Rehabilitation Tips for Walking After a Calf Injury from a Motorcycle Accident - Rehabilitation

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Rehabilitation after a calf injury from a car accident?


Hello doctor, I was hit head-on by a motorcycle traveling at approximately 30-40 km/h while walking five weeks ago.
The muscles on the front outer side of my right calf were torn.
After surgery, my calf was swollen for a week and took 17 days to completely reduce the swelling.
The doctor advised complete immobilization for six weeks before bearing weight, and there are no fractures or casts; only ankle support was used.
I have been using a four-point walker to get out of bed.
After five weeks and three days of being bedridden, I have noticeable muscle atrophy in my right calf.
I would like to ask how I should start walking.
Can I walk directly?

Peli Lee, 40~49 year old female. Ask Date: 2020/10/22

Dr. Wang Zhaomin reply Rehabilitation


Prolonged bed rest can lead to muscle atrophy, requiring subsequent rehabilitation to gradually recover.
However, it is essential to allow the related tissues to heal to a certain extent before engaging in active rehabilitation.
Each individual's rehabilitation plan varies based on their specific condition.
Online consultations cannot replace in-person evaluations; further planning must be based on actual clinical assessments.
Please discuss your rehabilitation plan with the orthopedic and rehabilitation specialists during your in-person consultation.

Reply Date: 2020/10/22

More Info


Rehabilitation after a calf injury, especially following a traumatic event like a motorcycle accident, requires careful planning and execution. Given your situation, where you experienced a muscle tear in your calf and underwent surgery, it’s essential to follow a structured rehabilitation program to ensure a safe return to walking and to minimize the risk of further injury.


Initial Considerations
1. Consult Your Healthcare Provider: Before starting any rehabilitation exercises, it’s crucial to consult with your orthopedic surgeon or a physical therapist. They can assess your current condition, including the healing of the muscle and any other soft tissue involved. Since you have been advised to avoid weight-bearing for six weeks, it’s important to adhere to this guideline until your healthcare provider gives you the green light to start walking.

2. Monitor Pain and Swelling: After a significant injury, pain and swelling are common. If you experience increased pain or swelling, it may indicate that you are progressing too quickly. Always listen to your body and communicate any concerns to your healthcare provider.


Rehabilitation Steps
1. Gradual Weight Bearing: Once your doctor allows you to start weight-bearing activities, begin by standing with support. Use a walker or crutches to help distribute your weight evenly. Start with short periods of standing, gradually increasing the duration as tolerated.

2. Range of Motion Exercises: Before you start walking, it’s important to regain range of motion in your ankle and calf. Gentle ankle circles, toe flexes, and pointing your toes can help maintain flexibility. These exercises can often be done while seated or lying down.

3. Strengthening Exercises: Once you have regained some range of motion and your doctor has cleared you for weight-bearing, you can begin strengthening exercises. Start with isometric exercises, where you contract the calf muscles without moving the joint. Gradually progress to more dynamic exercises like calf raises, where you lift your heels off the ground while standing.

4. Balance Training: Incorporate balance exercises to improve stability. Simple exercises like standing on one leg (with support initially) can help. As you progress, try to do this without support for short periods.

5. Walking Practice: When you feel ready and have been cleared by your healthcare provider, start practicing walking. Begin with short distances using your walker or crutches for support. Focus on your gait and try to maintain a steady rhythm. Gradually reduce your reliance on the walker as you gain confidence and strength.

6. Physical Therapy: If possible, consider working with a physical therapist. They can provide a tailored rehabilitation program, monitor your progress, and adjust your exercises as needed. They can also help you with manual therapy techniques to reduce stiffness and improve mobility.


Pain Management
It’s normal to experience some discomfort during rehabilitation, especially after a long period of inactivity. However, sharp or severe pain is a sign to stop and reassess your activities. Ice, elevation, and over-the-counter pain medications can help manage discomfort.


Long-Term Recovery
Recovery from a calf injury can take time, and it’s essential to be patient with yourself. The goal is to return to your previous level of activity without pain or instability. Regular follow-ups with your healthcare provider will help ensure that your recovery is on track.


Conclusion
In summary, starting to walk again after a calf injury requires a gradual approach. Focus on range of motion and strengthening exercises, and ensure you have the approval of your healthcare provider before progressing to weight-bearing activities. With dedication and the right support, you can work towards regaining your mobility and returning to your normal activities. Always prioritize safety and listen to your body throughout the rehabilitation process.

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