I have had breast cancer twice2 different kinds. First was nine years ago and had lumpectomy and radiotherapy. Second was in my other breast 7cm from chest wall to nipple , fast growing, breast and nodes removed. Started Anastrozole and had dexa scan 3 months later. Was told I would have one every 2years. When I enquired re the second one I was told I didn’t need one as my first was fine.
My joints and back ache but as I already have a damaged spine it’s always put down to that, hips are both bad when walking any distance . but my main concern is I get a knife like pain in my ribs if I turn quickly or two far. Was told by breast Nusre it’s common after radiotherapy but year on year it is worse. I have stopped asking for support, GP says to speak to breast nurse , breast nurses tell me I don’t need any follow up, or speak to Gp. Anastrozole is possible the cause but who knows. I’m 71 and so tired and fatigued.
I am on letrozole for 10 years and my oncologist said I need a dexa scan every 2 years. I request it via my GP. I am into the 5th year of letrozole and the 2 scans I have had have been fine. I also get a sharp pain in my ribs that takes my breath away if I bend or stretch in a certain way and I think it's due to radiotherapy. Speak to a different GP in your practice and explain that your medication can cause bone problems and request the scan. I have developed arthritis which I am convinced has become worse because of letrozole. Good luck.
Hi Dogtoys
I sometimes think radiotherapy is the gift that keeps on giving. I still get various twinges almost 4 years on. Unfortunately I don’t have experience of anastrazole to offer as my cancer isn’t hormone sensitive, nor have I had DEXA scans. If you are concerned about symptoms, please do keep pressing your BCN and GP for help.

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Hi Dogtoys
I agree with Molly23, go back to your GP's practice and push for another Dexa scan. I found out about this from this site when I was first diagnosed and asked for my first one. Luckily I did as I was pre-osteoperosis, so I am automatically given one every 2 years because I have to take AdCal. I still take it even though I have finished my 5 years of anastrozole.
Anastrozole can cause issues with the bone density because it is removing the oestrogen from your body and therefore your doctors can recommend you be sent for a Dexa scan. Just because 2 years ago it was fine, it doesn't mean that it will always be that way - and you are saying that your hips are bad, so that should be a good reason for them to get you a scan. Push for it and get something on your phone to show the Doctor if needs be - a quick search shows that the reduction in oestrogen caused by Anastrozole can cause issues with bone density.
Because they caught mine (even before taking Anastrozole), mine hasn't got any worse because I take the Adcal daily. (9 years later - I'm 60 now and my Mum had had 2 hip replacements by the time she was my age!)
It's just one tablet (tastes a bit like a refresher sweet) and just a scan every 2 years. The NHS won't be dealing with issues of broken bones should I fall over. So, it's a good way of saving the NHS money!
Kindest wishes, Lesley
Hi! I have just started taking Anastrozole. Does anyone know how long it will be before I get a bone scan? I wasn't given a timeline.
Also, is it the one where you can't have anything metal on your body when being scanned? I probably should get a plastic retainer for my nostril piercing if so. Should I ask my GP about Adcal or similar?
Hi RoseViolet
I can't remember about piercings being mentioned in my letter. I took my earrings out, but I don't think I needed to as they only scanned my hips and below. It's not the same as an MRI. (i.e. it's not a tunnel thing, it's a scanner that goes over your body that they position over you).
Ask for a Dexa scan - I asked when I was given Anastrozole and the appointment was organised by my oncology team. If you have problems with your bones, they will put you on Adcal, if not, then they won't. But I would always ask for a scan every 2 years whilst on the Anastrozole (or Letrozole).
Kindest wishes, Lesley
Hi Dogtoys. I would ask your GP for a referral back to your oncologist to a) look at your reaction to anastrozole; you might be better on something like exemestane(basically does the same job; I was changed to this and it was marginally better) and b) you want a referral because of the DEXA scan, which you were told by your oncologist that you should have every 2 years. You can also write to your oncologist direct. I did this and was seen. You can also complain to PALs that you are not being given the treatment you were told you needed. I would also ask your GP for x rays and scans on the parts of your body that are sore. Do you have osteoarthritis? You can also ask for a referral to orthopaedics . I am 7 years on from my diagnosis; I had 2 yearly dexa scans. Feel free to read my profile. And as I regularly say on here, aqua exercise classes, if there are any in your local area, are really beneficial when your mobility is impaired. It is the only place where I feel basically normal and pain-free. I am in my mid 70s . GOOD LUCK
Im 55 and been on Hormone Therapy Treatment for over 5 years. I had BC ER + - lumpectomy and lympnoids removed + radiotherapy. Tried Tamoxifen, Exstemastane and now on Anastrozole. Had terrible side effects with Tamoxifen e.g severe hot flushes, nausea. But Anastrozole has been the worse re joint pain..affecting my quality of life.
Cut a long story short I had Arthritis in both knees before Cancer, that was not that bad..took the odd painkiller/stiff knee. However over the last 5 years it got worse, with being told it was down to the side effects of Cancer Hormone Therapy treatment! This year it got to the stage where steroid injections not working, increased meds and re constant pain and flare ups! I then insisted I get referred to Orthopedics - as despite dexa scan last 2 years - noone thought to xray knees re arthritis for since C diagnosis. Turns out my right knee is bone on bone and im due for a total knee replacement on the 26th Nov !?!
As someone has said re replies - its good to check further if you do have arthritis in joints and get referred to Othepedics. Feel mine was left too long and the pain that i have endured re joint pain - just assuming this was my new norm now. However menopause can cause joint pain but does not make arthritis worse in terms of deterioation apparently...but confuses me tbh
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