Laser Pain Center Huntsville
Chemo Induced Peripheral Neuropathy is a family of neuropathy (nerve damage) caused by Chemo Therapy Drugs
What is chemotherapy-induced peripheral neuropathy or CIPN?
Peripheral neuropathy is a set of symptoms caused by damage to the nerves that are further away from the brain and spinal cord. These distant nerves are called peripheral nerves. They carry sensations (feeling) to the brain and control the movement of our arms and legs. They also control the bladder and bowel. Some of the chemotherapy drugs used to treat cancer damage peripheral nerves. When this happens it is called chemotherapy-induced peripheral neuropathy. Chemotherapy-induced peripheral neuropathy (CIPN) can be a disabling side effect of cancer treatment.
What are the symptoms of CIPN?
The symptoms or signs of chemo-induced peripheral neuropathy (CIPN) depend mostly on which nerves are involved. CIPN typically affects the feet and hands (bilaterally) meaning both hands or both feet however some patients have symptoms only in their feet OR hands.
The most common symptoms are:
• Pain (may be constant or come and go) often described by patients as shooting, stabbing, or prickley pain. Can be sharp or dull achy as well
• Burning Pain (can be intense or background burning pain)
• Tingling (“pins and needles” feeling) or electric/shock-like pain
• Numbness Loss of feeling (can be numbness or just less ability to sense pressure, touch, heat, or cold)
• Trouble using your fingers to pick up or hold things; dropping things
• Balance problems
• Trouble with tripping or stumbling while walking
• Touching or squeezing or any Pressure may hurt more than usual
• Temperature may hurt more than usual (mostly cold; this is called cold sensitivity)
• Muscle weakness • • • •
• Decreased or no reflexes
CIPN can cause severe pain and can affect your ability to do things like walk, write, button your shirt, or pick up coins. If it gets very bad, it can cause more serious problems like changes in your heart rate and blood pressure, dangerous falls, trouble breathing, paralysis, or organ failure. Talk to your doctor or nurse right away about any signs of CIPN that you may have. They’ll want to watch you closely to see if the problems get worse. They may need to change your treatment plan.
What else can cause these symptoms?
Peripheral neuropathy can be caused by other things besides chemo, such as:
• Other cancer treatments, like surgery or radiation
• Tumors pressing on nerves
• Infections that affect the nerves
• Spinal cord injuries
• Alcohol abuse
• Low vitamin B levels
• Some autoimmune disorders
• HIV (human immunodeficiency virus) infection
• Poor circulation (peripheral vascular disease)
• The cancer itself (for instance, multiple myeloma can cause PN) It’s very important to know what’s causing peripheral neuropathy so that the right treatment can be given. The focus here will be on peripheral neuropathy that’s a side effect of chemo – CIPN.
How does CIPN start?
Chemo drugs spread through the whole body, and certain types of chemo can damage different nerves. Symptoms tend to start farthest away from the head, but move closer over time. In most cases, people will notice chemo-induced peripheral neuropathy (CIPN) symptoms in the feet, then later on in the hands. Symptoms may start in the toes, but move on to the ankles and legs. Likewise, symptoms can move up from the fingers to the hands and arms. CIPN most often affects both sides of the body in the same way. When it affects both hands and both feet, doctors may call it a stocking-glove distribution. CIPN can begin any time after treatment starts. It often gets worse as treatments go on.
What drugs are most likely to cause CIPN?
