I used regular tylenol only immediately following surgery and upon returning home. Below are general instructions for patients who have had thyroid or parathyroid surgery. This was another full day at Madigan because it takes 4+ hours just to get through the line and get through the Pre Admission unit. My surgeon has me taking 500mg calcium with vit.D along with Tums for my parathyroids (they were left intact during the surgery, but my doctor put me on the calcium as a precaution). mcg of synthyroid. My recovery is going well, however, I'm having tingling in my fingers & hands. That said I had this horrible monkey on my back for weeks and I really couldn't shake it. I also had a Nutrition Seminar on the 28th and found out that some of my energy, pain problems might be related with my Vitamin and Mineral levels. Everyone was extremely professional, everyone was very nice. At 21yo, fairly advanced cancer (luckily only papillary w/ follicular variant) was about the last thing I was expecting, so that was definitely a fun little discovery. Side effects of thyroid surgery are common and include neck pain, a sore throat, difficulty swallowing, hoarseness, and temporary hypoparathyroidism that usually resolves within a few weeks. 18 October. When I got home around 2pm Tuesday I had never felt more comfortable in my house. She gave me a few homework assignments Head and Eye (vor), some walking exercises and habituation (brandt-daroff) exercises We got to know each other, and exchanged some friendly banter on a variety of topics including football and hockey. If they kept me overnight, the plan had always been for him to go home for the night. That said, I was in very little discomfort and did not even feel that much of a sore throat. I also felt myself getting hungry which was a good sign. I still do have some hearing loss in my right ear but it is not something to worry about now, although they say in the future I may need a hearing aid. Most people start to feel recovered in 10 to 14 days. Swallowing discomfort. Now, the scar. The ENT said I didn't need a biopsy because my nodule was so big and he recommended to just do a total thyroidectomy (TT). Post thyroidectomy neck pain after endoscopic thyroidectomy. At home I had only pain pills (as needed) and Motrin (every eight hours) no more IV pain medication. Both surgeons recommended almost the exact same treatment plan. After the physical therapy I will probably be attending my first cancer survivor group at Bremerton Naval. Results: So, I might be called to come in early. and transmitted securely. I don't know where it is. Due to this, I strugelled for over 2 weeks with swallowing. I'm considered low risk for recurrence. Hi! Keep a log of questions. He also set me up with some Blood tests and put in the recommendation for a full Sleep Apnea study in Silverdale. Another good point I did not have any hiccups from this surgery. Next for me is probably clinical trials for this lung stuff + more lymph node removal down the line since those are growing back, but for 95% of you that's not something you'll be having to deal with:) But basically my point in all this is that it doesn't have to be as scary as it's sometimes made out to be. Anyway, I was in a pretty good mood and was really pleased with how I generally felt and was ecstatic the surgery was over. I read that thyroid cancer has a 95% cure rate and 30% reoccurrence (is this true?). However, such measures have not been evaluated by randomized controlled trial . 5 May 2011 1 year out from treatment (for radiation) We talked a bit before he left (he's a great guy and a better doctor). I think my voice was the last thing to come back, but after 3 weeks that was fine as well. She was right, the yogurt was a snap to get down while the apple juice was really painful. I knew something was wrong last June 2014 talked to my doc about a strange pain in my neck. ; Hemithyroidectomy or thyroid lobectomy: This involves the removal of one of the two lobes of the thyroid gland. I have been drinking a lot more water because of the dry mouth condition and always wake up with an extremely dry mouth. Complementary and alternative therapies for back pain II. So frustrated and all alone - 2nd guessing what Dr's have done and why. At right about that time he came in with a transfer team and a shot of midazolam. Mid summer I saw and felt a lump on the right side of my neck. and his team (same group who did the right one). All assured me that I would be in good hands and they would see me in a few hours. Stretching exercises vs manual therapy in treatment of chronic neck pain: a randomized, controlled cross-over trial. I know the levels that I'm supposed to maintain at are different from those of normal people with a thyroid and no cancer history. I had quit my job to start graduate school last fall and then had to defer my graduate program to next year because I couldn't continue during the winter quarter. Chronic postoperative pain exists in varying degrees for every type of surgery. Every step of the way I've made sure to get the best of the best, and so many times I've gone to new specialist who have said "you're so lucky you had the surgeon that you did, because he's the best of the best and did a fantastic job". "Neck pain and discomfort scale" and "Patient and Observer Scar Rating Scale" were applied again in both phone calls. Everything is looking good cancer wise they will tell me more in December when I meet with my endocrinologist. Complications are much less common and can include neck bleeding, permanent hypoparathyroidism that requires ongoing calcium replacement, and damage to . As soon as you can turn your head without pain or difficulty (within about a week . They seemed as entertained by me as I was them, since most of the patients are far more groggy. Some people are put on T4 when they leave the hospital. Appreciate any help on this. