When is cancer rehabilitation recommended for chemotherapy-induced peripheral neuropathy?

Nerve damage from chemotherapy may lead to numb feet, burning sensations, reduced grip, weakness, or difficulty sensing the ground. A rehabilitation team can assess walking, balance, strength, coordination, footwear, and home risks. Physiotherapy may work on movement and balance; occupational therapy may suggest ways to manage dressing, cooking, work, or other tasks. Rehabilitation can begin during treatment or afterward when symptoms interfere with safety or participation.

Tell your oncology team about stumbling, dropping objects, difficulty climbing stairs, or changes in fine hand movements. Note which activities have become harder and whether symptoms vary during the day. Wear secure footwear, improve lighting, remove loose rugs, and use support as advised. Check bath water with an unaffected area or thermometer because numb skin may not detect heat. Follow exercises from a qualified clinician rather than pushing through unsafe pain.

Arrange prompt medical review for new weakness, repeated falls, rapidly spreading numbness, or loss of hand function. Seek urgent help for sudden weakness on one side, new loss of bladder or bowel control, severe back pain, or difficulty breathing. Rehabilitation supports recovery and safety, but sudden neurological changes require immediate assessment.

Ask whether physiotherapy or occupational therapy is suitable, what goals to set, how to prevent falls and burns, whether an aid or splint could help, and how progress will be checked.