember if they did them in 2023. That is strange. I have had Spinal Tap before, (seizures). I am thinking after I get the results and depending what they say I am thinking of maybe contacting University of PA for an opinion. I have what they call ‘late effects’, many ailments from all the Total Body Radiation and Chemotherapy I had in 1981 to treat my AML Leukemia. Long list. I think this should have been addressed in 2023 when the EMG came back abnormal then. I also just had Left Carotid Artery Surgery 8 weeks ago tomorrow. It went from 50% blockage to over 75% I 8 weeks. I have never been so terrified of a surgery in my life. I know too well you have to be your own advocate. Thank you. 🙏🏻😇

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Hello @jedge54 How are you doing? Did you start Riliprubart? I saw an ad on TV the other night for a self injection drug for those with CIPD. I didn’t get the name. One of my sisters and her husband also saw the ad on TV. To update you, my Spinal Tap is finally scheduled for next Thursday 6:30 to be at Hospital. Procedure is at 8:00am. I think I mentioned to you that I will wait and see what the results are and if positive I think I might go to where you go University of PA.
Sending healing thoughts and prayers your way. 🙏🏻🙏🏻🙏🏻

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Hi oliver;
Yes, I began the Riliprubart trial 6 weeks ago. Important: For the first 24 weeks, you will receive either the drug OR a placebo. You and your medical team at Penn will not know which one you are getting. After 24 weeks, if those receiving the drug show some degree of improvement over the placebo group, everyone in the trial will have access to the drug for an extended period at no cost.
I don't remember if I mentioned another drug trial recently announced called Captivate. If the Riliprubart trial does not work out, you could investigate Captivate.
I want to emphasize that your upcoming spinal tap (lumbar puncture) should definitely be done with radiology assistance (also called image-guided).
Good luck, and please update me on how this works out or if you have any other questions.
John

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Hi John, how are you doing on the 6 week trial so far? 🙏🏻 I am waiting for a call back from the Hospital regarding the Radiology Assistance for the Spinal Tap. I will keep you updated. 🙏🏻🙏🏻🙏🏻

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Profile picture for oliver8112000 @oliver8112000

Hi John, how are you doing on the 6 week trial so far? 🙏🏻 I am waiting for a call back from the Hospital regarding the Radiology Assistance for the Spinal Tap. I will keep you updated. 🙏🏻🙏🏻🙏🏻

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Hello again John. They called back and confirmed that the Spinal Tap will be Radiology Guided. I will have an I.V. , so am going to ask for a sedation put in via I.V. based on my prior Spinal Taps,
(maybe 4 since 1976 ☹️).
Always had a sedation. She mentioned they are doing lidocaine. That isn’t enough. Not even when they did my Bone Marrow Biopsies. Ouch x 20!!

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Profile picture for oliver8112000 @oliver8112000

Hello again John. They called back and confirmed that the Spinal Tap will be Radiology Guided. I will have an I.V. , so am going to ask for a sedation put in via I.V. based on my prior Spinal Taps,
(maybe 4 since 1976 ☹️).
Always had a sedation. She mentioned they are doing lidocaine. That isn’t enough. Not even when they did my Bone Marrow Biopsies. Ouch x 20!!

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Oliver:
I have not had any indication that the Riliprubart is working, but my Neurology team said it would take much longer to show an effect. Also, I could be on the placebo which means I wouldn’t have any positive effect from the drug.
So only time will tell at this point.
John

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If you are experiencing Chemotherapy-Induced Peripheral Neuropathy (CIPN), the Mayo Clinic is conducting an "ON LINE" Clinical Study on this subject matter. You do not have to go to a physical facility as it is all done on line. For more information you can call 904-953-5102.

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Profile picture for jedge54 @jedge54

Oliver:
I have not had any indication that the Riliprubart is working, but my Neurology team said it would take much longer to show an effect. Also, I could be on the placebo which means I wouldn’t have any positive effect from the drug.
So only time will tell at this point.
John

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🙏🏻 you are not on placebo.

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Profile picture for diaz @diaz

If you are experiencing Chemotherapy-Induced Peripheral Neuropathy (CIPN), the Mayo Clinic is conducting an "ON LINE" Clinical Study on this subject matter. You do not have to go to a physical facility as it is all done on line. For more information you can call 904-953-5102.

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Hello Diaz. I do not have CIPN.
My last Chemo tx was 2/5/2008 for BC never had Neuropathy. Not even in 1981 for AML Leukemia. I then had Total Body Radiation and mote Chemo to prepare for my Bone Marrow Transplant from my Brother (donor), had to be sibling or blood relative back then. So new. In any case. 2008 no Neuropathy. Two nieces Weddings in 2010 I was dancing in 5” heels I kid yo not. It started in my right toe in March 2011 right before Bunion, hammertoe surgery. Fast toward summer 2023 Stone Harbor with family. I needed help leaning on sisters walk fingers felt like pricks. Etc… not Neuropathy. EMG done in 2023— Abnormal! The Neurologist that did test wanted Spinal Tap. My Neurologist, for whatever reason ‘wasn’t ready to go that route yet’??? This year he says EMG I said why we did that. I want to no again. What was result back 2023? He- Abnormal!!! Now here it is 2 years later. Lost 2 years. Abnormal again. Now Spinal Tap. Not Neuropathy.

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