Hello @roadtecguy and welcome to Mayo Connect. Are you seeing your medical team regularly with these issues? I would reach out to them and ask for more help in managing pain and swallowing. Perhaps a PEG tube thru the stomach wall would allow your throat to rest and heal. I know a lot of people need physical therapy with a swallowing specialist. It doesn't sound normal to have so much pain at this point so follow up with the radiation team and see how they can help. Radiation damage is a continuous issue even years later for many of us.