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Recovery time?

Forums General Melanoma Community Recovery time?

  • Post
    SteveT
    Participant

       

      Hello,

      This is my first post. I was diagnosed 3b in January and will be having surgery at UNC Chapel Hill on March 11. Primary tumor on top of my head, spread to lymph nodes behind my left ear. I'll have a WLE and a modified radical neck dissection.

       

      Hello,

      This is my first post. I was diagnosed 3b in January and will be having surgery at UNC Chapel Hill on March 11. Primary tumor on top of my head, spread to lymph nodes behind my left ear. I'll have a WLE and a modified radical neck dissection.

      I'm self employed and do moderately physical work. I love my work and would like to get back as soon as possible. What are recovery times for these procedures? I know everybody is different but I'm curious what others have experienced. I'm assuming neck flexibility is the last thing to return, but what about arm strength and the endurance to spend the day on my feet?

      Many thanks, Steve

    Viewing 17 reply threads
    • Replies
        Gene_S
        Participant

          Hello Steve,

          In the neck are my husband had the surgery and they had to cut a nerve that works for the arm on that side.  He has range of motion issues and the strength is not as good as well.  He has trouble working if his arm is needed above his head which is frustrating to him.  He had this surgery 2 1/2 years ago and he still has issues.

          Hope this helps.  But like you stated everyone is different.  As far as being able to spend the day on your feet that shouldn't be an issue, it will be more neck and arm range of motions.

          Judy (loving wife of Gene)

          Gene_S
          Participant

            Hello Steve,

            In the neck are my husband had the surgery and they had to cut a nerve that works for the arm on that side.  He has range of motion issues and the strength is not as good as well.  He has trouble working if his arm is needed above his head which is frustrating to him.  He had this surgery 2 1/2 years ago and he still has issues.

            Hope this helps.  But like you stated everyone is different.  As far as being able to spend the day on your feet that shouldn't be an issue, it will be more neck and arm range of motions.

            Judy (loving wife of Gene)

              Gene_S
              Participant

                My post beginning makes no sense so let me try to fix it.  Sorry for the mess of the first one.

                My husband had a lesion in the neck area around the collarbone and they had to take out the nerve because the lymph nodes are wrapped around it like a candy cane effect the surgeon said.  Thus he has the range of motion issues and the strength is not as good as well.  He has trouble working if his arm is needed above his head which is frustrating to him.  He had this surgery 2 1/2 years ago and he still has issues.

                Hope this helps.  But like you stated everyone is different.  As far as being able to spend the day on your feet that shouldn't be an issue, it will be more neck and arm range of motions.

                Judy (loving wife of Gene)

                Gene_S
                Participant

                  My post beginning makes no sense so let me try to fix it.  Sorry for the mess of the first one.

                  My husband had a lesion in the neck area around the collarbone and they had to take out the nerve because the lymph nodes are wrapped around it like a candy cane effect the surgeon said.  Thus he has the range of motion issues and the strength is not as good as well.  He has trouble working if his arm is needed above his head which is frustrating to him.  He had this surgery 2 1/2 years ago and he still has issues.

                  Hope this helps.  But like you stated everyone is different.  As far as being able to spend the day on your feet that shouldn't be an issue, it will be more neck and arm range of motions.

                  Judy (loving wife of Gene)

                  Gene_S
                  Participant

                    My post beginning makes no sense so let me try to fix it.  Sorry for the mess of the first one.

                    My husband had a lesion in the neck area around the collarbone and they had to take out the nerve because the lymph nodes are wrapped around it like a candy cane effect the surgeon said.  Thus he has the range of motion issues and the strength is not as good as well.  He has trouble working if his arm is needed above his head which is frustrating to him.  He had this surgery 2 1/2 years ago and he still has issues.

                    Hope this helps.  But like you stated everyone is different.  As far as being able to spend the day on your feet that shouldn't be an issue, it will be more neck and arm range of motions.

