Ways to manage peripheral neuropathy

Exercising

Studies suggest that in people having chemotherapy, those who do some exercise have a lower risk of developing nerve damage. Gentle, regular exercise can also help reduce the symptoms of peripheral neuropathy pain. A daily gentle walk is a good starting point. Continuing to exercise after you finish treatment may also lower your risk of post-treatment peripheral neuropathy. A physiotherapist, exercise physiologist or occupational therapist can create a suitable exercise plan that’s personalised for your situation.

Download our booklet ‘Exercise for People Living with Cancer’

Avoiding falls

• Avoid slippers or shoes with thick soles that might make you trip.
• Keep rooms well lit.
• Remove clutter and any loose rugs.
• Use a non-slip mat in the shower and bath.
• Place rails on stairs and in the bathroom.
• Talk to your doctor about a falls prevention program.

An occupational therapist suggests aids or equipment (e.g. special shoes) or strategies (e.g. using visual cues on uneven ground) to help you with daily tasks and to reduce your risk of falls. They may gradually introduce different textures to encourage normal use of your hands. A physiotherapist or exercise physiologist may help you to improve your strength and balance, and may also suggest walking aids.

Caring for hands and feet

• Moisturise and keep nails trimmed.
• Keep hands and feet warm.
• Wear gloves when washing the dishes or gardening.
• Use heatproof potholders when cooking.
• Test water temperature with your elbow.
• Make sure your shoes fit well.
• Untuck sheets and bedcovers. Try silk or bamboo sheets if your feet are sensitive or use a special frame to keep sheets off your feet.
• Some people find magnesium (in a cream or tablet) eases muscle cramps in the feet and legs.

A podiatrist can trim your toenails, treat any skin problems (e.g. blisters and corns), and check your feet for signs of any injuries that you may not have noticed.

Preventing dizziness

• Drink plenty of fluids.
• Go slowly when you stand up to allow your blood pressure to adjust. Stay by the chair or bed for 20 seconds after standing up.
• Wear support stockings during the day to improve your circulation.
• Sit down when brushing teeth or putting on shoes.
• When getting out of bed, sit up and gently move your feet and legs for a little while, before standing up.

Coping with pain and other challenges

Learning relaxation or meditation may help you manage pain and discomfort. A psychologist can teach you these techniques, or try our Finding Calm During Cancer podcast. Some people find massage helps nerve pain, but check with your doctor first. TENS (transcutaneous electrical nerve stimulation) devices which send small electrical currents to parts of the body, and certain dietary supplements, are in clinical trials to see if they help. A counsellor or psychologist can help with the challenges caused by your diagnosis.

Managing constipation

• Eat plenty of fruit, vegetables, whole grains and high-fibre foods.
• Drink plenty of fluids.
• Do some physical activity (such as walking) daily, as this often helps.
• Talk to you doctor and take any laxatives as prescribed.

Talking about your sex life

Talk to your doctor about issues with erections, vaginal dryness or loss of libido as there may be medicines that can help.

Download our booklet ‘Sexuality, Intimacy and Cancer’