Managing Post-Surgery Pain After Femoral Fracture: A Caregiver's Guide

Persistent pain while sleeping after fracture surgery?

I am sorry to hear about your mother's condition.
Here are the answers to your questions:
1.
Is it possible that the bone has shifted? If so, what should be done?
Yes, it is possible for the bone to shift after surgery, especially if there is significant pain or discomfort.
It is crucial to consult her orthopedic surgeon as soon as possible for an evaluation.
They may recommend imaging studies, such as an X-ray, to assess the alignment of the bone and determine if any intervention is needed.
2.
Has doing simple rehabilitation exercises since the third day after surgery harmed her recovery?
Early rehabilitation is important, but it should be done under the guidance of a physical therapist.
If the exercises are too strenuous or not appropriate for her current condition, they could potentially hinder recovery.
It is best to follow the recommendations of her healthcare team regarding the timing and type of rehabilitation exercises.
3.
When helping her move from the wheelchair to the bed, will lifting her right leg cause harm to the fractured femur?
When assisting her, it is important to be gentle and avoid putting weight on the injured leg.
You should support her leg carefully and avoid any movements that could cause stress to the fracture site.
If you are unsure about the best way to assist her, it may be beneficial to consult with a physical therapist for proper techniques to ensure her safety and comfort.
Please ensure that you communicate your concerns with her healthcare providers, as they can offer the most appropriate guidance tailored to her specific situation.

Miss Lin, 40~49 year old female. Ask Date: 2020/12/05

Dr. Chen Bochen reply Orthopedics

Hello, 1.
The outcomes of fracture surgery can vary significantly and depend on the condition at the time of surgery as well as the X-ray results to determine if there is any displacement and what actions to take.
2.
Generally, as long as the surgical fixation is stable, simple rehabilitation activities are not a problem and can actually help speed up recovery.
3.
Caregivers can assist patients in changing positions as long as the patient does not experience pain; there is basically no need for excessive concern.
Wishing you a speedy recovery.

Reply Date: 2020/12/05

More Info

Managing post-surgery pain after a femoral fracture, especially in elderly patients, can be quite challenging. It’s essential to approach this situation with a comprehensive understanding of both the physical and emotional aspects of recovery. Here are some insights and recommendations based on your concerns:
1. Possibility of Bone Displacement: After surgery for a femoral fracture, it is crucial to monitor the healing process closely. If your mother is experiencing significant pain three weeks post-surgery, it could be due to several factors, including improper healing, potential displacement of the bone fragments, or complications such as infection. If you suspect that the bone may have shifted, it is vital to consult her orthopedic surgeon immediately. They may recommend imaging studies, such as X-rays, to assess the alignment of the fracture and the integrity of the surgical repair. Early intervention can prevent further complications and ensure appropriate management.

2. Rehabilitation and Movement: Rehabilitation after a femoral fracture is essential for recovery, but it must be approached cautiously. Generally, physical therapy should begin as soon as it is safe to do so, often within a few days post-surgery, to promote circulation, prevent stiffness, and encourage healing. However, the specific exercises should be tailored to her condition and should be guided by a physical therapist. Simple movements may help, but it’s crucial to avoid any activities that cause pain or discomfort. If you are unsure about the exercises, consult with her healthcare provider or a physical therapist for a personalized rehabilitation plan. They can provide guidance on what movements are safe and beneficial at this stage of recovery.

3. Safe Mobility Assistance: Assisting your mother with mobility is a delicate task, especially after a fracture. When transferring her from the wheelchair to the bed or vice versa, it’s essential to use proper techniques to minimize the risk of injury to both of you. When lifting her, ensure that you support her injured leg properly. You can use a transfer belt if available, which can provide better control and support. When lifting her right leg, be gentle and avoid putting weight on the fractured area. Instead, focus on supporting her body weight through her upper body and the uninjured leg. If possible, consider using assistive devices like a slide board or a transfer chair to make the process smoother and reduce strain on both of you.

4. Pain Management: Pain management is a critical aspect of recovery. Ensure that your mother is taking her prescribed pain medications as directed. If her pain is not adequately controlled, discuss this with her doctor, as they may need to adjust her medication or explore additional pain management strategies. Non-pharmacological methods, such as ice packs, elevation of the leg, and gentle massage around the area (if not painful), can also help alleviate discomfort.

5. Emotional Support: Lastly, remember that recovery from a fracture, especially in older adults, can be a lengthy and emotionally taxing process. Your mother may experience frustration, anxiety, or depression due to her limited mobility and pain. Providing emotional support, encouraging her to engage in light activities that she enjoys, and maintaining open communication about her feelings can significantly aid her recovery.

In summary, managing post-surgery pain after a femoral fracture involves careful monitoring of her condition, appropriate rehabilitation, safe mobility assistance, effective pain management, and emotional support. Always consult with her healthcare team for personalized advice and interventions tailored to her specific needs. Your proactive approach and concern for her well-being are commendable and will play a significant role in her recovery journey.

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