Post-Surgery Knee Flexion Challenges After Thigh Fracture: Tips for Recovery - Rehabilitation

More Info

---

Post-surgery recovery, especially after a thigh fracture, can be a challenging journey, particularly when it comes to regaining knee flexion. It’s great that you’re actively seeking advice on how to improve your knee flexion after surgery. Here are some insights and tips that may help you in your recovery process.


Understanding Your Current Situation
You mentioned that you can achieve about 70 degrees of knee flexion, but you experience significant pain when attempting to bend further. Pain during knee flexion is not uncommon after surgery, especially in the early stages of recovery. It’s essential to differentiate between discomfort that is part of the healing process and pain that could indicate complications.
Your doctor’s approach of gently pushing your knee during follow-up visits is a common practice known as passive range of motion (PROM) therapy. This technique helps to maintain joint mobility and prevent stiffness. However, it’s crucial that this is done carefully to avoid causing further pain or injury.


Home Exercises for Knee Flexion
At three weeks post-surgery, it’s important to start incorporating some gentle exercises to improve your knee flexion. Here are a few exercises you can consider:
1. Heel Slides: While lying on your back, slide your heel towards your buttocks, bending your knee as much as you can without pain. Hold for a few seconds and then slide it back. Repeat this several times, gradually increasing the range as tolerated.

2. Quadriceps Sets: While sitting or lying down, tighten your thigh muscles (quadriceps) and hold for a few seconds. This helps strengthen the muscles around your knee and can improve stability.

3. Ankle Pumps: While lying down, flex and point your toes. This helps improve circulation and can reduce swelling.

4. Seated Knee Flexion: Sit on a chair with your feet flat on the ground. Slowly slide your foot back, bending your knee as much as you can without pain. Hold for a few seconds and then return to the starting position.

5. Wall Slides: Stand with your back against a wall and slide down into a seated position, keeping your knees aligned with your toes. Hold for a few seconds and then slide back up. This can help build strength and flexibility.


Pain Management
If you experience pain during these exercises, it’s important to listen to your body. You can apply ice to your knee after exercising to help reduce swelling and discomfort. Over-the-counter pain medications, as recommended by your doctor, can also be beneficial.


Gradual Progression
It’s crucial to progress gradually. Aim for small increments in your knee flexion, and don’t rush the process. If you find that you can achieve more flexion with gentle pressure from your hands, you can try to replicate that sensation by using your hands to assist in bending your knee while sitting or lying down.


When to Seek Help
If you continue to experience significant pain or if your knee flexion does not improve after a few more weeks, it may be beneficial to consult with a physical therapist. They can provide a tailored rehabilitation program and ensure that you are performing exercises correctly to avoid any potential setbacks.


Conclusion
In summary, focus on gentle, controlled movements to improve your knee flexion while managing pain effectively. Consistency is key, and with time and effort, you should see improvements in your knee mobility. Remember to communicate openly with your healthcare team about your progress and any concerns you may have. Your recovery is a journey, and it’s important to take it one step at a time.