Post-Lipoma Surgery: Swelling, Pain, and Recovery Tips - Orthopedics

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Post-operative care for lipoma surgery?


Hello Doctor,
1.
I previously had surgery for a lipoma on my left wrist, but it has been almost a month and a half since the surgery, and I am noticing swelling in that area.
There is slight tenderness when I press on it.
I thought the swelling would decrease after the surgery, but it seems to be much larger than before.
Is this inflammation after the surgery?
2.
How long does recovery typically take?
3.
What rehabilitation exercises can I do at home?

will, 30~39 year old female. Ask Date: 2018/01/21

Dr. Shi Guozheng reply Orthopedics


1.
Swelling after surgery can persist for one to two months.
Localized heat application can be used, and if inflammation occurs, there may be redness, swelling, heat, and pain.

2.
Recovery typically takes about two to three months.

3.
Practice wrist and elbow movements, extending and bending them, and then perform gripping and releasing exercises with the palm.

Reply Date: 2018/01/21

More Info


After undergoing lipoma surgery, it is not uncommon to experience some swelling and discomfort in the surgical area. Let’s address your concerns systematically.

1. Swelling and Pain: The swelling you are experiencing at the site of your lipoma removal could be attributed to several factors. Post-surgical inflammation is a natural response of the body to the trauma of surgery. This inflammation can lead to increased blood flow and fluid accumulation in the area, resulting in swelling. Additionally, if the swelling is accompanied by tenderness or pain upon pressure, it could indicate that the area is still healing or that there may be some residual irritation or inflammation. In some cases, if the swelling persists or worsens, it could be a sign of complications such as seroma (a pocket of clear fluid) or hematoma (a collection of blood outside of blood vessels). It is essential to monitor the symptoms and consult your healthcare provider if the swelling does not subside or if you experience increased pain, redness, or warmth in the area.

2. Recovery Time: Recovery from lipoma surgery can vary based on several factors, including the size and location of the lipoma, the surgical technique used, and your overall health. Generally, most patients can expect to see significant improvement within a few weeks, but complete healing may take several months. Swelling and discomfort typically decrease over time, but it is crucial to follow your surgeon's post-operative care instructions to facilitate proper healing. If you have concerns about your recovery timeline, it is advisable to discuss them with your surgeon.

3. Home Rehabilitation: To aid in your recovery at home, consider the following tips:
- Rest: Ensure you give your body adequate time to heal. Avoid strenuous activities that could strain the surgical site.

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

- Gentle Movement: Once your doctor gives you the go-ahead, gentle range-of-motion exercises can help maintain flexibility and prevent stiffness. Start with simple wrist movements, such as flexing and extending your wrist and fingers.

- Elevation: Keeping your hand elevated can help reduce swelling. Try to keep your wrist above the level of your heart when resting.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, always consult your physician before taking any medication.

- Follow-Up Care: Attend all scheduled follow-up appointments with your surgeon to monitor your healing process and address any concerns.

In summary, while some swelling and discomfort are expected after lipoma surgery, it is essential to keep an eye on your symptoms and consult your healthcare provider if you have any concerns. Recovery can take time, but with proper care and rehabilitation, you should see improvement. Always prioritize following your surgeon's advice for the best outcomes.

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