Nasopharyngeal cancer (after radiation)

Hello,

My father did radiation for Stage 1 nasopharyngeal cancer when he was 55 (2004).  Ever since then he has been having back and neck spasms (severe) to the point where he cant sleep at night.  His tongue has been deteriorate as well.  Shrinking further back into the mouth and severe numbness where eating/drinking is a HUGE problem.  I was wondering if anyone knows of any treatment or drug trials that may help with any of these problems?  Already tried Botox (which seems more harmful than useful).  Hyperbaric Oxygen Treatment didnt work either.   It is heartbreaking to see him like this and there's nothing that I can do for him.  :(   Thanks in advance!

Comments

  • hwt
    hwt Member Posts: 2,328 Member
    Sorry to hear

    Sorry to hear of your Dad's late effects 10 years post tx. It's just crazy what this can bring on. My cancer was different and I'm sorry I can't offer any suggestions but don't give up looking for the answers. 

  • Goyca
    Goyca Member Posts: 220
    I'm sorry ur dad has to go

    I'm sorry ur dad has to go through this now, after such a long period of time. I'm not familiar with ur dad's case, I'm sorry I can't give u information, but I pray he gets the right treatment and feel better.

     

    good luck.

  • debbiejeanne
    debbiejeanne Member Posts: 3,102 Member
    i can't offer any advice but

    i can't offer any advice but i will be praying someone is able to provide you with some solutions to the problems.  it is hard to see what cancer does to us even long after tx.  i pray that while they are looking for a cure they will also continue to improve the brutal tx for this nasty disease.  in the meantime, don't give up trying to find answers.  they may be out there.  praying for you and your dad.  i'm glad he's got you looking over him.

    God bless,

    dj

  • polystone2014
    polystone2014 Member Posts: 59
    Sorry to hear this

    I suggest you ask your doc. I will pray for your father.

  • Hondo
    Hondo Member Posts: 6,636 Member
    NPC here too

    I am right at 12 years passed the first treatment and 10 passed my second, side effects will get worse as the years go by but there is a lot that you can do. He needs to be doing daily stretching exercises of his neck and tongue, he can contact his doctor and maybe they can help him to see a therapist who can help and show him what he needs to be doing and the correct way to do it. Please continue to post here on CSN and we will do all we can to help.

     

    Welcome to CSN H&N

    Hondo   

  • aisha
    aisha Member Posts: 8
    Sorry to hear about your dad.

    Sorry to hear about your dad. I am a cancer survivor of 12yrs. I have the same type of cancer as your dad and are going through some of this issues. I 'very lost my voice and had vocal cord spasm. I went to see a neurologist and just started new med Gabapentin. Seem to help the spasm. Having issues with swallowing and speech too. now I have a feeding tube and doing exercise. My speech therapy think this might help but we'll see. 

    I would suggest to try seeing a neurologist. Who knows it might help. Good luck

  • dadio
    dadio Member Posts: 3
    acupuncture?

    When I started reading your thread I was about to say Botox for the neck but it seems you have tried that and then you mentioned HBO.  Botox has reduced my neck pain (not eliminate), definately need daily streching maybe even twice a day.  Did you give Botox time to work? it usually takes 2 weeks to kick in.

    Also I was thinking maybe acupunture or maybe chiropractor.  You have to remember our problems dont have simple easy quick solutions, they require time and patience.  Radiation does severe deep damage to the point that it even restricts blood flow to the area.  No blood flow, no oxygen, no food, no healing.

    Here is a really crazy idea - esential oils.  Talk to some naturalists about oils.  I use peppermint oil on my neck and shoulders to take the pain away and it works in minutes (and it smells wonderful).

  • fi2oggy
    fi2oggy Member Posts: 2
    dadio said:

    acupuncture?

    When I started reading your thread I was about to say Botox for the neck but it seems you have tried that and then you mentioned HBO.  Botox has reduced my neck pain (not eliminate), definately need daily streching maybe even twice a day.  Did you give Botox time to work? it usually takes 2 weeks to kick in.

    Also I was thinking maybe acupunture or maybe chiropractor.  You have to remember our problems dont have simple easy quick solutions, they require time and patience.  Radiation does severe deep damage to the point that it even restricts blood flow to the area.  No blood flow, no oxygen, no food, no healing.

