Hereford collar. What now?

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While my neck nurses valiantly try to get the lymphodema team to contact me I’ve been given a Hereford collar by a friend who went through HPV SCC (BOT).  Following TORS and 30 RT fractions he’s doing really well two years on.

So the past two days I’ve worn the collar whilst pottering about the house doing various chores, going for a walk and watching TV etc in the evening. I’ve kept it on for about four hours and when I take it off the big wobbly sac under my chin has almost entirely disappeared. Incredible! However, when I wake up the following morning it is back, albeit not quite so dramatically as before. 

Am I right to assume that this is how it works and that it will very gradually return less and less after wearing the collar over several weeks?

I’m also doing lymphatic drainage exercise several times a day, as advised in here.

Any advice gratefully received. 

  • Yes, not sure if the nurse was erring on the side of caution or if she could tell it’s likely to happen from the quick feel of my neck that she had

  • Dani-I have to shut my eyes whilst there are needles wiggling around in my face (such a woose) but, I do think it has helped. I have another 3 sessions to go over the next 3 months, so I am hoping for a little more improvement. Def can eat stuff I found difficult a year ago like chicken. Even a 10% improvement would be amazing. It was a shame this treatment wasn't mentioned until I brought it up after hearing about it on this site and thankfully, my Mac nurse at the Marsden is amazing if she can do something for me, she will.

    Piya10
  • Interesting to hear acupuncture works so well! Would definitely like to try it

    I am assuming I would have to go privately but I'm not sure how to go about finding someone reliable and experienced? 

    Lots of practioners on Google but ....

  • I emailed lots of practitioners to see if they did Auricular acupuncture for xerostomia and if not might they have an idea who did. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I wrote a blog about my cancer. just click on the link below 

    https://todaymycoffeetasteslikechristmasincostarica.com 

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

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  • Trev, perhaps try ask your hospital where your team are first. I asked my practitioner if she could recommend someone for after the Marsden wouldn't treat me any more and she was reluctant and even suggested I shouldn't seek out someone else. I have no idea whether that is because my 10 sessions would be more than enough to take me as far as success would ever go, or if she had issues with others not knowing enough about auricular treatment. I will learn more (hopefully) at my last session, but sadly that won't be for another 2/3 months. Like Dani, I would only go with someone who knew exactly what they are doing where you have had the sort of treatment we have had.

    Piya10
  • Hi Yes I am 30 month and the last few months only happens when I am either chopping veg or baking I was getting a shooting pain at back of neck on heavily radiation side. Like a shooting pain. Saw ent consultant December didn’t say anything until she mentioned  it when checking my neck she said it’s only  a tiny bit of fibrosis. So she referred me for physio via telephone call of course. I do exercise   I walk ride my bike etc so was told and please no laughing.

    stop doing the chopping stand upright and pretend that someone is throwing a custard tart (like at the circus as a clown) and pull a face ugh Guess what it works , at first you feel like a fool well no more of a fool than strapped to a table with a mask on ! But now it might happen once a week or so.

    The other exercise is to move you right slowly to look over your shoulders do it  5 times a day or s alternating right then left just to stretch the tendons .

    Hazel,xx

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now 5 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help  

  • HI Trev  Took me a while to locate one who would take me Yes I did  have to pay  privately but worth asking your hospital some do. Like Dani says you need an auricular acupuncturist.

    Hazel x

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now 5 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help  

  • Hi hazel

    There is a palliative care unit (NHS) by me that I attended for lymphodema ..and they do the acupuncture too.

    The challenge will be getting myself referred I have a disinterested team 

  • I know I am digressing from the lymphedema issue but wanted to comment on acupuncture for dry mouth as it has been mentioned.

    Dani recommended auricular acupuncture to me a while ago to try and help with my dry mouth issue. I had radiotherapy on the right side of my face in 2013 and the dry mouth wasn’t too bad but with more radiotherapy in 2020 on the left side of my mouth the dry mouth issue became a much bigger problem.

    Xylimelts did help but I was looking for something a bit more permanent, although I do recommend the Xylimelts for use during the night as they really help.  Most of you probably already know that they are a dissolving type lozenge that sticks to your gum.

    It took me a while to track down a private practitioner who did auricular acupuncture but am so glad I found one. I have now had 5 sessions and the dry mouth issue has definitely improved and I have been really happy with the result although I am not expecting 100% improvement. I don’t have to sip water during the night now and even forgot to take my water bottle with me when I went out the other day.

    He puts lots of needles in my ear and although I was a bit apprehensive at first in relation to potential pain this is minimal and some needles I don’t feel at all.

    He also suggested some things to add to my diet such as almond milk and walnuts ground in honey (not supermarket honey but honey from the beekeeper which I found in my health shop. Apparently honey in supermarkets can be watered down. Dani will be able to tell you more about that ) He also recommended peppermint tea to help with dry mouth. I am giving them all a go although can’t manage the ground walnuts as I can’t tolerate the texture even when almost ground to powder.

    I would recommend anyone with a dry mouth issue to give auricular acupuncture a try.

    Lyn

    Sophie66