Then I read where the glands do not show up on CT. I met with two different surgeons. The surgical report says, The patient had a 5-cm incision created in line of relaxed skin tension. We present a case of a patient who returned with a neck swelling 6 days following thyroidectomy and central neck compartment lymphadenectomy for suspected thyroid carcinoma. It sucks a bit, but plenty of people have totally fine experiences with no long term complications. The participants were randomly assigned either to the stretching exercise group (n = 40) or to the control group (n = 40). 1) July 21st went to an ENT for sore throat, bad pain when i swallowed, and what I thought was a swollen lymph node, and he told me that is not a lymph node but my Thyroid and I really need it checked. My Endo says I still "have" cancer (I wanted to clarify) not sure when that Dx will go away but I've read 5 years (is this true?). The .gov means its official. I later saw a special on TV (I don't remember if it was Dateline NBC or Front Line PBS) about hospitals getting more aggressive in seeking payments up front. I also feel sad that my recovery has stagnated and I don't see any improvement in my voice or breathing. You may need a thyroidectomy if you have thyroid cancer or a growth on your . I contacted the surgeon-he blamed the post op Percocet. Some of it still doesn't make sense to me (in that the sequence of logic fails me), but then again I was on strong pain killers for part of the time and I didn't go to medical school. Post thyroidectomy neck pain after endoscopic thyroidectomy. Show quoted text. On the 21st while I was in class J. was up at Madigan for some of her medical appointments and while there she picked up S. who got released from the hospital that day and took her to Sylvias house. I have discovered that this is not a good cancer to have and it has not been easy. Complementary and alternative therapies for back pain II. 2012 w/ different Endocrinologist, found 6 very large lymph nodes in neck. Also, through the night I drank some more water using the chin to my chest trick to get the water down. 3) I have a throbbing pain radiating from neck. I'm not sure if this is related with the numb feeling I'm having. Initial risk classification was determined as T3N1bM0, American Joint Committee on Cancer (AJCC) 8th edition stage 1, and intermediate American Thyroid Association risk. Before We had to travel to Cleveland Clinic for the surgery on Oct. 28th due to the surgeons here would not do it. While I was taking 150 mcg/day, I was feeling quite good but she said my tsh didn't need to be repressed that much, that I was borderline hyperthyroid, and cut me back to 125, and then 115 (at which point I felt rather garbagey, started struggling with depression, muscle pain and some fatigue). Recommendations to newbies: If I can be as much of an emotional and psychological mess as I was and get through it I promise you will be just fine. Tomorrow I have my 1 week post op appointments with both the surgeon and the endocronologist. Post Operative Expectations. I still feel some prickling pain inside my neck and when i tried to lift my neck slightly from flat on my back the pain is still quite significant, I don't know if that means i'm still healing or whether i'll keep having the same issue. Through the night I got up to use the bathroom. Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline. I was under a great deal of stress and thought that was why I gained so much weight so quickly. The type of pain that you will feel greatly depends on the kind of surgery you've had. Please enable it to take advantage of the complete set of features! Below are general instructions for patients who have had thyroid or parathyroid surgery. After getting checked into the radiation isolation room #625, they brought me my dose of radiation 175 mCi of I-131 t1/2= 8 days. By really looked into it I mean I called lots of doctors looking for one to do the robot assisted surgery. As my health slowly improves I am starting out my workout regimen again and slowly building my strength back. On the Aug 18 I had my 2nd Stapendectomy surgery with Dr C2. I sound much better now but I do speech therapy constantly to improve strength (I'm a speech path so I knew what I needed to do), dry needling and physical therapy on my neck. It's a mild annoyance to have to take it every morning, but I feel exactly how I did pre-surgery, and was able to go back to college and get through my hardest semester ever with no feelings of fatigue or anything. July 14th Thursday Bangor Dental appointment with x rays my teeth look healthy just needs some cleanings, they also checked to make sure the radiation therapy I had didnt cause any tooth damage, so far so good. Which on one hand I'm annoyed, but on other hand - if its cancerous GET IT OUT. The muscles in my neck aren't exactly . I read that thyroid cancer has a 95% cure rate and 30% reoccurrence (is this true?). Since then I have had minor vertigo and a small section of my tongue tastes like metal when eating (supposedly this is do to the taste sensor in the ear?). It's not completely numb but the inside feels like muscle / skin is falling asleep or 'thick' (not sure if i describe them properly). Twenty-eight patients who had undergone thyroidectomy and 28 healthy . Now, the scar. I underwent a thyroidectomy and extensive bilateral neck dissection two years ago. On Mar 09 2010 I had a thyroidectomy completion surgery. Another good point I did not have any hiccups from this surgery. Stabbing neck pains after RAI - Thyroid cancer - Inspire This is very long and is intended for people new to the group who haven't had surgery yet. That caused the pain in my throat to come back stronger for a day or so. I told them I had good insurance and that I'd take care of the bill