Treatment FAQ

how painful is radiation treatment for head and neck cancer?

by Kelli Hettinger Published 2 years ago Updated 2 years ago
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External-beam radiation therapy delivers radiation from a machine outside the body. It is the most common radiation therapy treatment for cancer. Each session is quick, lasting about 15 minutes. Radiation does not hurt, sting, or burn when it enters the body.

Full Answer

How is radiation therapy helpful for head and neck cancer?

but a healthy lifestyle can help in avoiding a lot of diseases including HNCs. Some precautions that can be taken to minimize the chances of HNC are: Treatment of head and neck cancers includes immunotherapy, chemotherapy, radiation therapy or a ...

How to care for yourself after head and neck radiation?

You may also have problems:

  • Cleaning your mouth and teeth (oral hygiene). This can lead to bad breath, cavities, and infections.
  • Chewing and swallowing. ...
  • Talking.
  • Kissing.
  • Having a breathing tube placed, such as if you ever need general anesthesia (medication to make you sleep during a surgery or procedure).
  • Having routine dental treatment.

What are the long term effects of radiation treatment?

  • your skin might look darker than it was before in the treated area – as if it is suntanned
  • your skin in the treatment area will always be slightly more sensitive to the sun
  • your skin might feel different to touch
  • your hair might grow back a different colour or texture in the treatment area
  • you might have permanent hair loss within the treated area

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What are the side effects of neck radiation?

  • Salivary Gland Hypofunction and xerostomia: dry mouth from lack of saliva, more than 93% of patients experience this reaction. ...
  • Dysgeusia: also called parageusia, this bad taste in the mouth is experienced by 66.5% of patients.
  • Oral Fungal Infection: 37.4% of patients report having a fungal infection in their mouth following head and neck radiation.

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Is radiation to the neck painful?

Radiation Induced Neck Discomfort Head and neck cancer patients often experience neck stiffness and tightness, as well as pain or spasms, after radiation to the neck.

Is radiation therapy for cancer painful?

Does radiation therapy hurt? No, radiation therapy does not hurt while it is being given. But the side effects that people may get from radiation therapy can cause pain and discomfort. This booklet has a lot of information about ways that you and your doctor and nurse can help manage side effects.

How long does it take to recover from head and neck radiotherapy?

Your skin will gradually heal after you finish treatment, but this often takes 3 to 4 weeks. Sometimes, skin reactions get worse during the week after you finish treatment. If this happens, call your doctor or nurse. Your nurse will apply special dressings (bandages) or creams, if needed.

What is the most likely complication of radiation to the head and neck?

Radiation treatment to your head and neck can increase your chances of getting cavities. This is especially true if you have dry mouth as a result of treatment. Before starting radiation, talk to your cancer care team about whether you should get a complete check-up with your dentist.

Is there pain after radiation treatment?

Managing discomforts Some patients need help managing pain that can sometimes result at the treatment site after radiation therapy. You should not use a heating pad or warm compress to relieve pain in any area treated with radiation. Mild pain medicine may be enough for some people.

What does radiation fatigue feel like?

Feeling very tired and lacking energy (fatigue) for day-to-day activities is the most common side effect of radiation therapy to any area of the body. During treatment, your body uses a lot of energy dealing with the effects of radiation on normal cells.

How long will my throat hurt after radiation?

Sore mouth and throat caused by radiation therapy usually lasts about 6 to 8 weeks after your treatment ends, depending on how long it was.

What can you not do during radiation treatment?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.

How do you stay calm during radiation?

Palmison's four tactics to find your peaceful center during radiation therapy.Just breathe. Calm, even breathing sends a message to your body that it's OK to come off of red-alert. ... Stay active. ... Follow your muse. ... Embrace an indulgence.

Is radiation worse than chemo?

The radiation beams change the DNA makeup of the tumor, causing it to shrink or die. This type of cancer treatment has fewer side effects than chemotherapy since it only targets one area of the body.

What are the worst side effects of radiotherapy?

