Hi - in answer to your question - likely no on the trache (I've never heard of that happening) I won't say no it won't happen - because there's a first time for everything but highly unlikely - I didn't have pain - really - until later in my treatment - but I felt tight from the outset. I asked my dr and he told me from the surgery and neck dissection I had stitches in my throat, this of course causes scar tissue, radiation effects the tissue, causes it to fibrose and tighten, tell her to keep swallowing, and yawning and stretching her throat it will help - hugs