Desperate for Help- Pain

I am desperate to find some assistance for my Mum, who was diagnosed with Tonsil Cancer (Stage 4a I think) in September 2011 and is continuing to experience significant pain and disability as a result.

Mum had a neck dissection with her left tonsil as well as nodes in her neck and shoulder removed. She had 35 treatments of radiation which concluded early in December 2011. She experienced all the “normal” side effects during radiation- loss of taste, dry mouth, burnt skin, trouble eating/swallowing, mucus build up, nausea etc.... Luckily, she never needed a feeding tube, making do with Sustagen type drinks. She lost 15 Kg’s- and there wasn’t much of her to start with!

At present (12 months later) most of her taste has returned, however she still has a dry mouth and a “feral” taste most days.These lasting effects do not concern her anywhere near as much as the significant pain she experiences in her neck, shoulder and back. It also appears that this pain is getting worse not better, particularly over the last 3 months (12months after surgery).

She has done everything ‘by the book’- attending physio almost immediately after her surgery, continuing her 3 x daily exercises throughout her radiation, only stopping towards the end when she was too sick to do anything. As soon as possible she started therapy again, continuing to see physiotherapists and a chiropractor...She has tried accupuncture, yoga...She has been so consistent in doing EVERYTHING that she has been told will help.

In July she was referred to pain management clinic at the hospital who put her on Lyrica, which initially helped. An increased dosage since leaves her with a little less pain but feeling dopey.

After complaining again about the pain at a check up, one of the doctors at the cancer clinic began giving her cortoisone injections in the painful areas in her neck. This has not helped at all, even with repeat treatment.

She has spoken to this same doctor about further surgery (which he mentioned at some point) to see if they can ‘cut’ the band which appears to be restricting her movement and giving her so much pain. However they are reluctant to do this, suggesting that they inject the cortoisone directly into her muscles instead. She is having her first of these injections on Wedensday.

One other problem that she is encountering is that the doctors seem to think that she hasnt been doing her exercises etc, which she has been, religiously. They also seem to be stumped at why, 12 months on, she is still having so much pain. I am starting to wonder if they did a bad job in the initial surgery.

I have lost count of the treatments and solutions she has tried, the therapists she has seen, and as I said, it just seems to be getting worse. There is no quality of life for her with the amount of pain she is experiencing, and she still should have so many years ahead of her (She is only in her 50’s)....

So, I suppose what I need help with is the following:
- Has anyone else experienced this level of pain so far after surgery?
- Is this as good as it is going to get? Is there any hope for improvement?
- Has anyone had follow up surgery to help with ongoing pain? Did it work?
- What else could she try?
- Does anyone think it is worthwhile ditching her medical team and going to someone else- if so, who?

Any help, in any way, would be greatly appreciated- I hate seeing her in so much pain and I just don’t know what else to do to help.

Sorry that this is such a long winded message.

Thanking you in advance,
Michelle