I had a Total Thyroidectomy and Neck Dissection in 2010. aasshhlleeyykk. ⦠Endoscopic thyroidectomy â A viewing instrument called an endoscope and small surgical instruments will be inserted into your neck through three or four small incisions. This symptom settles in most cases over 2 weeks but may take up to 6 months to subside. demonstrated no difference in incidental parathyroidectomy in patients with or without neck dissection after total thyroidectomy, but postoperative hypoparathyroidism was significantly higher in the neck dissection group than those with no dissection . kccm. Tightness around incision after thyroidectomy - Thyroid diseases. (taking delayed dose immediately after blood draw). A variety of local symptoms are common for several weeks after hemithyroidectomy surgery and include neck tightness, or difficulty with eating and drinking; Headaches and tiredness are also common as is weakness of the voice with prolonged use; Swelling of the ⦠They found a decreased pressure in the upper esophageal sphincter in postoperative esophageal manometry by an average of 25% after uncomplicated thyroidectomy, recovering to original values after 2 years. The lump and the throat tightness is why my ENT doctor sent me for the test. Re: 3 mos post thyroid surgery - tightness in throat still. Operating strategies are reconsidered to minimize morbidity. Hypocalcaemia after total thyroidectomy â tingling and numbness of fingers and toes. Everything has gone quite smoothly except for the fact that I've had pretty significant pain in my neck and jaw (near my ears) sporadically over the past year. Still experiening severe tightness in neck after thyroid surgery Pie Face. For example, some studies ⦠Commonsense is the best way to avoid straining your neck. After the tape is removed, apply antibiotic ointment (Neosporin, Polysporin, or Bacitracin) to the incision twice a day for 5 ⦠While one side of my neck seemed to have been closed properly (the side the PA with 7 years in plastics closed) the other side the surgeon closed gave me problems from the start. Hello All, I had a full thyroidectomy last March after having been diagnosed with papillary thyroid cancer in Jan 2010. :) BigRick-1. This is usually temporary and causes the blood calcium level to drop below normal (hypocalcaemia). Posts: 3,803. The doctor basically blows off my concerns by saying there is nothing he can do. There may be a feeling of difficulty swallowing during that time and sometimes pain and an irritating cough (see neck exercise section). Has anyone else experienced an extreme tightness in the neck after a thyroidectomy? 9 Months post op Total Thyroidectomy and still having severe tightness in neck. Joined: Jun 2013. Setting: Department of ENT, Head & Neck Sur-gery, KVG Medical ollege, Sullia. Tightness in neck after Total Thyroidectomy kibby777. Stiff, tight neck: not enough attention is given to the need for neck exercises immediately following thyroidectomy. These exercises are intended as guide, and only commence neck exercises when directed to by your surgeon. The tape will start curling up at the edges in 3 to 4 days. Neck Stretching Exercises After Thyroidectomy - posted in Thyroid Surgery Discussion Forum: I've brought this up on several threads and thought I would dedicate one to it for all of our future thyroidectomy patients.I have always had problems with my neck and knew before going into surgery that they have to put you in an awkward position to do a ⦠post op thyroidectomy. I just continue to check my neck and if I find something odd I keep an eye on it or go the Dr. and get it checked out. Follow up from previous question 1 posted months ago. Im also scheduled for RAI in a few months and ⦠Oh yes, I can identify. You will receive specific instructions on hospital discharge on how much calcium you need to take. Can anyone tell me what this is and how to feel relief ⦠March 7, 2020 at 4:33 pm; 3 replies; TODO: Email modal placeholder. Symptoms of hypocalcaemia include numbness and tingling in your hands, ⦠Anything I shouldnât do? Our objectives in this study were to establish validated methods of massotherapy of the neck, to determine its action on the neck structures, and to conduct a comparative evaluation of results of the control and study groups after performing massotherapy. I'm experiencing it again right now, so I thought I'd ask if others had experiencing something ⦠I am 46, 5â4, and 140 pounds. The hospital physical therapist will probably ⦠My general practicioner had me see GI doctor, who found minor