Finding Relief: Manual Therapy for Head and Neck Cancer Survivors with Dysphagia

I am passionate about helping survivors of head and neck cancer (HNC). These clients often face long-term challenges following radiation therapy, including fibrosis-related dysphagia, trismus, and reduced cervical range of motion (CROM). These late effects can significantly impact quality of life, making eating, speaking, and even simple head movements difficult. However, promising research cited at the end of this post suggests that manual therapy (MT) may offer meaningful improvements for HNC survivors experiencing these issues.

Understanding the Impact of Radiation Therapy

Radiation therapy (RT) is a crucial component of HNC treatment, often administered at doses exceeding 60 Gy. While effective, RT can cause acute and chronic damage to soft tissues, nerves, and muscles. Over time, this damage may lead to fibrosis—a stiffening of tissues that restricts movement, contributes to nerve compression, and reduces the function of swallowing muscles. Research indicates that nearly half of HNC survivors experience dysphagia within two years post-treatment, with a subset developing late radiation-associated dysphagia (RAD) even after an initial period of recovery.

The Role of Manual Therapy in Recovery

Manual therapy encompasses a range of techniques, including myofascial release, manual lymphatic drainage, and deep tissue mobilization, aimed at improving mobility, reducing fibrosis, and enhancing overall function. A recent study at MD Anderson Cancer Center examined the effects of MT on fibrosis-related dysphagia and CROM in HNC survivors. The findings were encouraging:

• Feasibility & Safety: The study demonstrated that MT is a safe and feasible intervention, with over 91% of participants completing a 6-week program.

• Cervical Range of Motion: Participants experienced significant improvements in all planes of CROM, with many reaching or surpassing normative values.

• Lingual and Oral Opening Gains: Patients with restricted tongue mobility and trismus showed enhanced range of motion after therapy.

• Symptom Relief: Reductions in fibrosis-related lymphedema and cancer-related symptom severity were observed.

  
  

How True Self Speech Therapy Can Help

At True Self Speech Therapy, we integrate evidence-based manual therapy techniques to address the long-term effects of radiation in HNC survivors. Our approach includes:

• Targeted Soft Tissue Mobilization: Designed to reduce fibrosis and improve swallowing muscle function.

• Cervical and Laryngeal Manipulation: Aimed at restoring natural movement patterns and posture.

• Individualized Dysphagia Therapy: Combining MT with traditional swallowing interventions for optimal outcomes.

  
  

For oncologists, speech therapists, and medical professionals, referring HNC survivors for specialized manual therapy could be a game-changer in improving patient outcomes. If you or someone you know is struggling with post-radiation swallowing difficulties or restricted movement, we are here to help.

Take the Next Step

We welcome you to explore how True Self Speech Therapy can support your recovery journey. Contact us today to learn more about how we can help you regain comfort and function.

McMillan H, Warneke CL, Buoy S, et al. Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors: The MANTLE Nonrandomized Clinical Trial. JAMA Otolaryngol Head Neck Surg. Published online February 06, 2025.

Disclaimer: This blog post is for informational purposes only and should not be considered a substitute for professional medical advice. Please consult with a qualified speech pathologist for a personalized evaluation and treatment plan.