                    Judy (loving wife of Gene)

                  Gene_S
                  Participant

                    Hello Steve,

                    In the neck are my husband had the surgery and they had to cut a nerve that works for the arm on that side.  He has range of motion issues and the strength is not as good as well.  He has trouble working if his arm is needed above his head which is frustrating to him.  He had this surgery 2 1/2 years ago and he still has issues.

                    Hope this helps.  But like you stated everyone is different.  As far as being able to spend the day on your feet that shouldn't be an issue, it will be more neck and arm range of motions.

                    Judy (loving wife of Gene)

                    Fen
                    Participant

                      Sorry you had to join us, Steve, but you came to the right place.

                      My melanoma was diagnosed by an enlarged lymph node in my parotid gland.  First surgery removed that lymph node and the gland.  Second surgery was a complete lymph node disection on the right side of my neck.  Recovery for me was mostly from the anesthetic but it probably took me a month or two before I felt good again – however I was in my 50's at the time…..old 🙂   Complete flexibility returned slowly – probably 6 months.  At this point, 8 years later, I have no issues with strength or movement.  There are some minor areas of numbness around my ear, but other than that there are no long term effects.   While my job is not physical I am very active swimming, lifting weights, cardio, anything that challenges me.

                      Good luck with your surgery.  Keep us posted.

                      Fen

                      Fen
                      Participant

                        Sorry you had to join us, Steve, but you came to the right place.

                        My melanoma was diagnosed by an enlarged lymph node in my parotid gland.  First surgery removed that lymph node and the gland.  Second surgery was a complete lymph node disection on the right side of my neck.  Recovery for me was mostly from the anesthetic but it probably took me a month or two before I felt good again – however I was in my 50's at the time…..old 🙂   Complete flexibility returned slowly – probably 6 months.  At this point, 8 years later, I have no issues with strength or movement.  There are some minor areas of numbness around my ear, but other than that there are no long term effects.   While my job is not physical I am very active swimming, lifting weights, cardio, anything that challenges me.

                        Good luck with your surgery.  Keep us posted.

                        Fen

                        Fen
                        Participant

                          Sorry you had to join us, Steve, but you came to the right place.

                          My melanoma was diagnosed by an enlarged lymph node in my parotid gland.  First surgery removed that lymph node and the gland.  Second surgery was a complete lymph node disection on the right side of my neck.  Recovery for me was mostly from the anesthetic but it probably took me a month or two before I felt good again – however I was in my 50's at the time…..old 🙂   Complete flexibility returned slowly – probably 6 months.  At this point, 8 years later, I have no issues with strength or movement.  There are some minor areas of numbness around my ear, but other than that there are no long term effects.   While my job is not physical I am very active swimming, lifting weights, cardio, anything that challenges me.

                          Good luck with your surgery.  Keep us posted.

                          Fen

                          doro
                          Participant

                            Hi Steve,

                            My father (who is in his 60s) had surgery in December 2012 for a primary on top of his head and a bilateral neck dissection. Because of the margins for the primary, he had to have a skin graft on the primary and the surgery ended up taking over ten hours. I'm not sure how much it would vary for only one side of the neck, but I think the surgeons said closer to 5 hours.

                             

                            I would say it took him about a month to start getting back to normal. Neck flexibility definitely took awhile to return and still isn't back to pre-surgery levels. However, his daily exercises help maintain the ground he has regained. He also has some weakness in his arms. The PT exercises have been to lift his arms straight u,p but the biggest weakness seems to be lifting his arms straight out to the side (his surgeon called it the "unlocking the passenger car door" stretch). He also experienced a fair amount of pain in his sternum/collarbone areas, which is apparently where the muscles they have to move to get to the nodes originate. We found that a heating pad on the muscles before/after his exercises helped with flexibility and that cold pads were essential for the pain in his chest. He was also on pain and anti-nausea medication regularly for the first month.

