#95685 05-18-2009 01:10 PM | Joined: May 2009 Posts: 12 Member | OP Member Joined: May 2009 Posts: 12 | Hi, I'm a week out of radiation and chemo for tumor on base of tongue. I'm still eating with a feeding tube and sipping water to keep up my swallowing. I've read mentions of tongue and mouth exercises that I should be doing. Would somebody please tell me more about them?
Thanks!
Stage 2 SCC right base of tongue. 7 weeks radiation & chemo with erbitux. Peg tube. Concluded radiation treatments 5.7.09. Two recurrences, two surgeries. Most recent, a substantial glossectomy, 3/25/11. PEG tube. Minimal swallowing ability, but working on it.
| | | | Joined: May 2002 Posts: 2,152 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: May 2002 Posts: 2,152 | I don't know abaout tongue exercises, but yawn alot. You don't want to develop trismus. Stretch your mouth as wide open as you can several times a day. And keep swallowing or you will lose that ability.
Take care, Eileen
---------------------- Aug 1997 unknown primary, Stage III mets to 1 lymph node in neck; rt ND, 36 XRT rad Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND June 5, 2010 dx early stage breast cancer June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
| | | | Joined: Jan 2009 Posts: 62 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Jan 2009 Posts: 62 | Hi David, I had to do those exercises, also. Your ENT should have the name of a therapist that would have them. I just went through all of my stuff but I no longer have them. I'm sorry I was going to scan them and post them for you. Eileen is correct, the yawning is part of them. Also,as she says, keep swallowing, I had to a lesson for that. I wish someone had told me about that little swallowing trick. I never heard anything about that one. That's why these forums are so great. Take care, Carol
DX 6/05 Rt Tonsil SSC advanced to lymph node. Stage 4b. RND, took tonsils, strips off the back of tongue, throat and nose. 19 lymph nodes removed only 1 bad. Once healed, 7 weeks of treatment including 35 IMRT, 7 Cisplatin, 7 Erbitux and 35 nasty Amophostine. Almost 11 yrs out now. Woooo Hoooo!
| | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | David: A speech therapist would be the best person to ask. I'm sure your team has one available to consult.
My dentist game me some exercises. (1) Push tongue out to left, then right side, hold for 7 seconds each; (2) Push tongue out, then up for 7 sec. and then down 7 seconds.
Neck: Turn neck to left side, hold 7 sec. then do right side.
Mouth: Open like your yawning or eating an apple, hold for 7 sec. Push lips out like kissing, hold for 7 sec.
These may help, but please consult with your doctors Sandyst
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 |
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: 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 | I was given exercises to help with my trismus.
Open your mouth as wide as possible and hold it for as long as you can. Repeat several times and do this a few sessions per day.
Open as wide as possible and push your lower jaw first to the right and hold several seconds. Then push it to the left, hold. Same thing repeat several times and do several sessions throughout the day.
Its very very important you do these. Trismus is something you do not want to get. 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: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | David Here is the link to OCF's discussion of trismus. Trismus-OCF the home test for Trismus is to open your mouth and try to put all three of your middle fingers (index, middle, ring) into your mouth between your teeth. If you cannot do it super easy, you have trismus. Even the three fingers are just the bare minimum for not having trismus.(about 35mm) It creeps up slowly but surely in the weeks after radiation if you do not do the exercises faithfully. I beat it the first time around but this surgery nailed me although I am making progress with the Therabite (went from 12 mm to 28 mm) Charm 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | Charm: How do you like Therabite? I've been looking into it, but am not sure if it's a good investment as a preventative measure? What do you think? Sandy
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: May 2009 Posts: 12 Member | OP Member Joined: May 2009 Posts: 12 | Thanks everyone. Very helpful!
Stage 2 SCC right base of tongue. 7 weeks radiation & chemo with erbitux. Peg tube. Concluded radiation treatments 5.7.09. Two recurrences, two surgeries. Most recent, a substantial glossectomy, 3/25/11. PEG tube. Minimal swallowing ability, but working on it.
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Sandy
I LOVE my Therabite. My prothodontist thinks that the Therabite is way overpriced and he prefers that patients do the stretching exercises plus use the tongue depressers do it yourself therabite (you put them all together and slide another one in but mine just fell apart and I never used it after the first attempt). The first time TX back in 07 only reduced me down to about 25mm so I toughed it out. This time I could barely open one finger wide and with more radiation coming up, the Therabite has been wonderful. However I got it for FREE from my Speech Therapist as part of the Cancer program at Inova Alexandria Hospital. My CCC at Georgetown was going to charge me about $900 and under insurance I would have had to pay about $200 so I lucked out. Check with your insurance company to see if it would be covered,as well as if there are discounts from the hospital. It is just a piece of plastic with handles and graduated stops - not hi tech at all but it does work. There used to be a specific mention of it in the OCF materials and it is the only one with documented studies on its effectiveness. 65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Jan 2009 Posts: 253 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | Charm: Thanks for the info. I spoke to my doctor's nurse regarding one, and she said she didn't think I needed one, and that the Thermbite is more beneficial for rehabitative. For the time being, I'm going to be very conscientous about my exercises.
I get the feeling that my medical staff is not interested in preventative care. I'm always ahead of the game with them. I must be driving them crazy.
Thanks again for the infl
Sandy
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | 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 | Sandy, you are very fortunate to be an informed patient. Going thru chemo and radiation really kicked my butt. I didnt post too often so was caught completely unaware. Ive been thru so much trying to regain a more normal range of motion and dont think I will ever get there. Its so much better to be ahead and not suffer from trismus. Being proactive is definetly a much easier way than waiting til you have something and trying to fix it.
Best of luck with your treatments.
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 | | |
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