#92852 03-30-2009 04:39 PM | Joined: Jul 2007 Posts: 30 Contributing Member (25+ posts) | OP Contributing Member (25+ posts) Joined: Jul 2007 Posts: 30 | Hello friends, 18 months out from rad/chemo and I seem to be getting more frequent neck cramps, like "charlie horses" in my neck muscles. Has anyone else experienced this and if so what did you do? I know I had thyroid damage and have been taking meds but don't know if that is the issue. I have been relying on my oncologist for my thyroid problems but will be seeing an endocrinologist soon. Thanks, Bruce
Bruce
Age 57 SCC Stage3 BOT and 1 node PEG 35RADS 7CHEMOS Tx over 9-17-07 tube out 10-12-07 back to work 10-15-07.
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | Oh yes... radiation - the gift that keeps on giving. It happened to me both times, and seems worse this time on my right side - right neck/shoulder. Stiff, crampy, feels almost like my head is being pulled down by the tightness. I will discuss it with my R.O. at my next appt but expect physio/stretching exercises will help.
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Dec 2007 Posts: 21 Member | Member Joined: Dec 2007 Posts: 21 | I'm 9 mos out and have been experiencing exactly what you've described. Sometimes the smallest, least strenuous activity, like walking with my laptop bag over my shoulder, will cause a cramp and send a sharp pain down the side of my neck. Fortunately it goes away after 5-10 secs. This happens about 5-6 times per week. I mentioned this to my oncologist at my last check-up, and he attributed it to radiation damage and did not offer anything to help.
Age 33, NS, HPV- 8/01- At 25, SCC on tongue,3cm lesion remvd. L nk diss clr nodes 10/07- 2cm SCC remvd from L tongue 4/08- SCC on L tonsil,tonslctmy,2 wks later PET showed golf-ball szd tumor in tongue. PEG.IMRT x 35 Cisplatin x 3 ended 7/08. Peg out feb 09 -Clear PET Dec 2010 | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Bruce,
You do not indicate that you had a ND but the 2 previous posters both had ND's so perhaps we are not comparing apples to apples. I didn't have a ND and I never have experienced anything like you describe. Most of the time I read about problems you describe, I see ND in their Signature Lines. Not saying it's not possible because that would be foolish of any veteran of this site but lets see if some non ND posters can confirm what you are describing.
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.
| | | | Joined: Feb 2007 Posts: 176 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Feb 2007 Posts: 176 | My experience has been the electrical charge down my spine from the radiation, which slowly went away during the first year+. The sudden neck cramping, which does last about 10 seconds, always and only happens where I had my neck disection. My surgeon said it is very common and is from nerve dammage. Rob
6-05, Left Tonsil-T1N2bM0 stageIVA, chemo(Cisplatin), radiation(6660cGy), neck disection, no PEG. HPV negative. (Doc suspects posit) 3-9-09 last of 30 HBO treatments.
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | I get a charge like that a few times a day, but in the area at the top of the anneurysm repair. Like someone just got you with an ice pick. It never stays long, just long enough to say,, Hi Fellow, it's me again.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | I had a ND and I do experience this a few times a week. Usually occurs when I'm trying to eat/drink something or talking and it can last up to 20 seconds or so, very painful. I've experienced the cramping in my neck, under my chin and my tongue.
Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
| | | | Joined: Feb 2004 Posts: 598 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Feb 2004 Posts: 598 | I just had rather lengthy discussion with doctors at the James and from Vanderbilt about this issue. Everyone here is correct, to an extent. The radiation fibrosis causes stiffness and thickening of the tissues, which can a) provide a superficial tightening, and b) exert pressure on adjacent nerves. The nerve damage from the neck dissection is an independent comorbidity, particularly if Level V nodes were removed. Both the Spinal Accessory Nerve and branches from the brachial plexus can be involved, as they travel through the SCM, scalene and trapezius muscles.
I have all of the above, and just started an exercise regimen to improve range of motion and hopefully reduce stiffness. 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!!
| | | | 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 | I have been in total misery the last year and each week it gets noticably worse. It started out with a golf ball size knot and cramp on the muscle that goes from the corner of the jaw bone to the collarbone. I would get little spasms, called fisculations that have now progressed to hundreds of little flutters a minute first on the left side, progressed to the right side, across the top of the left shoulder, the right shoulder, the big muscles on the back of the head/neck and now down the entire left side along the spine. When I lay down to sleep at night, my head twitches enough on the pillow that it wakes up my wife because the whole bed shakes. I have been to so many doctors and even found a neurologist that studies post radiation patients using EMG and a couple of other tests. The most fun was the four inch thin guage needle stuck into my neck up through the underside of my chin and through my tongue. After almost 3 hours of testing I was told that I don't fit the "pattern" of the other subjects and when reviewing the sample data I noticed they all mentioned the same things but 5 years after me and they had 45 grays of radiation vs my 72. One doctor even told me they thought it would go away but it gets worse by the week. I feel like what a Parkinson patient looks like with constant movement of the head and you can see the muscles twitching with people sometimes staring at the big one on the left side of my neck when they talk to me. I can go through the list of all the drugs they have tried but honestly no drugs or PT has done anything. The medical explaation is fibrosis of the mylan (nerve casing). In layman's terms, the nerves conduct electricity and the scar tissue from the radiation reacts like a capacitor by stopping and storing the current until it builds up and then letting bursts go through. If anyone ever finds something that can treat this please let me know.
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: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | "OCF across the pond" Patient Advocate (1000+ posts) Joined: Feb 2007 Posts: 1,940 | Hi Ed i am sorry you are having so many problems,but did i spot a birthday cake by your name?
Many happy returns.
love liz
Liz in the UK
Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007 Recurrence June/07 died July 29th/07.
Never take your eye off the ball, it may just smack you in the mouth.
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