Rib Fractures: Recovery and Post-Surgery Concerns

Rib issues

Hello, doctor.
I would like to ask about my condition.
Approximately a month and a half ago, I was involved in a car accident that resulted in fractures of my left ribs 4 to 8.
I was taken to the hospital for surgery, where they used the latest titanium alloy rib fixation technique.
Since the surgery, I still feel tightness at the incision site.
Is this a normal phenomenon? Additionally, I am experiencing soreness and numbness extending from my right lower back to my hip, thigh, and calf.
Could this be a postoperative complication? After undergoing this advanced surgical procedure, how long should I expect to wait before I can lift heavy objects? Thank you for your assistance.

Nico, 40~49 year old female. Ask Date: 2020/10/27

Dr. Chen Bochen reply Orthopedics

1.
The ribs are located closer to the skin, and it is common to experience a tight sensation after surgery, which should gradually improve over time.

2.
Numbness and soreness extending from the lower back to the thighs are generally unrelated to rib surgery.
The most common cause is prolonged sitting and lack of exercise following your injury, leading to excessive strain on the lower back.
It is recommended to walk and exercise more, as this can expedite lung recovery and reduce soreness in the lower back and thighs.

3.
For how long you should avoid lifting heavy objects, you should consult the surgeon who performed your operation; typically, it is advised to wait for about three months.

Reply Date: 2020/10/27

More Info

Rib fractures can be a significant concern, especially following a traumatic event like a car accident. The recovery process and post-surgery symptoms can vary widely depending on the severity of the fractures, the surgical techniques used, and the individual's overall health.
In your case, having undergone surgery for rib fractures using titanium alloy implants is a modern approach that can provide strong support for the healing ribs. It is not uncommon to feel tightness around the surgical site for several weeks or even months after the procedure. This tightness can be attributed to several factors, including the healing of soft tissues, the presence of surgical hardware, and the body's natural response to injury. As the tissues heal, this sensation should gradually diminish.

Regarding the pain and numbness extending from your right side to your lower extremities, this could be related to a few different issues. One possibility is that the pain is referred from the rib injury or surgery, as the ribs and surrounding muscles are closely connected to the nerves that run down the back and into the legs. Additionally, if you have been compensating for pain on the left side, it may lead to muscle strain or nerve irritation on the right side. It is essential to discuss these symptoms with your healthcare provider, as they can assess whether this is a typical post-surgical symptom or if further investigation is needed.

As for your question about lifting heavy objects, it is crucial to follow your surgeon's recommendations regarding activity restrictions. Generally, after rib surgery, patients are advised to avoid heavy lifting and strenuous activities for a period of time, often around 6 to 8 weeks, but this can vary based on individual healing rates and the specifics of the surgery. Engaging in heavy lifting too soon can risk displacing the surgical hardware or delaying the healing process.

In terms of recovery time, rib fractures typically heal within 6 to 8 weeks, but complete recovery, including the resolution of pain and the return to full activity, may take longer. Factors such as age, overall health, and adherence to rehabilitation protocols can influence recovery time. Physical therapy may be recommended to help regain strength and mobility, especially if you are experiencing tightness or discomfort.

In summary, while some tightness and discomfort post-surgery can be normal, it is essential to monitor your symptoms closely. If the pain and numbness persist or worsen, or if you have concerns about your recovery, it is advisable to consult your healthcare provider. They can provide tailored advice based on your specific situation and ensure that your recovery is progressing as expected. Always prioritize your safety and well-being during the healing process.

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