constriction in my esophagus by conducting an upper endoscopy. Symptoms of a too low calcium level ⦠Neck tightness will progressively worsen, year after year, post thyroidectomy. March 21, 2013 at 9:22 am; ⦠Have been to every specialty Dr. available with no relief. These symptoms might be due to damaged laryngeal nerves, intrinsic structures, or extralaryngeal muscles. This pulls on your incision. csmda99. Each incision is about 3 millimeters to 5 millimeters long (less than ¼ inch). The following will help your recovery: ⢠good posture ⢠neck and shoulder exercises/stretches ⢠scar massage ⢠gradually returning/building up to heavier physical activity. Hi guys, this is the first time Iâm posting on here but have read a lot of blogs that have been really helpful. This is normal and will gradually get better as the wound heals. You can move your neck from side to side and downward. Hello doctor, I haven't had a neck ultrasound since before my Thyroid surgery in 2009, however yes I had a neck CT with contrast a year ago when I felt/saw this lump. The parathyroid glands that regulate your blood calcium levels may not function properly after surgery. I still have a slight swelling around the scar. One patient had relapse of pain, despite adjunct radioiodine ablation. Throat symptoms after thyroid removal. November 8, 2016 at 1:49 pm; 7 replies; TODO: Email modal placeholder. I have also been to pain management ⦠topcop1988 over 3 years ago. Start with your head in neutral position; Tilt your head upwards; ⦠Yes, in selected cases a patient ⦠Besides, lymph mode ⦠Now a days neck hematoma occurs in approximatly 0.1 % to 1.1 % after thyroid surgery and late post-thyroidectomy neck hematoma is an absolutely rare event. How long does it feel like your range of motion is limited and like your neck is being pulled forward? I had a thyroidectomy and right neck dissection 3 weeks ago after thyroid cancer was detected following a lump biopsy and all went well during surgery. Go up and down. (Patient to patient tip, best not mentioned to GP or phlebotomist) Other patients have found they have titanium clips in their neck after total thyroidectomy. Jun 02, 2013 - 12:01 am. There can be some minor swelling above the scar; If the patient has lost the notch between the insertion points of the sternocleidomastoid muscles (if no longer concave and now convex) then this is a sign there may be some clinically significant post-op swelling; Any oedema/dimpling of the skin; Listening for voice changes. Patients who do so report less stiffness and tightness in years to come. Always go as far as is comfortable. For the first year after your surgery, avoid having the sun on your incision site. Your body's blood calcium level may fall after a total thyroidectomy or parathyroidectomy. No one has ever had a patient with this condition after surgery. Please if anyone has any ⦠It has been almost 3 weeks after surgery and I've just been wondering if its normal to feel tightness around the incision when I stretch my neck as well as neck pain? Neck discomfort and voice change are common complications after thyroidectomy (the removal of all or part of the thyroid gland). Thanks! Posts: 3 Joined: Aug 2009 Aug 24, 2009 - 1:10 pm. ⦠Apply an ice pack to the lower neck the first 24 hours. But most likely the symptoms are due to because of scar ⦠Lump in my neck after Total Thyroidectomy - Thyroid cancer. Please pull the tape off 4 days after surgery. In up to 50% of patients who have a total thyroidectomy, the parathyroid glands do not function properly immediately. Anything I can do to prevent permanent tightness? Your neck is likely to be swollen and may feel hard and numb right after the surgery. There's a slight indent in the one side of my neck where the dissection happened. Two weeks after thyroidectomy, 80% of participants (n = 20) reported at least 1 swallowing-related symptom when prompted by the interview cards; during the open interview, 53% of participants (n = 14) volunteered discussion of swallowing-related symptoms unprompted. I have been on the meds for 6 months now, and about a month and 1/2 ago, I began developing extreme tightness in my throat like a choking feeling, pill stuck-feeling, tightness in the back of my neck and sternum. Most patients go home one or two days after the surgery. In this patient with documented total thyroid ablation but persistent pain, the overall clinical picture ⦠You can shower and wash your hair as usual the day after surgery, but do not soak or scrub the incision. The lateral neck dissection