Post-Surgery Recovery: Heel Sutures and Healing Timeline - Surgery

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Heel suturing


Hello, doctor.
Today is the 29th day post-surgery, and my wound is almost healed.
A few days ago, the scab fell off, and the wound appears light brown, but there is still some swelling around the area.
I am currently unable to walk normally (I have a slight limp).
When I try to walk normally or attempt to stretch my ankle significantly, the wound hurts (there is some pain when I press on it).

1.
Is this a normal phenomenon?
2.
Approximately when can I start trying to return to a normal walking pattern? I apologize for having so many questions.
😅

Heyo, 10~19 year old female. Ask Date: 2016/09/19

Dr. Li Zhonghuai reply Surgery


Already replied.

Reply Date: 2016/09/19

More Info


Post-surgery recovery, particularly after procedures involving sutures in the heel or ankle area, can be a complex process that varies significantly from person to person. Based on your description, it seems you are currently experiencing some typical post-operative symptoms, but let’s break down your questions for clarity.

1. Is it normal to experience some swelling and pain around the wound site?
Yes, it is quite common to experience swelling and tenderness around the surgical site even several weeks post-operation. The healing process involves inflammation, which can cause swelling and discomfort. The fact that your wound is healing and the scab has fallen off is a positive sign. However, the presence of pain when pressing on the area or attempting to stretch your ankle is also expected, especially if the surgery involved significant manipulation of tissues or structures in the heel or ankle.
It’s important to remember that healing is not linear; you may have good days and bad days. Swelling can fluctuate based on activity levels, so if you find that your symptoms worsen after trying to walk or stretch, it may be a sign that you need to scale back your activities temporarily.

2. When can I start to attempt to walk normally?
The timeline for returning to normal walking can vary widely depending on the specific procedure you underwent, your overall health, and how well you are healing. Generally, most patients can begin to bear weight on the affected foot within a few weeks post-surgery, but this should always be guided by your surgeon’s recommendations.
Since you are currently at day 29 post-surgery, it’s crucial to follow any specific instructions given by your healthcare provider regarding weight-bearing and mobility. If you are still experiencing significant pain or instability, it may be wise to continue using assistive devices (like crutches or a walking boot) until you feel more comfortable.
Typically, patients may start to transition to a more normal walking pattern around 6-8 weeks post-surgery, but this can vary. Engaging in physical therapy can also be beneficial, as a therapist can provide tailored exercises to improve strength and flexibility, which are essential for a full recovery.


Additional Considerations:
- Physical Therapy: If you haven’t already, consider starting physical therapy. A physical therapist can help you with exercises that promote healing, improve range of motion, and strengthen the surrounding muscles, which can facilitate a quicker return to normal walking.


- Pain Management: If pain persists, discuss pain management strategies with your healthcare provider. They may recommend ice therapy, elevation, or specific medications to help manage discomfort.

- Monitoring Symptoms: Keep an eye on your symptoms. If you notice increased redness, warmth, or discharge from the wound, or if the pain becomes severe, it’s important to contact your healthcare provider as these could be signs of infection or other complications.

- Gradual Progression: As you begin to feel better, gradually increase your activity level. Start with short walks and slowly build up the distance and duration as tolerated. Listen to your body; if something causes pain, it’s a signal to ease back.

In summary, while some discomfort and swelling are normal at this stage of recovery, it’s essential to communicate with your healthcare provider about your symptoms and follow their guidance on when to progress to more normal activities. Healing takes time, and patience is key to a successful recovery.

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