The Peripheral Nerve Podcast

Peripheral Nerve Society (PNS)

The Peripheral Nerve Podcast is the official podcast of the Peripheral Nerve Society (PNS). In each multi-episode series, we fully explore a topic, bringing in expert guests from around the world to share their insights, illuminate the subject and provide practical knowledge for clinicians and basic scientists. As an international organization, we strive to provide insight into topics from a global perspective, shedding light on issues unique to various regions. Learn more about the Peripheral Nerve Society at www.pnsociety.com. PNS Podcast Statement The purpose of this podcast is to educate and inform. The content of this podcast does not constitute medical advice and is not intended to function as a substitute for a healthcare practitioner's judgement, patient care or treatment. The views and opinions expressed by the participants in this podcast do not necessarily reflect those of the Peripheral Nerve Society (PNS).

  1. Sep 8

    The Patient Perspective

    After exploring the science of chemotherapy-induced peripheral neuropathy (CIPN) throughout this podcast series, the final episode brings listeners the perspective that matters most—that of someone living with the condition every day. Professor Susanna Park and Dr. Paola Alberti speak with retired physical therapist Jayne Schak, who developed severe CIPN following treatment for breast cancer. Although cancer-free since 2022, Jayne continues to experience debilitating neuropathic pain that has reshaped her daily life. She shares her personal journey navigating the healthcare system, finding support through the Foundation for Peripheral Neuropathy, and becoming a passionate advocate for patients living with peripheral neuropathy. The Foundation for Peripheral Neuropathy (FPN) The Foundation for Peripheral Neuropathy is the leading nonprofit organization dedicated to improving the lives of individuals affected by peripheral neuropathy through awareness, research, advocacy, and education. By connecting patients, caregivers, clinicians, and scientists, FPN advances awareness of peripheral neuropathy and supports access to reliable information and resources. In addition, FPN funds innovative research aimed at better understanding the causes of neuropathy and developing more effective treatments and preventive strategies.  The Goal of the Foundation for Peripheral Neuropathy is to one day cure this devastating condition. Research is essential to addressing chemotherapy-induced peripheral neuropathy (CIPN), one of the most common and debilitating side effects of cancer treatment. Despite its significant impact on quality of life and cancer survivorship, there are currently limited options to prevent or effectively treat CIPN. Research priorities include: (1) identifying the biological mechanisms underlying nerve injury; (2) discovering biomarkers to predict individual risk; (3) developing strategies to prevent neuropathy (without compromising cancer treatment efficacy); and (4) advancing targeted therapies that restore nerve function and reduce symptoms. Continued investment in collaborative, patient-centered research is critical to improving outcomes for cancer survivors living with CIPN. More information available at https://www.foundationforpn.org/   Jayne Schack, person living with CIPN Jayne Schack, BS, PT, MA, is a 66 year old retired American physical therapist (PT) [or "physio" as they'd say in most other English-speaking countries].  Living most of her adult working life in Massachusetts, she treated geriatric populations in skilled nursing facilities and home environments, amongst other occupations throughout the years.  Moving to Jonesboro, Arkansas in 2019 to be near her sister, Jayne took a brief foray into academia: first as Assistant Professor in the Department of Physical Therapy at Arkansas State University (AState) in Jonesboro from 2019 to 2021, then as a Standardized Patient for the New York Institute of Technology College of Osteopathic Medicine (NYITCOM) on the AState campus. Jayne was diagnosed with stage 1A breast cancer in late 2021.  The good news is, Jayne has been cancer-free (YAY) since her cancer treatment concluded in July 2022.  The bad news: she began having progressively worsening CIPN nerve pain symptoms right around the same time.  This was the start of her CIPN journey, the focus of this discussion.  As part of this journey, Jayne will discuss her role as a Volunteer Ambassador for The Foundation for Peripheral Neuropathy as well as give feedback for CIPN researchers, oncologists, and other treating clinicians from her perspective as both patient and former "hands-on" clinician.  Although no longer able to work, Jayne has resolved to be a useful member of society through: healthcare advocacy and educating; varied volunteer work; and grassroots community activism.  To feed her soul, Jayne enjoys exercise; going to plays, museums, concerts, and movies; spending time with family and friends; participating in her spiritual group; and singing in her choir.  Jayne says, "I won't let this nerve pain cause me to be a pimple on the backside of life!" She's proud she was recently able to participate in a Concert Tour Trip to Southern Germany with the AState Choirs.

