Pain After Ankle Surgery: When to Seek Medical Advice - Orthopedics

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Comminuted fracture of the lower half of the left calf to the ankle?


Hello Doctor: I had a comminuted fracture of about 9 centimeters in my left lower leg to ankle from a car accident two years ago.
I had surgery on January 25 of this year to remove the metal plate, and I have been taking pain relief and anti-inflammatory medications as prescribed.
The doctor mentioned that as long as I avoid strenuous activities, I should be fine with normal walking.
I finished my medication two days ago, but yesterday and today, I have been experiencing occasional pain at the ankle wound, especially at night while sleeping.
Walking doesn't feel as natural as before, and I feel tightness and even some pain in the back of my ankle and calf.
Could this be due to the stitches still being in place, or could it be related to recent weather changes? I'm having difficulty distinguishing whether the pain is from the bone or the wound.
Should I return for a follow-up appointment earlier?

Qiao Yi, 10~19 year old female. Ask Date: 2017/02/02

Dr. Shi Guozheng reply Orthopedics


The removal of the steel plate after a fracture should occur only after the fracture has completely healed.
Typically, there should be no pain after the fracture has healed.
The pain associated with the surgery to remove the plate is related to the wound itself and is not dependent on whether the stitches have been removed.
It takes some time for recovery after the surgery.
If there are any issues with the wound, it is important to return for a follow-up appointment immediately.

Reply Date: 2017/02/02

More Info


After undergoing ankle surgery, it is not uncommon to experience pain and discomfort during the recovery process. Your situation, involving a significant injury from a car accident and subsequent surgery to remove a plate, suggests that your body is still healing. Here are some insights into understanding your pain and when to seek medical advice.


Understanding Post-Surgical Pain
1. Normal Healing Process: After surgery, it is typical to experience pain as part of the healing process. The body undergoes various stages of recovery, and pain can fluctuate based on activity level, swelling, and the healing of tissues. The fact that you are feeling pain, especially at night or when walking, may indicate that your body is still adjusting post-surgery.

2. Types of Pain: Distinguishing between different types of pain can be challenging. Bone pain often feels deep and aching, while pain from the surgical site may be sharper or more localized. If you are unsure whether the pain is from the bone or the incision site, it may be helpful to monitor the pain's characteristics and any accompanying symptoms, such as swelling or redness.

3. Impact of Weather: Changes in weather can affect joint and soft tissue pain. Many individuals report increased discomfort during colder or damp weather, which can lead to muscle tightness and joint stiffness. This could explain why you are feeling more discomfort recently.

4. Tightness and Stiffness: The sensation of tightness in your ankle and calf could be due to muscle stiffness or swelling around the surgical site. It is essential to engage in gentle stretching and mobility exercises as advised by your healthcare provider to maintain flexibility and reduce stiffness.


When to Seek Medical Advice
1. Persistent or Worsening Pain: If the pain becomes more intense or does not improve with rest and over-the-counter pain relief, it is advisable to consult your physician. Persistent pain could indicate complications such as infection, improper healing, or issues with the surgical site.

2. Signs of Infection: Look for signs of infection, including increased redness, swelling, warmth around the incision, or discharge. Fever may also be a sign of infection. If you notice any of these symptoms, seek medical attention promptly.

3. Difficulty Walking: If you find that walking becomes increasingly difficult or if you experience instability in your ankle, this could be a sign that further evaluation is needed. Your doctor may want to assess your range of motion and the integrity of the surgical site.

4. Unresolved Symptoms: If you have not had your stitches removed yet, it is possible that the presence of stitches could contribute to discomfort. However, if you feel that the pain is not improving or if you have concerns about your recovery, it is always better to err on the side of caution and consult your healthcare provider.


Conclusion
In summary, while some pain and discomfort after ankle surgery are expected, it is crucial to monitor your symptoms closely. If you experience persistent pain, signs of infection, or difficulty with mobility, do not hesitate to reach out to your healthcare provider for further evaluation. They can provide guidance tailored to your specific situation and help ensure a smooth recovery process. Remember, your health and well-being are paramount, and seeking advice when in doubt is always a wise choice.

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