Picc line still in and crippling knee pains

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Hello all,

After day 1 of the final BEACOPP and spending 18 hours vomiting, my daughter made a decision to end her chemo and said she doesn't want to carry on which meant no more GSCF injections as this was a huge source of pain in her back and knees.  At her check-up last week she asked if she could have her PICC line removed but was told her lymphocytes were 0.5 and she was at risk of infection or worse sepsis and advised her to keep it in - which she did.

Woke in the middle of the night today crying in agony over the pain in her knees.  She said it feels like she's being hit over the knee cap with a hammer.  It's so hard to watch someone you love and care for in so much distress and all I can offer is ibuprofen and a hug. We rang the emergency number who to be honest were frankly quite unhelpful - lovely but useless. Luckily she is going in today for a blood test so with luck she can be assessed at the same time. I know it is different for everyone, but can anybody offer light at the end of the tunnel as to how long this pain might last?  Also, when should she expect signs of hair to regrow. For a young lady who had long blonde hair to being completely bald and shiny all over, this is another cruel part of the treatment and I am sure she would feel slightly better if it began to reappear.

As always, grateful for any support Slight smile

  • Hi  …… sorry to hear about the significant knee pain she is having.

    It’s a good plan to leave the PICC in until her lymphocytes are up…… I have had Pneumonia and Neutropenic Sepsis a few times…… the weeks in hospital was not a great experience.

    It will take a few weeks for the effects of the chemo to get out of her body and thus will then allow her hair to start to grow….. like every hi thing else this will take time.

    Going through Lymphoma treatment is a balance…… treatment attacks the cancer but there is fall out around it. I don’t know how active your daughter has been during treatment?…… but treatment does unfortunately waste muscle mass and if she has been inactive this will have been compounded.

    Over the 8 years I have volunteered on our Lymphoma groups I have talked many people who have experienced the same effects…… must admit that they were not active….. or less active then they had been before their diagnosis.

    I did ok during and after my man chemo but I had a bad time during my secind Allo (donor) SCT so ended up in bed for a good period of the 4 weeks I was in hospital…… this resulted in me not being able to walk as the muscle mass in my body, especially my legs was melted away so I ended up in a wheelchair and had to have physiotherapy for 3-4 months ti get me back walking and yes….. the pain in my legs was very bad but determination and time fixed this.

    Up in our Heamatology and SCT units these signs are everywhere…. 

    ……. I went I to my SCT as a healthy month away from 60……. and left the unit as a 90 year old…… 9 years 8 months on I am living as good a life as any 70 year old can live.

    Let’s look for her to get help to move things forward. 

    ((Hugs))

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

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  • Hello again BobbieRosie - hair loss and regrowth. This is a link to Lymphoma Action's information on hair-loss https://lymphoma-action.org.uk/about-lymphoma-side-effects/hair-loss-and-other-changes-your-hair

    I'm not sure if will help but in my case it was a few months until my hair grew so long I could sit on it. In other words when I first went to the barbers and he cut it then I could sit on the cut bits. The NHS can provide wigs https://www.nhs.uk/nhs-services/help-with-health-costs/wigs-and-fabric-supports-on-the-nhs/ I didn't have one as you can't improve on perfection. Although 30 years ago when my late wife was undergoing treatment in London and was offered a wig it didn't look too bad but I'm sure they have improved.

    Seriously, I can't add to anthing that Mike TheHighlander has added. Discussion with the medics re pain and pain relief might help. The PICC line is a nuisance especially with showering/bathing and keeping it dry.

    All the best and hopefully by Christmas  - luxurious hair and pain free and plenty of hugs.

    Pete + another long-distance hug X

  • Thank you for this.  We were meant to have a wig appointment  - seems like months ago now but in all honesty, she has just been too ill to make the 25 mile car ride to Southend on sea which is out nearest shop. It's so difficult to make any firm plans because one day she will be chatty, positive and almost raring to go and the next day, she will be in tears either in pain or just too weak to do anything at all. The shop have been ok with us and said just ring on a good day and we'll try to fit you in the same day so we remain hopeful.....soon.

    All hugs very warmly received, 

    Thank Debbie Slight smile

  • Antihistamines!! The pain from the GSCF injections is insane but antihistamines help a lot! Ideally It needs to be the Clarityn One a Day but I found others helped take the edge off if I was desperate…

    The pain tended to dissipate after a few weeks for me…

  • Excellent, thankyou, I will see if this helps Slight smile

  • Hi  for the GSCF questions you can also check on the generic 'chemotherapy forum', as there are loads of people going through different treatments who have to use it and have experienced bone pain. 

    You can search the forum of maybe post this again there as it has much more visibility 

    (+) Chemotherapy forum - Macmillan Online Community

    I personally had some mild back pain (especially in the evenings, but then was ok lying down) and also some breathlessness. Because I was making enough white cells, I ended up reducing the injections to half of what I started with.