Sensory numbness and a tight pulling sensation after neck tumor resection?
Hello doctor, I would like to ask about the persistent numbness and tightness in my neck three months after undergoing surgery to remove a neck tumor.
The doctor mentioned that the nerve was severed and that it is irreversible.
I have tried rehabilitation, but there has been no improvement.
Is there really no way to recover from this, or are there any medical treatments or rehabilitation options I can pursue? Thank you.
Alice, 60~69 year old female. Ask Date: 2023/09/07
Dr. Jiang Junyi reply Neurology
Dear Miss Alice,
You mentioned "persistent numbness in the neck + a constant feeling of tightness...
nerve severance." Essentially, once neuronal cells (brain cells and spinal cord neurons) die, they cannot regenerate.
However, if it is due to surgery for a neck tumor, typically only the nerve fibers are damaged.
There is a possibility for new nerve fibers to form, which is why rehabilitation therapy is necessary.
Supplementing with B vitamins and staying hydrated, along with adequate rest, can enhance the body's healing capacity.
Additionally, active rehabilitation to promote the connection of nerve fibers is most effective within the first month; after three months, progress tends to be limited.
This is known as the golden period for nerve rehabilitation.
If financially feasible, hyperbaric oxygen therapy can be considered to aid in nerve repair.
Thank you for your inquiry.
If you have further questions, feel free to discuss them!
Wishing you good health and peace,
Dr.
Jiang Junyi, Taoyuan Medical Center
Reply Date: 2023/09/07
More Info
Post-surgery complications, particularly after neck tumor removal, can be quite challenging for patients. Your experience of persistent numbness and a feeling of tightness in the neck area three months post-surgery is not uncommon, especially if nerve structures were involved during the procedure. When a nerve is cut or significantly damaged during surgery, the potential for recovery can vary greatly depending on several factors, including the extent of the injury, the specific nerves affected, and the overall health of the patient.
Firstly, it is important to understand that nerve injuries can lead to a range of symptoms, including numbness, tingling, weakness, and tightness. In some cases, nerves can regenerate over time, but this process can be slow and may not always result in a complete recovery. The timeline for nerve healing can vary; some patients may start to notice improvements within a few months, while others may take longer, and some may not experience significant recovery at all.
In your case, since your doctor has indicated that the nerve damage is irreversible, it is crucial to focus on managing your symptoms and improving your quality of life. Here are some strategies that may help:
1. Physical Therapy: Continuing with physical therapy is essential. A physical therapist can provide targeted exercises to improve range of motion, strengthen surrounding muscles, and potentially alleviate some of the tightness you are experiencing. They can also teach you techniques to adapt your daily activities to minimize discomfort.
2. Occupational Therapy: An occupational therapist can help you find ways to perform daily tasks more comfortably and efficiently, considering your current limitations. They can provide adaptive tools and strategies to help you regain independence in your daily life.
3. Pain Management: If you are experiencing discomfort or pain, discussing pain management options with your healthcare provider is important. This may include medications, nerve blocks, or alternative therapies such as acupuncture or massage therapy.
4. Neuromuscular Re-education: This is a specialized form of therapy that focuses on retraining the nervous system and muscles to work together more effectively. It may help improve coordination and reduce feelings of tightness.
5. Regular Follow-ups: Keep regular appointments with your healthcare team to monitor your progress. They can adjust your treatment plan as needed and provide additional resources or referrals to specialists if necessary.
6. Support Groups: Connecting with others who have experienced similar surgeries can provide emotional support and practical advice. Many hospitals and community organizations offer support groups for cancer survivors and those recovering from surgery.
7. Mind-Body Techniques: Practices such as yoga, meditation, or tai chi can help reduce stress and improve overall well-being. These techniques may also assist in managing pain and enhancing mobility.
While it may feel discouraging to hear that nerve damage is irreversible, many patients find ways to adapt and improve their quality of life through rehabilitation and supportive therapies. It is essential to maintain open communication with your healthcare providers about your symptoms and any changes you experience. They can help guide you through this recovery process and explore all available options to support your healing journey. Remember, recovery is often a gradual process, and patience is key.
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