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Teejay's avatar
Teejay
Member
8 years ago

Broken ankle

i broke my ankle between ending chemo and commencing radiation.  Am now on Fermara.  Did anyone else have bone density issues from bc treatment.   Ortho says he thinks bones weakened by chemo.   Still waiting to find out future treatment for the bones. A little worried 
  • I think it’s Griffith Uni on the Gold Coast doing the research about weights and bone density .Also I remember some other ladies using exercise physiologists  - maybe @melclarity might be able to help on this.
  • Re bone density . I think it was @Deanne who wrote about The Bone Clinic and the Onero program - hoping this post will bring her online to explain it as well as how she is doing
  • I had my bone density done just after chemo and before starting letrozole. I was horrified I was classed as osteopenia. Since my last test 2 years though I'd completed menopause. I had a significant change in that 2 years. 12 months on letrozole and new bone density done  and minimal change and possibly an increase in hips. It's a new machine so hard to compare exactly. My hips are normal now just my back still a bit thin so I am lifting weights trying to help this. 
  • Femara can have a significant impact on bone density, so as others have said, it's usually tested before or soon after starting and monitored in case the impact becomes too significant. I had very good bone density before I started and will end with pretty " average-for-your-age" by the time I finish if I am lucky. However people can break their ankles for all sorts of reasons and if you have only been on Femara a relatively short time, it's unlikely to have caused the break. I did have chemo and my bone density test showed no impact. But again it may depend on what the chemo regimen is. Certainly be worth having your bone density tested now so you know what's what and can look at options for minimising damage.
  • I had osteoporosis before breast cancer and a fracture so as well as being on Femara / Letrozole I have 6 monthly Prolia injections to counteract bone loss - there also tablets called bisphosphonates available to build bone which I recommend careful thought before starting. . I also take 2 Caltrate Bone Health tablets daily - 1 morning 1 evening. I get some joint pain but walk daily for an hour - not always easy but seem to be able to walk thru joint pain knees , hips etc.I also a gentle exercise class Stretch/Balance twice weekly which amongst other things involves light weights and I think it helps my bones.There is also a free YWCA hydrotherapy course for bc ladies which I have found helpful - it’s 8 weeks , 2 hours weekly and can be done up to 4 courses but must be 12 weeks post op.

    One of the ladies on here is reporting wonderful improvements in bone density thru an exercise program run by a Uni involving weight training.I did not have chemo just radiotherapy and both cause bone problems I gather.But there are things that can be done to counteract it , bone density should be monitored during treatment with aromatase inhibitors as well as the outset to give you a baseline.
  • I don't know if you would lose that much bone density so quickly but you can certainly get some really shitty changes to your muscle tone and damage to your ligaments and tendons which could make you much more likely to break a bone if you trip or twist something.
    You should have had a bone density test before you started Femara so you will be able to see how you are being affected over time.
    Just one more thing you don't want to worry about.