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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Noticing Pain In Back Due To Mastectomy And Reconstruction

I am breast cancer survivor. It has been 16 years since my first diagnosis. Four years after the first mastectomy I had a different kind of breast cancer in the second breast. This time along witb the mastectomy & reconstruction I had to have chemo. Then about a year later what I thought was the fibromyalgia pain in my back got a lot worse. Turns out that along with fibromyalgia the first cancer had spread to several places in the thoraxic, lumbar and later the siatic area of my spine. So, the doctor put me on chemo for a year and a half and two weeks of radiation. About a year later I had 5 cyberknife treatments. Another year later they had me have kifoplasty surgery. ( A couple of vertebrae had collapsed.) About 6 years passed when I was doing pretty well except for skme neuropathy in my legs and feet. Then in 2012 the cancer returned in the siatic area, so again I had a 5 month round of chemo. I am doing well again now except for a lot more neuropathy. My oncologist put me on fentanyl 25mcg patches about 10 or 11 years ago and femara once per day and hydrocodone 7.5 at night and the neurologist put me on Lyrica 300 mg., once per day, Savella 100mg twice per day, and the oncologist also has me taking potassium twice per day. I asked the neurologist to lower the Lyrica because I felt like my balance or the neuropathy had gotten worse when he had me go up from 200 to 300 mgs per day. So he lowered it to 225mgs and suggested that maybe I should consider going off the fentanyl patch. I had told him that I stumble around a lot. I have fallen several different times. I hate being on SO much medicine! But, I m also in a lot of pain!! What do you suggest?
Fri, 28 Sep 2018
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Oncologist 's  Response
Hello,

So in advanced stages of disease such neuropathy or visceral, pain can occur which is quite troublesome. The only treatment is opioids, drugs like Fentanyl or morphine or drugs like Gabapentin. If it does not get controlled with drugs then nerve block is the option.

Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Dr. Deepak Sundriyal, Oncologist
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Noticing Pain In Back Due To Mastectomy And Reconstruction

Hello, So in advanced stages of disease such neuropathy or visceral, pain can occur which is quite troublesome. The only treatment is opioids, drugs like Fentanyl or morphine or drugs like Gabapentin. If it does not get controlled with drugs then nerve block is the option. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Deepak Sundriyal, Oncologist