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Old 07-27-2011, 10:34 PM   #1
Myra Lynn
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Join Date: Jul 2009
Location: New York
Posts: 106
trigger finger

I'm having a hard time with joint pain and recently developed a "trigger finger" in my right thumb (in addition to mild swelling in middle finger). I'm starting to lose use of the thumb. Had switched from femara to arimidex due to extreme joint pain. I don't know what I can do next. Anybody have experience or thoughts about this? I take fairly large doses of glucosamine which have always helped my arthritis problems until now. Would try aromasin, but not too hopeful it would be any better. Feeling frightened that I can't tolerate any of it and may have no good options.
__________________
Mammo 6/2/09
left breast biopsy 6/12/09
Bad news 6/18/09!
7/17/09 lumpectomy
Stage 1- 0.5 cm IDC , DCIS 25%
HER2 +++, ER+95%, PR+10%
8/09 Muga Scan 65
8/19/09 beg. TCH 1Xwk. 12 wks.
last chemo 11/26/09
IMRT - 33 txs. 1/12/10 to 3/11/10
Herceptin 1X week for 1 yr. Ends 8/10
Femara 3X wk. started 1/13/10-t
oo much pain in middle finger; switched to Arimidex 4/28/10 -permanently swollen, but no pain. Will continue for 5 yrs.
10/2/11 CT/PET scan due to elevated CA27.29 of 40.5.
Hot spot in irradiated area. Score goes down again to normal range. Subsequent blood tests go up and down until 2 tests in row at elevated levels of 42.5 & 45.7.
7/9/11 Intermittent vertigo. As a precaution contrast MRI to head. NED.
8/15/11 Erratic CA27.29 may be result of new auto immune disease, bullous pemphigoid (skin problem)
Off Arimidex for 6 wks. to see if trigger finger improves
Switched to Aromasin, 3X wk., but affected my liver.
On 2/23/12 taken off AI's.

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Old 07-27-2011, 11:17 PM   #2
BonnieR
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Re: trigger finger

Myra Lynn, I also developed trigger thumb on my right hand last year. Very disconserting. I had been on Femara. My onc gave me a "break" of a week or two and then we tried Aromasin. So far, so good. She told me that these AIs are fairly interchangable and something not tolerated by one person is okay for another. And even though they are similar, we individually seem to react differently to each. So that I can probably get through to the finish line by swapping again, if needed. And you probably can as well. The trigger thumb went away when I switched drugs. So keep the faith!
__________________
Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 07-28-2011, 02:29 AM   #3
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Re: trigger finger

Hi Myra,

I also had real problems with trigger finger while on arimidex a few years ago. I found it really hard to cope with everyday things and felt after everything I had gone through this was the straw that broke the camle's back!! I had physio and accupuncture which really helped. I stayed on Arimidex and now take turmeric which also helped with swollen finger joints...they have all gone down and no pain at all :-)
My doctor mentioned Aromasin but I felt I wanted to keep that for later just in case Arimidex failed.

Good luck
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Old 07-28-2011, 05:13 AM   #4
Myra Lynn
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Join Date: Jul 2009
Location: New York
Posts: 106
Re: trigger finger

You have both given me some real options and a lot of hope. I am most grateful.
__________________
Mammo 6/2/09
left breast biopsy 6/12/09
Bad news 6/18/09!
7/17/09 lumpectomy
Stage 1- 0.5 cm IDC , DCIS 25%
HER2 +++, ER+95%, PR+10%
8/09 Muga Scan 65
8/19/09 beg. TCH 1Xwk. 12 wks.
last chemo 11/26/09
IMRT - 33 txs. 1/12/10 to 3/11/10
Herceptin 1X week for 1 yr. Ends 8/10
Femara 3X wk. started 1/13/10-t
oo much pain in middle finger; switched to Arimidex 4/28/10 -permanently swollen, but no pain. Will continue for 5 yrs.
10/2/11 CT/PET scan due to elevated CA27.29 of 40.5.
Hot spot in irradiated area. Score goes down again to normal range. Subsequent blood tests go up and down until 2 tests in row at elevated levels of 42.5 & 45.7.
7/9/11 Intermittent vertigo. As a precaution contrast MRI to head. NED.
8/15/11 Erratic CA27.29 may be result of new auto immune disease, bullous pemphigoid (skin problem)
Off Arimidex for 6 wks. to see if trigger finger improves
Switched to Aromasin, 3X wk., but affected my liver.
On 2/23/12 taken off AI's.

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Old 07-28-2011, 04:13 PM   #5
tricia keegan
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Re: trigger finger

Myra I was glad to see your post because I had this on my first year on arimidex and it resolved itself within that first year.

