Managing Pain After Pelvic and Thigh Surgery in Cold or Rainy Weather

After surgery on the pelvis or thigh, experiencing soreness or pain on rainy days or in cold weather is common?

My daughter suffered an open fracture of both sides of her pelvis and thigh due to a car accident.
She underwent surgery and had an external fixator for three months, which has now been removed for about three to four months.
However, she experiences significant soreness and pain at the fracture site during cold or rainy weather.
Is there any way to alleviate or address this issue? Thank you.

Lin Mama, 40~49 year old female. Ask Date: 2017/01/16

Dr. Chen Yongxue reply Orthopedics

Hello, after a fracture has healed, approximately 40% of patients may experience soreness when there are sudden changes in temperature or atmospheric pressure.
You can try applying a warm compress to the affected area, which may provide relief.
If the effect is not significant, you can take pain relievers to alleviate the discomfort.
Since this is for short-term use, there is no need to worry about excessive side effects.
Thank you.

Reply Date: 2017/01/16

More Info

Managing pain after pelvic and thigh surgery, especially in cold or rainy weather, can be challenging. Your daughter's experience of increased discomfort in response to changes in weather is not uncommon among individuals who have undergone orthopedic surgeries, particularly those involving fractures. This phenomenon is often attributed to several factors, including changes in barometric pressure, temperature, and humidity, which can affect the body's tissues and nerves.

Understanding Pain Sensitivity in Weather Changes
1. Barometric Pressure: Changes in barometric pressure can influence the pressure within the joints and surrounding tissues. When the pressure drops, it can lead to swelling and increased pain in areas that have been previously injured or surgically repaired.

2. Temperature Sensitivity: Cold weather can cause muscles and joints to tighten, leading to increased stiffness and discomfort. Cold can also reduce blood flow to the extremities, which may exacerbate pain.

3. Psychological Factors: Weather changes can also have psychological effects, leading to increased awareness of pain. Individuals may be more attuned to their discomfort during gloomy or rainy days.

Strategies for Pain Management
Here are several strategies that may help alleviate your daughter's pain during cold or rainy weather:
1. Heat Therapy: Applying heat to the affected area can help relax muscles and improve blood circulation. This can be done using heating pads, warm towels, or warm baths. Heat therapy is particularly effective before engaging in physical activities or exercises.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the affected area, improve flexibility, and reduce pain. A physical therapist can design a personalized exercise program that takes into account her specific condition and recovery stage.

3. Pain Medications: Over-the-counter pain relievers such as ibuprofen or acetaminophen can be effective in managing pain. However, it’s essential to consult with a healthcare provider before starting any medication regimen, especially if she has other health conditions or is taking other medications.

4. Compression Garments: Wearing compression garments can help reduce swelling and provide support to the affected area. This can be particularly beneficial during colder weather.

5. Stay Active: Gentle movements and exercises can help maintain mobility and reduce stiffness. Activities such as walking, swimming, or cycling (if comfortable) can be beneficial. However, it's crucial to avoid overexertion.

6. Mind-Body Techniques: Techniques such as mindfulness, meditation, and deep breathing exercises can help manage pain perception and improve overall well-being. These practices can help reduce stress and anxiety, which can exacerbate pain.

7. Diet and Hydration: Maintaining a healthy diet rich in anti-inflammatory foods (like fruits, vegetables, and omega-3 fatty acids) can support healing. Staying well-hydrated is also essential for overall health and can help reduce muscle cramping.

8. Consult a Specialist: If her pain persists or worsens, it may be beneficial to consult with an orthopedic specialist or pain management specialist. They can evaluate her condition and recommend additional treatments, such as physical therapy, injections, or other interventions.

Conclusion
It’s important to remember that pain management is a multifaceted approach, and what works for one person may not work for another. Encouraging your daughter to communicate openly about her pain levels and any changes she experiences will be crucial in finding the most effective strategies for her recovery. Additionally, keeping a pain diary to track her symptoms in relation to weather changes may provide valuable insights for her healthcare providers.
If her symptoms do not improve or if she experiences new symptoms, seeking medical advice is essential to rule out any complications related to her previous injuries or surgeries.

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