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Shingles after throat cancer, question please
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Posted
My husband completed his treatment & surgery for throat/tongue cancer at the end of last year & is now in remission. He had 3 sessions of chemo, 35 sessions of radio,(completed July05) then a neck section.(completed Nov05) He has been doing brilliantly since considering, but has recently had shingles which started at his ear & ran down his face to his mouth. Again dealt with it very well and the scars are almost gone. Now he feels an extremely tight sensation (tighter than the normal scar tightness) around his scar where he had his section, as if someone is trying to strangle him. He also says he feels like his neck is huge & swollen (although it isn't) We know there there is a condition called post herpetic neuralgia after shingles but the area that is affected at present isn't where the shingles was as the shingles did not go down to the neck. Can Dr Joshi or anyone else please please advise as he's now thinking his cancer has returned.

Thanks so much
 
Posts: 4 | Location: Leicester | Registered: 30 September 2005Reply With QuoteReport This Post
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Hello Jayne

Radical neck dissection can leave a postoperative problem of a frozen shoulder even when the nerve is spared unless adequate early postoperative physical therapy is initiated. The pain in the left side of neck could be a side-effect of the surgery and radiotherapy (scarring, neuralgia, muscle spasm, etc) and not be related to a cancer at all. Muscle spasm can cause local tenderness to palpation. The palpation of the spasm may produce a local twitch; complaints of pain at the site of palpation, and possibly referred pain that follows a typical pattern. For example, the upper trapezius muscle will typically refer pain into the jaw and behind the eye. Physical therapy to the affected shoulder can limit disability to a relativity small dysfunction. It could be a combination of exercises, spasm reduction, Kinesio taping, manual therapy, and patient education The goal of treatment is to correct the problems that caused the muscle spasm that could be caused by poor posture, weak muscles, poor nutrition, overuse, and tight muscles.

I would advise you to get the services of a physiotherapist who can help with these postoperative problems. Meanwhile warmth, massage and a relaxation exercise should help. Let me know how you get on.

Best wishes
Vinod Coffee

quote:
My patients have found the following technique helpful :

The Relaxation - Autosuggestion Method
===========================================
1. Lay down on your back with the palms of your hands on your abdomen.
2. Close your eyes and breathe in slowly and deeply through your nose.
2. As you breathe out slowly, feel yourself beginning to relax; feel the tension leaving your body.
3. Now breathe in and out slowly and regularly, at whatever rate is comfortable for you. You should feel your abdomen rise as you breathe in and fall as you breathe out. (abdominal breathing). Do this for a couple of minutes.
4. Become aware of your breathing. As you breathe out, say the word, "ONE", silently to yourself. Breathe easily and naturally.
5. Continue for 10 to 20 minutes. You may open your eyes to check the time, but do not use an alarm.
6. End with a slow deep breath. As you breathe out say to yourself "I feel relaxed."
Note: If you clench on your teeth at night, do this at night before bedtime and tell yourself: "I will get a good night's sleep". "I will not clench on my teeth because I don't want to have an aching jaw." Also pay attention to sleeping posture: avoid straining the neck or leaning onto the jaw.

Do not worry about whether you are successful in achieving a deep level of relaxation. Maintain a passive attitude and permit relaxation to occur at its own pace. When distracting thoughts occur, try to ignore them by not dwelling upon them and return to repeating "ONE." With practice, the response should come with little effort. Practice the technique once or twice daily, but not within 2 hours after any meal, since the digestive processes seem to interfere with the elicitation of the Relaxation Response.
- The Relaxation Response, Herbert Benson, M.D.
===========================================

This message has been edited. Last edited by: Dr Vinod K Joshi,


Disclaimer: Please see your own dentist/doctor for a proper diagnosis as my words should not, in any circumstances, be taken as dental/medical advice.

"If you see what is small as it sees itself, and accept what is weak for what strength it has, and use what is dim for the light it gives, then all will go well. This is called Acting Naturally."
Lao-Tsu, Tao Teh King
 
Posts: 3748 | Location: St Luke's Hospital, Bradford and Pinderfields Hospital, Wakefield | Registered: 14 December 2002Reply With QuoteReport This Post
Cat
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HI I agree with Dr. Joshi You can do one other thing that I find helps is get him a neck pillow. The kind you use in the car. I sleep with it at night every night and it keeps my
neck warm. Hope that helps.
Cathy


Cathy
 
Posts: 261 | Location: Central Florida | Registered: 08 October 2004Reply With QuoteReport This Post
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Well - what can i say. I am an expert on radical neck dissections! Especially mine!
I had mine Oct2 2005 at the LRI. A year and a half ago. I still suffer from problems relating to the surgery.Extreme tightness, discomfort, swelling. Even the side of the neck which didn't have surgery (but lots of radiotherapy) has given me great discomfort. At times I feel as if I could tear the skin as it feels so tight when I turn my head. In the early days after the surgery the aches across the shoulders and down my arm were quite intolerable.
BUT - and I can say this after 18 months- it does improve a lot. I have (more or less!)come to terms with all the pain and discomfort in this area as just SIDE EFFECTS of the surgery. I spent an age thinking The cancer had returned but it hadn't. Eventually my anti-depressants kicked in. 18 months on I have learned to live with it all. It hasn't been easy and I am now gettin back on with my life. Please get in touch with me .email is tonykost2001@aol.com
I live in the leicester area and we could give each other some mutual tips and support in coping with our illnesses.

All the best Tony

This message has been edited. Last edited by: Tony K,
 
Posts: 133 | Location: Leicester | Registered: 02 December 2005Reply With QuoteReport This Post
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Many thanks all for your replies.

We had a check up last Wednesday & the discomfort he is feeling is just scar tissue. He does have physio and does loads of exercise to help (& it does)

Anyway "HUGE" relief, next checkup 3 months.
 
Posts: 4 | Location: Leicester | Registered: 30 September 2005Reply With QuoteReport This Post
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