Improving Recovery from Tibia and Fibula Fractures: Tips for Pain and Swelling

Left tibiofibular fracture, right calcaneal fracture?

Hello Doctor: I had surgery last September and started using a walker in January.
Now, when I walk, my foot becomes red (sometimes resembling a bruise), and it also swells and hurts on the sole.
What methods can help improve this? Could the poor circulation in my foot be due to the metal plate and screws that were placed?

Xiao Jun, 20~29 year old female. Ask Date: 2020/04/18

Dr. Wang Shouji reply Orthopedics

Hello, after a lower limb fracture, prolonged local swelling can lead to poor venous return in the lower extremities.
To alleviate swelling and pain, elevating the legs and performing hydrotherapy (alternating hot and cold water immersion), as well as exercising the joints through large-angle flexion and extension, may be beneficial.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2020/04/18

More Info

Recovering from tibia and fibula fractures, especially after surgical intervention, can be a challenging process. It is not uncommon to experience pain, swelling, and discoloration in the affected area during the recovery phase. Here are some strategies to help improve your recovery and manage symptoms effectively.

Pain Management
1. Medication: Over-the-counter pain relievers such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and reduce inflammation. However, if you have a known allergy to NSAIDs, consult your physician for alternative pain management options.

2. Cold Therapy: Applying ice packs to the affected area can help reduce swelling and numb the pain. It is advisable to ice the area for 15-20 minutes every few hours, especially after activities that may exacerbate your symptoms.

3. Elevation: Keeping your leg elevated above heart level can help reduce swelling. Try to elevate your leg whenever you are sitting or lying down.

Managing Swelling and Circulation
1. Compression: Using a compression bandage or stocking can help manage swelling. Ensure it is snug but not too tight, as excessive compression can impede circulation.

2. Gentle Movement: While it is essential to rest, gentle movements and exercises can promote circulation. Simple ankle pumps and toe wiggles can help maintain blood flow without putting too much strain on your leg.

3. Hydration and Nutrition: Staying well-hydrated and consuming a balanced diet rich in vitamins and minerals (especially calcium and vitamin D) can support healing. Foods high in protein can also aid in tissue repair.

Rehabilitation and Physical Therapy
1. Physical Therapy: Engaging in a structured physical therapy program is crucial. A physical therapist can design a rehabilitation plan tailored to your needs, focusing on strengthening the muscles around the fracture site and improving range of motion.

2. Weight-Bearing Activities: Gradually increasing weight-bearing activities as advised by your healthcare provider can help improve strength and stability. Follow your doctor's recommendations regarding when and how to safely increase your activity level.

3. Assistive Devices: Continue using assistive devices like walkers or crutches as needed until you feel confident in your ability to walk without them. This can help prevent falls and further injury.

Monitoring Symptoms
1. Watch for Changes: Keep an eye on any changes in color, temperature, or swelling in your leg. If you notice increased redness, warmth, or swelling, or if you experience severe pain, it is essential to contact your healthcare provider.

2. Follow-Up Appointments: Regular follow-up appointments with your orthopedic surgeon or healthcare provider are crucial for monitoring your recovery. They can assess the healing process and make necessary adjustments to your treatment plan.

Conclusion
The presence of metal plates and screws can sometimes lead to discomfort or changes in circulation, but these devices are generally well-tolerated. If you have concerns about circulation or if symptoms persist, it is essential to discuss these with your healthcare provider. They may recommend imaging studies or additional interventions to ensure that your recovery is on track.

In summary, managing pain and swelling after tibia and fibula fractures involves a combination of medication, physical therapy, and self-care strategies. By actively participating in your recovery and following your healthcare provider's recommendations, you can improve your chances of a successful outcome and return to your normal activities.

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