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#177691 02-22-2014 07:33 PM
Joined: Jul 2013
Posts: 24
sanmc Offline OP
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Hey everybody, I'm 20 months out from my surgery, 16 months from the end of radiation/chemo. In the last couple of weeks I've started having cramps in my neck. I don't notice anything in particular that I am doing to cause this or bring it on. My question is, is this something others have problems with or is this something I should be worried about? I have an appointment with my RO next week and my ENT the week after and plan to speak with them about it but just wanted to see what you kind folks could tell me. I'm also having trouble with thrush quite often. Is this the "new normal"? I'm beginning to hate that term but know I should just be very grateful (which I am) that I'm here to have a "new normal". Thanks so much for taking the time to read, and hopefully comment.



Sandra
5/15/12 Diagnosed with SSC
6/20/12 Surgery-Hard/soft palate with RND, trach and PEG, teeth taken, Age 51
8/20/12 PET scan showed cancer had reoccurred
9/4/12 Began Chemo and Radiation
1X cisplatin 2X carboplatin 35 radiation
5/28/13 Latest scans---Cancer free
12/2013 Still Cancer Free MO wants no more CT scans
(not sure how I feel about that)

Blessed and Very Much So
sanmc #177694 02-22-2014 09:03 PM
Joined: Dec 2003
Posts: 2,606
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Very common and can be caused by rads or neck dissection. Sadly, not a lot of docs do much about it. PT will help but it will be a lifetime of things to do to manage it. Check out PT first.

Thrush can also be a lifelong battle for most but can just as easily go away with meds for many. Whoever is you care team leader would be able to mange thrush easier than the cramps.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
sanmc #177696 02-22-2014 09:38 PM
Joined: May 2013
Posts: 134
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Joined: May 2013
Posts: 134
I "enjoy" neck cramps frequently. I am very physically active including lifting weights which may make things worse. Right now, I like the way I feel when I work out more than I hate the cramps so I fight thru them. Some day that will change...

I have an excellent masseuse who discovered a trigger point between my shoulder blades that stop the cramps immediately. Obviously I can't reach it but my wife knows where it is and will help me (if I'm on her good side:)


Dx March 2011 via FNA (49 yrs old)
SCC BoT
HPV+ exact strain unknown
Stage IVa T3N2cM0
Cisplatin x 3, IMRT x 40 (7267 cGy)
One node removed post-treatment (rad dmg)
Clean PET 10/28/11
Swallow therapy
sanmc #177698 02-22-2014 09:59 PM
Joined: Dec 2003
Posts: 2,606
Likes: 2
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If you are ever planning on being near the east side of Plano, Chris, I believe somewhere between 1 - 3 treatments and it will be good for weeks. They take insurance and if not, flat rate $65. They are all Ironman Triathletes, too.

Want to head to San Antonio for an OCF walk April 12?


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
sanmc #177699 02-22-2014 10:10 PM
Joined: May 2013
Posts: 134
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Senior Member (100+ posts)

Joined: May 2013
Posts: 134
Running a half-marathon in Houston (if I get my stinkin mileage up where it's supposed to be!). I am torn, lots of OCF folks that I would like to put a face with a name or handle.


Dx March 2011 via FNA (49 yrs old)
SCC BoT
HPV+ exact strain unknown
Stage IVa T3N2cM0
Cisplatin x 3, IMRT x 40 (7267 cGy)
One node removed post-treatment (rad dmg)
Clean PET 10/28/11
Swallow therapy
sanmc #177704 02-23-2014 06:51 AM
Joined: Jul 2013
Posts: 24
sanmc Offline OP
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OP Offline
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Joined: Jul 2013
Posts: 24
Thank you for your replies.


