| Joined: Jan 2014 Posts: 7 Member | OP Member Joined: Jan 2014 Posts: 7 | My husband had radiation treatments for cancer of the tonsil in 2008. The radiation treatments damaged his spinal cord and he has been diagnosed with delayed radiation myelopathy. He has constant pain and progressive muscle weakness. The head of the neurology department at the university said there is nothing that can be done and it will just continue to progress. He has tried a pain management clinic but no relief from that either.
Is anyone aware of any research being done or things you have tried to alleviate pain or slow the progression?
Karalee 10/18/13 SCC Stage IV, T4aN2bM0, right cheek, sinus cavity, upper jaw bone, 1 lymph node, HPV Neg, Non Smoker, Age 62 11/18/13 Surgery - composite resection right retromolar trigone and right selective neck dissection plus reconstruction, margin <0.1 cm 11/20/13 Emergency surgery for ecchymosis of flap 2/12/14 Start IMRT, 30 treatments ended 3/25/14 | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Have you taken him for a second opinion at a different facility? ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | Joined: Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Dec 2003 Posts: 2,606 Likes: 2 | Karalee,
I have been going through the same thing for several years. I have lost half my weight in muscles along with the most unbelievable pain head to toe from 2009-2012. I don't believe it is untreatable and there are a lot of studies being done but mostly in Spain. The symptoms can be managed as well as the pain but it takes a heck of a lot of work. I have completely lost so much muscle you can feel the joints in my shoulders, hips and knees. I have accomplished some amazing things and have not been on any pain meds for a year now in addition to riding the bike over 1,500 mikes and walking over 500 miles in the past year. This was from being in a motorized wheelchair and on methadone.
It took about 6-7 hours a day doing various exercises for many weeks and then down to 2-3 hrs 3-4 times a week. I will be blunt, it takes a huge commitment and a lot of work plus repetitive blood tests and nutrition management.
I cannot guarantee your husband will get the same results but I'm willing to help in any way as the end result is death. I don't believe I have changed that prognosis but I think I have extended the inevitable.
Im willing to do anything possible to help but I want to know how much your husband wants help. What I was told only allowed things to escalate faster. I had almost a dozen doctors trying to help me but most of what they told me was later determined by me to be false and not aggressive enough.
Ed
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
| | | | Joined: Jan 2014 Posts: 7 Member | OP Member Joined: Jan 2014 Posts: 7 | Mark has seen at least 4 neurologists. Gabapentin helped for a short while. He is struggling both physically and mentally right now. He has rallied and been a good care giver for me since my recent surgery. Ed, I will show him your post and have him contact you if he would like your help. Thanks for the offer of assistance.
Karalee 10/18/13 SCC Stage IV, T4aN2bM0, right cheek, sinus cavity, upper jaw bone, 1 lymph node, HPV Neg, Non Smoker, Age 62 11/18/13 Surgery - composite resection right retromolar trigone and right selective neck dissection plus reconstruction, margin <0.1 cm 11/20/13 Emergency surgery for ecchymosis of flap 2/12/14 Start IMRT, 30 treatments ended 3/25/14 | | | | Joined: Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Dec 2003 Posts: 2,606 Likes: 2 | This is one area that so many are left to just wither away. It is so difficult because there aren't enough numbers to justify spending a lot of time or money or research on. In addition, the random nature of how and where radiation fibrosis starts and how it presents is a mystery, even to neurologists. After a barrage of tests such as EMG's, MRI's and even spinal fluid analysis, in the end the diagnosis process is only designed to rule out things like ALS. Neurologists won't spend a lot of time either, beyond very basic analysis and treatment because there is no money or real diagnostic codes for insurance purposes. A lot of survivors with significant issues can be misdiagnosed with ALS which gets the right care for managing symptoms, although radiation damage does not progress as fast as most cases of ALS.
I wish your husband and you well. Anything I can do feel free to private message me. The last thing I want is for all the folks dealing with radiation fibrosis to start thinking this is something they can expect. It is very rare.
Ed
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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