Home   Recent Questions   Ask Oncologist    Health Forums   Testimonials   FAQs


This question was answered on Fri 05, Sep 2008 08:50pm by Dr Paul S, MD

mom with stage 4 breast cancer has lower back pain due to herniated disk


    
Asked by jenniferfimiani (Female; 55; dx nov 07 with stage 4 breast cancer although tumor was never found. cancer in lymphnodes, some on stomach lining and along her spine.; Relevant drugs:arimidex, norontin (for Restless leg syndrome), and nexium ) on Thu 04, Sep 2008 09:00pm

my mom has stage 4 breast cancer. cancer cells are in her mid back and some on her stomach lining. she is currently suffering from low back pain caused by a herniated disk. i have a few questions because she has cancer.. 1. can she receive therapeutic ultrasound 2. can she receive tense treatment 3. can she receive epidural injections she has been given conflicting opinions. the PT today told her that they could not do the ultrasound and tense because she has cancer. our neurologist who wrote the script for the back would not have written for it if she could not receive it. also one pain mgmt specialist said they could not give her the epidural injections cause it could cause the cancer to shift or increase. our neurologist who is also a pain mgmt specialist has never heard of such a thing. please help!!

Actions: | Forward |
Answer


Name 

Email 

Security code
Enter the text as shown above


E-Mail me when someone replies to this post
Answer by Dr Paul S, MD  on Fri 05, Sep 2008 08:50pm:

Hi. At this stage of the disease, I believe that the treatment options and decisions should be based on one of the fundamental principles of palliative care, which is pain control. The achievement of this goal would require good communication between her doctors, and writing notes may not be sufficient. The pain specialist may be correct in avoiding epidural injections due to the fear of cancer spread, but as I have mentioned, pain control may be more of a priority than the risk of cancer spreading. This also goes true with the tens and ultrasound treatment. While the PT fears the cancer may spread, this fear may take second priority to cancer pain relief. If you and your mother are willing to take some risk of cancer spread to address the pain, then all these treatment options may be feasible. I suggest you ask your doctors regarding pain prioritization and also call for a more effective means of communication. Regards.

Detailed answer for your question: Available in paid version. - Click to pay.
Second opinion from another doctor: Available in paid version. - Click to pay.
               
Our doctors provide free answers to your questions. If you are happy with our services, please consider making a donation.
Click the button below to donate.


Please rate my answer (select the stars, no need to log in.)  


Follow up:

Clarification by jenniferfimiani on Sat 06, Sep 2008 08:09am:
Thank you for your response. Better communication is in definite need. We are looking to possibly switch
oncologists. I am reading others questions and they seem to have a better handle on their loved ones
diagnosis. For example, the one person knew how many lymph nodes were infected with cancer. We have no idea
how many of moms are. I get the feeling that because she is stage four the doctors are like it doesn't
really matter where it is at this stage because treatment will be the same. I also hear people state that the
doctors gave them 2 years and they are still going strong. We on the other hand have not been given any kind
of time frame. The doctors have said it could been a month or it could be years there is no way to know. I
can;t help but believe that there has to be someone out there that can give us more information but I do not
know where to go. Currently we are at the cancer institute of nj. Our doctor has a good reputation but I
don't feel like we are having the same "great" experience as everyone else but at the same time
is this just the best we are gonna get or is there another oncologist that can give us more info. We want to
know where the cancer is in her body. We know it is in her bone marrow, some on her stomach lining and some
along her spine as well as lymph nodes. But is it in all her lymph nodes?? We don't know. Any guidance
you can offer would be greatly appreciated. Thank you!

This question is open for comments.  Please share your opinion.

