LIFE AFTER SURGERY THYROID SURGERY

OVERVIEW

Following thyroid surgery, you will need to take some time to recover. But you should soon be able to return to your usual activities. Your healthcare team will give you exercises and tips to speed up your recovery.

RECOVERY FROM SURGERY

Your recovery will depend on the extent and type of surgery you have received. It takes longer to recover from traditional, open surgery than from a minimally invasive procedure.

Following surgery, you may experience:

• Voice changes, such as a hoarse voice, difficulty in speaking loudly, voice fatigue, and a change in the tone of your voice. These changes are due to damage to the laryngeal nerves that supply your voice box (larynx) during surgery. This may last a few days or a few weeks but is rarely permanent. Using a nerve monitoring system helps surgeons reduce the risk of nerve injury during surgery.
• You may experience low blood calcium levels due to damage to the parathyroid glands during surgery. Again, this is usually only a temporary problem treated with calcium supplements over a few days. Signs that you may have low calcium are numbness and a tingling feeling in your lips, hands, and the bottom of your feet, a crawly feeling in your skin, muscle cramps and spasms, bad headaches, anxiety, and depression.

In the days right after surgery, you will need to take care of your incision area(s). Depending on the type of dressing (covering) you have on the wound, you may or may not be allowed to bathe, shower, or swim until healing is well underway. You might notice bruising or slight swelling around the scar. This is normal. But if you notice any significant swelling, you should contact your surgeon right away as this could be a sign of infection.

The scar may gradually turn pink and feel hard. The hardening is generally greatest at about three weeks after the operation and then reduces over the next two to three months. It can help to rub a small amount of non-scented moisturizing cream around the wound as this helps to soften the skin and prevent dryness as it heals. 

You will need to take at least one or two weeks to recover before you return to work and other daily activities. You should not lift any heavy objects for about two weeks after your operation to avoid any strain on your neck.

Your neck is likely to be swollen and may feel hard and numb right after the surgery. This is normal and will gradually get better as the wound heals. As soon as you can turn your head without pain or difficulty (within about a week), you should be able to resume driving and other daily activities including non-contact sports. The hospital physical therapist will probably recommend some gentle neck and shoulder exercises. These will help prevent any permanent stiffness. Be sure to follow your physical therapist's instructions. If you continue to have problems with pain or stiffness, contact your doctor.

While your neck is stiff and sore, you may need to eat foods that are soft and easy to swallow. Make sure you eat slowly and have plenty to drink during and after meals to soften your food and prevent blockages. It may help to use a blender to process solid foods.

You will need to visit your doctor or surgeon a few times after your surgery to check on hormone levels and healing. At these visits, you will receive advice on how soon you can return to your daily activities.

DAILY LIVING

People who have a total thyroidectomy and most people who have a subtotal thyroidectomy will need to take thyroid replacement drugs (thyroxine) for the rest of their lives.

Without this thyroid hormone replacement, people experience tiredness, depression, difficulty concentrating, memory problems, unexplained or excessive weight gain, dry skin, coarse and/or itchy skin, dry hair, hair loss, feeling cold (especially in the feet and hands), constipation, muscle cramps, joint pains, increased menstrual flow, low sex drive, and more frequent periods.

The hormone replacement tablets are small and easy to take. Your doctor will check your hormone levels on a regular basis and adjust the dose of thyroxine until it is right for you.