Life after a SCT - A Survivor's Guide

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Let's see if we can collect some helpful information and real life experience that we can signpost folks to after they have come home from their Stem Cell Transplant.

A couple of useful things I found were:

My Consultant told me that going through treatments like these was like doing a boxing match and a marathon every day over the months of treatments and this was done without any training.

Think doing the London Marathon without any training and you had to finish it as your life depended on it……. this is the journey you have been on so it most likely will take much longer than you would think to get back to some normality - it took me a good 2 years and I was 60 at the start of my recuperation.

Yes some folks bounce back quickly post treatment but more than often folks take a considerable amount of time to recover.  6 months is the average recovery time…… at 3 months post my second SCT I was just out of my wheelchair and able to do a few steps with my walking sticks…. I was not able to feed myself due to my bad Peripheral Neuropathy and even then I was not eating much……. Your body has been through far more then you imagine so be kind to yourself, give yourself a break as you are doing good and honestly this will pass.

There are sign everywhere in my local Heamatology ward and clinic saying a week in bed is like ageing physically by 10 years

My consultant gave me this basic percentage scale for classifying where I was on the recover journey.

50% = when in the hospital going through the transplant process.

60% = significant medical/physical issues that do not allow any physical activity apart from a shower and short walk and not able to prepare food. Reliant of others for preparation of food.

70% = Significant medical/physical issues that do not allow any specific physical activity (not including a shower) but short walks and making a pot of soup. Will nap after the task.

80% = Physical issues that limits you to one activity per day. (not including shower) Able to prepare some food for a couple of people but most likely still taking a nap after activities.

90% = Some physical issues remaining (weak legs etc) but able to do a few tasks and may not be fully fit for permanent work but could do part time work. May have to .take a nap after doing tasks or work.

100% = No physical after effects and able to do multiple tasks including being back to work.

She also said on average recovery time-line is about 6 months with your recovery improving about 10-15% per month post SCT

This is an average time-line….. with general acceptance that when in the hospital going through the SCT process we are physically at about 50%…… any less would indicated some comorbidity issues like pre-existing health conditions that may reduce the 50% starting point and possibly add a month or so onto the recovery end…..

For example I have Asbestosis so this was looked at very closely and due to my prognosis was seen as an accepted comorbidity……  so I went back a good 10%…… other issues could be blood cancer type specifics, genetics…..

A web page by the Anthony Nolan Trust - The First year post SCT (link)

A web document by Dr Peter Harvey - Life after Treatment (link)

  • I am now 3 years 7 months post Allo number two and the main thing I am left with is muscle pains in my legs, arms, neck and very slightly in my hands.

    It’s worse during the winter as I am less active so over the past few months it’s been on a ‘no pain no gain’ mission and it does help. I just need to use the resistance band I was given more often.

    I am 63 now and have long term Thoratic and Lumber Spinal Osteoarthritis from working in the Constriction and Gas Service Industry during my early years.

    I also have these random tingly pains running up and down on the inside of both upper legs. Had an X-ray last year and told it’s the early signs Rheumatoid Arthritis :( 

    Only one infection with 6 days in hospital this winter so that was a result.

    You are doing great xx

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • Hi, 

    sadly as you’ve come off steroids you find it’s actually that drug which has actually weakened muscles and joints, although you feel it’s that drug which has kept you mobile. It’s a sad reflection on what steroids do to your body long term.

    to counteract this, as you say you can hardly walk; that’s a really great starting place. Just as you did when first getting home from hospital, you need to teach your body yet again how to gently exercise, this time without the steroids. 

    So, walking around home to start with, then outside around your garden, then circular walks around your home. And then further, but bit by bit. Swimming (or at least gentle exercising while supported in the water) can really help and encourage you if that’s what you love doing. 

    Dont expect to get there in even two or three months, but just try to aim for a little bit more each week. 

    Set yourself an achievable goal each time but don’t stress if you don’t quite manage, just try again! 

    And big hugs xxx

    Moomy

  • Thanks Mike and moomy! 

    It's not that my joints and muscles are weak.  They are swollen and very painful. It eases a bit when I am mobile, but they set solid when I stop. We went for a walk along the seafront yesterday and my ankles and knees were really swollen afterwards. My shoulders were so bad that my husband had to drive home. 

    Sheri

  • Hi Sheri, a gentle ((hug))

    The only swollen area is where my growth was in my neck but some daily Ibuprofen tends to do the trick. 

    What are your medical team saying?

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • Hi Sheri,

    thats miserable, but truly I think could still be a result of steroids doses over months, I assume you tailed off them carefully? If you take steroid meds for any more than around 3 weeks the dose needs to be reduced gradually, otherwise you can get awful problems.

    I'm with Mike, worth a chat to your specialist transplant nurse. 

    Hugs xxx

    Moomy

  • FormerMember
    FormerMember in reply to moomy

    I don't have general problems with my joints, but my leg muscles feel stiff and under stress when I stand up. It improves after a bit of walking. I haven't taken steroids. I do have a problem with one knee but that is from an old injury.

    My local area run courses called 'Steady and Strong' mainly aimed at helping people that have had a fall. I don't know if it would be suitable in your case, but I think I will try and start it again.

    Tessa

  • Thanks for the hugs and ideas, everyone!  It does help! 

    We're not sure what's going on at the moment. Hope it might be a temporary flare from an immune system finally unleashed after 18 months of suppression.   I have had bloods done and I am allowed to take ibuprofen, as long as I use it judiciously.  

    Think it could be cGVHD mimicking rheumatoid arthritis but we'll have to see what tests and investigations reveal. 

    I have started systematic stretching each morning, which seems to help, but my knees really can't cope with walking far.  I used to dance seriously before I got AML, so have a good repertoire of stretches and exercises. 

    I weaned off the steroids incredibly slowly, moomy.  The gvhd returned when I weaned off last time, so this time I did it very gently.  I have had a clear month of normality before this new problem started!  

    I am fed up not being able to move! I can't even drive far as my shoulders and hands hurt. I had been looking forward to getting back to exercise classes, serious gardening and travelling but now I am in limbo again. 

    Moan...whinge...moan...    

    Hugs to all! 

    Sheri xx

  • Kissing heartKissing heartKissing heart

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • Hi Sheri 

    I've been on steroids for gut GVHD for a while. At one point during the tapering I developed quite severe joint pain and stiffness, particularly in one of my hips and one hand - I could hardly walk.  I took glucosamine chondroitin for a couple of weeks and it completely cleared it up and it hasn't happened again despite further reductions in steroid dose.

    I have a feeling we've chatted before and you're under Dr Richardson at Southampton too? 

    Charlotte x

  • Oh Sheri,

    hugs xxx

    Moomy