Solidea makes a shortie sock with their ‘wave massage’ knitted pattern. I have
had a number of women report easing of foot sx with wearing them. My best guess
it is the desensitization of sx from the micro massage caused by the texture of
the weave. There is lit also that stated that compression was helpful for CIPN-
most of that lit when I last looked was in pediatric populations.
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________________________________
From: aptaoncology-bounce@xxxxxxxxxxxxx <aptaoncology-bounce@xxxxxxxxxxxxx> on
behalf of Perkins, Drayton <Drayton.Perkins@xxxxxxxxxxxxx>
Sent: Wednesday, April 27, 2022 8:20:04 AM
To: aptaoncology@xxxxxxxxxxxxx <aptaoncology@xxxxxxxxxxxxx>
Subject: [External] [aptaoncology] Re: Treatments for CIPN, fibrosis, covid
related issues
Good morning, all!
We currently utilize the ReBuilder to help stimulate the peripheral nerves on
hands/feet for those affected by CIPN. In clinical experience, I have noted
that roughly 60-65% of patients notice a difference with frequent (1-2x/wk)
use. (www.rebuildermedical.com<http://www.rebuildermedical.com>) Some insurance
companies help split the cost of purchase for patients to have as home use.
We also recommend contrast baths, 1:1 apple cider vinegar to water, for
30min/day. Again, some effectiveness depending on the patient. We have
naturopathic physicians on staff who will utilize a variety of natural remedies
and also cold laser to help address the sensory aspects.
A big differentiator that I started noticing a few years ago was that some
physician teams were referring patients for ‘neuropathy’ when, in fact, they
had palmar-plantar erythrodysesthesia (hand-foot syndrome). With specific chemo
treatments I will first advise following guidelines to help address the
hand-foot syndrome and, if sensory deficits remain once the hand-foot is under
control, we will implement other modalities/treatments for CIPN. Hand-foot
syndrome is made worse with exposure to heat and friction, so much education
and emphasis placed on avoiding activities that would expose the hands/feet to
heat or activities that cause excessive friction. Moisturizing without
generating friction is key. Avoiding lotions with excessive alcohol content and
advising on the different types of moisturizers (oil-based vs petrolatum-based)
is also emphasized.
Hand-Foot Syndrome : Cancer.net
(https://www.cancer.net/coping-with-cancer/physical-emotional-and-social-effects-cancer/managing-physical-side-effects/hand-foot-syndrome-or-palmar-plantar-erythrodysesthesia)
Hand-Foot Syndrome: Chemocare
(https://chemocare.com/chemotherapy/side-effects/handfoot-syndrome.aspx).
I hope some of this information is helpful and I appreciate the robust
discussions from this list-serve!
[cid:image001.jpg@01D85A0C.C68BFCC0]
Drayton Perkins, PT, DPT, CLT
Doctor of Physical Therapy / Certified Lymphedema Therapist
Oncology Rehabilitation
Comprehensive Care and Research Center, Atlanta
600 Celebrate Life Parkway, Newnan, GA 30265
O: (770) 400-6493 F: (770) 400-6978
E: drayton.perkins@xxxxxxxxxxxxx<mailto:drayton.perkins@xxxxxxxxxxxxx> W:
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Care Centers<https://www.cancercenter.com/locations?loc=clinics>
The information contained in this communication is confidential and does not
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From: aptaoncology-bounce@xxxxxxxxxxxxx <aptaoncology-bounce@xxxxxxxxxxxxx> On
Behalf Of Kristen
Sent: Tuesday, April 26, 2022 9:30 PM
To: aptaoncology@xxxxxxxxxxxxx
Subject: [aptaoncology] Re: Treatments for CIPN, fibrosis, covid related issues
[EXTERNAL] This is an external email. Use caution responding, opening
attachments or clicking on links.
I forgot some of our therapists have started to use the Magic Wand vibrator.
How do you do the whole body vibration?
On Tuesday, April 26, 2022, 09:26:40 PM EDT, Comcast Email
<pbkolody@xxxxxxxxxxx<mailto:pbkolody@xxxxxxxxxxx>> wrote:
Hello Kristin-
In addition to the modalities you already listed for CIPN we also use whole
body vibration. We have found ultra strength ben gay helpful (10 percent
menthol)
We also instruct our patients in nerve glides.
The idea with all the above is to improve nerve function and improve the
environment of the nerves. We tracked our CIPN patients response to our
protocol and found 65% patients reported decreased intensity and decreased
distribution of symptoms.
Ruth
On Apr 26, 2022, at 8:59 PM, Kristen
<dmarc-noreply@xxxxxxxxxxxxx<mailto:dmarc-noreply@xxxxxxxxxxxxx>> wrote:
Thank you for the recommendation for Scrambler Therapy. I'll look into it!
On Tuesday, April 26, 2022, 08:49:41 PM EDT, chitra Srinivasan
<chithrats@xxxxxxxxxxx<mailto:chithrats@xxxxxxxxxxx>> wrote:
Recently Scrambler Therapy is FDA approved for CIPN and studies show promising
results. Only some clinics have it as insurances don't cover this treatment,
yet.
How do you bill for dry needling?
C. Srinivasan
On Apr 26, 2022, at 7:42 PM, Kristen
<dmarc-noreply@xxxxxxxxxxxxx<mailto:dmarc-noreply@xxxxxxxxxxxxx>> wrote:
Hello! We are getting a lot more referrals for CIPN, often after chemo is
already complete and the patient has severe neuropathy. We currently address
balance, strength, sensory normalization techniques (contrast baths, various
textures of fabric), STM, TENS, and in some cases dry needling. Any
recommendations for other modalities or treatments that you have found
successful? Also wondering if there are any topical creams (over the counter or
Rx) that you have found really help.
Unrelated, but I recently had a patient with h/o breast cancer and radiation
fibrosis. Her biggest complaint was breast itchiness ever since her surgery and
only got worse with radiation; the itchiness was mostly under her incisions but
she says the feeling is "deep" and she can never get the itch to go away. She
said she has tried every over the counter ointment and lotion with nothing
helping. We have just started treatment for her including using non-thermal low
level laser for the fibrosis, but wondering if there is anything else we can do
to help specifically with the itchiness?
Last topic...has anyone noticed any correlation with persistent breast tissue
pain after a patient has had COVID? We have seen a couple patients with
persistent breast tissue pain despite all our best interventions. The
physicians are at a loss what to do next and are referring to pain management.
We have even asked about rheumatology consults. The most relief we have been
able to provide these patients is completing MLD and taping for edema. Just
curious what others have observed.
Our oncology rehab group is new-ish (has really grown this past year), so we
are all still learning and would be interested in other specialists' insight
into these topics!
Thank you,
Kristen Knox