Post-Surgery Leg Cramps: Is Rehabilitation Necessary After Fracture? - Orthopedics

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After being discharged from surgery for a fracture due to a car accident, the patient has been experiencing persistent muscle cramps in the calf?


Hello Dr.
Chen,
I would like to ask about my condition.
I had surgery on June 26 and was hospitalized for five days.
However, even after being discharged, I have been applying ice daily.
It has now been three weeks since my discharge, and my calf still experiences cramping.
Is this a normal phenomenon? Should I go to the hospital for rehabilitation? The cramping is causing my heel to not fully touch the ground when I walk, and my entire calf feels tight.

Chen Ying, 30~39 year old female. Ask Date: 2017/07/12

Dr. Shi Guozheng reply Orthopedics


You can see a physician to prescribe some muscle relaxants for relief.
Additionally, you may consider physical therapy for your calf.
If there is no sign of inflammation, you can apply heat; there is no need for ice therapy at this time.

Reply Date: 2017/07/12

More Info


Post-surgery leg cramps can be a common occurrence, especially after a significant injury and surgical intervention. The fact that you are experiencing daily cramps in your calf three weeks after surgery is not unusual, but it does warrant attention and possibly further evaluation.

Firstly, it’s important to understand that after a fracture and subsequent surgery, the body undergoes a healing process that can lead to muscle tightness and cramps. This can be due to several factors, including immobilization during recovery, changes in muscle use, and even the effects of anesthesia and pain medications. When a limb is immobilized, the muscles can become weak and stiff, which may contribute to cramping as you begin to use them again.

Ice therapy, which you have been using, can help reduce swelling and numb pain, but it may not directly address the underlying issues causing the cramps. It’s essential to balance ice therapy with gentle movement and stretching to promote circulation and muscle relaxation.
Regarding rehabilitation, it is highly recommended after surgery for fractures. Rehabilitation can help restore range of motion, strength, and function to the affected limb. A physical therapist can design a tailored rehabilitation program that addresses your specific needs, including exercises to improve flexibility and strength in your calf muscles, which may alleviate the cramping you are experiencing.
In your case, since you are having difficulty with heel contact while walking, this indicates that the muscle tightness is significantly affecting your mobility. A physical therapist can guide you through exercises that focus on calf stretching, strengthening, and overall lower limb rehabilitation. They can also provide modalities such as ultrasound or electrical stimulation, which may help reduce muscle tightness and improve blood flow to the area.

If the cramps persist despite rehabilitation efforts, or if you experience other concerning symptoms such as swelling, redness, or severe pain, it would be prudent to consult your orthopedic surgeon or a healthcare provider. They can assess whether there are any complications from the surgery or underlying conditions that need to be addressed.

In summary, while experiencing leg cramps post-surgery can be normal, it is crucial to engage in rehabilitation to promote healing and regain function. A physical therapist can provide the necessary support and guidance to help you manage these symptoms effectively and improve your overall mobility. Don’t hesitate to seek help; addressing these issues early can lead to a better recovery outcome and help you return to your normal activities more comfortably.

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