                             

                            With regard to endurance, it's hard to say. He was doing laundry and small tasks around the home after he was discharged a week after the surgery but would feel somewhat winded and experience higher levels of pain after doing such tasks. I would say he was in pretty good physical shape before the surgery; he went to the gym three times a week and for long walks on other days. To build up his strength, we started going on walks around the block, which turned into walks around two blocks and then walks around three blocks, etc.

                             

                            One more note: figuring out the most comfortable way to recline during rest and sleep was important/really helpful. We found that a foam triangular wedge supplemented by pillows and rolled up towels behind his neck was the best combination. He also had to keep his primary site (at the back/top of his head) off the pillows so putting a folded handtowel at the back of his head was the best way to give him the support he needed while keeping pressure off the primary.

                             

                            Hope this information helps and best of luck to you. While it may feel daunting now, it's definitely manageable. We wish you the best of luck!

                            doro
                            Participant

                              Hi Steve,

                              My father (who is in his 60s) had surgery in December 2012 for a primary on top of his head and a bilateral neck dissection. Because of the margins for the primary, he had to have a skin graft on the primary and the surgery ended up taking over ten hours. I'm not sure how much it would vary for only one side of the neck, but I think the surgeons said closer to 5 hours.

                               

                              I would say it took him about a month to start getting back to normal. Neck flexibility definitely took awhile to return and still isn't back to pre-surgery levels. However, his daily exercises help maintain the ground he has regained. He also has some weakness in his arms. The PT exercises have been to lift his arms straight u,p but the biggest weakness seems to be lifting his arms straight out to the side (his surgeon called it the "unlocking the passenger car door" stretch). He also experienced a fair amount of pain in his sternum/collarbone areas, which is apparently where the muscles they have to move to get to the nodes originate. We found that a heating pad on the muscles before/after his exercises helped with flexibility and that cold pads were essential for the pain in his chest. He was also on pain and anti-nausea medication regularly for the first month.

                               

                              With regard to endurance, it's hard to say. He was doing laundry and small tasks around the home after he was discharged a week after the surgery but would feel somewhat winded and experience higher levels of pain after doing such tasks. I would say he was in pretty good physical shape before the surgery; he went to the gym three times a week and for long walks on other days. To build up his strength, we started going on walks around the block, which turned into walks around two blocks and then walks around three blocks, etc.

                               

                              One more note: figuring out the most comfortable way to recline during rest and sleep was important/really helpful. We found that a foam triangular wedge supplemented by pillows and rolled up towels behind his neck was the best combination. He also had to keep his primary site (at the back/top of his head) off the pillows so putting a folded handtowel at the back of his head was the best way to give him the support he needed while keeping pressure off the primary.

                               

                              Hope this information helps and best of luck to you. While it may feel daunting now, it's definitely manageable. We wish you the best of luck!

                              doro
                              Participant

                                Hi Steve,

                                My father (who is in his 60s) had surgery in December 2012 for a primary on top of his head and a bilateral neck dissection. Because of the margins for the primary, he had to have a skin graft on the primary and the surgery ended up taking over ten hours. I'm not sure how much it would vary for only one side of the neck, but I think the surgeons said closer to 5 hours.

                                 

                                I would say it took him about a month to start getting back to normal. Neck flexibility definitely took awhile to return and still isn't back to pre-surgery levels. However, his daily exercises help maintain the ground he has regained. He also has some weakness in his arms. The PT exercises have been to lift his arms straight u,p but the biggest weakness seems to be lifting his arms straight out to the side (his surgeon called it the "unlocking the passenger car door" stretch). He also experienced a fair amount of pain in his sternum/collarbone areas, which is apparently where the muscles they have to move to get to the nodes originate. We found that a heating pad on the muscles before/after his exercises helped with flexibility and that cold pads were essential for the pain in his chest. He was also on pain and anti-nausea medication regularly for the first month.