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. This is normal. She stated that they would not give me a definite Clean till I am 1 year out of radiation treatment. 1) When can I start running and exercising? Finally, I told the nurse I was overheating and she suggested taking off the leg squeezing devices. During RAI (I had some lympnodes 1 or 2 not 100% sure) take up Iodine, plus had some small growth in thyroid bed which may be non cancerous. The day of surgery I was scheduled for 2pm arrival and a 4pm surgery as an outpatient. 30 Nov 2011 Official Retirement from Navy. The effects of cervical kinesiotaping on neck pain, range of motion, and disability in patients following thyroidectomy: a randomized, double-blind, sham-controlled clinical trial. 8600 Rockville Pike At last a surgeon came in and had me sign the forms. Care and Management of Voice Change in Thyroid Surgery: Korean Society of Laryngology, Phoniatrics and Logopedics Clinical Practice Guideline. One local and one about 50 miles away at a major teaching hospital. From there I went my 2nd physical therapy appointment, I am getting more movement in my knee and overall the pain is less, He also suggested some things I could try to help my balance while I was waiting for vestibular training to be fully approved by Tricare and setup. It's a mild annoyance to have to take it every morning, but I feel exactly how I did pre-surgery, and was able to go back to college and get through my hardest semester ever with no feelings of fatigue or anything. Suffice to say, I was a total and complete mess. In late November I realized I was getting mild depression and my workouts were getting harder to do and basically was running out of energy. There is all kinds of chaos going on around the ICU as well, which is understandable since many of the patients in that unit are in extremely poor health and have important needs. Clin Exp Otorhinolaryngol. You might also have to take supplements after thyroidectomy to balance your calcium levels. 1) July 21st went to an ENT for sore throat, bad pain when i swallowed, and what I thought was a swollen lymph node, and he told me that is not a lymph node but my Thyroid and I really need it checked. Before my thyroidectomy I experienced ear pain on and off, where it felt like a sharp, stabbing pain around my left ear. In general, thyroid surgery is well tolerated and the vast majority of patients will have a smooth recovery. NSAIDs and duloxetine was not effective for these symptoms. Stiffness and soreness greatly diminishes almost to the point of none at all. The hospital said I could return to work after 2 days of isolation but my doc said 7 days ( I work with kids and have 2 kids). Voice affectations after thyroidectomy thyroidectomy surgery side effects 1 Week Post-Op Total Thyroidectomy Had total thyroidectomy Major problems after total Thyroidectomy, very scared =(chest tightness, headache, fatigue - post thyroid surgery Problems swallowing after thyroidectomy. 2019 Dec;98(51):e18309. And yes, I know it could have been worse. I called the Mayo Clinic (all three branches MN, AZ and FL), the University at Loma Linda California, UC San Diego, UCLA, UC Irvine, The University of Miami, Baptist Hospital Miami, Jackson Memorial Hospital Miami, The Texas Institute of Thyroid and Para Thyroid Surgery (Dr. Kuppersmith) and am sure a few more that escape me right now. The initial clinical suspicion pointed to a haematoma, but a needle aspiration showed chyle. You can get angry or upset if you want, but in the end it is what it is and you got to just keep pushing along with your life. The quiet house has really helped me get better quickly. At 6pm when I still wasn't in surgery I had them phone him and he was just arriving in the lobby. I know lots of people have little kids- my dose was small and I am still a danger to people at 8 days out. That seems crazy low, is there any benefit at < 0.1 vs < 1.0? Besides a surgical scar in her neck, a physical exam was notable for left upper lid ptosis and anisocoria with the left pupil having a smaller diameter than the right (Figure 1, lower panel). Some of what I posted before was right after surgery via my smartphone. I did the thyrogen shots instead of going off of my synthroid, so if you have that option, would 100% do it. Stretching exercises to reduce symptoms of postoperative neck discomfort after thyroid surgery: prospective randomized study. I'm dizzy like I'm drunk and nauseated. I had a Total Thyroidectomy around 9 weeks ago for FVPTC, then they ran me hypothyroid for 6 weeks and pushed TSH over 100, then did my RAI 3 weeks ago. One less medical appointment set to have to worry about Accessibility Everything was great up until the Packer game that didn't go so well for me (much better for the Bears