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Still having issues 4 months post op ACDF C4-C6

Spine Health | Last Active: Jun 20 4:32pm | Replies (26)

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@rbcookson

Jennifer, I am at the end of week 7 post-op. My biggest concern was being unable to swallow satisfactorily after surgery. At 6 weeks post-op I saw a speech therapist for dysphagia, and she noticed how tight the right side (same side as my incision) of my throat was compared to the left side, and ordered a barium swallow test. She thought my swallowing problem may be due to either swelling of my throat or to scar tissue from incision. Anyway, the swallow test had to be postponed this week because she was out of town and wanted to be with me during the testing. In the meantime, I began to very gently massage the really tight muscles that began up closer to my chin (not the ones farther down below where my new disks had been implanted), and then two days ago I noticed that the right side of my neck had become much softer and for the first time I was able to take my pills without any major problems, and I even got down a larger nutritional supplement, which I hadn't taken since my surgery. I have concluded that my swallowing problem was the result of swelling after surgery, which brings me to another issue. The night after my surgery, I had a nurse who was wonderful about making my pills into a smaller or in some cases even a powdery form, which she mixed up with chocolate pudding. Then the next morning, she was replaced by another nurse who while I was too groggy to really know what was going on, put all of my pills into one cup of chocolate pudding and fed it to me. I, not understanding what was happening, bit down on one medication that not to be broken apart, and just the liquid from it got down my throat and caused me to violently throw up. Needless to say, when I finished throwing up, I asked the nurse why in the world she gave me the pills like that and she told me that was how she always her patients their pills, even ones right after ACDF surgery. Then she told me that, albeit unconscious at the time, I shouldn't be having any problem taking the pills because I was able to take all of them with just water when I first arrived in my room, which implied my problem was just an emotional one, not anatomical one. Now that I have figured out that my problem swallowing, that I have had until recently, was related to swelling in my throat, causing my muscles to be too tight. Therefore, I am guessing that the reason I was able to take them when I was first out of surgery was because my throat had not swollen yet. Anyway, that was the only bad experience I had while at Mayo. Everything else was wonderful!

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Replies to "Jennifer, I am at the end of week 7 post-op. My biggest concern was being unable..."

@rbcookson Thanks, for your update, Robin. Yes, the surgical scar tissue does tighten up and will continue doing that as you go forward. I periodically stretch the skin on my neck by pressing down with my hands to stretch the incision out. Right now, it is early for you, so it would be too soon to do aggressive stretching since your incision has just healed. I think you are right about swelling being a bit delayed and that it caused the swallowing issues. It makes sense because you had several levels done. At some point, you'll probably see a physical therapist who can help with stretching and rehab for your neck. I remember the night after my surgery, I felt a spasm like a dagger being put down my throat and I was having trouble breathing. I used my nebulizer for asthma and improved that or I would have taken myself to the hospital. We were at the hotel for a couple extra days in Rochester just in case. I wasn't clearing the phlegm well after the anesthesia and ended up with a chest infection and antibiotics 5 days after my surgery when I was back at home. That was due to a physical problem I have where one side of my chest is tighter and wasn't expanding as much and more phlegm production due to anesthesia. I'm glad you thought Mayo was wonderful! I agree!

Jennifer

Good morning to rbcookson! I read your post and was motivated to re-read my post-surgical dairy (I suggest you maintain one yourself) to gain perspective on the swallowing struggles you're experiencing post-ACDF. I didn't see how many levels you had? At any rate - it was at the 5-6 week point (per my diary) that I noted a marked improvement in swallowing ability. I'm now 7+ months post ACDF (4-level) and swallowing isn't of any concern. Point is - you will turn a corner soon and be able to focus on something else. Wishing you the best!

@rbcookson Robin, how are you doing with your recovery since your spine surgery? I'm just checking in and I hope you are doing well.
Jennifer