Update for those of us with strangling feeling post neck dissection.

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Please note this is only what has happened in my individual case, which was quite extreme. All our cancers and surgeries are very different but if it gives anyone with this problem a way forward, either by keep pursuing an answer or just mentally accepting what it is, then I reckon it’s worth a read. It would’ve certainly helped me to have some information like this after my surgery.

Last week I went to see an Orthopaedic/Trauma consultant regarding damage to my Spinal Accessory Nerve now 2 years after my neck dissection surgery. (Unfortunately it’s permanently damaged.) But what a fantastic knowledgable consultant, I was in there 45 mins! I didn’t feel rushed and he really took the time to understand what I’d been through and explain clearly what had happened, without sugar coating it. Rare nowadays.

So I thought I’d also pick his brain re the neck strangling feeling. He was fascinated by my neck lol (and even called his registrar in who was about to take his exams!) as it’s clearly, visibly tight against my windpipe. For the first time instead of just being told “oh it’s just tight, or that it might get better with time...etc” (which gave me hope but then only continual disappointment and frustration as it didn’t) he explained it to me in a way I could understand and accept.

He showed me clearly, with diagrammatic comparison to the internal structures of a “normal” neck that strategic (cancerous) muscle tissue has obviously had to be removed from supporting muscles either side. This has caused the neck tissue in between to be less supported and shrink back against my windpipe. Nothing to be done about it unfortunately. (He’s also asked for my actual surgery notes to be forwarded to him, so we can look at them together.)

This made complete sense to me. I am a person that deals far better with facts, rather than woolly possibilities. For me, I needed to hear it from a professional rather than endlessly googling and guessing what had happened. And now I can get on with my continuing process of accepting what I’ve been left with as my “new normal” (not easy for any of us) but in the clear understanding of it being unavoidable to save my life.

Thanks for reading.

Amanda.

  • Amanda that is a really great post to explain what can and can’t be normal and what patients might have to accept. Being fobbed off with a might improve scenario is so much worse than a proper explanation explaining the likely outcome. I’m glad you found the right person

    Dani 

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

    I BLOGGED MY TREATMENT 

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

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  • Thanks Dani, I just knew how hard it’s been trying to get any information on this and if it helps just one person, then it was worth the post. I know we’re all different, perhaps at the outset it’s best for the surgeons to hedge their bets in the chance that it may well improve in some cases? But for me, 2 years on it’s obviously not going to and has been one of the hardest thing to get used to. I just needed that professional to say, ok this is obviously what happened and this is the result and there’s nothing we can do to resolve it. I just wish that with hope constantly in my mind, I hadn’t wasted my time and my savings on endless interventions that clearly weren’t going to help either my neck (or my upper back)!! Oh well, I can draw a line under it now and crack on :)

    Medullary Thyroid cancer dx May 2023

  • I’m actually going to use yours and mine own experience to compose a letter to send to those involved with my treatment, GP, surgeon, clinical nurse specialist, and oncology doctor, as well as the contact I made at The Royal Marsden. This is in the hope that they will start to understand that our lives after cancer don’t necessarily start at the end of treatment but in fact leave us with a whole other set of problems which they didn’t necessarily lay out in the beginning. The treatment for those symptoms which I’m having to pay for out of my own money and that’s only because I did my research and sourced the most appropriate help. I agree it will probably never be the same again but a heads up would have been nice.

  • I’m actually going to use yours and mine own experience to compose a letter

    That’s a very good and ambitious move. If there is anything I can do to support you please ask. Please let us know what happens if you can. 

    Dani 

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

    I BLOGGED MY TREATMENT 

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

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  • It’s gone out to them all…I’ll let you know their response. I have a virtual meeting with the specialist at The Royal Marsden next week. 

  • It’s gone out to them all

    This is really important. Fixing us is one thing but if we are broken afterwards we get little help. 

    Dani 

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

    I BLOGGED MY TREATMENT 

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

    Community Champion badge