Post-Surgery Recovery for Plantar Lipomas: What to Expect - Surgery

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Plantar fibroma


A plantar fibroma was surgically removed, and the stitches were taken out about a month post-operation.
One month after the stitches were removed, there has been no improvement; walking still causes pain.
The surface of the wound appears red and flat, but feels hard to the touch, with the hardened area being larger than before the surgery.
Is this normal?

Pingguo, 20~29 year old female. Ask Date: 2018/07/02

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to follow up with your original physician for further evaluation.
Take care! Changhua Hospital cares about you!

Reply Date: 2018/07/02

More Info


After undergoing surgery for a plantar lipoma, it is not uncommon to have concerns regarding the recovery process, especially if you are experiencing persistent pain and changes in the texture of the skin around the surgical site. Here’s a comprehensive overview of what you might expect during your recovery and some insights into the healing process.


Understanding Recovery After Lipoma Surgery
1. Initial Healing Phase: After surgery, the body goes through a natural healing process. The first few weeks post-surgery are critical as the body works to repair the tissues that were affected. During this time, it is normal to experience some swelling, redness, and tenderness around the surgical site. The hardness you are feeling could be due to the formation of scar tissue, which is a natural part of the healing process.

2. Scar Tissue Formation: The hard area you are feeling may indicate the development of scar tissue. Scar tissue can form as the body heals, and it may feel firmer than the surrounding tissue. This is particularly common in areas where surgery has occurred, and it can take several months for the scar tissue to mature and soften. While some degree of hardness is expected, if it feels significantly larger than before or is causing discomfort, it is advisable to consult your surgeon.

3. Pain Management: Persistent pain after surgery can be concerning. It is essential to differentiate between normal post-operative pain and pain that may indicate complications. If the pain is severe, worsening, or accompanied by other symptoms such as increased redness, warmth, or discharge from the wound, you should seek medical attention. Pain management strategies may include over-the-counter pain relievers, ice application, and rest.

4. Physical Activity: Engaging in physical activity too soon after surgery can exacerbate pain and delay healing. It is crucial to follow your surgeon's recommendations regarding weight-bearing activities and to gradually increase your activity level as tolerated. If walking is painful, consider using supportive footwear or orthotics to alleviate pressure on the surgical site.

5. Monitoring for Complications: While some discomfort is expected, it is essential to monitor for signs of complications, such as infection or recurrence of the lipoma. If the area becomes increasingly painful, swollen, or shows signs of infection (such as pus or fever), you should contact your healthcare provider immediately.

6. Follow-Up Care: Regular follow-up appointments with your surgeon are vital to assess your healing progress. During these visits, your surgeon can evaluate the surgical site, address any concerns regarding pain or hardness, and provide guidance on rehabilitation exercises to improve mobility and reduce discomfort.

7. Timeframe for Recovery: Recovery from lipoma surgery can vary significantly from person to person. While some individuals may notice improvement within weeks, others may take several months to fully heal. It is essential to be patient and allow your body the time it needs to recover.


Conclusion
In summary, while some post-operative pain and hardness at the surgical site can be normal, it is crucial to remain vigilant and consult your healthcare provider if you have any concerns. They can provide tailored advice based on your specific situation and help ensure that your recovery proceeds as smoothly as possible. Remember, healing is a process, and with appropriate care and monitoring, you can expect to see improvement over time.

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