    Here is a really crazy idea - esential oils.  Talk to some naturalists about oils.  I use peppermint oil on my neck and shoulders to take the pain away and it works in minutes (and it smells wonderful).

    i feel terrible knowing that

    i feel terrible knowing that others are going through the same thing.  im so scared thinking about my dad being on a feeding tube and not able to speak to me one day.  but it seems inevitable at this time and all i can do is prep for it....

    my dad has tried acupunture on his neck, back, and on his tongue.  it didnt seem to work either.  :(  

    i know hes been going to a doctor for shots to minimize the spasms.  but not sure what its called.  i will get a more detailed report to share with you guys.

    I will try the essential oils and look into gabapentin.

    Thanks for all your thoughts and prayers everyone.  You guys are in my prayers as well.  :)

     

     

  • Rwan
    Rwan Member Posts: 10

    Hello,

     

    In 2012 i had a treament for stage 4 NPC 36 years old.Chemo and radiation completed in 2013.  i think i'm having now the same issues like your dad,sleeping problems and nesck spasms. I just started to get worried to know how long it will be continued,what else i can do to have less neck pain.i only do some massage therapie and that help some time temporary. i'm not sure if these symptoms are due also to the cold weather. let me know if you found any treament that is helping your father.

     

    Regards,

     

    Phil

  • debbiejeanne
    debbiejeanne Member Posts: 3,102 Member
    Rwan said:

    Hello,

     

    In 2012 i had a treament for stage 4 NPC 36 years old.Chemo and radiation completed in 2013.  i think i'm having now the same issues like your dad,sleeping problems and nesck spasms. I just started to get worried to know how long it will be continued,what else i can do to have less neck pain.i only do some massage therapie and that help some time temporary. i'm not sure if these symptoms are due also to the cold weather. let me know if you found any treament that is helping your father.

     

    Regards,

     

    Phil

    Hi Rwan. I'm sorry you are

    Hi Rwan. I'm sorry you are having problems.  seems radiation loves to keep on giving, unfortunately.  if i were you, i'd copy and paste your post into a new topic so everyone sees it.  you will get a better response that way.  i hope you get some answers and the pain goes away. 

    God bless you, Phil.

    dj

  • sonner68
    sonner68 Member Posts: 3
    I have been having back and

    I have been having back and side spasms as well lately and I guess didnt think about it being from the treatment. It has been startling to me that it happens since it has never ever happened in my life.

  • francma
    francma Member Posts: 69 Member
    Hypoglossal Nerve damaged from radiation

    Hi! I am 4 yrs out since March. A year ago my tongue became deviated. Had severe head pain for three weeks and within a couple of days my tongue deviated to the right. Had Catscan and two MRIs since...seems to be a late effect of radiation. Food is sticking to the back of my throat....learned to hack it up..gross..sips of wAter with each bite. Applesauce works great too, especially swallowing pills. Recently saw my rad onc and is trying a new med and vit E to see if can help with the scar tissues from radiation. Not hearing too many people with this problem...possibly two. Only about 4-5% of patients had this happen..thank God. Seeing speech therapist too. I am hoping and praying my speech will be normal someday, but thank God I am alive! God bless us all

  • Hondo
    Hondo Member Posts: 6,636 Member
    francma said:

    Hypoglossal Nerve damaged from radiation

    Hi! I am 4 yrs out since March. A year ago my tongue became deviated. Had severe head pain for three weeks and within a couple of days my tongue deviated to the right. Had Catscan and two MRIs since...seems to be a late effect of radiation. Food is sticking to the back of my throat....learned to hack it up..gross..sips of wAter with each bite. Applesauce works great too, especially swallowing pills. Recently saw my rad onc and is trying a new med and vit E to see if can help with the scar tissues from radiation. Not hearing too many people with this problem...possibly two. Only about 4-5% of patients had this happen..thank God. Seeing speech therapist too. I am hoping and praying my speech will be normal someday, but thank God I am alive! God bless us all

    Hi Francma

     

     

    I know the problems you are having just hope you will be able to keep swallowing but if not don’t let it get you down. I live on a PEG tube and live is just as good as it has always been.

     

    Tim Hondo

  • francma
    francma Member Posts: 69 Member
    Hondo said:

    Hi Francma

     

     

    I know the problems you are having just hope you will be able to keep swallowing but if not don’t let it get you down. I live on a PEG tube and live is just as good as it has always been.

     

    Tim Hondo

    Radiation late effects

    You have a great attitude there Hondo. God bless you buddy. I had a barium swallow test couple of weeks ago, looked good and doing fine at the moment. Every day I thank God for giving me a second chance in life. Congrats to you on over a decade NED. 

