Struggling with Recovery: When Will I Walk Normally Again? - Rehabilitation

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It has been a month, and I still cannot walk normally... I'm worried?


Hello Doctor,
After the Lunar New Year, in early February, I underwent surgery to remove a Baker's cyst (approximately 2 cm) from the back of my left knee.
The doctor explained that due to the depth of the surgery, tendons and ligaments were cut and then sutured back together (I was discharged the day after the surgery).
However, it is now early March, and I still cannot fully extend my left leg or bend it towards my thigh (at most, it can only be perpendicular to my thigh).
I have been returning for regular follow-ups, but the doctor only says that this will take time and that I should not rush it (the doctor did not mention whether I could do massages or any other methods).

When I touch the external sutured area, it feels very stiff.
I have not been able to work for a month now, and it seems that there is no improvement with the tendons and ligaments.
My family and friends are starting to worry that I might remain this way indefinitely, encouraging me to try stretching the calf muscles.
I can no longer distinguish whether the stiffness is due to post-operative swelling or an issue with the tendons.
I still experience muscle soreness and pain.

On March 2nd, while climbing stairs, I misstepped, causing my body to lean forward, and my calf suddenly bent towards my thigh (beyond the perpendicular position), resulting in a sharp pain.
I initially thought it was a minor surgery, but it has left me in a state of despair where I cannot manage both my life and work.

I sincerely ask Dr.
Yin if I should continue like this, feeling powerless and unable to do anything, or if I should seek an evaluation from a rehabilitation specialist? Is there something that I or the doctor may have overlooked?

Bai Long, 30~39 year old female. Ask Date: 2017/03/03

Dr. Yin Xinbei reply Rehabilitation


Please proceed to the rehabilitation department for further evaluation and treatment.

Reply Date: 2017/03/03

More Info


It sounds like you are going through a challenging recovery process after your surgery for a Baker's cyst. The situation you describe, including the inability to fully extend your leg or bend it towards your thigh, is understandably frustrating and concerning. Here’s a comprehensive response to your situation, along with some insights into the recovery process.

First, it's important to recognize that surgical procedures involving deep structures like ligaments and tendons can lead to significant recovery times. The fact that your doctor mentioned that the surgery involved cutting and then suturing ligaments and tendons indicates that there may be a prolonged healing period. The stiffness you are experiencing is not uncommon after such surgeries, especially if the area was manipulated or if there was significant swelling post-operatively.


Understanding Your Symptoms
1. Stiffness and Limited Range of Motion: The stiffness you feel in your leg is likely due to a combination of surgical trauma, inflammation, and possibly scar tissue formation. After surgery, it is common for the body to respond with swelling and inflammation, which can limit movement. The tightness along the incision line can also contribute to the sensation of stiffness.

2. Pain and Muscle Discomfort: The pain you are experiencing, especially when attempting to move your leg, can be attributed to the healing process. Muscles and tendons may be weak or tight after surgery, and any attempt to stretch them can lead to discomfort.
3. Swelling: Differentiating between post-operative swelling and muscle tightness can be difficult. If your leg is still swollen, it may be contributing to your limited range of motion. Elevating your leg and applying ice can help reduce swelling.


Recommendations for Recovery
1. Physical Therapy: It would be beneficial to consult with a physical therapist. They can assess your condition and develop a tailored rehabilitation program that focuses on improving your range of motion, strength, and flexibility. Physical therapy is crucial in recovering from surgeries involving ligaments and tendons, as it helps prevent stiffness and promotes healing.

2. Gentle Stretching: While you should avoid any movements that cause severe pain, gentle stretching exercises can help improve flexibility. Your therapist can guide you on the appropriate stretches to perform without risking further injury.

3. Follow-Up with Your Surgeon: If you feel that your recovery is not progressing or if you have concerns about your symptoms, it is essential to communicate this with your surgeon. They may want to evaluate your healing process and determine if any additional interventions are necessary.

4. Pain Management: Discuss pain management strategies with your healthcare provider. This may include medications, ice therapy, or other modalities to help alleviate discomfort during your recovery.

5. Patience and Realistic Expectations: Recovery from surgery can take time, and it is essential to set realistic expectations. While it is frustrating, many patients experience gradual improvement over weeks to months.
6. Support System: Lean on your family and friends for support during this time. They can provide encouragement and help you stay motivated through your recovery journey.


Conclusion
In summary, your feelings of frustration and helplessness are valid, and it’s important to address them. Engaging with a physical therapist, maintaining open communication with your surgeon, and being patient with your recovery process are key steps to regaining your normal function. Remember, recovery is often not linear, and setbacks can occur, but with the right support and rehabilitation, you can work towards walking normally again.

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