However I just saw my onc last month at five years on arimidex and six years out from dx, she agreed to leave me on it for another two years and I was amazed last week to suddenly develop this again after so long and would be interested to know if anyone else had this or if it's a sign I've been taking this med too long???
__________________
Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 07-28-2011, 09:16 PM   #6
Myra Lynn
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Join Date: Jul 2009
Location: New York
Posts: 106
Re: trigger finger

Tricia, I wish the same would happen to me, but it seems that every day it's getting worse. I am trying to reach the osteopath about acupuncture, but I also have to have a talk with my onc. I don't think I can function for too long like this.
Regarding your dilemma, all things being equal, is longer on an AI better? I don't know enough about it. But, I know you are suffering again too. That's a bummer!
__________________
Mammo 6/2/09
left breast biopsy 6/12/09
Bad news 6/18/09!
7/17/09 lumpectomy
Stage 1- 0.5 cm IDC , DCIS 25%
HER2 +++, ER+95%, PR+10%
8/09 Muga Scan 65
8/19/09 beg. TCH 1Xwk. 12 wks.
last chemo 11/26/09
IMRT - 33 txs. 1/12/10 to 3/11/10
Herceptin 1X week for 1 yr. Ends 8/10
Femara 3X wk. started 1/13/10-t
oo much pain in middle finger; switched to Arimidex 4/28/10 -permanently swollen, but no pain. Will continue for 5 yrs.
10/2/11 CT/PET scan due to elevated CA27.29 of 40.5.
Hot spot in irradiated area. Score goes down again to normal range. Subsequent blood tests go up and down until 2 tests in row at elevated levels of 42.5 & 45.7.
7/9/11 Intermittent vertigo. As a precaution contrast MRI to head. NED.
8/15/11 Erratic CA27.29 may be result of new auto immune disease, bullous pemphigoid (skin problem)
Off Arimidex for 6 wks. to see if trigger finger improves
Switched to Aromasin, 3X wk., but affected my liver.
On 2/23/12 taken off AI's.

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Old 07-28-2011, 11:44 PM   #7
BonnieR
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Posts: 2,210
Re: trigger finger

I think 5 years is considered the usual time for taking an AI. So I figure I got a few years run on Femara. Now I hope to ride it out on Aromisin. But I guess if that caused problems I could switch to yet another to cover at least the 5 years. Thank God we have options. Keep the faith
__________________
Bonnie

Post menopause
May 2007 Core biopsy, Rt breast
ER+, Pr-, HER2 +++, Grade 3
Ki-67: 90%
"suspicious area" left breast
Bilateral mastectomy, (NED on left) May 2007
Sentinel Node Neg
Stage 1, DCIS with microinvasion, 3 mm, mostly removed during the biopsy....
Femara (discontinued 7/07) Resumed 10/07
OncoType score 36 (July 07)
Began THC 7/26/07 (d/c taxol and carboplatin 10/07)
Began Herceptin alone 10/07
Finished Herceptin July /08
D/C Femara 4/10 (joint pain/trigger thumb!)
5/10 mistakenly dx with lung cancer. Middle rt lobe removed!
Aromasin started 5/10
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Old 07-29-2011, 05:21 AM   #8
Myra Lynn
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Join Date: Jul 2009
Location: New York
Posts: 106
Re: trigger finger

I will Bonnie. I could not do it without the rest of you. I have much more confidence in talking with my doctors when I can borrow from everyone's experience. They often have no clue about the effects of these treatments.
__________________
Mammo 6/2/09
left breast biopsy 6/12/09
Bad news 6/18/09!
7/17/09 lumpectomy
Stage 1- 0.5 cm IDC , DCIS 25%
HER2 +++, ER+95%, PR+10%
8/09 Muga Scan 65
8/19/09 beg. TCH 1Xwk. 12 wks.
last chemo 11/26/09
IMRT - 33 txs. 1/12/10 to 3/11/10
Herceptin 1X week for 1 yr. Ends 8/10
Femara 3X wk. started 1/13/10-t
oo much pain in middle finger; switched to Arimidex 4/28/10 -permanently swollen, but no pain. Will continue for 5 yrs.
10/2/11 CT/PET scan due to elevated CA27.29 of 40.5.
Hot spot in irradiated area. Score goes down again to normal range. Subsequent blood tests go up and down until 2 tests in row at elevated levels of 42.5 & 45.7.
7/9/11 Intermittent vertigo. As a precaution contrast MRI to head. NED.
8/15/11 Erratic CA27.29 may be result of new auto immune disease, bullous pemphigoid (skin problem)
Off Arimidex for 6 wks. to see if trigger finger improves
Switched to Aromasin, 3X wk., but affected my liver.
On 2/23/12 taken off AI's.

