Anyone experience bad joint/muscle pain post thyroid removal?

Posted by gillsden @gillsden, Nov 11 6:43am

Hi - This may be a strange question, but I had half of my thyroid removed two and a half months ago. Lab work showed that the other half is not doing it's part as far as hormones and I have started Synthroid. I understand that it could take some time to reach a therapeutic level. I am wondering if it is possible for hypothyroid symptoms to get worse while waiting for the replacement hormone to work. The pain in my joints and muscles are severe enough to impact my day. Before I contacted my physician I wanted to touch base with everyone here because you have been so helpful in the past.
Thank you!

Interested in more discussions like this? Go to the Thyroid Cancer Support Group.

@skipeak

I had my thyroid out now 2 tears ago due to Hurthle cancer. It came back in my neck region about 4 months ago as well as moved to my 8th rib. I had focused radiation to both areas in August. Now for the last 4 weeks my leg muscles and joints seem to ache all the time. Not sure of the cause yet. I have a meeting at the Mayo next week for my PET/CT scan to see if the radiation worked. I was going to also ask is these new ache pains part of this health challenge.

Jump to this post

I have Hurthle Cell Carcionoma as well, and opted for a total thyroidectomy in June 2023, a decision I came to after meeting three surgeons. She said this was her recommendation because until you get the nodule out, you don't know if it's malignant, and that my Hashimoto's should be gone with the gland out. (The gland can grow back however). I have always battled and continue to battle a significant number of migraine headaches along with muscle and joint pain due to arthritis that I can't seem to get under control. For the headaches, I have been seeing a neurologist and getting treatments. For the other pain points, my Rheumatologist is suggesting a low dose Naloxone since other medications I've tried do not work. I did have extreme pain in my neck about 6 weeks back and my physical medicine doctor said I was having a flair up in my neck and gave me a steroid pack and PT prescription. Hasn't helped and now I'm going to be getting an MRI of my neck. I also have been eliminating gluten (not good for Hashimoto's) as best I can, cutting back on sugar as best I can, exercising more and alternating ice & heat to pain areas. Maybe some of this will help you if you're not already doing it. I am curious, how did you find out the cancer came back, and maybe tell a little bit about your back story, I'd be curious to understand how you got to this point. I know Hurthle Cell is sneaky, and since that's what I have too, I can't help but feel paranoid when something is different with my pain and overall health, especially when I have aches in my bones. I am praying for you and your doctors to help you through this!

REPLY

I was diagnosed with hurthel cell carcinoma with a TERT mutation in July of 22. I had my entire thyroid taken out as well as 17 lymph nodes in late Sept. The size of the nodule was over 5.2 cm in size and up against the trachea and nerves. My surgery was about 9 hours. He was very careful and tried to get it all. I went on levothyroxine and in Dec same year I had RAI treatment. I had my blood work every three months and was good with baseline numbers up through April of this year but then my TG started rising. They redid the test in June and my numbers were still increasing so they did a Pet/CT scan and found a tumor in L Trachea area and the R 8th Rib. I had radiation in Aug in both areas and now I will be getting Pet/ct scan next week at the Mayo Clinic in Phoenix. Up until this point I was being treated in Denver but have moved to Arizona so I now will be having the Mayo pick up my care. The reason for radiation was both tumors were to small for surgery. Hopefully these test next week will be positive showing that the tumors are gone. I am now diagnosed with stage III cancer sine it left my neck area. I do feel more tired than usual now and my body ached more than it use to prior to the radiation.
Hopefully will discuss with the doctors next week. I’m not sure if this was the info you were looking for but my prayers are with you and I know first hand this is both stressful and a pain to deal with.

REPLY

Hi there,
Years ago I had a modified radical neck dissection with total thyroid removal. I ached in every part of my body for a very long time. It seemed to go forever! It impacted me greatly. The oncologist said it was a common response. Not sure that helps but I believe if you inquire, the reply may be similar. The body goes thru a real trauma. Hugs 🤗

REPLY
@planetsunrise

Hi there,
Years ago I had a modified radical neck dissection with total thyroid removal. I ached in every part of my body for a very long time. It seemed to go forever! It impacted me greatly. The oncologist said it was a common response. Not sure that helps but I believe if you inquire, the reply may be similar. The body goes thru a real trauma. Hugs 🤗

Jump to this post

I have felt more body pain also. My back and joints are perpetually sore.

