
Peripheral
neuropathy is a change in feeling in the hands, fingers, legs, toes, or other
body parts. It can be a symptom of myeloma or related to the use of medications
used to treat myeloma, such as thalidomide (Thalomid) or bortezomib
(Velcade). Taking care of peripheral neuropathy is very important and requires
that you pay careful attention to any symptoms and discuss them fully with your
health care provider. There are two types of peripheral neuropathy which most
often affects myeloma patients - sensory, motor.
Symptoms
of sensory peripheral neuropathy include numbness, tingling, numbness or pain in
the hands or feet, trouble hearing or ringing or buzzing in the ears, or
weakness all over. Symptoms of motor peripheral neuropathy include trouble
fastening buttons, difficulty opening jars or trouble walking.
You
should always inform your healthcare provider if you experience any of these
symptoms. They may modify your treatment plan if these symptoms occur. Your
healthcare provider may also prescribe pain medications, physical therapy, or
suggest other measures such as nutritional supplements such as folic acid,
B-complex, or amino acid supplements. You should always check with your
healthcare provider before taking any new medications or
supplements.
For more information about managing peripheral neuropathy, please see the IMF Patient Education Fact Sheet on Peripheral Neuropathy.
Beth Faiman, MSN, APRN-BC, AOCNCleveland Clinic Taussig Cancer Institute
Multiple Myeloma Program
Cleveland, OH


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