|2nd Cancer Opinion
provides opinions regarding Breast, lung, colon,
prostate and ovarian cancers, lymphomas, melanomas, and other solid
|*1st 1/2 hour
session is at no additional charge.
Side Effects of
Side Effects of Chemotherapy
Incontinence - Urinary
Dryness of the Mouth
Fluid and Electrolyte Imbalances
Nausea & Vomiting
Spinal Cord Compression
Shortness of Breath
Sleep Problems (Insomnia/Oversleeping)
Arthralgias and Myalgias
It is very important that you read and understand the
following information. If you have any questions or want more
information, please contact the nurse or the physician.
Symptom and Description Pain in the large joints of the
arms and legs can occur any time from 48-72 hours after you
receive chemotherapy. When in your joints, this pain is called
arthralgia, whenin your muscles, myalgia. It is a side effect of
your chemotherapy. This discomfort occurs in the large joints
such as the hips, the knees, or the shoulders and can range from
a mild ache to severe pain. This muscle and joint pain can be
more noticeable if colony stimulating factors or growth factors
(G-CS For GM-CSF) are a part of your treatment. You also may
have trouble getting out of bed or a chair. This side effect may
not occur with every treatment; you may experience pain during
one treatment and not feel any aches after the next treatment.
You are at risk for this side effect if you had treatment
with a drug that caused numbness or tingling in your hands or
feet such as the drugs:
if you have diabetes
if you have a history of alcohol use
if you have a history of arthritis
Learning Needs You need to learn how to manage this side
effect at home and understand when to notify the doctor or
nurse. Your physician can prescribe medicines that will relieve
this side effect.
Prevention It is difficult to prevent this symptom.
Remember the symptoms don't appear until 48-72 hours after
treatment and can last from 4-7 days. Some helpful hints to
reduce the symptoms include:
Management These are some ideas on how to manage these
side effects at home.
Your doctor or nurse may suggest glutamine nutritional
- Take the medication prescribed by your doctor.
- Get plenty of rest, and plan your activities to include
- A heating pad or hot water bottle may help give comfort to
the achey area. Keep the pad or bottle covered with a towel
when putting it next to your skin. Use for short periods, 5–10
minutes several times per day.
- Keep your nutrition up by eating healthy, regular meals.
- Relaxation techniques, such as guided imagery and
biofeedback may be helpful.
- Taking a warm bath or whirlpool bath is comforting.
- Massage therapy to the affected areas may help. Be sure to
ask your doctor or nurse for more information if you are
interested in trying any of these measures and you need
Follow-up It may be helpful to keep
a record of the muscle or joint pain, recording when it starts,
what makes it better, and when it goes away. Bring this
information with you when you visit the doctor or nurse.
If at any time you are uncomfortable and the discomfort does
not go away, please call the doctor or nurse.