Rehabilitation after ankle ligament rupture surgery?
Hello Dr.
Chen, I underwent ligament reconstruction surgery for chronic ankle instability in early May, where the ligaments were sutured and absorbable screws were used on the bones.
Although my walking is still not quite normal, I can walk with a brace.
The doctor mentioned that self-rehabilitation is fine, but my ankle is currently a bit stiff and I cannot bend it.
Is it advisable for me to attempt to adjust the angle myself, or would it be better to seek assistance from a physical therapist? I am a bit apprehensive about this, as I fear it might affect my recovery or even lead to adhesions.
Thank you for your guidance, doctor.
Jia Jia, 20~29 year old female. Ask Date: 2020/07/01
Dr. Chen Yongxue reply Orthopedics
Ligament repair and reconstruction surgery typically requires a recovery period of at least eight weeks.
Generally, after the recovery period, there may be joint stiffness, which necessitates active rehabilitation.
Reply Date: 2020/07/01
More Info
Post-surgery rehabilitation for ankle ligament reconstruction is a crucial phase in the recovery process, and it is understandable to have concerns about stiffness and the proper approach to rehabilitation. After undergoing ligament reconstruction, especially in the ankle, patients often experience some degree of stiffness and limited range of motion. This is a common occurrence due to the surgical intervention and the immobilization that typically follows the procedure.
In your case, since you had the surgery in early May and are experiencing stiffness, it is essential to address this issue promptly to prevent complications such as adhesions or further loss of mobility. While it is great that you are able to walk with a brace, the stiffness you are feeling indicates that your ankle may need more focused rehabilitation efforts.
Self-Rehabilitation vs. Professional Assistance
1. Self-Rehabilitation: It is possible to perform some gentle range-of-motion exercises at home. However, it is crucial to ensure that these exercises are appropriate for your current stage of recovery. You can start with simple movements such as:
- Ankle Pumps: While seated or lying down, flex and point your toes to promote circulation and mobility.
- Alphabet Exercise: Write the alphabet in the air with your toes, which helps to improve range of motion in various directions.
- Towel Stretch: Sit with your leg extended, loop a towel around your foot, and gently pull to stretch the calf and ankle.
2. Professional Assistance: Given your concerns about stiffness and the potential for adhesions, it would be wise to consult a physical therapist. A trained therapist can provide:
- Guided Rehabilitation: They can assess your current range of motion and develop a tailored rehabilitation program that gradually increases in intensity and complexity.
- Manual Therapy: Techniques such as joint mobilization can help improve stiffness and restore normal movement patterns.
- Education: They can teach you proper techniques to avoid re-injury and ensure that you are performing exercises safely.
Importance of Early Intervention
Addressing stiffness early in the rehabilitation process is vital. If left untreated, it can lead to chronic issues such as:
- Adhesive Capsulitis: Also known as frozen ankle, this condition can severely limit mobility and may require more intensive treatment.
- Altered Gait Patterns: Stiffness can lead to compensatory movements, which may result in pain or injury in other areas, such as the knees or hips.
Conclusion
In summary, while you can perform some gentle exercises at home, it is highly recommended to seek the assistance of a physical therapist. They can provide a structured rehabilitation plan that not only addresses your current stiffness but also helps you regain full function of your ankle. Remember, the goal of rehabilitation is not just to regain range of motion but also to ensure that your ankle is stable and strong enough to return to your normal activities without fear of re-injury. Always listen to your body and communicate any concerns with your healthcare provider to ensure a safe and effective recovery process.
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