I am 10 years post treatment. I had a re occurrence 1 year after treatment so I have had 12 weeks total radiation & Chemo therapy plus brachytherapy. The radiation is what helped me to be cancer free, but is also what did the most damage. When I reached 8 years post treatment for Stage 3 (large tumor), I experienced a change in my speech and it continued to get worse along with swallowing. I also have the tongue spasms everyone is referring to. I had one of the best Oral Surgeons who diagnosed me with Radiation fibrosis and after educating myself about it, it all made sense to me. Before the diagnosis, I was at my wit's end wondering why all of the changes now, 8 years later? Radiation Fibrosis is progressive, and often shows up later. Over the last two years, I have had a decline in my speech articulation & pronunciation. My tongue is stiff and almost immobile. I cannot touch my tongue to the roof of my mouth anymore due to the atrophy and nerve damage (radiation fibrosis). People cannot understand me on the phone and when the tongue spasms hit, any little bit of understandable speech is gone. While it is frustrating, I feel comforted to have a diagnosis for this and understand why this is happening: Radiation Fibrosis.