Post-Surgery Concerns: Managing Recovery from Baker's Cyst Surgery - Plastic Surgery

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Concerns after surgery for a Baker's cyst... feeling very anxious?


Hello, doctor.
I visited the hospital on February 2nd and was diagnosed with a Baker's cyst behind my left knee (which was completely painless and showed no abnormal symptoms).
I decided to undergo surgery on February 6th (general surgery).
After the procedure, the doctor informed me that the cyst was over 2 centimeters in size.
Due to the deep location of the cyst, some tendons were cut and then sutured.
The next day, on February 7th, the doctor said I could be discharged.

On February 11th, at 1 AM, there was an earthquake in Tainan.
I became nervous and accidentally performed a deep squat, which caused a noticeable tightness in my left knee.
I couldn't bring my calf and thigh closer than 90 degrees, and I was unable to stand straight.
However, I could slowly extend my leg while lying down.
If I lay down or sat for a long time and then tried to stand up, I felt significant swelling and pain in the inner part of my calf.
Is this due to a blood issue in my calf, or could it be caused by something else?
As of today, February 17th, I have returned for a follow-up appointment.
The doctor said that the tightness in my leg is just a matter of time and will gradually improve, but my left calf is still swollen.
It has been over 10 days since the surgery, and I am having trouble even walking.
What should I do? I am increasingly worried as each day passes, and I feel like my leg is not recovering at all.

P.S.
Sometimes, when I feel too restless, I go out for a walk, dragging my right foot along with my left foot.
Is this having a negative impact on my left leg, or are there other ways to help my leg recover more quickly?

Axiang, 30~39 year old female. Ask Date: 2017/02/17

Dr. Zhou Hongzhang reply Plastic Surgery


1.
The degree of swelling and pain after surgery varies from person to person; generally, it takes a few weeks to gradually improve.
2.
If there is any discomfort, it is best to return to the outpatient clinic for the doctor to take a look.
3.
After surgery, it is important to rest, and applying ice and heat can help speed up recovery.

Reply Date: 2017/02/17

More Info


Post-surgery recovery, especially after a procedure like Baker's cyst removal, can be a challenging experience. It’s understandable that you are feeling anxious about your recovery, particularly with the swelling and pain you are experiencing in your left calf. Let’s break down your concerns and provide some guidance based on medical knowledge.

Firstly, it’s important to recognize that swelling and discomfort following surgery are common, especially when deeper structures, such as tendons and ligaments, are involved. The fact that your surgery required cutting and suturing tendons means that your body is undergoing a healing process that can take time. Generally, post-surgical swelling can persist for several weeks, and it is not unusual for patients to experience varying degrees of pain and discomfort during this period.

The tightness and inability to fully flex your knee, as well as the swelling in your calf, could be attributed to several factors. After surgery, the body responds with inflammation, which is a natural part of the healing process. This inflammation can lead to fluid accumulation in the tissues, resulting in swelling. Additionally, if you have been less active due to pain or discomfort, this can lead to stiffness in the muscles and joints, further complicating your recovery.

Regarding your concern about the calf swelling and pain when standing up after sitting or lying down, this could be related to venous return issues. When you remain in a static position for a prolonged period, blood can pool in the lower extremities, leading to increased swelling and discomfort upon standing. It’s crucial to engage in gentle movement and exercises as tolerated to promote circulation and prevent stiffness. However, be cautious and avoid any movements that cause significant pain or discomfort.

You mentioned that you have been dragging your right leg while walking. While it’s understandable to want to move around, this could potentially lead to compensatory issues in your gait, which may affect your recovery. It’s advisable to focus on proper walking techniques and use assistive devices if necessary, such as crutches or a cane, to alleviate pressure on your left leg until you regain strength and mobility.

To facilitate your recovery, consider the following strategies:
1. Rest and Elevation: Ensure you are resting your leg as much as possible and elevating it to help reduce swelling. Keeping your leg elevated above heart level can assist in fluid drainage.

2. Ice Therapy: Applying ice packs to the swollen area for 15-20 minutes several times a day can help reduce inflammation and numb the pain.

3. Gentle Range of Motion Exercises: Engage in gentle stretching and range-of-motion exercises as advised by your healthcare provider. This can help maintain flexibility and prevent stiffness.

4. Gradual Weight Bearing: As you feel more comfortable, gradually increase your weight-bearing activities. Listen to your body and avoid pushing through pain.

5. Follow-Up with Your Doctor: Since you have already had a follow-up appointment, continue to communicate with your healthcare provider about your symptoms. If the swelling and pain persist or worsen, further evaluation may be necessary to rule out complications such as deep vein thrombosis (DVT) or infection.

6. Physical Therapy: If your recovery does not progress as expected, consider asking your doctor about a referral to a physical therapist. They can provide tailored exercises and strategies to enhance your recovery.

In summary, while it’s normal to feel concerned about your recovery, it’s essential to remain proactive in your care. Focus on rest, gentle movement, and maintaining open communication with your healthcare team. Recovery takes time, and with appropriate care and patience, you should see gradual improvement in your symptoms.

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