Hello polianad22,

Thanks for asking...now 4 months after mastectomy and axillary dissection, there is less pins and needles nerve pain and better left arm mobility. But I am very wary of starting the Arimidex due to recent worse bone density scan (further into osteoporosis in spine). I still don't have any info as to whether a local recurrence predisposes a distant occurrence or whether these are two quite different events. All the best to you.