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.
When can I start trying to return to a normal walking pattern?
3.
Can the wound be exposed to water while showering?
Sorry for the many questions! 😅

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

Dr. Li Zhonghuai reply Surgery


Hello! The 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 it.
Given these observations, I am concerned that the wound may not be fully healed.
It is advisable to follow up at the surgical outpatient clinic.
The wound should not come into contact with water until it is completely healed.
Take care! Changhua Hospital cares about you!

Reply Date: 2016/09/19

More Info


Post-surgery recovery, especially 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 common post-operative symptoms, which I will address in detail.

1. Is it normal to experience swelling and pain around the wound?
Yes, it is quite normal to experience some swelling and tenderness around the surgical site even 29 days 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, if you are experiencing significant pain or if the swelling does not begin to subside in the coming days, it would be wise to consult your physician. Pain during movement, especially when trying to stretch the ankle or walk normally, is also common as the surrounding tissues are still healing and regaining strength.

2. When can I expect to return to a normal walking pattern?
The timeline for returning to a normal walking pattern can vary widely based on the type of surgery performed, your overall health, and how well you follow post-operative care instructions. Generally, it can take anywhere from a few weeks to several months for full recovery. Since you are at the 29-day mark, you may start to see improvements in your ability to walk without a limp in the coming weeks. It is essential to listen to your body; if you feel pain while attempting to walk normally, it is a sign that your body is not yet ready for that level of activity. Gradual rehabilitation exercises, as prescribed by your physical therapist or surgeon, will be crucial in regaining strength and mobility.

3. Can I get the wound wet while showering?
It is typically advised to keep surgical wounds dry until they are fully healed. If your doctor has not given you specific instructions to allow the wound to get wet, it is best to avoid direct contact with water. You can cover the area with a waterproof bandage or plastic wrap while showering to protect it. If the wound is healing well and your doctor has assessed it, they may eventually allow you to get it wet, but this should be confirmed with them.


Additional Considerations:
- Follow-Up Appointments: Regular follow-ups with your surgeon are crucial. They can assess the healing process and make recommendations based on your specific situation.

- Physical Therapy: Engaging in physical therapy can significantly aid in your recovery. A physical therapist can provide tailored exercises that promote healing and strengthen the muscles around your ankle and foot.

- Pain Management: If you are experiencing pain, consider discussing pain management options with your healthcare provider. They may recommend over-the-counter pain relievers or prescribe medication if necessary.

- Signs of Complications: Be vigilant for signs of infection (increased redness, warmth, discharge, or fever) or other complications (persistent swelling, increased pain, or inability to move the ankle). If you notice any of these symptoms, seek medical attention promptly.

In conclusion, while some discomfort and swelling are normal during the recovery process, it is essential to monitor your symptoms and maintain open communication with your healthcare provider. They can provide the best guidance tailored to your specific situation and help you navigate your recovery effectively.

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