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Cookey #95792 05-20-2009 02:22 PM
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Hi,
Martin went to see the physio for the first time. She gave him some neck stretching exercises where he needs to tilt his head to the side the look down, 10 minutes day. He also needs to do exercises on his back where he has to put his arms up and try to stretch them up over his head until they are flat. He also has arm lifting ones. My job will be to give him circular scar massage. he has to go once a week now.
She did explain that the tingling woosh that he gets in his legs is normal and is due to radiation. She did say the name of it but Martin can't remember (and I wasn't there as I had an emergency work meeting although I am on leave!). He say it sounds a bit like compilation. She said it might go away in time but there is no garanty, as always.
I told to ask if he could come to Pilates with me, and she said yes excellent idea but not until he has a bit more movement in his neck. she says the exercises will help with the cramping in the long term.
It has taken 8 months before she thought he would be comfortable with the exercises, though. So it takes time.
On the positive, she seemed impressed by the amount of movement he already has.
I hope these exercises loosen his neck a bit, the muscles are so tense it feels like he has a metal armour under his skin.
Have you been prescribed exercises, do they hurt more before they help, and do they help?


Girlfriend to Martin 49 years old at diagnosis
Diagnosed with SCC unknown primary June 2008.
Cancer found in single node Stage N2A (3 to 6cm).
Tonsilectomy 16th june, Radical modified neck dissection left side 30th june.
30 TX radiotherapy ended 9th October
First comparative study scan came back clear
Cecilia #95833 05-21-2009 07:30 AM
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The tingling feeling he gets from the radiation is L'Hermitte's Syndrome, and I had it for quite awhile, but it disappeared on its own. More disconcerting than anything, and I almost didn't notice when it went away.

I also have considerable stiffness in the neck and shoulders, and I just recently was prescribed an exercise regiment to help. I need to get better about actually doing them, but they seem to be helping a bit.

Hope all goes well. Just one step at a time!


Jeff
SCC Right BOT Dx 3/28/2007
T2N2a M0G1,Stage IVa
Bilateral Neck Dissection 4/11/2007
39 x IMRT, 8 x Cisplatin Ended 7/11/07
Complete response to treatment so far!!
GreenBayBruce #97388 06-15-2009 12:12 PM
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Hello Bruce and everyone.

I am new to the OCF forums and am seeking guidance. I do not have personal experience with OC except in a peripheral way with a friend.

My work as a Stott Pilates professional(Instructor Trainer) brings me many clients who are recovering from injuries, joint replacements, etc. and some who live with disease processes (MS, Parkinson's, etc.) I can attest to Pilates helping with the vast majority of these folks, and with helping them continue to function and in some cases, thrive.

I've been asked to work with a man who is a month post-treatment for OC. This is a first for me, and I'm wondering if any of you would be willing to share your post-surgery experience with physical therapy and any other physical exercise. I've noticed in some of your posts mention of both the neck spasms/shocks and, in a few, saw mention of biking, Pilates and yoga... I'd be grateful to know what has helped you in and through the recovery process. Has anything helped with the neck cramps?

I've advised to give it several more weeks and am doing research in the meantime, as well as talking with several PT's and a PM&R doc. You are the experts (though I know you would never have aspired to being an expert in OC id you'd had a choice.)

Anything you'd be willing to share about your experience is valuable to my learning and understanding IF there is anything I can offer, and if so, WHAT I can do.

Thanks,
Debra

P.S.-- I am also new to forums, so if I posted this incorrectly or should have done something different please educate me! I did not know how to start a "new" post.



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Pilates Body #97390 06-15-2009 02:24 PM
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Debra,

Once you choose a Forum that matches your question's topic, open it and at the top right select New Topic and write your post.

Since you have already asked your question here...Unless this person is extraordinary I would imagine one month post Tx is too soon to begin any exercise program (other than say walking) as we are very weak from the trauma to our body and most of us lost a substantial amount of weight. I personally didn't feel comfortable getting back on my bike for the first 4 months.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
davidcpa #97394 06-15-2009 02:51 PM
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David,

Thank you for your kind response walking me through how to do a new post. Some days I feel like a Luddite!

It is helpful also to have your perspective as an athletic guy on how to approach the question of "how soon". There is very little to no information available through traditional sources. In my work with breast cancer survivors the "when" varies greatly and our focus is always on mobilization and gentle stretching, and we keep a really close eye on the fatigue factor.

Again, thank you.
Debra



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Pilates Body #97395 06-15-2009 03:19 PM
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With this cancer I estimate that 20% have a fairly east time; 20% have a horrible horrible horrible time and 80% have just a horrible time. Since each of us can start out differently physically as well as mentally and each of us can be Staged from a I to a IV and each of us can have surgery, chemo and or radiation and any combination of the 3, and each of us can be treated by the worst to the best doctors out there, you can imagine that each of us can emerge differently from our treatment.

This is why one answer can't fit all but I would advise anyone just a month post Tx to take it slow and let the body heal itself. Most of the time our recovery can take up to every bit of 2 YEARS before we recovery as much as we will.

Another key deterrent to exercise is how much damage is done to our saliva glands with most of us dealing with severe dry mouth months and months post Tx. I couldn't walk from one room to the next without taking a sip of water for a good 3 months post Tx so much so that I kept a bottle of water in every room of the house just in case.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
davidcpa #97397 06-15-2009 03:33 PM
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I agree 120%, David.

Should I be concerned that a CPA comes up with these percentages????

:-)


Jeff
SCC Right BOT Dx 3/28/2007
T2N2a M0G1,Stage IVa
Bilateral Neck Dissection 4/11/2007
39 x IMRT, 8 x Cisplatin Ended 7/11/07
Complete response to treatment so far!!
JeffL #97410 06-15-2009 07:50 PM
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David...nice math! :-)

I'm with Jeff...I agree 120%.



Margaret
----------
C/G: Husband, 48 (at time of dx)
Dx 5/18/07 SCC, BOT, lymph node involvement. T1N2BM0. (Stage 4a, G2/3)
Tx 6/18 - 8/3/07, IMRT x 33 Cisplatin x3 (stopped after 1st dose due to hearing issues). Weekly Erbitux started 6/27/07 completed 8/6/07.
mhupe #97438 06-16-2009 07:14 AM
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I thought my computer had Math Check.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
davidcpa #97450 06-16-2009 10:41 AM
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I started physical therapy 3 weeks after my neck dissection and continued all through radiation and the period following. Treatments were twice a week and started with 20 minutes of wonderful moist heat on my neck and back, followed by the therapist doing stretching of the neck and arm, massaging the scar and working on the lymph build up under the chin. I then moved onto the equipment to further strengthen my arms and mobility. End of session was a 5 minute massage of my back and neck. If I start stiffening up, I go back for a tune up usually every couple of years. So while a patient might not be up to physical exercise, PT can help avoid the side effects from the neck dissection.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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