Comments


Name 

Email 

Security code
Enter the text as shown above


E-Mail me when someone replies to this post
Other cancer questions you might be interested in.
  1. Alternative therapy for breast cancer  (Answered) - Viewed 1752 times   Are there any alernative therapies available for breast cancer. i am worried about the side effects of chemotherapy and would li...
  2. Do i have testicular cancer?   (Answered) - Viewed 1625 times   I noticed a pain in my left testicle. The pain becomes terrible sometimes and it shoots up into my lower stomach. I noticed a sm...
  3. pain meds versus liver damage  (Answered) - Viewed 2897 times   My 57yo brother in law was diagnosed in October with lung cancer with mets to the bones, brain and liver. His lung ca was Stage...
  4. Herceptin - Diagnosed with metastatic breast cancer. How long do I stay on Herceptin?  (Answered) - Viewed 2145 times   I am a 51 yr.old woman with history of metastic breast cancer which was originally diagnosed in 2000. I am her 2 neu positive, e...
  5. stages of cancer - Stage IV cancer in the adrenal gland near top of kidney  (Answered) - Viewed 1421 times   my father-in-law has stage 4 cancer in the adrenal gland near top of kidney due to cancer from his lung. how many stages of can...
  6. Breast cancer - Puckering and dimpling of skin on both breasts  (Answered) - Viewed 10515 times   What is meant by 'puckering and/or dimpling' of the skin? I have just done a breast self-exam and when I sit down, put my arms a...
  7. Hodgkin's disease - Survival rate for Hodgkin's disease  (Answered) - Viewed 1647 times   my sister has stage 4 Hodgkin's at age 44, what kind of survival rate can we expect? We also lost a sister to Pancreatic at age...
  8. life after surgery without chemo but using natural products and diet  (Answered) - Viewed 1205 times   I refused chemo for stage111C colon cancer.I had the surgery to remove the tumor of which they got it all.My Ct scan after surge...
  9. Skin Cancer - blisters appear to have turned into moles  (Answered) - Viewed 1407 times   I am a 56 year old female who was diagnosed with GBS last March. Over the past year I have noticed red spots that look similar t...
  10. Enlarged lymph nodes - sign of secondary lymph node cancer?  (Answered) - Viewed 2446 times   Diagnosed with breast cancer in 2000 and DCIS in other breast 2001. Mastectomy, chemotherapy, radiotherapy. 4 weeks ago I h...
  11. prostate cancer - diagnozed PC prostate needle biopsy adeocarcinoma 4.7mm in core biopsy stage   (Answered) - Viewed 1160 times   diagnozed PC prostate needle biopsy adeocarcinoma 4.7mm in core biopsy stage T2a gleason 7 psa 11.6 june 2006-- Aug 2007 ...