                                 

                                With regard to endurance, it's hard to say. He was doing laundry and small tasks around the home after he was discharged a week after the surgery but would feel somewhat winded and experience higher levels of pain after doing such tasks. I would say he was in pretty good physical shape before the surgery; he went to the gym three times a week and for long walks on other days. To build up his strength, we started going on walks around the block, which turned into walks around two blocks and then walks around three blocks, etc.

                                 

                                One more note: figuring out the most comfortable way to recline during rest and sleep was important/really helpful. We found that a foam triangular wedge supplemented by pillows and rolled up towels behind his neck was the best combination. He also had to keep his primary site (at the back/top of his head) off the pillows so putting a folded handtowel at the back of his head was the best way to give him the support he needed while keeping pressure off the primary.

                                 

                                Hope this information helps and best of luck to you. While it may feel daunting now, it's definitely manageable. We wish you the best of luck!

                                SteveT
                                Participant

                                  Thanks so much for the information. I'm confident that I'll be on my feet and puttering around fairly soon. I like to think that if I can walk then I'll feel better and PT will go better and so on. I've been saving up lightweight things to do at work for after the surgery.

                                  The surgeon said it would be about a 2-3 hour procedure with 2 nights in the hospital. Hope he's right.

                                  Steve

                                  SteveT
                                  Participant

                                    Thanks so much for the information. I'm confident that I'll be on my feet and puttering around fairly soon. I like to think that if I can walk then I'll feel better and PT will go better and so on. I've been saving up lightweight things to do at work for after the surgery.

                                    The surgeon said it would be about a 2-3 hour procedure with 2 nights in the hospital. Hope he's right.

                                    Steve

                                    SteveT
                                    Participant

                                      Thanks so much for the information. I'm confident that I'll be on my feet and puttering around fairly soon. I like to think that if I can walk then I'll feel better and PT will go better and so on. I've been saving up lightweight things to do at work for after the surgery.

                                      The surgeon said it would be about a 2-3 hour procedure with 2 nights in the hospital. Hope he's right.

                                      Steve

                                      Josh
                                      Participant

                                        Hey Steve,

                                         

                                        I had a radical neck dissection 4 years ago. My recollection is that I was in the hospital for a few days, and then was at home in bed for a few days after that. You'll most likely have drains for a couple of weeks after the surgery (please note that I may be off by a week or so on much of this) which will most likely inhibit physical activity. I believe that once the drains were out I was able to be moderately active. Obviously you have to take it easy for awhile, but generally speaking I was able to resume my normal life after perhaps a month. As far as long-term implications of the surgery, I was pretty lucky in that, other than the surgical area being zitty and uncomfortable to touch, everything's just fine. In fact I was playing competitive beach volleyball 6 weeks after the surgery (or at least that's my recollection).

                                         

                                        Best of luck with your surgery and recovery! 

                                        Josh

                                        Josh
                                        Participant

                                          Hey Steve,

                                           

                                          I had a radical neck dissection 4 years ago. My recollection is that I was in the hospital for a few days, and then was at home in bed for a few days after that. You'll most likely have drains for a couple of weeks after the surgery (please note that I may be off by a week or so on much of this) which will most likely inhibit physical activity. I believe that once the drains were out I was able to be moderately active. Obviously you have to take it easy for awhile, but generally speaking I was able to resume my normal life after perhaps a month. As far as long-term implications of the surgery, I was pretty lucky in that, other than the surgical area being zitty and uncomfortable to touch, everything's just fine. In fact I was playing competitive beach volleyball 6 weeks after the surgery (or at least that's my recollection).

                                           

                                          Best of luck with your surgery and recovery! 