     

    Fran

  • Kent Cass
    Kent Cass Member Posts: 1,898 Member
    NPC stage-3 2009 at 54

    Sympathize with your Dad's condition, which is new to me. I do expect at least a partial jaw replacement in about 6 years, but had never heard of the shrinking of the tongue. 

     

    Been thru two rounds of Botox, with the first helping, and the second not having any positive effect. Neurologist has been dealing with my condition for over a year, now, and is connected to the U of Iowa. Has me on high-dose Clonazapem and low-dose Baclofem, now. Since that combo started the sleep is better, but when awake the spasms don't seem better. I have heard of severing of certain nerves, so that may be an option.

     

    The specifics of all our Cs are different to varying degrees, and his specifics are likely the cause for his symptoms. Is he going to a major C-med center? 

     

    kcass

  • beachgal15
    beachgal15 Member Posts: 2
    Hondo said:

    Hi Francma

     

     

    I know the problems you are having just hope you will be able to keep swallowing but if not don’t let it get you down. I live on a PEG tube and live is just as good as it has always been.

     

    Tim Hondo

    swallowing issues

    Hi - I am new to this site.    My sister has severe trismus/fibrosis due to radiation and it is getting worse.   She can only open her mouth the width of her pinky finger.  She is losing weight and is terrified of a feeding tube.   How long have you been on the feeding tube?  Any words of wisdom you could share?  Thank!

  • Delarno
    Delarno Member Posts: 14
    Radiation therapy and

    Radiation therapy and chemotherapy, although helpful, increase the risk of sensory disorders that can affect the taste, speech, smell, vision and hearing. These damages may be related to the toxicity of chemotherapy or a direct action of radiation therapy. These disorders can be temporary or permanent, and can put you at risk of secondary aggravations. Affection of the taste or smell puts certain patients at risk of nutritional deterioration of the general condition and quality of life. Please see more about cancer treatment side effects .

    To answer your question directly, it is important to know that radiation to the head and neck areas affects your teeth, tongue, salivary glands and gums, majorizes alterations of taste and the risk of dental problems, including cavities, bad breath, loosing teeth, and others. His tongue cataract is also possible present in patients who received high dose of brain irradiation. The occurrence of neck spasms (severe) and deterioration of the tongue seem to be serious complications which I have never heard before.   Learn more on cancereffects here..

  • wmc
    wmc Member Posts: 1,804
    Kent Cass said:

    NPC stage-3 2009 at 54

    Sympathize with your Dad's condition, which is new to me. I do expect at least a partial jaw replacement in about 6 years, but had never heard of the shrinking of the tongue. 

     

    Been thru two rounds of Botox, with the first helping, and the second not having any positive effect. Neurologist has been dealing with my condition for over a year, now, and is connected to the U of Iowa. Has me on high-dose Clonazapem and low-dose Baclofem, now. Since that combo started the sleep is better, but when awake the spasms don't seem better. I have heard of severing of certain nerves, so that may be an option.

     

    The specifics of all our Cs are different to varying degrees, and his specifics are likely the cause for his symptoms. Is he going to a major C-med center? 

     

    kcass

    NPC can have so many bad side effects....

    Kent I have seen so many here, as you have as well, with NPC and it's TX has some of the worst side effects I feel. It would be great if they can come up with a differand radiation that works better and has much less damage and side effects. Merck has a new drug Keytruda  that is getting great results, now if they can do the same with Radiation.

    I like your new avatar:

    Bill

  • Hondo
    Hondo Member Posts: 6,636 Member

    swallowing issues

    Hi - I am new to this site.    My sister has severe trismus/fibrosis due to radiation and it is getting worse.   She can only open her mouth the width of her pinky finger.  She is losing weight and is terrified of a feeding tube.   How long have you been on the feeding tube?  Any words of wisdom you could share?  Thank!

    Hi beachgal

     

    This May will make 3 year for me on the PEG tube;

     

    I have use a lot of different type of PEG tube and so far the best of the best PEG tubes is the  Mic-key low profile button. It has giving me my life and my manhood back. I can eat anything I want through the PEG tube. If you need my e-mail address is on my all about me page e-mail me I will be able to share more about living on a PEG tube. I also can’t open my mouth so we are in the same boat.

     

     

     

    God Bless

     

    Tim Hondo