Lymph node pain in the right neck area after thyroidectomy may be caused by recurrence of thyroid cancer or postoperative inflammatory reaction. 1. If the lymph node pain in neck area iv is caused by recurrence of thyroid cancer, some people may also have symptoms such as enlarged lymph nodes, hoarse voice, dyspnea, etc. If distant metastasis occurs, symptoms such as coughing and chest pain may also occur. It is recommended to remove the lymph nodes through surgery under the guidance of doctor in time to avoid the cancer from spreading and affecting the health of the body. 2. If the lymph node pain in the right neck iv area after thyroidectomy is caused by postoperative inflammatory reaction, antibiotic drugs such as gentamicin and norfloxacin can be taken under doctor’s guidance for treatment. Lymph node pain after thyroidectomy, it is recommended to go to the hospital in time to clarify the diagnosis, to avoid delaying the condition.