Treatment areas and possible side effectsPart of the body being treatedPossible side effectsBrainFatigue Hair loss Memory or concentration problems Nausea and vomiting Skin changes Headache Blurry visionBreastFatigue Hair loss Skin changes Swelling (edema) Tenderness5 more rows•Jan 11, 2022

How long after radiation do you start to feel better?

Most side effects go away within 1–2 months after you have finished radiation therapy.

How does radiation therapy work?

Radiation therapy uses high-energy beams to treat cancer. It works by damaging the cancer cells and making it hard for them to reproduce. Your body is then naturally able to get rid of the damaged cancer cells. Radiation therapy also affects normal cells.

How long does it take to get chemo after radiation?

You will have radiation treatments every day (Monday through Friday) for about 7 weeks. You may have chemotherapy and radiation treatments on the same day. It’s safe to get chemotherapy either before or after your radiation treatment.

What is the role of radiation oncologist in simulation?

During the time between your simulation and your set-up procedure, your radiation oncologist will work with a team to plan your treatment. They will use the images taken during your simulation to plan the angles and shapes of your radiation beams. They will also determine the dose of radiation that you will receive.

How to make a radiation mask?

To make the mask, your radiation therapists will place a warm, wet sheet of plastic mesh over your face and upper body while you’re lying on the simulation table. The mesh has openings for your eyes, nose, and mouth.

How to keep from swallowing during radiation?

Depending on your treatment area, you may also use a bite block during your simulation and treatments. The bite block will help you keep from swallowing. To make the bite block, your radiation therapists will place a soft piece of plastic on your tongue and ask you to bite down while it hardens.

What is external beam radiation?

You will have a type of radiation therapy called external beam radiation. During your treatments, a machine will aim beams of radiation directly at the tumor. The beams will pass through your body and destroy cancer cells in their path. You won’t see or feel the radiation. Radiation therapy takes time to work.

How long does it take for cancer cells to die?

It takes days or weeks of treatment before cancer cells start to die. They will keep dying for weeks or months after treatment ends. You can have radiation therapy before, during, or after surgery or chemotherapy. Below is a picture of the structures in your head and neck (see Figure 1).

What are the side effects of radiation?

One of the most severe side effects of radiation therapy is osteoradionecrosis or bone death. Radiation can destroy some of the small blood vessels that carry oxygen and nutrients within the bone. This keeps the bone from being able to heal. The bone may become infected and painful.

How does a radiation therapist help you?

The radiation therapist will escort you into the treatment room. The therapist will help you onto the treatment table and help place you in the correct treatment position. Once the therapist is sure you are positioned correctly, he or she will leave the room and start the radiation treatment.

Can you have dry mouth after radiation?

Your risk of dry mouth will depend on where your cancer is located. Your radiation oncologist will talk to you about this. If you have less saliva after radiation therapy, make sure you get enough fluids. It may be helpful to sip water throughout the day.

Can a therapist touch you during a treatment?

The therapist will be in and out of the room to move the treatment machine and change your position. The machine will not touch you and you will feel nothing during the treatment.

Can you lose your jaw after radiation?

The bone may become infected and painful. In some cases, the patient can even lose part of the jaw. While this side effect is rare, it can be quite serious. To reduce the risk of osteoradionecrosis, be careful before having any invasive dental procedures after radiation.

Can you have radiation caries if you have a tooth?

Radiation caries is caused by damage to the salivary glands during radiation, not by damage to the tooth itself. This means that you can have radiation caries if your salivary glands have received radiation, even if your teeth did not.

How long does it take for a swollen throat to get worse after radiation?

Sores (mucositis) in your mouth and throat. Dry mouth. Thicker saliva. Swelling. Taste changes. These symptoms usually start 1 to 2 weeks after you start radiation therapy. They may get worse during treatment.

How to help swallow after radiation?

Teach you exercises to stretch and strengthen the muscles involved in swallowing. Look for any changes in your ability to swallow as you go through radiation therapy. Help you keep your ability to swallow after your treatment is done to prevent long-term or late-onset changes.

How does radiation affect swallowing?

