Neuropathy is a common side effect for colorectal cancer patients. It is a side effect that can be incredibly challenging to manage, and can affect daily living. Join this informative webinar to learn all about neuropathy—why it happens, how to prepare for it, and methods to try and reduce its effects. This is an important webinar for all survivors and patients! Dana will speak from both the medical professional and patient angle, as she is a colon cancer survivor herself!

1. What You Need to Know About
Chemotherapy Induced Neuropathy

2. TODAY’S WEBINAR
 SPEAKER(S)
 Dana Cardinas, DPM, FACFAS
 QUESTIONS
 Ask a question in the panel on the RIGHT SIDE of your
screen
 WEBINAR ARCHIVE
 FightCRC.org/webinar
 TWEET ALONG
 Follow along via Twitter – use the hashtag #CRCWebinar

3. RESOURCES
TABOO-TY PODCAST MINI MAGAZINES CLINICAL TRIAL FINDER

4. FIGHTCOLORECTALCANCER
DISCLAIMER The information and services provided
by Fight Colorectal Cancer are for
general informational purposes only.
The information and services are not
intended to be substitutes for
professional medical advice,
diagnoses or treatment.
If you are ill, or suspect that you are
ill, see a doctor immediately. In an
emergency, call 911 or go to the
nearest emergency room.
Fight Colorectal Cancer never
recommends or endorses any specific
physicians, products or treatments for
any condition.

5. DanaCardinas,DPM,FACFAS
Dr. Dana Cardinas, best known as Dr. Dana, has been in the podiatry
world since 1998. She practiced in Grapevine and Keller, Texas and was
a partner in Foot and Ankle Associates of North Texas. During this time,
she was voted Best Podiatrist in Keller and one of America's Top 100
Podiatrist from 2006 to 2015. Along with a local following, she attracted
patients from all over the world with the farthest from Dubai!
She was forced to retire in 2016 due to severe neuropathy in her right
hand that was linked to her diagnosis of stage IIIC colon cancer in 2018.
After surgery and 6 months of chemo, she has her own daily battles
with neuropathy which prompted her to research every possible option
available to soothe her nerves. But no matter how bad the neuropathy
is she is happy to currently be cancer free!

6. Managing the Early Stages
of CIPN
Dr. Dana Cardinas
Stage IIIc Colorectal Cancer Survivor
Lynch Syndrome
Paraneoplastic Syndrome with CIPN

7. Disclaimer
This information is compiled by CRC patients who have neuropathy and have
found the following treatments improved their symptoms. The information is not
meant to diagnosis or treat you in any way. And is not meant as a treatment
program. Discuss anything you are going to take or try with your oncology team
before doing so! I am discussing these options as a CRC patient with neuropathy
and not as a treating physician.

8. What is CIPN?
● Chemotherapy Induced Peripheral Neuropathy
● Oxaliplatin causes toxicity of the nerves
○ Dose dependent and cumulative
● Acute
○ Occurs within hours of infusion
○ Cold sensitivity
○ First bite pain
○ Finger cramping/locking
● Chronic
○ Begins on average around cycle 6
○ tingling/burning/numbness/pain in feet and hands
○ Difficulty walking/coordination

9. Is this Neuropathy?
● Might start slow or with a bang
● Gets worse after you stop oxaliplatin
○ 3-9 months after last infusion
● Takes 12-24 months after last infusion to know what you are left with
● Tingling
● Burning
● Stabbing
● Pain
● Numbness
● ANYTHING a nerve can make you feel

10. Make it STOP!
With the FIRST SIGN of any nerve
irritation… TELL YOUR ONCOLOGIST

11. Make it STOP!
To address neuropathy in the early stages
think…
COMBINATION THERAPY!

12. Make it STOP!
● Supplements
● Topicals
● Home therapy
● Acupuncture
● CBD/Medical Marijuana
● Physical therapy
● Prescription Meds

13. SUPPLEMENTS
● The Vitamin Bs
○ B6
○ B12
○ B1
● Alpha lipoic acid

14. TOPICALS
● Biofreeze
● Capsacin
● SalonPas with lidocaine
● Frankincense mixed with almond oil

15. HOME THERAPY
● Walking/stay active
● Nerve glide exercises
● Hand putty
● Rollers for foot pain
● Sensory bins

16. ACUPUNCTURE
● Can be done alone or in combination with
reflexology
● 2-3 times a week

17. CBD/MEDICAL MARIJUANA
● Tinctures/pills for generalized pain
● Salve for localized pain/irritation

18. PHYSICAL THERAPY
● Referral to Oncology Physical Therapy
● Balance/Coordination
● Strengthing
● Pain reduction

19. PRESCRIPTION MEDS
● Gabapentin (Neurotin)
● Lyrica
● Cymbalta
● Metanex

20. LIVE WIRE
Join us in Colontown
Live Wire

21. Q
&
A
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sponsors: Bayer, Fujifilm, Myriad Genetics and Taiho
Oncology!
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22. CONTACT US
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1.877.427.2111