Certain chemotherapy drugs can cause chemotherapy-induced peripheral neuropathy (CIPN), which is one of the most common side effects of treatment. Chemotherapy treatments cause peripheral neuropathy by damaging the nerves in the fingers, hands, arms, legs, and feet. This can lead to symptoms including pain, numbness, tingling, and difficulty with mobility, which can greatly impact one’s quality of life. Dr. Anasheh Halabi is an Assistant Clinical Professor in Neuromuscular Medicine at UCLA who specializes in neuropathies and is a leading specialist in caring for patients with neurotoxicities related to cancer drugs. She discusses chemotherapy-related neuropathies, expectations, and management. The perspective of a patient who has experienced CIPN will also be included in the program.

1. Chemo-Induced Peripheral Neuropathy Experience
(CIPN)
Megan-Claire Chase, Invasive Lobular

2. Diagnosed September 14, 2015
Cancer Call at 3:05pm
Stage IIA Invasive Lobular
• ER/PR +
• HER2-
• Grade II
First time I heard the term AYA,
diagnosed under 40
(adolescent and young adult)

3. Treatment Plan
Northside Atlanta Cancer Care
Infusion nurse Cecily (AH-MAZING)
Type of Chemo – ACT (16 total)
• Adriamycin (red devil)
• Cytoxan
• Taxol
Surgery: Lumpectomy
w/reconstruction
Radiation: 33 treatments

4. CIPN Side Effects
None of the following treatments were effective:
⮚ Gabapentin
⮚ L-glutamine
⮚ Physical Therapy (PT)
It felt like a current running through entire body
– head to toe

5. CIPN Treatment with a Chiropractor
My chiropractor Dr. Dan Ruitenbeek
in Marietta, GA.
Severe sensory loss category:
• Right foot – 62.9% loss
• Left foot – 60.0% loss
• Right & Left hand – 45.7% loss

6. CIPN Treatment Plan in Office
Thermal Light
therapy
***Disclaimer: This is my specific treatment and not for everyone. Everything you see
below is based on the severity of my CIPN and prescribed by my chiropractor.***

7. CIPN Treatment Plan at Home
***Disclaimer: This is my specific treatment and not for everyone. Everything you see
below is based on the severity of my CIPN and prescribed by my chiropractor.***

8. THE END