Certain chemo drugs are more often linked to CIPN. These include:
• Platinum drugs like cisplatin, carboplatin, and oxaliplatin • Taxanes including paclitaxel (Taxol®), docetaxel (Taxotere®), and cabazitaxel (Jevtana®)
• Epothilones, such as ixabepilone (Ixempra®)
• Plant alkaloids, such as vinblastine, vincristine, vinorelbine, and etoposide (VP-16)
• Thalidomide (Thalomid®), lenalidomide (Revlimid®), and pomalidomide (Pomalyst®)
• Bortezomib (Velcade®) and carfilzomib (Kyprolis®)
• Eribulin (Halaven®)
CIPN can last a short-time. Or it can become a long-term problem, depending on factors like:
• Your age
• Having other medical conditions that cause neuropathy (like diabetes or HIV infection)
• Prescription drugs you are taking
• If others in your family have neuropathy
• The drug or combination of chemo drugs used (including those used in the past)
• The drug dose (some drugs only cause CIPN at high doses)
• The drug frequency (how often the drug is given)
• The total dose of chemo given over time
CIPN - and your cancer treatment:
Our opinion is that traditional medicine is challenged in its treatment of CIPN - Chemo Induced Peripheral Neuropathy. They do a pretty good job of diagnosing it and naming it BUT Allopathic medicine (traditional medicine) just does not have a good answer for CIPN - chemo induced peripheral neuropathy. The oncologist, hematologist and oncologist radiologist are so tied up in treating and hopefully curing your cancer that they don't really manage CIPN. It's not that they don't want to its that neuropathy is in the neurologist world. So when asked about neuropathy they try to adjust the chemo dosages to lessen the CIPN. And yes that may help. But it is not the solution. The medical approach is treat the symptoms with drugs, many of which have side effects as severe as the neuropathy it self. Listen no one wants to take one more pill than is necessary especially if the pill does not cure anything and has lots of side effects. We've all seen the TV commercials and head the side effects. Many patients report not being able to tolerate or function on the medications. And if you ask about supplements the docs say things like "Well I don't think it will hurt you." Europe discovered a better way to treat neuropathy and CIPN.
A Better Way:
About 15-20 years ago European Universities and medical schools in Italy, France, Spain, Germany and England started studying Lasers and light therapy for the treatment of nerve pain disorders such as diabetic neuropathy. European Universities, and medical schools are producing study after study on Lasers and light therapy. In fact even the Nobel prize was awarded for the study of light therapy. In Europe, Laser therapy is an everyday treatment with many clinics not offering drug therapy to their patients until Laser or light therapy is tried. Here in the United States, we were slow to join in as much of our research is funded and pushed by the pharmaceutical companies. Harvard University in the United States seems to be pushing the envelope to study lasers and light therapy. NASA even joined in the studies. NASA did a study on light therapy right here at Marshal Space Flight Center Huntsville and what did they think of light therapy: NASA Light Technology Successfully Reduces Cancer Patients Painful Side Effects from Radiation and Chemotherapy. It's exciting to see the spinoffs from NASA's science and technology initiatives continually improve the quality of life for people here on Earth." The US military was next with the US Army, Air Force, Navy and Marines using laser therapy to help our warfighters heal faster. University medical center hospitals, and doctors all over the country are embracing laser and light therapy in pain control, treat nerve damage, musculoskeletal problems, joint problems and even wound healing. Now you can experience it too at the Laser Pain Center Huntsville where we offer diabetic neuropathy treatment Huntsville AL.
The Laser Pain Center Huntsville is the home of Cutting Edge MLS Robotic Laser technology here in Huntsville and the Tennessee Valley. Our Clinic is proud to be on the medical technology forefront by offering FDA approved MLS Laser Therapy. We have invested in what we believe is the very best Laser technology available in the US in our quest to offer you the finest in health care and laser pain therapy. We offer a Free* No Cost consultation/meeting with our doctors for you to discuss your problems and our solutions. MLS means Multi Laser System, a patented way to have multiple lasers at different wavelengths treating you at the same time. Our lasers are also robotic which means that the robotic laser, with direct control by the doctor, can apply the laser light much more precisely than the doctor could by hand. All you have to do is call us for a Free* Consultation/meeting. Lasers in the United States are regulated by the FDA. In the US there are four classes of lasers: Class I, Class II, Class III, and the strongest Class IV. Our Cutting Edge MLS Robotic Laser is a Class IV, 25 watt peak power laser. That is important to you as you want the laser light to be able to penetrate, say the leg, all the way to the nerve being treated. Also that means a shorter treatment time as we can reach the therapeutic dose more rapidly. These lasers are from ASA in Italy, one of the largest medical laser manufacturers in the world currently in 50 countries on 5 continents. Researched and proven protocols for treating neuropathy with Cutting Edge MLS lasers. Patients around the world have been successfully treated with neuropathy using the Cutting Edge MLS Neuropathy protocols. If you or a loved one has neuropathy you should be next. Waiting is not an option as your neuropathy only gets worse. We now offer neuropathy treatment Huntsville AL. Results vary but we have been impressed by the results of the LAR protocol on peripheral neuropathy.