fans around here I could hear cheering). On the 18th of June I went back to Dr Ch., Endocrinology at Madigan for follow-up on my CT scans and to check the balance on my thyroid meds. The bottom line is that as soon I said I'd had a positive FNA and that the nodule was greater than 1cm I was told no. 29th of July. Another thing I get to consider is that when I get dizzy my knees tense up and start hurting a lot more so now that I am doing the Vestibular training I will be having more knee/leg pains. Get the latest news and education delivered to your inbox, Receive an email when new articles are posted on, Please provide your email address to receive an email when new articles are posted on. Mine was 10-11 hours and I came out with a scar in the shape of a "U" that goes from ear to ear. I slept in this morning until about 8:30 a.m. and am happy to report that I'm feeling a lot like myself. I also felt extremely nauseous (although I did not vomit). The surgical pathology reported a 5 cm papillary thyroid cancer in the left lobe of the thyroid with lymphovascular invasion, microscopic positive surgical margins, with five of 59 positive lymph nodes (two left level IIA nodes, one Delphian node and two level VI nodes). I resumed my mental health appointments with Dr E. on the 24th of May. When I tilt my face upward and try to swallow, this discomfort is magnified. The https:// ensures that you are connecting to the I have heard some things from Dr's here I question a little bit (As I told some people before no low iodine diet was ever recommended etc although I did a 5 day extreme low one so . ). I did not receive a call, so, I showed up at the appointed time and was taken back to pre-op at almost exactly 2pm. October 26th it has been a few weeks since I had physical therapy for my knees and I admit my knees are not hurting as much as they were before I started but work has not had workouts for the past 2 weeks so I havent been stressing my knee either. 2003 May 21;289(19):2509-16. doi: 10.1001/jama.289.19.2509. Over the course of 2 years or more I've been from Doctor to Doctor including my family doc, allergist, gastronologist and orthopedic specialist. You will experience some discomfort at the incision site as well as a raw or sore throat from the breathing tube that . Before my thyroidectomy I experienced ear pain on and off, where it felt like a sharp, stabbing pain around my left ear. On March 8th I had a full eye check and they gave me a new prescription for glasses along with noting that I should have more frequent eye checks (6 months a year) do to the fact that thyroid issues can cause vision changes. Waiting on that was probably the worst part, as I felt like I had been released from a jail sentence (I've never been in jail but I assume it's like this) but not being unlocked from the cage. It continued for maybe a couple of weeks and always took me by surprise. Surgery was over at about 8:15 and they decided to keep me overnight because my calcium levels wouldn't be back until way late. I also feel much more anxious and depressed. On October 4th I had my first appointment with Su., the nutritionist, and she told me that looking at what lab results were in the system that my calcium, magnesium and potassium are all low. Post-Operative Instructions for Parathyroid Surgery. She did not develop other complications of thyroidectomy, such as bleeding, wound infection, vocal cord palsy or hypoparathyroidism. After the shot of midazolam, I was willing to put the gown back on along with the anti-clotting boots. I know some of my mom's friends who have had it done that were out running a few days later. I am 27 years old and was diagnosed with papillary thyroid carcinoma in December last year. Then, they hit me with propofol and the lights went out. I had to make a decision. The tonsillectomy was pure hell! It was another small blow knowing that I had 2 types of thyroid cancer not one. Patients who undergo thyroid surgery frequently suffer from unpleasant symptoms such as a stretching, choking, or pressing feeling or discomfort in the neck for a long time. As my health slowly improves I am starting out my workout regimen again and slowly building my strength back. This was nice because I now had an idea of the surroundings I would be in when I woke up from surgery. The scar is 5cm long and as of now looks good. Every now and then my salivary glands hurt a bit massaging them helps. I remember my throat hurting pretty badly. Now though my right knee has been making me limp a bit for the past few weeks will have a Dr Appointment while on convalescence leave. So the procedure was to do partial thyroidectomy, and biopsy during surgery, then removed rest if cancerous. I went to bed and slept until 445 am when I took some Tylenol and went back to sleep until 730am. That was attributed the nodules and the cancer. The only problem I had with the surgery was hiccups that lasted about 10 days, I was told this was due to the tube they put down your throat during anesthesia. The week of the 20th to 25th I had my first run-through of TAP class, there is so much information they give you there I am so glad I can go again prior to retiring. Given that I had what my doctor (the top thyroid surgeon in the region who does hundreds of surgeries a year) said was the biggest surgery he had done all year, my