after surgery (which is the arrangement I had with every other service provider for my thyroid cancer). I was having subtle symptoms like a little hoarseness, choking when drinking and tiredness. October 25th had my first Vestibular training they had me bring S. incase the therapy makes me too dizzy to be able to drive. Get the latest news and education delivered to your inbox, Receive an email when new articles are posted on, Please provide your email address to receive an email when new articles are posted on. How to Take Care of an Incision After Thyroid Surgery I got about half a sip down and the other half went all over my hospital gown. Do they usually do AG and AGant blood work right after TT? PDF Thyroidectomy/ Parathyroidectomy Post-Operative Instructions ThyCa: Thyroid Cancer Survivors' Association, Inc. 2022 Feb;15(1):24-48. doi: 10.21053/ceo.2021.00633. After surgery, you can expect some pain as your body heals. Monday the 22nd at Madigan they gave me valium to go with the oxycoton didnt really help the pain I just didnt care about ANYTHING Tuesday night I started the antibiotics (1 day early) and by Friday the 27th the pain was back to where I only needed Tylenol. A nurse came in shortly after that and I started an IV with a saline drip. I really hope you get the feeling that post-op will take good care of you. The pain is in the natural curve of my neck, about 2-3 inches above the incision. The first time I had RAI I had absolutely no symptoms. In fact, at first, I couldn't see it because it was the same color as my skin. Suffice to say, I was a total and complete mess. [4] I have been constantly monitoring my weight and diet, and have been able to keep it in check till now. My wife took my kids up to her parents in Wisconsin and my mom stayed with me in Chicago. The https:// ensures that you are connecting to the I got a copy of RAI film and right starburst is bigger than left . maybe this is why. Thyroidectomy and bilateral neck dissection - Thyroid cancer - Inspire 2019 Dec;98(51):e18309. When, my partner got there, I asked him to get me a towel (it's amazing how much more I'll ask for through someone else rather than on my own I don't know if I'm the only one that way) and to wipe my back off. Thyroid function labs were all within normal range. Pain medication doesn't agree with him. There's just so many nerves and glands and other structures in your neck that you don't want to mess with, don't make the mistake of blindly putting your future in some random doctor's hands. Although, I have a lot of support from my family and friends, I am struggling with inexplicable sadness. He said I was drenched on my back, and at that point I'd had all I could take of that plastic and paper gown and it came off me and onto the table. So he sent me for Thyroid level tests and a Thyroid ultrasound. This morning he woke up and his neck on the opposite side was real swollen. It kind of made me mad and I felt a bit taken advantage of that during a time of such crisis they were asking for payment up front. On the 16th of September I star my physical therapy, I have defiantly noticed that during and for the next few hours after physical therapy my knees hurt a lot more as expected for the next 4 or so days the pain is greatly reduced and I can walk better. I had a Total Thyroidectomy around 9 weeks ago for FVPTC, then they ran me hypothyroid for 6 weeks and pushed TSH over 100, then did my RAI 3 weeks ago. This was a process of 1 10 min neck scan followed by a 40 min full body scan and then a follow-up 10 min scan for an area that wasnt clear on the first scan (guess I moved too much) but I was informed by the tech unofficially that the scans looked clean. Ear surgery went well on the 19th I started getting my hiccups and those lasted 7 days I did manage to get an ear infection on Friday Aug 20 and by Sunday evening I was at max allowed pain meds and it wasnt helping. I will say the fear I experienced made everything seem like a breeze following the surgery. NEVER do this! The usefulness of rehabilitation (i.e., a stretching exercise) for reducing these symptoms after surgery has never been studie A few randomized trials, mostly using inadequately validated instruments, showed significantly reduced neck pain, neck stiffness, movement disability, and need for postoperative analgesics by applying neck and shoulder exercises after thyroidectomy [8, 21-23]. I had a lot of other questions, but those two were, at the very least, on the top of my list. Epub 2021 Jun 1. When I tilt my face upward and try to swallow, this discomfort is magnified. Again, my surgeon only says it's normal with minimal to no explanation whatsoever. Hi! I know some of my mom's friends who have had it done that were out running a few days later. They placed an IV line and took some blood samples. Surgery lasted 6.5 hours, NO LYMPH NODES REMOVED, but complete TT. A literature review shows a variable postoperative onset of Horners syndrome between 2 days and 1 week. Then, I was given a warm blanket to put over that. An evaluation of the incidence, the typology and predictive factors of chronic pain was carried out at 3 and 6 months after thyroidectomy.A prospective observational study, having included each of the patients prior to their thyroidectomy, was carried out over 12 months. Every now and then my salivary glands hurt a bit massaging them helps. On April 19th I started on the low iodine diet and stopped taking Cytomel in preparation for Radioactive Iodine treatment. First, let me say, I don't like iced water. PMC So, I might be called to come in early. I know lots of people have little kids- my dose was small and I am still a danger to people at 8 days out. Some people are put on T4 when they leave the hospital. I have always preferred water at room temperature. I didn't