Post-Surgery Complications: Pain and Swelling After Ankle Tumor Removal

Q: Post-Surgery Complications: Pain and Swelling After Ankle Tumor Removal

Response to Question 1： The ankle must bear the weight of the entire body while walking and adjust to changes in terrain, which is why wounds near the ankle tend to heal more slowly. <br>Even after the wound has healed, individuals may experience a tingling sensation due to the p

Surgical complications

I underwent a tumor excision surgery on July 6, approximately 2 cm above the left ankle joint, and I am still experiencing the following symptoms: 1) There is still a tingling sensation near the wound, especially around the ankle joint.
2) There is swelling around the wound and at the borders of the entire calf and foot.
3) After standing for just a few minutes, the calf turns red, resembling poor blood circulation.
This condition resolves after sitting down and massaging the area.

I would like to ask the doctor: a) Are these symptoms normal? b) How long might the tingling sensation persist? Thank you!

M. F., 40~49 year old female. Ask Date: 2002/09/10

Dr. Huang Yuanhui reply Surgery

Response to Question 1: The ankle must bear the weight of the entire body while walking and adjust to changes in terrain, which is why wounds near the ankle tend to heal more slowly.
Even after the wound has healed, individuals may experience a tingling sensation due to the pressure from body weight.
Generally, most people will gradually recover within three to six months.
If pain persists beyond six months, it is advisable to consider other underlying issues and consult the original surgeon for a follow-up.
Response to Question 2: The most common tumor near the ankle is a ganglion cyst, which is a benign tumor that arises from the joint capsule.
During surgery, the tumor must be separated from the joint capsule tissue, resulting in a larger surgical area and a greater impact on the lymphatic circulation of the foot.
These factors contribute to postoperative swelling.
It is recommended to wear compression stockings to aid lymphatic circulation, minimize walking and standing time, and elevate the foot when possible.
These measures can help alleviate discomfort from swelling, and most individuals will recover within three to six months.

Surgical Attending Physician: Huang Yuan-Hui, 2002/9/12

Reply Date: 2002/09/10

More Info

Post-surgery complications, particularly after a tumor removal from the ankle, can be concerning and uncomfortable. Based on your description of symptoms following your surgery on July 6, it’s important to understand what is considered normal and what may require further medical attention.

1. Pain and Tingling Sensation: It is not uncommon to experience pain and a tingling sensation around the surgical site, especially near the ankle joint. This can be attributed to several factors, including nerve irritation or damage during the surgery, inflammation, and the healing process itself. The nerves in the area may take time to recover, and this can lead to sensations of tingling or sharp pain. Typically, these sensations can last for several weeks to a few months post-surgery, but if they persist or worsen, it would be advisable to consult your surgeon.

2. Swelling: Swelling around the surgical site and extending to the lower leg and foot is also a common occurrence after surgery. This is often due to inflammation and the body’s natural response to healing. Elevating the leg, applying ice packs, and using compression bandages can help reduce swelling. However, if the swelling is significant or accompanied by severe pain, it could indicate complications such as infection or deep vein thrombosis (DVT), which would require immediate medical evaluation.

3. Color Changes and Circulation Issues: The redness you observe in your lower leg after standing for a few minutes may suggest issues with blood circulation. Post-surgical swelling can impede normal blood flow, leading to temporary changes in skin color. When you sit down and massage the area, you are likely helping to restore circulation, which alleviates the redness. However, if you notice persistent redness, warmth, or swelling that does not improve with elevation or rest, it is crucial to seek medical advice to rule out any serious conditions.

Recommendations:
- Follow-Up Appointments: Regular follow-ups with your surgeon are essential to monitor your recovery. They can assess your symptoms in the context of your overall healing process and determine if any interventions are necessary.

- Pain Management: If the pain and tingling sensations are bothersome, over-the-counter pain relievers such as ibuprofen or acetaminophen may help. However, always consult your healthcare provider before taking any medication post-surgery.

- Physical Therapy: Depending on your recovery progress, your doctor may recommend physical therapy. This can help improve mobility, strengthen the surrounding muscles, and reduce pain and swelling.

- Monitoring Symptoms: Keep a close watch on your symptoms. If you experience increased pain, swelling, fever, or any signs of infection (such as pus or increased redness), contact your healthcare provider immediately.

In conclusion, while some pain, swelling, and tingling sensations can be normal after ankle tumor removal surgery, it is essential to stay vigilant about your symptoms. Engaging in open communication with your healthcare team will ensure that you receive the appropriate care and support during your recovery. Wishing you a smooth and speedy recovery!

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