Knee Pain After Surgery: Weather Effects and Recovery Insights - Orthopedics

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A car accident resulted in a fractured patella, which was treated with titanium alloy screws?


After the surgery on May 17, I have been feeling discomfort in the injured part of my knee.
Although it doesn't affect my ability to walk, I've noticed that with the recent colder weather, the injured area feels sore.
I'm not sure if it's just in my head, but I also feel like my injured right leg seems a bit shorter.
The surgeon mentioned that the materials used were of good quality and that I wouldn't need another surgery to remove the screws, and my recovery has been going well.
I would like to ask the doctor if knee injuries can cause discomfort due to changes in weather, and if it's possible for my legs to become uneven in length.
Thank you.

hudie, 50~59 year old female. Ask Date: 2016/12/23

Dr. Li Yongheng reply Orthopedics


After a knee injury, it is possible to experience discomfort due to changes in weather.
As for whether the legs can become unequal in length, this may require a TRIPLE FILM X-RAY (an X-ray from the thigh to the ankle) to compare the lengths of both legs.

Reply Date: 2016/12/23

More Info


Knee pain after surgery can be a complex issue, influenced by various factors including the type of surgery, the materials used in the procedure, and environmental conditions such as weather changes. It is not uncommon for patients to experience discomfort or pain in the knee, particularly after surgical interventions like fractures or cartilage repairs.
One of the most frequently reported phenomena among patients recovering from knee surgery is the increased sensitivity to weather changes, particularly cold and damp conditions. Many patients report that their knees feel more painful or stiff when the weather turns cold or rainy. This can be attributed to several factors. First, changes in barometric pressure can affect the joints, leading to increased sensitivity and discomfort. Additionally, cold weather can cause muscles and ligaments to tighten, which may exacerbate any existing pain or discomfort in the knee.
Regarding your concern about the perception that your injured leg feels shorter, this is a common psychological response following an injury or surgery. It can stem from a variety of factors, including muscle atrophy, swelling, or changes in gait that occur during the recovery process. When one leg is injured, the body may compensate by altering the way you walk, which can create the illusion of length discrepancy. However, it is essential to have this evaluated by a healthcare professional, as they may recommend imaging studies, such as X-rays, to assess the alignment and length of your legs accurately.

In terms of recovery, it is crucial to follow your surgeon's recommendations regarding rehabilitation and physical therapy. Engaging in appropriate exercises can help strengthen the muscles around the knee, improve flexibility, and restore function. However, it is equally important to listen to your body and avoid overexertion, especially in the early stages of recovery. If you experience increased pain or swelling after certain activities, it may indicate that you need to adjust your rehabilitation plan.

Ice therapy is often recommended to manage pain and swelling post-surgery. Applying ice to the knee can help reduce inflammation and provide pain relief, especially after physical activity. It is generally advised to ice the knee several times a day, particularly after exercises or if you notice increased discomfort.

If you find that your knee pain persists or worsens, it is essential to communicate this with your healthcare provider. They can assess your condition and determine if further intervention is necessary, whether that be adjustments to your rehabilitation program, medication for pain management, or additional imaging to rule out complications.

In summary, yes, knee pain can indeed be affected by weather changes, and the sensation of a leg feeling shorter is not uncommon after surgery. It is vital to maintain open communication with your healthcare team, adhere to rehabilitation protocols, and take measures to manage pain effectively. Your recovery is a gradual process, and with appropriate care and attention, you can work towards regaining full function and comfort in your knee.

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