overly strain, but I did have one day where the pain meds must have overwhelmed the stool softener and I pushed a little harder than I think I should have. The surgical pathology reported a 5 cm papillary thyroid cancer in the left lobe of the thyroid with lymphovascular invasion, microscopic positive surgical margins, with five of 59 positive lymph nodes (two left level IIA nodes, one Delphian node and two level VI nodes). I didn't sleep even a minute. It just takes the right approach. While, thicker things like ice cream and yogurt move down more slowly. An 84-year-old woman presented with chronic neck pain one year after thyroidectomy. I then asked if I could have something more substantial and the doctor came in and looked at my plate (which looked like an animal had been fed at the zoo) and said I could have whatever I wanted. At the end of the first week, the NPDS scores (mean [SD] = 8.82 [12.23] vs. 30.28 [12.09]), neck sensitivity scores (median [IR] = 0 [.75] vs. 2.00 [4.0]) and pain levels with neck movements (median [IR] = 0 [2.0] vs. 3.5 [5.75]) of the stretching exercise group were significantly lower than those of the control group. I then had to kill another 5 or 6 uncomfortable hours though waiting for the ICU doctor to finally finish my paperwork so I could go home. I am 27 years old and was diagnosed with papillary thyroid carcinoma in December last year. I was also informed when they removed my thyroid there was a parathyroid gland in each of the thyroid sections removed (so I have 2 of 4 parathyroid glands removed as well) this is probably why I had minor problems with calcium and magnesium levels. Be careful. This was an amazing surgery within seconds of becoming conscious I noticed how loud everything was. 2010. Epub 2022 May 30. Well low and behold, I am still very radioactive after 8 days to anyone closer than 4'. I had a soft CT scan of neck from ENT and showed clear in October 2018. There they did a strep test (I'd had a sore throat off and on for a year) and a ct scan. Cleanse the incision area the day after surgery. He also informed me that because my mother had a pheochromocytoma, I was at particular risk for MENS syndrome and medullary thyroid cancer and so were my children. Simply put, for me, the only option was the traditional open neck procedure; but, I felt better knowing I'd exhausted that possibility. The mass was softball size and the cancerous tumor was 4.8 cm follicular cancer with hurthle cell varient, since August 2012 I have had a partial thyroidectomy, TT 2 weeks later, RAI 157 mc October 17th, modified neck dissection Nov. 27th and now it's the waiting from blood test to body scans and getting the meds adjusted just right, a lot of side effects with Levothyroxin. If you have to, ask your doctor about using milk of magnesium (get some and keep it on hand). Do they usually do a full neck ultrasound before TT? 28 April started my normal visits to mental health. Thorsen RT, Dssing H, Bonnema SJ, Brix TH, Godballe C, Sorensen JR. World J Surg. She also told me that if I need another surgery to fix the problem that there is a 10% chance I will lose all hearing in that ear, and being that it is my better ear I seriously hope I dont need to get surgery. My partner was waiting in the lobby and then I was moved to my room just before 11pm. It has been 3 weeks today since his surgery and he is experiencing these symptoms. I had a softball size tumor and didn't even know it was there, it makes me angry that I didn't, after It was pointed out to me I could actually palm the mass as I swallowed. The first four days or so were the worst. Sihawong R, Janwantanakul P, Sitthipornvorakul E, Pensri P. J Manipulative Physiol Ther. "Neck pain and discomfort scale" and "Patient and Observer Scar Rating Scale" were applied again in both phone calls. Damaging the nerve is possible on infrequent occasions. I will admit it defiantly made me dizzy but I was able to safely drive to work afterwards. I got into bed and took a 3 hour nap, which was pretty glorious. My time in the ICU was unpleasant, but only because I wasn't able to get any sleep the night before my surgery and the night I was there. Results: I apologize in advance for the extreme detail in this that may bore some of you, but since I had no idea what I was facing, different people's detailed accounts really helped me prepare for minor things I may not have thought of. She explained, again, that the surgery before me had become unusually complicated and apologized for the wait. No chemo or typical radiation but I had pretty major surgery, will need to take meds the rest of my life and LID and RAI was/is no picnic. Nothing like feeling normal. As an example, one surgeon said he wouldn't do the surgery without intraoperative nerve monitoring of the recurrent larynegal nerve and the other said he thinks it's a waste of time to use the nerve monitor. The Effectiveness of Neck Stretching Exercises Following Total - PubMed They gave me a pill and I drove to a cabin in the mts. The diet is annoying, but even with being ridiculously strict (pretty much only ate fruits, veggies and egg whites), its only for a short time and at least is a good diet. Answer: Skin laxity after thyroid surgery. May 4, 2015 7:40 PM. Now, remember, I chose the doctor who does up to 500 thyroidectomies per year over the one who only does 50. HHS Vulnerability Disclosure, Help Today it seems very logical to have asked for something like that, but at the time I was just in the frame of mind to wait. I plan on going to my son's hockey practice on Tuesday, working this week, and getting ready to leave for Green Bay for a football game two weeks from today. Ask to be checked with a Geiger counter to determine when you are safe to be around your family.
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