Sandra
5/15/12 Diagnosed with SSC
6/20/12 Surgery-Hard/soft palate with RND, trach and PEG, teeth taken, Age 51
8/20/12 PET scan showed cancer had reoccurred
9/4/12 Began Chemo and Radiation
1X cisplatin 2X carboplatin 35 radiation
5/28/13 Latest scans---Cancer free
12/2013 Still Cancer Free MO wants no more CT scans
(not sure how I feel about that)

Blessed and Very Much So
sanmc #177708 02-23-2014 12:39 PM
Joined: Mar 2013
Posts: 421
Likes: 1
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Posts: 421
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I don't specifically suffer from neck cramps as much as chronic neck pain. It's always a 3-4 out of 10. Tramadol helps but doesn't alleviate it. I spoke with my team last week at my 3 month check and we'll see how it feels in May when I go back. They talked about possibly using botox in the neck muscles to help.

Hope you feel better...

Positive thoughts

"T"


57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
NED Since
sanmc #177740 02-24-2014 07:14 PM
Joined: Jul 2013
Posts: 24
sanmc Offline OP
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Posts: 24
Thank you! Also another question. Most everyone has talked about Physical Therapy, that was never mentioned to me. Possibly because they didn't think I would survive long enough for it?? Anyway, what all kinds of PT have you been through? I'm wondering if some of it might have helped me.

Thanks!

Last edited by sanmc; 02-24-2014 07:20 PM.

Sandra
5/15/12 Diagnosed with SSC
6/20/12 Surgery-Hard/soft palate with RND, trach and PEG, teeth taken, Age 51
8/20/12 PET scan showed cancer had reoccurred
9/4/12 Began Chemo and Radiation
1X cisplatin 2X carboplatin 35 radiation
5/28/13 Latest scans---Cancer free
12/2013 Still Cancer Free MO wants no more CT scans
(not sure how I feel about that)

Blessed and Very Much So
sanmc #177814 02-26-2014 06:58 PM
Joined: Nov 2009
Posts: 212
Gold Member (200+ posts)
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Gold Member (200+ posts)

Joined: Nov 2009
Posts: 212
sanmc,
I am 4.5 years out of TX and have had neck pain for several years now. Tried Drugs, PT, Botox and Acupuncture. My vote goes to Acupuncture and maybe drugs right now. I am an active triathlete and do lift weights. When my neck hurts, I just stop . I am fairly sure the damage is fibrosis to a couple of neck muscles. It is the new normal as we all say.
I do daily neck exercised to strengthen my neck. I also have some swallowing difficulties fro the same reason. I use a thickener in my fluids to help.
All in all I am on the right side of the green and do believe there is an ironman in my future (again) maybe a bit slower though!!!!!

steve


70 male, athlete...again
SSC of undetermined orgin , early july 09
40 tx radiation, 8 chemo cisplatin and ebuterx
finished TX in mid Sept 09
Clear at the 6 year mark!
Back to swimming, biking and running! just a tad slower
never regained my weight, even when I eat lots and lots, just a skinny guy now

Just way glad to be seeing the green side up!




sanmc #177817 02-26-2014 07:28 PM
Joined: Dec 2003
Posts: 2,606
Likes: 2
Patient Advocate (old timer, 2000 posts)
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The important thing to note is that radiation induced fibrosis is progressive and will never just go away. Diligence in managing this can be time consuming and may require many perspectives to improve QOL. The flip side of this coin is it can kill you as well. My issues started in year 4 and relentlessly continued to near death until I fully understood many of the components necessary for long term management. I was late to the party and my current diagnoses includes a few terminal expectations. All are closely tied to restricted blood flow.

I had regular PT almost every other month, various massage techniques almost weekly, exercise and stretching daily yet I could not stop the progression. There is no silver bullet although I have not had pain meds for 14 months now and went from progressively worsening pain 24 x 7 to brief episodes of pain for minutes at a time.

One of the advantages to someone like Steve is the amount of exercise he does. I consider triathletes to be elite athletes at any age. A healthy cardiovascular system is perhaps the single most important piece of a very complex problem.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023

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