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Old 07-29-2011, 10:26 AM   #9
hutchibk
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Posts: 3,519
Re: trigger finger

I was only on Arimadex for about 4 months. Those 4 months were very painful for my hands, though. I woke up with stiff hands and legs/feet every morning and felt 150yrs old... shuffling around until the joints started working. I hated Arimadex. I have been on it, Aromasin and Tamoxifen and it was the only one I had real body pain from. The others didn't bother me at all.
__________________
Brenda

NOV 2012 - 9 yr anniversary
JULY 2012 - 7 yr anniversary stage IV (of 50...)

Nov'03~ dX stage 2B
Dec'03~
Rt side mastectomy, Her2+, ER/PR+, 10 nodes out, one node positive
Jan'04~
Taxotere/Adria/Cytoxan x 6, NED, no Rads, Tamox. 1 year, Arimadex 3 mo., NED 14 mo.
Sept'05~
micro mets lungs/chest nodes/underarm node, Switched to Aromasin, T/C/H x 7, NED 6 months - Herceptin only
Aug'06~
micro mets chest nodes, & bone spot @ C3 neck, Added Taxol to Herceptin
Feb'07~ Genetic testing, BRCA 1&2 neg

Apr'07~
MRI - two 9mm brain mets & 5 punctates, new left chest met, & small increase of bone spot C3 neck, Stopped Aromasin
May'07~
Started Tykerb/Xeloda, no WBR for now
June'07~
MRI - stable brain mets, no new mets, 9mm spots less enhanced, CA15.3 down 45.5 to 9.3 in 10 wks, Ty/Xel working magic!
Aug'07~
MRI - brain mets shrunk half, NO NEW BRAIN METS!!, TMs stable @ 9.2
Oct'07~
PET/CT & MRI show NED
Apr'08~
scans still show NED in the head, small bone spot on right iliac crest (rear pelvic bone)
Sept'08~
MRI shows activity in brain mets, completed 5 fractions/5 consecutive days of IMRT to zap the pesky buggers
Oct'08~
dropped Xeloda, switched to tri-weekly Herceptin in combo with Tykerb, extend to tri-monthly Zometa infusion
Dec'08~
Brain MRI- 4 spots reduced to punctate size, large spot shrunk by 3mm, CT of torso clear/pelvis spot stable
June'09~
new 3-4mm left cerrebellar spot zapped with IMRT targeted rads
Sept'09~
new 6mm & 1 cm spots in pituitary/optic chiasm area. Rx= 25 days of 3D conformal fractionated targeted IMRT to the tumors.
Oct'09~
25 days of low dose 3D conformal fractionated targeted IMRT to the bone mets spot on rt. iliac crest that have been watching for 2 years. Added daily Aromasin back into treatment regimen.
Apr'10~ Brain MRI clear! But, see new small spot on adrenal gland. Change from Aromasin back to Tamoxifen.
June'10~ Tumor markers (CA15.3) dropped from 37 to 23 after one month on Tamoxifen. Continue to monitor adrenal gland spot. Remain on Tykerb/Herceptin/Tamoxifen.
Nov'10~ Radiate positive mediastinal node that was pressing on recurrent laryngeal nerve, causing paralyzed larynx and a funny voice.
Jan'11~ MRI shows possible activity or perhaps just scar tissue/necrotic increase on 3 previously treated brain spots and a pituitary spot. 5 days of IMRT on 4 spots.
Feb'11~ Enrolled in T-DM1 EAP in Denver, first treatment March 25, 2011.
Mar'11~ Finally started T-DM1 EAP in Denver at Rocky Mountain Cancer Center/Rose on Mar. 25... hallelujah.

"I would rather be anecdotally alive than statistically dead."
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Old 07-29-2011, 10:56 AM   #10
Myra Lynn
Senior Member
 
Join Date: Jul 2009
Location: New York
Posts: 106
Re: trigger finger

I thank you for this. It gives me more ammunition to ask the onc for a change. I will do it after my next blood test (since that seems to be an issue). You are another person who inspires me in this struggle. All my best thoughts & hopes for success with T-DM1.
__________________
Mammo 6/2/09
left breast biopsy 6/12/09
Bad news 6/18/09!
7/17/09 lumpectomy
Stage 1- 0.5 cm IDC , DCIS 25%
HER2 +++, ER+95%, PR+10%
8/09 Muga Scan 65
8/19/09 beg. TCH 1Xwk. 12 wks.
last chemo 11/26/09
IMRT - 33 txs. 1/12/10 to 3/11/10
Herceptin 1X week for 1 yr. Ends 8/10
Femara 3X wk. started 1/13/10-t
oo much pain in middle finger; switched to Arimidex 4/28/10 -permanently swollen, but no pain. Will continue for 5 yrs.
10/2/11 CT/PET scan due to elevated CA27.29 of 40.5.
Hot spot in irradiated area. Score goes down again to normal range. Subsequent blood tests go up and down until 2 tests in row at elevated levels of 42.5 & 45.7.
7/9/11 Intermittent vertigo. As a precaution contrast MRI to head. NED.
8/15/11 Erratic CA27.29 may be result of new auto immune disease, bullous pemphigoid (skin problem)
Off Arimidex for 6 wks. to see if trigger finger improves
Switched to Aromasin, 3X wk., but affected my liver.
On 2/23/12 taken off AI's.