recovery was much worse than what most peoples should be. Parathyroidectomy cures almost all cases of primary hyperparathyroidism and returns blood calcium levels to a healthy range. That's a nice way of saying they put it in a neck wrinkle. Ylinen J, Takala EP, Nyknen M, Hkkinen A, Mlki E, Pohjolainen T, Karppi SL, Kautiainen H, Airaksinen O. JAMA. My voice sounded horrible for about 6 weeks and I have weakness on one side of my vocal chords. Minor differences in their approach. The terror at night is gone, I'm feeling calm and back to myself. I was downing water like crazy as well, which helped but also was a double edged sword of making me need to use the restroom quite frequently, which was a chore with all the monitor wires attached. As a complete aside, that bair paws gown they'd put me under was starting to heat up like turkey in a browning bag. It was pretty awful. government site. Some may be from my Saliva glands, but THyroid bed feels sore for sure. On Feb 25th I had the first visit to mental health but do to the fact that my hearing was as bad as it was along with the recovering from surgery I was rescheduled for a later time. My family members tried to reassure me that everything would be ok, but I just couldn't stop thinking thoughts of "what if I don't wake up," "what if I do wake up," "what if they find something incredibly bad inside." Find other members in this community to connect with. Sent us home & said if it happens again that we need to see the ent in cleveland. I didnt get to see the Drs who did the surgery the Dr I did see told me to hold off on the CT scan and to go back to it if the vestibular training doesnt work. It kind of made me mad and I felt a bit taken advantage of that during a time of such crisis they were asking for payment up front. As an example, one surgeon said he wouldn't do the surgery without intraoperative nerve monitoring of the recurrent larynegal nerve and the other said he thinks it's a waste of time to use the nerve monitor. I am hoping against hope that I can build my endurance with regular exercise. Ylinen J, Kautiainen H, Wirn K, Hkkinen A. J Rehabil Med. I'm no singer but I do talk too much, so I was really worried I wouldn't be able to do so for an extended period of time. Before my thyroidectomy I experienced ear pain on and off, where it felt like a sharp, stabbing pain around my left ear. MeSH 2010 Oct;(194):1-764. Damaging the nerve is possible on infrequent occasions. When comparing neck pain and disability scale (NPDS) scores, neck sensitivity and pain with neck movement before thyroidectomy, after 1 week and after 1-month time-points, it was found that patients experienced significantly less pain and disability in the stretching exercise group than the control group (p < .001). He currently thinks they are looking good at the level I am at and wants to wait till December before he adjusts them. I had my TT exactly 2 weeks ago. To analyze the effect of neck stretching exercises, following a total thyroidectomy, on reducing neck pain and disability. So, I was drifting in and out. I'm sleeping over 14 hours+ a day, I'm shaky, chills off and on, but no fever. My blood pressure which normally is very normal (120 to 125 / 80 to 90) was spiking at that point at 160 over 105 and I know it was just anxiety and ativan would have helped. My personal torturer is U. and he is defiantly good at his job of making me hurt for an hour + so I feel better later. Argue with people or agree with people, agree to disagree if that's what it takes to get you through this. Jon. The first time I did it at 75mCi and the second time at 200mCi (lung nodules don't seem to uptake which is annoying, so we tried to hit them with a bunch). Nov 2009 through Oct 2010. An anyone please tell me about possible salivary gland infection, after thyroidectomy and RAI in December 2017. We also scheduled appointments for me with the same nutritionist that S. has been using for her weight loss. RAI was the next thing that worried me, but once again, I found that it was overly emphasized online. 2. The stretching exercise group learned the neck stretching exercises immediately after total thyroidectomy. 5) Biopsy report came back showing 2cm+ Papillary - w/ follicular variant, and Lymphocascular invasion, but completely contained in Thyroid. April 2nd Madigan Surgery Stapendectomy was performed on my right ear. This is upsetting to me because everyone said I was safe to have normal contact with my kids at 7 days ( hospital said 2). Injury: Trauma and other injuries can damage muscles, ligaments, disks, vertebral joints and nerve roots in your spinal cord and lead to neck pain. People with a history of keloids (excess scar tissue) may experience more scarring after thyroid surgery. Show quoted text. The other doctor did about 45 thyroidectomies per year. But 100% the greatest advice I can give is to make sure you have the best doctor you can get. National Library of Medicine Any suggestions will be greatly appreciated. He is now also seeing a doctor at cleveland clinic who specializes in thyroid cancer. Keywords: Are you sure you want to block this member? The Impact of Post-Thyroidectomy Neck Stretching Exercises on Neck Discomfort, Pressure Symptoms, Voice and Quality of Life: A Randomized Controlled Trial.
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