REPLY
@koh

Thank you. I changed doctors when the doctor stopped listening and continued to want to increase medication to “keep your TSH number very low.” Tirosint gave me an extreme reaction where I thought I was having a stroke and the next doctor wanted to try the liquid version…..I had the same extreme reaction! I have had my doctor tell me how everyone seems to tolerate Synthroid well, when I told her about my side effects. I do not trust a doctor who does not listen to their patients side effects when the side effects interfere with living. I trust doctors who listen to their patients and try to come up with possible solutions. When the medication was stopped and the issues went away, I concluded that the medication was causing the reaction. Unfortunately, I need to take medication but have had a lot of difficulty getting a medication and dosage that helps with hypothyroidism without causing the negative side effects.
I should mention that I have had a history of having side effects from medications, as did my father and Grandmother, so I assume it’s something genetic. I do not tend to take a lot of medication unless necessary and am only on Levoxyl 5x’s a week; so any reactions would be associated with this medication.

I continue to see the Endocrinologist at the cancer hospital, who is trying to help me get my medication regulated, however I am not having as much success finding an endocrinologist outside of the cancer hospital. I am hopeful that the specialist with Hashimoto will put me on the right path.

Jump to this post

I’m having similar problems. Sensitivities and strong negative side effects to all the thyroid medications. Been hypo for over 30 years, sensitivity is new.
Have you resolved it yet?

REPLY
@mlaw4142

I’m having similar problems. Sensitivities and strong negative side effects to all the thyroid medications. Been hypo for over 30 years, sensitivity is new.
Have you resolved it yet?

Jump to this post

Unfortunately I haven’t gotten all the issues resolved, however things have improved. I am currently still on 50mcg of Levoxyl 5 days a week. I had been taking the weekends off, however my new Endocrinologist said that I seem to very sensitive to the slightest medication changes, so maybe the two days off in a row are causing some of the side effects. I am starting a new schedule of skipping Saturday and Wednesdays to see if it helps eliminate some of the side effects. It is tricky!
One of the pharmacists told me that the Pharmaceutical companies can change their formulas and they do not have notify anyone. Changes to the fillers and the location the medication is produced, can be changed and can result in people having sensitivity reactions, however since it is not the active ingredient they do not have to notify people.

I was also referred to a Rheumatologist to see if there is another reason for the negative side effects. Good Luck!

REPLY

The FDA has to approve any generics so if you search for FDA approved versions of < name brand drug>, you can find the list of them, including the manufacturer, and links to the ingredients list. It is interesting how the fillers / nonactive ingredients vary between manufacturers. But the tough part is how do you know which one(s) you're sensitive to.... I guess we just have to do a lot of trial and error unfortunately

REPLY
@lilacs777

The FDA has to approve any generics so if you search for FDA approved versions of < name brand drug>, you can find the list of them, including the manufacturer, and links to the ingredients list. It is interesting how the fillers / nonactive ingredients vary between manufacturers. But the tough part is how do you know which one(s) you're sensitive to.... I guess we just have to do a lot of trial and error unfortunately

Jump to this post

Tirosint has no fillers. It is the only really clean thyroid medicine that I know of. Having medication compounded is another option . That also puts you in control of the fillers. You may need your Dr. to write a letter why you need Tirosint to get it covered.

I’ve tried every thyroid medication and tried all kinds of ways to take it, split doses, nights skip days, very low dose, and I get negative reactions. (Even Tirosint)
Currently my side effects are: extreme heat intolerance, sweating, extreme irritability and heart palpitations even using metoprolol. I feel better when I don’t take any meds but blood shows I am hypothyroid without meds.
I’ve searched and searched for anything written about this and only found one case study.
I am hypersensitive to most depression medications as well. They cause me to tremble within 8 hours of ingestion even just one pill.
I’m hoping to find someone out there that has this too and hopefully resolved it.

This is new. I had been able to take the meds for many years but I can’t say I ever felt my body was using the medicine. I had all the classic hypo symptoms and while my bloodwork looked good I can’t say that I felt well.

REPLY
@lilacs777

The FDA has to approve any generics so if you search for FDA approved versions of < name brand drug>, you can find the list of them, including the manufacturer, and links to the ingredients list. It is interesting how the fillers / nonactive ingredients vary between manufacturers. But the tough part is how do you know which one(s) you're sensitive to.... I guess we just have to do a lot of trial and error unfortunately

Jump to this post

Thank you for replying 😊

REPLY

I had a lot of pain in my legs....cramps, electric shock like pain as well. It was from low calcium. Once I started on calcium and vit D I felt better.

REPLY
Please sign in or register to post a reply.