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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Insomnia And Joint Pain After Thyroid Removal Surgery?

My thyroid was removed Aug 8. I have no voice/hoarseness, shortness of breath, joint pain, and insomnia. I believe it is from the levothyroxine. Is there something else I can take. My endocrinologist says my level is dangerously low and has lowered my dose twice. But I still have the symptoms.
Fri, 11 Sep 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of thyroid removal of Aug 8 and then you developed shortness of breath, joint pains, insomnia and you do not have voice/hoarseness.
It looks from your history that there is paralysis of the vocal cords that has occurred during the surgery or you have neuropraxia meaning partial trauma to the recurrent laryngeal nerves that has caused the major problem.
I would advise you the following:
Consult an NET Surgeon for Laryngoscopy to see the status of the vocal cords to understand the points.
Get the fresh Free T3, Free T4 and TSH and parathyroid hormone levels.
Further treatment solely depends upon the reports, the dosages are adjusted according to it and the clinical evaluation we have to get it done.
Rest of the symptoms will abate the moment the thyroid levels are normalized.
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What Causes Insomnia And Joint Pain After Thyroid Removal Surgery?

Hi. Thanks for your query. Noted your history of thyroid removal of Aug 8 and then you developed shortness of breath, joint pains, insomnia and you do not have voice/hoarseness. It looks from your history that there is paralysis of the vocal cords that has occurred during the surgery or you have neuropraxia meaning partial trauma to the recurrent laryngeal nerves that has caused the major problem. I would advise you the following: Consult an NET Surgeon for Laryngoscopy to see the status of the vocal cords to understand the points. Get the fresh Free T3, Free T4 and TSH and parathyroid hormone levels. Further treatment solely depends upon the reports, the dosages are adjusted according to it and the clinical evaluation we have to get it done. Rest of the symptoms will abate the moment the thyroid levels are normalized.