Postoperative issues
I am a dancer, and I have developed a bursitis in my right ankle due to a long-standing sprain.
In April of this year, an MRI confirmed the diagnosis as villonodular synovitis.
I underwent surgery in early September, and now, nearly two months later, my ankle still feels stiff.
Although I stretch daily and the angle seems comparable to my other ankle, it often reverts to a significantly different angle the next day.
The area around the incision feels bumpy and uneven.
I would like to know how to care for the incision site and how to restore my ankle's strength and normal function.
Koukou, 20~29 year old female. Ask Date: 2019/10/23
Dr. Wang Zhaomin reply Rehabilitation
Due to the lack of understanding of the actual condition of the wound, please discuss directly with the attending surgeon.
After surgery, the foot may experience weakness or limited range of motion due to pain or prolonged immobility.
It is recommended to visit a rehabilitation specialist for rehabilitation therapy.
Reply Date: 2019/10/23
More Info
Recovering from an ankle injury, especially for dancers, can be a challenging journey. Given your diagnosis of villous nodular synovitis and the surgical intervention you underwent, it is crucial to approach your recovery with a structured plan that emphasizes rehabilitation, strength training, and flexibility. Here are some tips and insights to help you navigate your post-surgery recovery effectively.
Understanding Your Condition
Villous nodular synovitis is a rare condition characterized by the proliferation of synovial tissue, which can lead to pain, swelling, and restricted movement in the affected joint. After surgery, it is common to experience stiffness and a sensation of tightness in the ankle, especially if there has been a significant period of immobility prior to the procedure. The presence of lumps or bumps around the surgical site can be due to scar tissue formation, which is a normal part of the healing process.
Post-Surgery Recovery Tips
1. Follow Your Surgeon’s Instructions: Always adhere to the post-operative care instructions provided by your surgeon. This includes guidelines on weight-bearing activities, wound care, and signs of complications.
2. Physical Therapy: Engaging in physical therapy is essential for regaining strength and mobility. A physical therapist can tailor a rehabilitation program specific to your needs as a dancer, focusing on exercises that enhance flexibility, strength, and proprioception (the body’s ability to sense movement and position).
3. Gentle Range of Motion Exercises: Start with gentle range of motion exercises to prevent stiffness. Ankle circles, toe taps, and gentle flexion and extension movements can help maintain mobility. Gradually increase the intensity as tolerated.
4. Strengthening Exercises: Once you have regained some range of motion, incorporate strengthening exercises. Resistance bands can be particularly useful for ankle strengthening. Focus on exercises that target the muscles around the ankle, such as calf raises, ankle dorsiflexion, and eversion/inversion movements.
5. Balance and Proprioception Training: As a dancer, balance is crucial. Incorporate exercises that challenge your balance, such as standing on one leg or using a balance board. This will help improve stability and prevent future injuries.
6. Scar Tissue Management: To address the bumps and lumps around your surgical site, consider scar tissue massage. Gently massaging the area can help break down adhesions and improve the texture of the scar. Consult with your physical therapist for specific techniques.
7. Ice and Elevation: If you experience swelling, use ice packs and elevate your ankle to reduce inflammation. This is particularly important after exercises or if you notice increased swelling throughout the day.
8. Gradual Return to Dance: Once you have regained sufficient strength and flexibility, gradually reintroduce dance movements. Start with low-impact activities and progress to more dynamic movements as your ankle allows. Listen to your body and avoid pushing through pain.
9. Mindfulness and Mental Health: Recovery can be mentally taxing, especially for dancers who rely on their physical abilities. Practice mindfulness techniques, such as meditation or deep breathing, to manage anxiety and stress related to your recovery.
10. Nutrition and Hydration: Maintain a balanced diet rich in vitamins and minerals to support healing. Staying hydrated is also crucial for joint health.
Conclusion
Recovery from ankle surgery, particularly for dancers, requires patience and dedication. It is essential to follow a structured rehabilitation program and to communicate openly with your healthcare team about your progress and any concerns. By focusing on gradual strength building, flexibility, and scar management, you can work towards returning to your full range of motion and strength, allowing you to dance again with confidence. Remember, every recovery journey is unique, so be kind to yourself and celebrate the small victories along the way.
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