Patellar fracture
Hello, Doctor: It has been 28 days since my patellar fracture surgery on October 13, 2018, and I am currently resting at home.
I can lift my foot while standing, but I am unable to lift my calf, and it feels like my calf is disconnected from my thigh.
I would like to ask: 1.
Is it okay to continue standing and lifting my foot to strengthen my thigh muscles? 2.
Is it normal for my thigh muscles to feel tight but not painful when I lift my foot while standing? 3.
Is it normal to struggle a bit when trying to lift my calf forward while standing? 4.
When sitting on the edge of the bed and attempting to lift my calf, I can lift it slightly, but after a few repetitions, my knee experiences some pain, which does not persist.
Is this normal? Thank you, Doctor, for your patience and for taking the time to read this.
I appreciate it.
Lkk, 60~69 year old female. Ask Date: 2018/11/09
Dr. Li Yongheng reply Orthopedics
Hello, it has been 28 days since the patellar fracture and internal fixation surgery.
1.
You can continue to stand and lift your leg to strengthen your thigh muscles.
2.
Normal.
3.
Normal.
4.
It is advisable to continue sitting at the edge of the bed and try to lift your calf to strengthen your thigh muscles.
Although there may be some pain, it is still considered normal.
Reply Date: 2018/11/09
More Info
Recovering from a patellar fracture surgery can be a challenging process, and it's essential to approach rehabilitation with care and attention to your body's signals. Based on your situation, here are some insights and answers to your questions regarding your recovery.
1. Can I continue standing and lifting my foot to strengthen my thigh muscles?
Yes, standing and lifting your foot can be a beneficial exercise to help strengthen your thigh muscles, particularly the quadriceps. This exercise is crucial for regaining strength after a patellar fracture. However, it is important to ensure that you are not overexerting yourself. Start with small movements and gradually increase the intensity as your strength improves. Always consult with your physical therapist or orthopedic surgeon before starting any new exercise to ensure it aligns with your recovery plan.
2. Is it normal for my thigh muscles to feel tight but not painful when lifting my foot?
Yes, experiencing tightness in your thigh muscles during this exercise is normal, especially as you are re-engaging muscles that may have been inactive during your recovery. Tightness can indicate that the muscles are working hard to stabilize your leg. However, if you experience sharp pain or discomfort, you should stop the exercise and consult your healthcare provider.
3. Is it normal to struggle a bit when trying to lift my calf forward while standing?
Yes, it is common to find it challenging to lift your calf forward, especially if you are still in the early stages of recovery. Your body is adjusting to the healing process, and the muscles and tendons may still be weak. As you continue your rehabilitation, you should gradually notice improvements in your strength and mobility. If you feel any significant discomfort or pain during this movement, it is advisable to ease off and consult with your therapist.
4. Is it normal for my knee to feel a bit painful when I try to lift my calf while sitting on the edge of the bed?
A slight pain in the knee during this exercise can be expected, especially as you are working to regain strength and mobility. The pain should not be severe or persistent. If the pain is mild and subsides quickly after you stop the movement, it is likely a normal part of the healing process. However, if you experience ongoing pain or discomfort, it is crucial to discuss this with your healthcare provider to rule out any complications.
Additional Considerations for Recovery
- Physical Therapy: Engaging in a structured physical therapy program is vital for your recovery. A physical therapist can provide you with tailored exercises that promote healing while minimizing the risk of re-injury. They can also monitor your progress and adjust your rehabilitation plan as needed.
- Pain Management: If you experience pain during exercises, consider using ice packs after your sessions to reduce inflammation. Over-the-counter pain relief medications may also be helpful, but consult your doctor before taking any medication.
- Gradual Progression: Recovery from a patellar fracture takes time, and it's essential to be patient with yourself. Gradually increase the intensity and duration of your exercises as your strength improves. Avoid pushing through pain, as this can lead to setbacks.
- Listen to Your Body: Pay attention to how your body responds to different activities. If something feels wrong or causes significant discomfort, stop and seek advice from your healthcare provider.
- Follow-Up Appointments: Regular follow-up appointments with your orthopedic surgeon are crucial to monitor your healing progress. They can provide guidance on when to advance your activities and exercises.
In conclusion, while it is normal to experience some tightness and mild discomfort during your recovery, it is essential to approach your rehabilitation with caution and seek professional guidance. With time, patience, and the right support, you can work towards regaining full function of your knee and returning to your normal activities.
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