 
What users are searching right now on Ask an oncologist now:
testicle cancer     wwwaskanocologistnowcom     would20high20creatine20kinase20and20immunoglobuline20E20leavels20be20atrributed20to20having20B20cell20lymphoma     where20is20your20liver20located     what20is20the20name20or20type20of20lung20cancer20that20spreads20the20fastest20out20of20all20cancer     what20is20meant20by20having20an20abnormal20protein20band     what20is20immunoglobulin20A     what20is20a20igg20lambda20monoclonal20band     what20does20free20lambda20light20chain20mean     what20does20dimpling20in20the20brest20look20like     what20does20IgG20Kappa20monoclonal20protein20mean     what20is20mortality20rate20for20lung20cancer     what20is20a20right20iliac20chain20lymph20node     undetermined20ground20rt20upper20lobe20of20lung203020yr20smoker20bad20cough20and20sob     travel20restrictions20high20elevation     trace20monoclonal20protein     they20found20a20blood20vessel20about20120centimeter20in20my20left20lung20I20have20CT20scan20procedure20tomorrow20can20what20could20it20be     synovial     swollen20collar20bone     survival     staging20for20multiple20myeloma     spine20cancer     show20video20of20radical20mastectomy     roseola     red20small20bumps20on20my20stomac     radial20scar20breast     pth20related20peptide     pth20peptide     prostate20cancer20and20black20spot20ct20scan     preauricular20lymph20nodes     poorly20differentiated20invasive20ductal20adenocarcinoma     picture20of20pancreas     phpmanager     pepic     paw20paw20cell20reg     paraprotein     panceratic20stage20420cancer20with20legs20swelling     palpablemassbeneath     painless20knot20jawline     pain20on20swallowing     nonhodgkins20lymphoma20and20lambda20monoclonial20cells     no20i20am20asking20if20i20am20having20pain20on20my20right20side20above20my20waist20and20it20feels20like20a20lump2020what20can20it20be     multiple20myeloma20stages     multiple20liver20cysts2020red20palms20of20hands     mugus     metastatic20prostate20cancer20to20bone     metastatic20liver20cancer     mainstream     lymph20node20stage20420lung20cancer     lung20cancer20knot20on20side20of20neck     low20beta20globulin     liver20tets20abnormal20and20enlarged20lymph20nodes20in20groin     liver20cyst     lambda20monoclonal20immunoglobin20igg     lambda20monoclonal20immunoglobin20igg     is20it20common20to20have2020mutiple20small20cysts20in20the20breast     invasive20ductal20adenocarcinoma     intermediate20oncotype20score     inflamed     ihaveapainfullumpbehindmykneeithasgottenbigger     igm20kappa     igm20lambda     i20have20stage20420metastatis20breast20cancer20to20the20lung2020how20long20do20i20stay20on20herceptin     i20have20had20BAC20cancer20and20Adenomacarcinoma20left20upper20lobe20and20right20lower20lobe20been20removed20Oct202011what20are20my20survival20rate20or20cancer20reocourrence     hypoechoic20well20defined20masses20in20right20pericaval20region20majours20abput205020202720cms     how20long20with20treatment20can20a20person20live20with20extensive20small20cell20lung20cancer     how20is20lung20cancer20identified     hodgkins20disease     high20wbc20high20platelets     have20pelvic20pain20goin20for20mri20next20week20just20finished20breast20cancer20treatment20what20are20the20chances20it20is20cancer     gamma20region     free20light20chains     extreme20itching     enlarged20liver20lymph20nodes20with20metastatic20breast20cancer     elevated20free20kappa20light20chains     do20you20have20to20smoke20to20get20lung20cancer     details20on20lamba20band20and20kappa20band20positive     control     Stage 1b renal cell carcinoma     cancer20spread20to20femur20bone     bronchitis     breast20puckering2020lump20under20arm20pit     breast20bleeding20tumor     breast20cancer20staging20pt1c     enlarged peripancreatic lymph nodes     are     any20cancer20with20cold20like20symptoms     StageIIIMultipleMyelomaIgA     NON20PAINFULBUMP20ON20ARM     NON     MRI20bone20scan     Lambda20light20chain20myeloma20with20amyloidosis     Lambda20Light20chain20myeloma     IgG20lambcia20monoclonal     If20you20have20been20diagnosed20with20bile20duct20cancer20and20your20liver20is206020affected20what20is20the20prognosis     IFE20pattern20shows20an20IgG20type20lambda20monoclonal20protein     Howlongdoesittakeforcolonpolypstoformandturnc     Endometrial20mets     Canabenignmole     5year     

©2011 - Ask an oncologist now  |  All Rights Reserved
The site is not a replacement for professional medical opinion, examination, diagnosis or treatment. Always seek the advice of your medical doctor or other qualified health professional before starting any new treatment or making any changes to existing treatment. Do not delay seeking or disregard medical advice based on information written by any author on this site. No health questions and information on askanoncologistnow is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor. Posts made to these forums express the views and opinions of the author, and not the administrators, moderators, or editorial staff and hence askanoncologistnow and its principals will accept no liabilities or responsibilities for the statements made.

Home | Terms & Conditions | Contact Us | Frequently Asked Questions | Disclaimer | Privacy Policy | Advertise with us
Stats