Common Rehabilitation Concerns: Ankle, Hand, and Collarbone Issues

Comprehensive issues?

Thank you, doctor, for taking the time to answer my questions.
1.
Regarding my ankle issue, I had surgery a year ago due to ankle instability and ligament laxity.
Currently, my ankle is slightly swollen; is this normal? What exercises or rehabilitation should I do to improve my current condition? Recently, I've been experiencing pain on the inner side of both feet, and the doctor mentioned the navicular bone.
If I walk for too long, my right foot becomes very painful.
Does this issue require rehabilitation?
2.
For my hand issue, I had surgery in December of last year for a torn triangular fibrocartilage complex (TFCC) in my left hand.
Since then, I occasionally experience pain.
What exercises or movements can help improve my current condition?
3.
Concerning my clavicle issue, I fractured my left clavicle in a car accident over a decade ago.
I had surgery to fix it with a plate, but I chose to have it removed six months later.
Recently, I've been experiencing pain near the clavicle close to my throat.
Could there be changes in the clavicle? Should I return for a follow-up appointment, or should I seek treatment from a rehabilitation specialist?

Miss Hong, 30~39 year old female. Ask Date: 2019/04/25

Dr. Li Yanheng reply Rehabilitation

Hello, Ms.
Hong, thank you for your inquiry.

1.
Post-operative swelling from ligament laxity may be due to the ligament not fully healing yet (since ligaments have no blood supply, recovery can be slower without a structured exercise plan).
It is recommended to undergo an ultrasound examination and receive regenerative treatment at a rehabilitation department.
Additionally, it is important to strengthen the multi-directional muscle strength and proprioception of the ankle.
2.
After triangular fibrocartilage complex (TFCC) surgery, it is essential to reduce excessive use of the wrist.
3.
Pain at the distal end of the clavicle may be due to limited mobility of the sternoclavicular joint.
It is advisable to pursue rehabilitation therapy.
The Ministry of Health and Welfare Chiayi Hospital cares about your well-being!

Reply Date: 2019/04/25

More Info

Thank you for your detailed questions regarding your rehabilitation concerns related to your ankle, hand, and collarbone issues. It’s important to address each of these concerns with a comprehensive understanding of rehabilitation principles and practices.

1. Ankle Issues: After undergoing surgery for ankle instability and ligament laxity, experiencing some swelling can be normal, especially if you have recently resumed activities. However, persistent swelling may indicate that your ankle is not fully healed or that there may be underlying issues such as inflammation or improper biomechanics. It is crucial to engage in a structured rehabilitation program that includes range-of-motion exercises, strengthening exercises, and proprioceptive training. Exercises such as ankle circles, toe raises, and balance exercises on one leg can help improve stability and strength. If you are experiencing pain on the inner side of your foot, particularly in the navicular area, it may be beneficial to consult a physical therapist who can assess your gait and provide specific exercises to alleviate pain and improve function. Rehabilitation can be very effective in managing these issues, and it is advisable to seek therapy if pain persists.

2. Hand Issues: Following surgery for a triangular fibrocartilage complex (TFCC) tear, occasional pain can occur as part of the healing process. It is essential to follow a rehabilitation protocol that focuses on restoring range of motion, strength, and function. Gentle wrist flexion and extension exercises, as well as grip strengthening exercises using a stress ball or putty, can be beneficial. Additionally, incorporating stretching exercises for the wrist and fingers can help improve flexibility. If pain persists or worsens, it may be necessary to consult with your surgeon or a hand therapist for a tailored rehabilitation program.

3. Collarbone Issues: Pain near the collarbone, especially after a fracture and subsequent surgery, can be concerning. It is possible that the pain is related to changes in the bone or surrounding soft tissue, such as scar tissue formation or changes in muscle function due to the previous injury. It is advisable to have a follow-up appointment with your orthopedic surgeon to assess the current state of your collarbone and determine if any imaging studies are necessary. If the pain is related to muscle tightness or weakness, a rehabilitation program focusing on shoulder mobility and strengthening exercises may be beneficial. Exercises such as shoulder shrugs, pendulum swings, and gentle stretching can help alleviate discomfort.

In summary, rehabilitation plays a crucial role in recovery from musculoskeletal issues, and it is essential to engage in a structured program tailored to your specific needs. If you are experiencing persistent pain or functional limitations, seeking the guidance of a physical therapist or returning to your orthopedic surgeon for further evaluation is highly recommended. They can provide a comprehensive assessment and develop a personalized rehabilitation plan to help you regain function and reduce pain. Remember, recovery can take time, and consistency in your rehabilitation efforts is key to achieving the best outcomes.

Similar Q&A

Rehabilitation Solutions for Wrist and Elbow Issues After Injury

Hello, doctor. I currently have two questions: 1. On May 23, I fell while moving a water dispenser with a colleague and injured my wrist. My left hand hurts when I rotate it (palm facing up), and I also have difficulty applying force. The side of my little finger feels numb as we...

Dr. Huang Weiqing reply Rehabilitation
Hello, 1. It is recommended to seek medical examination and evaluation, as there may be injuries to soft tissues such as tendons, ligaments, cartilage, or even nerve compression. 2. If the current injury has resulted in the above symptoms, it is advisable to undergo further medic...

Post-Accident Rehabilitation: Addressing Concerns and Treatment Options

Thank you very much, Dr. Lin, for carefully addressing my concerns. I understand that many medical issues require cooperation between the patient and the physician to achieve the best treatment outcomes. I later explained the situation to my elder family member, but considering t...

Dr. Lin Ruixiang reply Rehabilitation
Dear Mr. J: You have truly worked hard for the health of your family, putting in considerable effort and doing your homework. When it comes to trauma patients, the first step is to treat the injury; once the disease is treated, all problems are resolved. However, reality often p...

Managing Ankle Fracture Complications: Pain, Instability, and Rehabilitation

Dr. Chen, I would like to ask you about my condition following a car accident on June 20, 2015. At that time, an X-ray revealed a fracture of the left ankle's lateral malleolus, and I was placed in a cast and used crutches for mobility. After the cast was removed on August 2...

Dr. Chen Yongxue reply Orthopedics
Hello, 1. For instability issues that stem from ligaments, surgical intervention may be necessary. Pain and swelling are likely caused by inflammation, which can be managed with medication and rehabilitation. 2. Regarding rehabilitation for tendon rupture, based on your descr...

Understanding Wrist Adhesions: Navigating Rehabilitation Challenges

I had a wrist dislocation from a motorcycle accident in September, and I had a cast on until October. After 2-3 days, I started physical therapy. Although my wrist has mostly healed, I now have difficulty straightening my wrist and bending it back. During therapy, I received manu...

Dr. Chen Wayda reply Rehabilitation
It is recommended to visit the Rehabilitation Department at National Taiwan University for a consultation and detailed examination.