  2. Jun 9

    Precision Medicine: Biomarkers and Risk Prediction in Chemotherapy Induced Peripheral Neuropathy

    Why do some patients develop severe chemotherapy-induced peripheral neuropathy (CIPN) while others receiving the same treatment experience little or no nerve damage? In this episode, Drs. Paola Alberti and Susanna Park welcome Professor Roser Velasco, neurologist, neuro-oncology researcher, and internationally recognized expert in treatment-related neurotoxicity. The discussion explores the rapidly evolving field of precision medicine in CIPN, with a focus on biomarkers that may help predict risk, monitor nerve injury, and support personalized treatment strategies. Professor Velasco reviews the current state of biomarker research, including clinical risk factors, neurophysiological testing, blood-based biomarkers such as neurofilament light chain (NfL), imaging approaches, and emerging multimodal prediction models designed to identify patients at greatest risk for long-term neuropathy. References & Resources: Plasma neurofilament light chain levels in chemotherapy-induced peripheral neurotoxicity according to type of anticancer drug. Velasco R, Marco C, Domingo-Domenech E, Stradella A, Santos C, Laquente B, Ferrer G, Argyriou AA, Bruna J. Eur J Neurol. 2024 Sep;31(9):e16369. Serum neurofilament levels correlate with electrodiagnostic evidence of axonal loss in paclitaxel-induced peripheral neurotoxicity. Velasco R, Argyriou AA, Marco C, Mariotto S, Stradella A, Hernández J, Pernas S, Ferrari S, Bruna J. J Neurol. 2023 Jan;270(1):531-537. Prospectively assessing serum neurofilament light chain levels as a biomarker of paclitaxel-induced peripheral neurotoxicity in breast cancer patients. Karteri S, Bruna J, Argyriou AA, Mariotto S, Velasco R, Alemany M, Kalofonou F, Alberti P, Dinoto A, Velissaris D, Stradella A, Cavaletti G, Ferrari S, Kalofonos HP. J Peripher Nerv Syst. 2022 Jun;27(2):166-174. Serum neurofilament light chain (sNFL) as a predictive biomarker for Chemotherapy-induced peripheral neurotoxicity (CIPN): consideration of current evidence, validation steps, and barriers to CIPN biomarker implementation in clinical practice-a narrative review. Alberti P, Faithfull S, Argyriou AA, Balayssac D, Hertz DL, Lustberg M, Park SB, Li T, Tanay M, Jabaley T, Worthen-Chaudhari L, Smith EML; MASCC Neurological complications study group. Support Care Cancer. 2026 May 7;34(6):508. Sarcopenia in Patients With Cancer and Its Association With Chemotherapy-Induced Peripheral Neurotoxicity. Velasco R, Besora S, Bellver M, Peiró I, Marco C, Domingo-Domenech E, Santos C, Stradella A, Laquente B, Rodriguez S, Argyriou AA, Arribas L, Bruna J. Neurology. 2026 May 26;106(10):e214987.  Incidence and risk factors for developing chemotherapy-induced neuropathic pain in 500 cancer patients: A file-based observational study. Argyriou AA, Bruna J, Kalofonou F, Velasco R, Litsardopoulos P, Alemany M, Anastopoulou GG, Kalofonos HP. J Peripher Nerv Syst. 2024 Mar;29(1):38-46. Chemotherapy-induced peripheral neurotoxicity: management informed by pharmacogenetics. Argyriou AA, Bruna J, Genazzani AA, Cavaletti G. Nat Rev Neurol. 2017 Aug;13(8):492-504.  Plasma Lipidomic Profiling Identifies Elevated Triglycerides as Potential Risk Factor in Chemotherapy-Induced Peripheral Neuropathy. Yeung N, Li T, Lin HM, Timmins HC, Goldstein D, Harrison M, Friedlander M, Mahon KL, Giles C, Meikle PJ, Park SB, Horvath LG. JCO Precis Oncol. 2024 Apr;8:e2300690. Predictive Biomarkers of Oxaliplatin-Induced Peripheral Neurotoxicity. Velasco R, Alemany M, Villagrán M, Argyriou AA. J Pers Med. 2021 Jul 16;11(7):669.

    Precision Medicine: Biomarkers and Risk Prediction in Chemotherapy Induced Peripheral Neuropathy

About

The Peripheral Nerve Podcast is the official podcast of the Peripheral Nerve Society (PNS). In each multi-episode series, we fully explore a topic, bringing in expert guests from around the world to share their insights, illuminate the subject and provide practical knowledge for clinicians and basic scientists. As an international organization, we strive to provide insight into topics from a global perspective, shedding light on issues unique to various regions. Learn more about the Peripheral Nerve Society at www.pnsociety.com. PNS Podcast Statement The purpose of this podcast is to educate and inform. The content of this podcast does not constitute medical advice and is not intended to function as a substitute for a healthcare practitioner's judgement, patient care or treatment. The views and opinions expressed by the participants in this podcast do not necessarily reflect those of the Peripheral Nerve Society (PNS).