Post-Surgery Rehabilitation Concerns After Fracture: What to Expect - Orthopedics

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Rehabilitation Issues After Removal of Metal Pins from Fractures - 2


Hello Dr.
Lee, thank you for your response.
I would like to ask you again.
It has been almost two months since my comminuted open fracture on June 26, and I had my metal screws removed on August 16, allowing me to start rehabilitation and walk on my foot.
Since my next follow-up appointment is on September 20 and today is August 21, I have noticed that my foot at the fracture site swells and hurts during rehabilitation (self-rehabilitation) after walking a short distance.
Even when at rest, it still swells, though not as noticeably as after putting weight on it.
I started soaking my foot in warm water last night (the small hole left from the screw removal has scabbed over) and have been elevating my foot more often.
I would like to ask you, Dr.
Lee: 1.
Is the swelling and pain considered normal? 2.
How long is it expected for this condition to improve? 3.
Generally speaking, how long does it take for a fracture to heal to the point of normal walking? Thank you for taking the time to respond!

amily, 30~39 year old female. Ask Date: 2017/08/21

Dr. Li Yongheng reply Orthopedics


Hello Amily: It is normal to experience swelling and pain in the foot two months post-surgery; typically, it takes about three months for the swelling to subside.
It also takes approximately three months for a fracture to heal enough for normal walking.
Please try not to worry too much.

Reply Date: 2017/08/21

More Info


Post-surgery rehabilitation after a fracture, especially a complex one like an open comminuted fracture, can be a challenging journey. It's essential to understand what to expect during this recovery phase and how to manage symptoms effectively.

1. Is swelling and pain normal?
Yes, experiencing swelling and pain after a fracture surgery is quite common, especially in the early stages of rehabilitation. The body has undergone significant trauma, and the healing process involves inflammation, which can lead to swelling. When you start to bear weight and engage in rehabilitation exercises, it's normal for the affected area to swell and feel painful. This is your body's way of signaling that it is healing, but it can also indicate that you may be pushing your limits too soon.
2. How long will this condition take to improve?
The duration for swelling and pain to subside can vary significantly from person to person, depending on factors such as the severity of the fracture, the type of surgery performed, your overall health, and how well you adhere to rehabilitation protocols. Generally, you might expect to see gradual improvement over several weeks. However, if the swelling persists or worsens, it’s crucial to consult your physician. They may recommend adjustments to your rehabilitation plan or investigate other underlying issues.

3. What is the typical timeline for returning to normal walking?
The timeline for returning to normal walking after a fracture can vary widely. For most patients, it can take anywhere from 3 to 6 months to regain full function, but this can extend to a year or more for complex fractures or if complications arise. Factors influencing recovery include the type of fracture, the surgical technique used, your age, and your overall physical condition.
In your case, since you are already two months post-surgery and have begun rehabilitation, you are on the right track. However, it’s essential to listen to your body. If you experience significant pain or swelling after walking, consider reducing the intensity or duration of your activities.
Additional Recommendations:
- Rest and Elevation: Continue to elevate your leg when resting to help reduce swelling.

- Ice Therapy: Applying ice packs to the swollen area can also help manage inflammation and pain.

- Gradual Progression: Increase your activity level gradually. Start with short walks and slowly increase the distance as tolerated.

- Physical Therapy: If you haven’t already, consider working with a physical therapist. They can provide tailored exercises that promote healing while minimizing the risk of re-injury.

- Nutrition: Ensure you are consuming a balanced diet rich in calcium and vitamin D to support bone healing.

Lastly, keep an open line of communication with your healthcare provider. Regular follow-ups are crucial to monitor your healing progress and make necessary adjustments to your rehabilitation plan. If you have any concerns about your symptoms or recovery, do not hesitate to reach out to your doctor. They can provide personalized advice based on your specific situation.

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