Can Ultrasound Therapy Help Relieve Neck Fibrosis After Surgery? - Otolaryngology

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Can ultrasound rehabilitation be used for cervical fibrosis?


My mother underwent surgery to remove cancer cells from her neck, which resulted in fibrosis of the neck muscles.
Can ultrasound deep thermal therapy be used to alleviate (relax the muscles)?

Qiu, 20~29 year old female. Ask Date: 2012/01/28

Dr. Xu Jiazhen reply Otolaryngology


The effectiveness in this area is not very good.
General heat therapy and similar methods provide some relief, but due to the lack of remaining soft tissue after neck lymphadenectomy, the results may not be very noticeable.
Therefore, once scar tissue forms, there will be a feeling of tightness.
Aside from engaging in rehabilitation exercises, the only way to alleviate this is to allow time for it to gradually loosen.
Please contact the surgeon who performed your operation, as the exercises for this area can be learned.

Reply Date: 2012/01/28

More Info


Ultrasound therapy is often considered in the context of physical rehabilitation, particularly for soft tissue injuries and conditions. However, when it comes to neck fibrosis resulting from surgical procedures, such as the removal of cancerous cells, the effectiveness of ultrasound therapy may be limited.

In your mother's case, the fibrosis in her neck is likely a result of scar tissue formation following surgery. Scar tissue can lead to a feeling of tightness and discomfort, and while ultrasound therapy can provide some benefits, it may not be the most effective treatment option for this specific condition. Ultrasound therapy works by using sound waves to generate heat in the tissues, which can promote blood flow and potentially aid in the healing process. It may help in reducing pain and improving mobility to some extent, but its effects on established scar tissue are often minimal.

The primary challenge with neck fibrosis, especially after lymph node dissection, is that there may be a significant reduction in the surrounding soft tissue. This lack of soft tissue can limit the effectiveness of ultrasound therapy, as there is less tissue for the sound waves to penetrate and affect. Moreover, once scar tissue has formed, it tends to be more rigid and less responsive to treatment modalities like ultrasound.

In terms of managing neck fibrosis, a multifaceted approach is often recommended. Physical therapy and rehabilitation exercises can play a crucial role in improving flexibility and reducing tightness in the affected area. Engaging in specific exercises designed to stretch and strengthen the neck muscles can help alleviate some of the discomfort associated with fibrosis. Additionally, working with a physical therapist who specializes in post-surgical rehabilitation can provide tailored strategies to address your mother's specific needs.

Heat therapy, such as warm compresses or heating pads, may also provide temporary relief by relaxing the muscles and improving blood circulation in the area. However, it is essential to consult with the surgeon or a rehabilitation specialist to develop a comprehensive treatment plan that considers your mother's overall health and recovery goals.

In summary, while ultrasound therapy may offer some benefits for muscle relaxation and pain relief, its effectiveness in treating neck fibrosis after surgery is limited. A combination of physical therapy, rehabilitation exercises, and possibly other modalities like heat therapy may be more beneficial in managing the symptoms associated with neck fibrosis. It is crucial to have ongoing discussions with your mother's healthcare team to explore the best options for her recovery and comfort.

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