All patients start with a Free* Consultation/Meeting at the Laser Pain Center Huntsville. All you have to to is fill out the form below OR call our clinic at 1-800 Why Hurt and make an appointment for a Free consultation. This consultation/meeting is a time for us to talk about your condition and specific symptoms and our possible treatments. At your consultation we complete your Neuropathy Care Profile which is your to keep. If you choose to go forward then at your next appointment we start with the History and Examination. The Examination includes neurological test, orthopedic test, muscle test, range of motion test, balance test, blood pressure test, blood O2 levels and perfusion levels and more. We then complete the Michigan Neuropathy Screening Instrument (MNSI) along with (SWM) monofiliment test and (VPT) vibration perception threshold test. By doing these test we now have an objective base line to compare future results against. Some patients are then sent for NCV testing depending on findings.
Next comes the ROF- Report of Findings: This is where our doctors sit with you and go over our findings from all our exams and testing. We then make recommendations for treatment of your peripheral neuropathy. In our examination testing we find about +-20% of patients have permanent nerve damage. or untreatable conditions and are not candidates for Laser treatment and the LAR Protocol. To them we say GOD's Blessings. We can't help you. Your nerves are just too far gone to try to bring back. For the rest we recommend that care start immediately as time is critical. The longer you wait the worse your neuropathy can get. We then go over the financial matters as Laser therapy is so new it's not covered by Blue Cross & Blue Shield, Medicare, Medicaid, Tricare, or any other state or federal major medical health insurance.
Cutting Edge MLS Laser Treatments: We recommend a 12 visit trial of Cutting Edge MLS Laser therapy for treatment of your peripheral neuropathy. In addition to the Cutting Edge MLS Laser you will also receive Anodyne therapy to treat the vascular component and ReBuilder therapy (either at home or our clinic) to reset the nerves. Together these make up the LAR - Laser- Anodyne - ReBuilder Protocol. We will also recommend some supplements which can be purchased at most any health food store. After 12 visits of care we repeat the objective findings from the examination and see if real progress has been made. If after 12 visits improvement is made, as is the case in most patients, then we recommend an additional 12 visit of continuing treatment of your peripheral neuropathy. If no progress has been made after 12 visits then we recommend stopping care. Results Vary and nothing works for everyone but the results we see everyday are simply amazing.
Maintenance: The case can be made for some maintenance care. We tell patients that they are in charge of their maintenance care. Remember Neuropathy is a progressive disorder meaning it gets worse with time. The nerves that are better after treatment can become worse again over time if the underlying cause is progressive such as kidney disease or thyroid disease. If any symptoms start to just creak into their life again then immediately come back and lets chase them away in just a few visits. Some patients put themselves on 2 times a month maintenance others 1 time a month and still others 1 time a quarter. Again you drive the bus so to speak, just don't crash it.
Now it's your turn. You can either request a Free* Consultation/Meeting below online or call the Laser Pain Center Huntsville for your Free* Consultation/Meeting. A no stress meeting with one of our Doctors to discuss your problems and our possible solutions.
Toll free at 1-800- Why Hurt. 1- (800) 949-4878
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Now is the time to see if we can help your peripheral neuropathy.
Free* Consultation/Meeting or Free Seminar Talk - Free is no charge. However all other services at regular fees. Some persons or insurances cannot receive Free services. It this is your case then this does not apply to you. As with all medicine results vary case to case. We do not guarantee outcomes. Nothing works for everything.
Laser Pain Center Huntsville
303 Williams Ave SW
Huntsville Alabama 35801