Recovery After Parathyroid Surgery: What to Expect and How to Heal

Primary hyperparathyroidism

I had a 1.5 cm parathyroid gland removed on October 2nd, and it has been a month now.
My throat still feels tight, and the wound is slightly swollen.
I'm unsure how long this will last.
Is this normal? Are there any exercises that can help me? Thank you for your response, doctor.

Shí yuè, 50~59 year old female. Ask Date: 2023/11/06

Dr. Chen Bingze reply Surgery

It sounds like this is primarily a scar issue.
You can try applying a warm compress to the wound, but make sure the temperature is not too hot.

Reply Date: 2023/11/06

More Info

Recovery after parathyroid surgery can vary significantly from person to person, but there are some common experiences and expectations that can help guide your healing process. It’s great that you are seeking information about your recovery, as understanding what to expect can alleviate some anxiety.

After parathyroid surgery, it is not uncommon to experience some discomfort in the throat area, as the surgery involves manipulation of the neck structures. The tightness you are feeling in your throat may be due to swelling or irritation of the tissues surrounding the surgical site. This sensation can last for several weeks, and in some cases, it may take a couple of months for the swelling to fully subside. A mild degree of swelling at the incision site is also typical and should gradually improve over time.

In terms of what is considered normal during recovery, here are a few key points:
1. Pain and Discomfort: It is normal to experience some pain or discomfort in the neck area following surgery. This can often be managed with over-the-counter pain medications, but if you find that the pain is severe or worsening, it is important to consult your healthcare provider.

2. Swelling: As mentioned, mild swelling around the incision site is common. If the swelling increases significantly or if you notice redness, warmth, or discharge from the incision, these could be signs of infection, and you should seek medical attention.

3. Voice Changes: Some patients may experience temporary changes in their voice due to swelling or irritation of the vocal cords. This should improve as you heal, but if you notice persistent changes, it is advisable to discuss this with your doctor.

4. Activity Restrictions: After parathyroid surgery, it is generally recommended to avoid strenuous activities and heavy lifting for a few weeks. Gentle neck exercises may be beneficial, but you should consult your surgeon or physical therapist for specific recommendations tailored to your condition.

5. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your recovery and ensure that your hormone levels are returning to normal. Blood tests may be necessary to check your calcium and parathyroid hormone levels.

In terms of exercises that can help during your recovery, gentle neck stretches can be beneficial. Here are a few suggestions:
- Neck Tilts: Slowly tilt your head to one side, bringing your ear toward your shoulder. Hold for a few seconds and then switch sides. This can help relieve tension in the neck.

- Chin Tucks: While sitting or standing, gently tuck your chin towards your chest. This can help improve posture and alleviate some tightness.

- Shoulder Rolls: Roll your shoulders forward and backward in a circular motion to help release tension in the upper body.

Always remember to listen to your body and stop any exercise that causes pain or discomfort. It’s essential to consult with your healthcare provider before starting any new exercise regimen, especially after surgery.

In conclusion, while some tightness and mild swelling are normal after parathyroid surgery, it is important to monitor your symptoms and communicate with your healthcare provider about any concerns. Recovery can take time, but with proper care and attention, you should see gradual improvement. If you have any specific concerns or if your symptoms worsen, do not hesitate to reach out to your doctor for further evaluation and guidance.

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