Relief from Radiation Fibrosis Syndrome
Had SCC on the base of my tongue and a couple of lymph nodes in 2020 and was treated with radiation and chemo. Like many of you, I had pretty severe fibrosis in my neck.
In the past month, I had a combination of 2 treatments at Mayo in Phoenix. First, I had Botox injections in my neck to relieve some of the stiffness in the muscles. Those were followed up with a surgery called fat grafting, where they harvest fat cells from your body (belly for me), and inject those cells into your neck to soften the fibrosis. They also breakup some of large fibrotic cords. It has relieved just about all of my pain and much of the stiffness.
Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.
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@krayh if you look on their website you can see how to try to get in. Phone numbers are hard to get at Mayo, but the department that performs fat grafting is the plastics surgery group.
If need be, tag me in a message and I can figure out how to get the names of folks that I helped me.
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1 Reaction@56tburd I just created an account to connect with other people having long term complications from the radiation therapy that saved my husband's life. His baroreceptor function was so messed up for too long and his doctors were not comfortable with the newer Barostim device. So he suffered and his heart was so affected by the BP fluctuations and overreaction caused by the ANS dysfunction over the years that he just had to have a pacemaker/defibrillator device implanted a week ago.
His cancer treatment was in 2012 so it's been 14 years of one health condition after another. Still though, he's powering through because he's "Always a Marine" and I'm grateful he's still here with me.
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3 Reactions@mwpcaretaker Semper Fi to your husband. It's been quite the journey, and the baroreflex issue has definitely been a complication. Just when I think I have it under control, I am greeted with a ridiculous BP reading. When I first learned of it, one cardiologist told me I wasn't his bread and butter, and another told me I'd have to learn to live with it. I'll be seeing another cardiologist soon as I've developed more complications. Research suggests having an autonomic specialist on my team. I'm still looking into that. One great source for the latest research is Google Scholar. Good luck!
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1 Reaction@56tburd I tried to get him into Vanderbilt Autonomic Dysfunction Center because they list Baroreflex Failure as one of the disorders they see people for, but after almost a year of being unable to get him in, we moved on to seeking other treatment.
Besides wild blood pressure fluctuations, he began having overreacting fight/ flight symptoms. Sometimes just a minor startle reaction caused so much cortisol and adrenalin release that his BP would shoot up, face turn really red and sometimes not able to form words correctly. The first time I saw that, I was really afraid he was having a stroke because he didn't realize his words weren't correct. I understand what that was now and we try to avoid anything that could cause a reaction like that again.
I'm not a doctor but I'm POSITIVE the constant strain on his heart of the fluctuating BP and stress reactions is what caused the heart failure of unknown origin that his doctors called it.
It seems like it's always something new to add to the list. I'm sure it seems that way to you also...
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1 Reaction@mwpcaretaker Semper Fi to your husband from me as well (USMC 1989-93). I’m 3 years out from surgery, chemo and radiation on my left side of my neck. No major complications so far other than mild fibrosis and lymphedema but I’m apprehensive about the years to come reading about others long term struggles. Thank you for sharing his story. It seems to me the same folks that help save our lives don’t have much to say about long term radiation effects. I want to be proactive and do everything I can to minimize them.
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4 Reactions@mwpcaretaker I'm currently taking 100mg Labetalol first thing in the morning and 400mg at night. I have on hand .1mg Clonidine to offset hypertension spikes and 5mg Midodrine to help with hypotension lows. It took a long time to come up with this combination, but research now supports it. They suggest it can't be controlled, rather to treat the symptoms for quality of life. So far it has helped even though I still experience exaggerated highs and lows. It sounds like your husband's condition is a challenge. I hope he finds what works for him.
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1 Reaction@smittyfromcuse Semper Fi (1975-78) I'm 20 years out and have been quite fortunate compared to many, including my sister. I have found excellent advice here that I was never told about, so things are improving. Hopefully, you will have minimal problems and learn to live with the rest as I have had to do. I just remind myself that I survived a deadly disease and carry the scars to prove it. Good luck!
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2 Reactions@smittyfromcuse just read your message to my husband (he's from the 'cuse too!).
He said to definitely be proactive with movement therapy and anything to keep ahead of the long term effects, which are different with everybody. He's got an awesome radiation oncologist that he sees every so often still. I asked Doc about all the long term effects, as I didn't know that radiation effects continue long after the treatment. He told me that, back in 2012 when my husband had treatment, doctors did not want to overwhelm a patient with the future effects. It seems now that more information and studies are being done, hopefully, people can benefit from ongoing treatment starting early instead of later.
His area of treatment affected several other structures of the neck, including destruction of small blood vessels He actually has small spots of damage on the cerebellum where blood vessels disintegrated. This causes him to feel dizzy almost all the time.
Being proactive and aware of what possible long term effects you might have is the best way to keep them from affecting you.
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4 Reactions@56tburd my husband was also '75-'78!
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1 Reaction@krayh, to get an appointment at Mayo Clinic, you can start here: https://mayocl.in/1mtmR63
You can self-refer or get your physician to submit a referral.