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Old 07-29-2011, 03:53 PM   #11
tricia keegan
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Posts: 3,463
Re: trigger finger

Myra, I'm so sorry this is so rough for you, for me, it's an annoyance rather than a problem and can live with it if I have to as it's surely better than the alternative which may be cancer.
So far I'm clear and have no idea if this is due to arimidex/herceptin or chemo but anxious to remain on this med just in case it's the one keeping me NED!!!

Btw have you tried Lyrica?? I was prescribed this when first I complained to my onc, I did'nt take it for long as it has it's own side effects but you may feel it's worth a try!
__________________
Tricia
Dx July '05 IDC 1.9cm Triple positive 3/9 nodes positive
A/C X 4 ..Taxol/Herceptin x 12 wks then herceptin 1 yr
Rads x 36 ..oophorectomy August '06
Currently taking Arimidex..
June 2011 osteopenia/ zometa x1 yearly- stopped Zometa 2015 as Dexa show normal bone density.
Stopped Arimidex July 2014- Restarted Arimidex 2015 for a further two years on the advice of my Onc.
2014 Normal Dexa scan
2018 Mammo all clear, still NED!
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Old 07-29-2011, 05:33 PM   #12
Myra Lynn
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Join Date: Jul 2009
Location: New York
Posts: 106
Re: trigger finger

Thanks Tricia, I am sure it's the Arimidex and , armed with everyone's experience, will discuss options with my onc. He didn't believe that joint pain was a side effect of the AI's until I landed in the hospital as a result of femara. I took one month off before starting Arimidex, and was fine for that month. I now live with a permanently swollen finger that no longer bothers me, but the trigger finger is starting to interfere with basic functioning and I imagine it will get worse. I am hopeful we will figure this out, as others here have. Good luck to you too!
__________________
Mammo 6/2/09
left breast biopsy 6/12/09
Bad news 6/18/09!
7/17/09 lumpectomy
Stage 1- 0.5 cm IDC , DCIS 25%
HER2 +++, ER+95%, PR+10%
8/09 Muga Scan 65
8/19/09 beg. TCH 1Xwk. 12 wks.
last chemo 11/26/09
IMRT - 33 txs. 1/12/10 to 3/11/10
Herceptin 1X week for 1 yr. Ends 8/10
Femara 3X wk. started 1/13/10-t
oo much pain in middle finger; switched to Arimidex 4/28/10 -permanently swollen, but no pain. Will continue for 5 yrs.
10/2/11 CT/PET scan due to elevated CA27.29 of 40.5.
Hot spot in irradiated area. Score goes down again to normal range. Subsequent blood tests go up and down until 2 tests in row at elevated levels of 42.5 & 45.7.
7/9/11 Intermittent vertigo. As a precaution contrast MRI to head. NED.
8/15/11 Erratic CA27.29 may be result of new auto immune disease, bullous pemphigoid (skin problem)
Off Arimidex for 6 wks. to see if trigger finger improves
Switched to Aromasin, 3X wk., but affected my liver.
On 2/23/12 taken off AI's.

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Old 08-17-2013, 09:38 AM   #13
Fran
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Re: trigger finger

I began Exemestane May 1, 2013. For about two weeks I have been having trouble with trigger thumb. I called the oncologists office and the PA stated that he did not think it was the Exemestane. I am supposed to go see my PCP. I am sure it is the exemestane but to appease them I am going to see the PCP. I have other joint aches in both hands but nothing like the right thumb. I see the oncologist at the end of September. I hate to think of my hands being like this for five years.

I saw the PCP and he does not think it is arthritis, he thinks itmismthe Aromasin. Now it is starting in my left thumb and left middle finger. The right thumb is more painful when it locks in the bent position.

I am going to call the oncologist office tomorrow and get my appointment moved up. I am miserable. I am also having some depression but I think it is because my my hands.
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Old 09-06-2013, 07:20 PM   #14
Les
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Re: trigger finger

hi I had trigger finger in my ring finger not caused by medication, i did see a hand surgeon and he gave me a shot of cortisone and it has helped, also he said if it becomes a problem they can do surgery. It is my right hand so i will put it off as long as possible.
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Old 09-08-2013, 05:35 PM   #15
Fran
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Smile Re: trigger finger

Thank you for the information. I saw my oncologist this past Friday and he took me off the Aromasin (exemestane) and put me on Arimidex.

I hope the problem with the trigger thumbs will go away in a couple of weeks. If it doesn't then I will go see the orthopedist. What's one more doctor. I have seen more doctors this year than I have in the past ten years.
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