Post-Surgery Muscle Stiffness: Recovery After Knee Surgery - Orthopedics

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After knee surgery, particularly following an incident like internal bleeding in the thigh, it is common to experience muscle stiffness and limited range of motion. The situation you describe, where your thigh is swollen and the muscle feels hard, is not unusual. This stiffness can be attributed to several factors, including inflammation, muscle guarding, and the body's natural response to injury.

1. Understanding Muscle Stiffness: After surgery, the body initiates a healing process that often involves inflammation. This inflammation can lead to swelling and stiffness in the affected area. The stiffness you are experiencing, especially with your knee unable to bend beyond 45 degrees, is likely due to a combination of muscle tightness and the body's protective mechanisms. When muscles are injured or inflamed, they may become tense or "guard" to prevent further injury, leading to a sensation of tightness or hardness.

2. Timeline for Recovery: It is not uncommon for muscle stiffness to persist for several weeks post-surgery. In your case, since it has only been three weeks since the surgery to remove the blood clot, it is reasonable to expect that your muscles may still be in a state of recovery. The doctor’s advice that it may take one to two months for the muscle to return to normal is consistent with typical recovery timelines. During this period, the focus should be on gentle movements and avoiding any activities that could exacerbate the stiffness or pain.

3. Rehabilitation and Stretching: Regarding your question about when to start stretching the thigh muscles, it is essential to listen to your body and follow your doctor's recommendations. Generally, once the acute inflammation decreases and you start to feel less pain, you can begin gentle stretching exercises. However, it is crucial to ensure that the muscle is not overly inflamed or painful before starting any stretching regimen.
- Gentle Range of Motion Exercises: Initially, you might want to focus on gentle range of motion exercises that do not cause pain. These can help maintain some mobility in the knee joint without putting too much strain on the muscles.

- Progressive Stretching: As the inflammation subsides and you feel more comfortable, you can gradually introduce stretching exercises. Start with static stretches, holding each stretch for 15-30 seconds without bouncing. It’s important to perform these stretches in a pain-free range to avoid further injury.

- Physical Therapy: If you have not already, consider working with a physical therapist. They can provide tailored exercises and stretches that are appropriate for your recovery stage and help ensure you are progressing safely.

4. Monitoring Symptoms: Keep an eye on your symptoms. If you notice increased pain, swelling, or any new symptoms, it is essential to consult your doctor. They may need to reassess your condition and adjust your rehabilitation plan accordingly.

In summary, while muscle stiffness and limited range of motion are common post-surgery, it is crucial to approach recovery with patience and care. Gradually introducing stretching and rehabilitation exercises, under the guidance of a healthcare professional, will help you regain mobility and strength in your thigh and knee. Always prioritize your body’s signals and consult with your healthcare provider if you have concerns about your recovery process.