Clavicle Issues: Pain After Multiple Surgeries Explained - Orthopedics

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Clavicle issues


Last March, I had surgery for a distal clavicle fracture due to a car accident.
In June, I underwent a second surgery for ligament displacement, and this February, I had a third surgery because of an allergy to the metal plate.
Is it normal to still experience tingling at the surgical site? Is there any danger if I get bumped in that area now?

Niming, 20~29 year old female. Ask Date: 2017/05/23

Dr. Li Yongheng reply Orthopedics


Last March, you underwent surgery for a distal clavicle fracture due to a car accident.
In June, you had a second surgery because of ligament displacement, and this February, you had a third surgery due to an allergy to the metal plate.
This indicates that your recovery process has not been smooth, so you should continue to exercise caution.
It is advised that you avoid lifting heavy objects with your left shoulder, refrain from any external impacts, and attend regular follow-up appointments.
Wishing you a speedy recovery.

Reply Date: 2017/05/23

More Info


Experiencing pain after multiple surgeries, particularly in the context of a clavicle fracture and subsequent operations, can be a complex issue. It is not uncommon for patients to report ongoing discomfort or unusual sensations, such as sharp or stabbing pain, in the area of a previous surgical site. This can be attributed to several factors related to the healing process, the nature of the surgeries, and the body's response to trauma and surgical intervention.

Firstly, after a fracture and surgical repair, the body undergoes a healing process that can take several months to years. During this time, it is normal to experience varying degrees of pain, tenderness, and sensitivity in the affected area. The initial surgery to repair the fracture likely involved the placement of hardware, such as plates and screws, which can sometimes lead to discomfort, especially if the body has a reaction to the materials used, as you mentioned with your allergy to the steel plate. This allergic reaction can manifest as localized pain, swelling, or even a sensation of warmth in the area.

The second surgery, performed to address ligament displacement, may have further complicated the healing process. Surgical interventions can lead to scar tissue formation, which can contribute to ongoing pain and discomfort. Scar tissue can adhere to surrounding tissues and nerves, leading to sensations that may feel like sharp or stabbing pain. Additionally, the surgical manipulation of tissues can lead to changes in the way nerves transmit pain signals, potentially resulting in neuropathic pain, which can feel different from typical post-surgical pain.

Regarding your concern about being at risk if the area is bumped or impacted, it is essential to consider the current state of your healing. If you are still experiencing pain, it may indicate that the area has not fully healed or that there are underlying issues, such as hardware irritation or nerve involvement. While minor bumps may not pose a significant risk, it is advisable to avoid any activities that could lead to trauma to the area until you have fully recovered and received clearance from your healthcare provider.

In terms of management, it is crucial to communicate with your orthopedic surgeon or healthcare provider about your ongoing symptoms. They may recommend imaging studies, such as X-rays or MRI, to assess the healing process and determine if there are any complications, such as hardware failure or the presence of scar tissue that may require intervention. Pain management strategies, including physical therapy, medications, or even further surgical options, may be discussed based on your specific situation.

In summary, while it is not uncommon to experience ongoing pain after multiple surgeries for a clavicle fracture, it is essential to monitor your symptoms closely and seek medical advice to ensure proper healing and address any potential complications. Your healthcare provider can help guide you through the recovery process and provide recommendations tailored to your individual needs.

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