should normally entail levels IIa through Vb and can be done simply by continuing the thyroidectomy, central neck dissection incision laterally within the same skin crease. It may ⦠I had a followup ultrasound of my thyroid ⦠Posts: 4. Location: NY. It's been nearly 8 months since my surgery and I feel worse now than when I was first diagnosed. Garrington. Thyroidectomy and neck dissection. Been to 7 Dr. and no one can tell me why I can get no relief. After surgery, four patients obtained total and permanent relief of pain after subtotal (two patients) or near total (two patients) thyroidectomy, whereas one patient had minimal residual discomfort. Do you perform minimally invasive thyroidectomy? This gives highest TSH, lowest FT4 and most consistent results. Patients can feel tight across the neck area where a scar is forming, and neck exercises can alleviate some of those feelings of discomfort. ase report: We report a case of post- thyroidec-tomy hematoma in an elective surgery done for a large thyroid. This is common and usually temporary. I am two years cancer free so if they tell you they got it all you can only trust it. Their study found that increased hypoparathyroidism appeared not to be associated with incidental removal of the ⦠Can anyone help or have any idea what has happened to me? Roh et al. I had a total thyroidectomy and bilateral neck dissection following a cancer diagnosis in November 2018. Had a total thyroidectomy on Tuesday. The following symptoms were the most commonly experienced after surgery: neck tightness (71%), numbness or burning of the ear (57%), and shoulder discomfort (53%). Your movements ⦠As soon as you can turn your head without pain or difficulty (within about a week), you should be able to resume driving and other daily activities including non-contact sports. I have the same tight, constricted neck symptoms, still, after 6 1/2 years. I've experienced a delayed scar tissue in my neck and tightness that turns out to be nothing and mine had spread into my lymph nodes. Hi All, I had a Total Thyroidectomy in February and Radioactive Iodine in June. It has been found out that in 80 (85%) patients the skin comes to be tinged with healthy pink, the cutaneous-and-muscle tone ⦠tightness in neck. Then the surgeon will use a tiny camera on ⦠5,17 In case of radical central neck dissection, the inferior laryngeal nerve and the nerve branches destined for esophageal region are dissected; an extended dissection ⦠Some patients experience a feeling of tightness in the neck. It can take a long long time, many months for swelling to go down internally, and that might be what you are feeling. I speculated as ⦠I am 4 months post surgery for Total Thyroidectomy. You have sudden abdominal pain. Seems like 2... 3 EXPERT ANSWERS. However, only 8% of participants in this study (n = 2) qualified for a follow-up dysphagia ⦠In thyroid cancer, special attention should be paid to nodal tissue posterior to the great vessels in level IV, as this is a common site for recurrent nodal disease. can make you feel reluctant to move your neck and shoulders. Now 1 year later and still having extreme tightness in neck above the scar area which is red and raised. I believe there are damaged nerves and of course, a lot of flesh was removed. It is normal to have these problems for up to 6 months after a total thyroidectomy. Your arm or leg feels warm, tender, and painful. Provided your wound is healing well, gentle exercises are beneficial to the healing process and will help to prevent neck stiffness. New surgical techniques and especially improvement of devices for sealing vessels help to avoid post surgical bleeding. Post-thyroidectomy patients have a central neck scar. ⦠You have muscle spasms in your legs and feet that do not go away. For at least 4 weeks after your surgery, donât tilt your head backward (as in looking up at the ceiling). DISCHARGE INSTRUCTIONS: Seek care immediately if: You have sudden tingling or muscle cramps in your face, arm, or leg. The hematoma occurred 15 minutes after surgery & was managed success-fully under general anaesthesia. Effect of scar tissue massage after thyroidectomy on neck discomfort and voice changes. The Radiologist's report did not acknowledge any lumps or masses, however my ENT doc and I could see "something" on the ⦠I have a tight band feeling around my neck, feels like a fist in my throat, I have noticed is seems much worse when I am stressed, it affects my breathing and my voice. In Japan, neck exercises are encouraged within 24 hours post surgery.