Hello to you! I don't know about the pain your husband is experiencing in relation to the jugular, but as you know a lot of rumaging around was done in there. Nerves get damaged, scar tissue forms, etc. As far as his collar bone is concerned, that has to do with the fact that when a neck dissection is done, the main nerve is severed that controls the muscle just behind the top of the shoulder & just above the shoulder blade, called the trap muscle. I can't remember the full name. This has been well documented & I even read this was known about as far back as 100 years ago. Unfortunately, that muscle is permanently paralyzed as a result. I have been going through physical therapy for about a month strengthening all the other muscles around that area & have seen amazing results. My shoulder isn't rotated & tipped forward like it use to be & my posture is almost normal. Certain side arm lifting motions are still a little restricted but not a big issue at all. I think that with continued therapy I will gain even more strength & motion. The ultimate human trait we all posess is the ability to adapt, overcome & improve our situation if we choose. I did lose almost 50 lbs & have not gained very much back, but from the pt my muscle tone is improving weekly & my wife kinda likes the new me! Get your doc to give your husband a refferal to a good physical therapist & go to work. He/she should do deep & shallow tissue massage of all affected areas; neck, shoulder, back, arm, throat, jaw, face, etc. Also, is your husband stretching? Things get pretty bound up in there from the healing & non-use. I'm no expert, but thats been my experience this year. Hope it helps. My best to you guys!