                                          Josh

                                          Josh
                                          Participant

                                            Hey Steve,

                                             

                                            I had a radical neck dissection 4 years ago. My recollection is that I was in the hospital for a few days, and then was at home in bed for a few days after that. You'll most likely have drains for a couple of weeks after the surgery (please note that I may be off by a week or so on much of this) which will most likely inhibit physical activity. I believe that once the drains were out I was able to be moderately active. Obviously you have to take it easy for awhile, but generally speaking I was able to resume my normal life after perhaps a month. As far as long-term implications of the surgery, I was pretty lucky in that, other than the surgical area being zitty and uncomfortable to touch, everything's just fine. In fact I was playing competitive beach volleyball 6 weeks after the surgery (or at least that's my recollection).

                                             

                                            Best of luck with your surgery and recovery! 

                                            Josh

                                              POW
                                              Participant

                                                Yeah, Josh, you may have been playing beach volleyball 6 weeks after surgery. But the most important question is– did you WIN??!! smiley

                                                POW
                                                Participant

                                                  Yeah, Josh, you may have been playing beach volleyball 6 weeks after surgery. But the most important question is– did you WIN??!! smiley

                                                  Josh
                                                  Participant

                                                    I may have come in 2nd, but while the winners were doing their celebration dance, I stole their wallets, so, yeah, I won.

                                                    Josh
                                                    Participant

                                                      I may have come in 2nd, but while the winners were doing their celebration dance, I stole their wallets, so, yeah, I won.

                                                      SteveT
                                                      Participant

                                                        Hi Josh,

                                                        Thanks for sharing your story; I'm ready to tackle recovery. Looking at your profile I saw SDSU which is where I got an MA in '88. Go Aztecs!

                                                        Steve

                                                        SteveT
                                                        Participant

                                                          Hi Josh,

                                                          Thanks for sharing your story; I'm ready to tackle recovery. Looking at your profile I saw SDSU which is where I got an MA in '88. Go Aztecs!

                                                          Steve

                                                          SteveT
                                                          Participant

                                                            Hi Josh,

                                                            Thanks for sharing your story; I'm ready to tackle recovery. Looking at your profile I saw SDSU which is where I got an MA in '88. Go Aztecs!

                                                            Steve

                                                            Josh
                                                            Participant

                                                              I may have come in 2nd, but while the winners were doing their celebration dance, I stole their wallets, so, yeah, I won.

                                                              POW
                                                              Participant

                                                                Yeah, Josh, you may have been playing beach volleyball 6 weeks after surgery. But the most important question is– did you WIN??!! smiley

                                                              hbecker
                                                              Participant

                                                                I don't know about the neck dissection, drains, etc. – but my husband had a large graft on the top of his head. It took about six weeks to heal, and he was not allowed to do any physical activity (exercise, biking, hiking) for about two months. I agree with the suggestion that figuring out a position for sleeping will be important. Once he figured out how to get some sleep, things improved considerably.

                                                                On the positive side, he went home from the hospital and worked at his computer some in the afternoon. He needed to rest sometimes during the day over the first week or so.

                                                                Hope it comes out well for you!

                                                                hbecker
                                                                Participant

                                                                  I don't know about the neck dissection, drains, etc. – but my husband had a large graft on the top of his head. It took about six weeks to heal, and he was not allowed to do any physical activity (exercise, biking, hiking) for about two months. I agree with the suggestion that figuring out a position for sleeping will be important. Once he figured out how to get some sleep, things improved considerably.

                                                                  On the positive side, he went home from the hospital and worked at his computer some in the afternoon. He needed to rest sometimes during the day over the first week or so.

                                                                  Hope it comes out well for you!

                                                                  hbecker
                                                                  Participant

                                                                    I don't know about the neck dissection, drains, etc. – but my husband had a large graft on the top of his head. It took about six weeks to heal, and he was not allowed to do any physical activity (exercise, biking, hiking) for about two months. I agree with the suggestion that figuring out a position for sleeping will be important. Once he figured out how to get some sleep, things improved considerably.

                                                                    On the positive side, he went home from the hospital and worked at his computer some in the afternoon. He needed to rest sometimes during the day over the first week or so.

                                                                    Hope it comes out well for you!

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