Depending on the tumor’s size and location, your radiation therapy may weaken the muscles and structures that help you swallow. It can also keep them from working as well as they did before you started radiation therapy. This can make it harder to eat and drink normally.

Can radiation scars be permanent?

Radiation therapy can also cause permanent tissue scarring. The effects of this scarring depend on the area that was treated. Some effects of scarring are listed below. The muscles attached to your jaw may tighten and make it hard to open your mouth and chew your food.

How long does radiation side effects last?

Remember that the type of radiation side effects you might have depends on the prescribed dose and schedule. Most side effects go away within a few months of ending treatment. Some side effects may continue after treatment ends because it takes time for the healthy cells to recover from radiation. Side effects might limit your ability ...

What is the best treatment for radiation?

One way to reduce side effects is by using radioprotective drugs, but these are only used for certain types of radiation given to certain parts of the body. These drugs are given before radiation treatment to protect certain normal tissues in the treatment area. The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy.

How long does it take for radiation to show up in the brain?

Radiation to the brain can also have side effects that show up later – usually from 6 months to many years after treatment ends. These delayed effects can include serious problems such as memory loss, stroke-like symptoms, and poor brain function.

How long does it take for radiation to cause side effects?

Late side effects can take months or even years to develop. They can occur in any normal tissue in the body that has received radiation. The risk of late side effects depends on the area treated as well as the radiation dose that was used. Careful treatment planning can help avoid serious long-term side effects.

What is the most common drug used for radiation therapy?

The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy. Not all doctors agree on how these drugs should be used in radiation therapy. These drugs have their own side effects, too, so be sure you understand what to look for.

What are the side effects of brachytherapy?

If your treatment includes brachytherapy (internal radiation implants), you might notice breast tenderness, tightness, redness, and bruising. You may also have some of the same side effects that happen with external radiation treatment.

How to take care of your mouth during radiation?

Here are some tips that may help you manage mouth problems: Avoid spicy and rough foods, such as raw vegetables, dry crackers, and nuts.

How you get radiation

External beam radiation treatment (EBRT) is the type of radiation therapy most often used to treat head and neck cancer. The radiation comes from a large machine that focuses the radiation beams on the tumor. The machine doesn't touch you. Radiation treatment doesn't hurt.

Side effects

Radiation therapy affects normal cells as well as cancer cells. That means you may have side effects. What they are and how strong they are depends on:

What is the term for the tightness and pain in the neck caused by radiation?

Cervical dystonia, or tightness, pain and/or spasms of the neck, resulting from radiation to the neck. Lymphedema, or swelling, in the head and neck. Dysphagia, difficulty with swallowing or an inability to swallow, resulting from radiation to the muscles of the throat. Difficulty with speaking.

What happens if you get radiation treatment for cancer?

​#N#If you receive radiation treatment for your head and neck cancer, you are at risk of developing radiation fibrosis. Radiation targets cancer cells, but it also affects healthy cells and tissue in and around the field of treatment by causing increased production of a protein called fibrin. Over time, fibrin accumulates and may eventually cause tissue damage. This damage can occur in any kind of tissue that is exposed to radiation, including the bone, skin, connective tissue, muscles, nerves, and blood vessels of the jaws, face, neck, and throat. Such damage may result in shortening of tissues like tendons and ligaments, muscle atrophy or contraction, brittle bones, nerve damage, or lymphedema. Taken together, the symptoms of this tissue damage is called Radiation Fibrosis Syndrome (RFS).

What are the tissues that are affected by radiation?

This damage can occur in any kind of tissue that is exposed to radiation, including the bone, skin, connective tissue, muscles, nerves, and blood vessels of the jaws, face, neck, and throat. Such damage may result in shortening of tissues like tendons and ligaments, muscle atrophy or contraction, brittle bones, nerve damage, or lymphedema.

Does RFS occur in head and neck cancer?

RFS Occurrence in Head and Neck Cancer. The symptoms of RFS that you’re most likely to experience depend on the parts of your head and neck that are targeted by radiation therapy, the dosage of radiation you receive , and whether your radiation was combined with chemotherapy or surgery.

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