Post-Surgery Recovery: When Can I Resume Normal Activities After Femur Nail Removal?

Mobility after removal of femoral intramedullary nail?

Hello, doctor.
I was in a car accident in November 2015, which resulted in a closed fracture of my femur.
After two years, on May 1, 2018, I underwent surgery to remove the intramedullary nail from my femur.
On May 14, I had my stitches removed, and my attending physician mentioned that I could try to stop using crutches.
I was a bit surprised to hear that! There were too many people that day, and I forgot to ask the doctor follow-up questions.
The discharge summary states: "Postoperative rest and rehabilitation are recommended for one month with progressive weight-bearing walking." My supervisor at work asked if I could return to work in early June.
I would like to ask the doctor if, as of today, May 29, I can resume normal exercise and ride a motorcycle.

jianzi, 20~29 year old female. Ask Date: 2018/05/29

Dr. Li Yongheng reply Orthopedics

Hello, generally speaking, after a fracture surgery, if the bone screw removal surgery is performed two weeks later and the stitches have been removed, you should be able to return to work normally by early June.
Riding a motorcycle today should not pose a significant issue.
As for whether you can engage in regular exercise, it is advised to assess your capabilities.
As long as you do not experience pain during exercise, you can gradually resume physical activity.
Wishing you a speedy recovery.

Reply Date: 2018/05/29

More Info

After undergoing femur nail removal surgery, it's understandable to have questions about your recovery timeline and when you can resume normal activities. Based on your description, you had the surgery on May 1st and had your stitches removed on May 14th. Your doctor advised you to gradually increase your weight-bearing activities and recommended a month of rehabilitation.
As of May 29th, you are about four weeks post-surgery. Generally, the recovery process after femur nail removal can vary significantly from person to person, depending on factors such as the extent of the initial injury, the surgical technique used, and your overall health and fitness level prior to the surgery.

Resuming Normal Activities
1. Weight-Bearing and Mobility: Since your doctor has indicated that you can begin to bear weight progressively, you should be able to start walking without crutches, provided you feel stable and confident. However, it's crucial to listen to your body. If you experience pain or discomfort while walking, it may be wise to continue using crutches or a walker until you feel more secure.

2. Exercise and Physical Activity: As for resuming normal exercise, it is generally recommended to start with low-impact activities that do not put excessive strain on your leg. Activities such as swimming or cycling on a stationary bike can be beneficial, as they allow you to maintain fitness without putting too much pressure on your healing leg. However, high-impact activities, such as running or jumping, should be avoided until you have fully regained strength and stability in your leg.

3. Riding a Motorcycle: Riding a motorcycle can be more demanding on your leg, especially if you need to balance or support your weight on the injured side. If you feel confident in your ability to control the motorcycle and can safely manage the physical demands, you might consider trying it. However, it is advisable to consult with your physician or physical therapist before doing so to ensure that you are ready for such activities.

Rehabilitation
Your rehabilitation process is crucial for a successful recovery. Here are some general guidelines:
- Physical Therapy: Engaging in physical therapy can help you regain strength, flexibility, and range of motion in your leg. Your therapist can provide you with specific exercises tailored to your recovery stage.

- Gradual Progression: Follow a gradual progression in your rehabilitation exercises. Start with gentle range-of-motion exercises and gradually increase the intensity as your strength improves.

- Monitoring Pain and Swelling: Keep an eye on any pain or swelling in your leg. If you notice increased discomfort or swelling, it may be a sign that you are pushing yourself too hard.
- Follow-Up Appointments: Ensure that you attend all follow-up appointments with your surgeon or healthcare provider. They can assess your healing progress and provide additional guidance on when you can safely resume more strenuous activities.

Conclusion
In summary, as of May 29th, you are likely in a position to begin resuming normal activities, including light exercise and possibly riding a motorcycle, but it is essential to proceed with caution. Always prioritize your safety and comfort, and consult with your healthcare provider for personalized advice based on your specific recovery progress. With proper care and attention to your rehabilitation, you should be able to return to your normal activities in due time.

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