Do I Really Need Anti-Inflammatories After Ankle Surgery?

Medication issues

I have a complete rupture of the ligaments in my right ankle.
The orthopedic doctor prescribed me four medications: 1.
anti-inflammatory, 2.
pain reliever, 3.
muscle relaxant, and 4.
stomach medication.
For the past two days, I have only taken 1, 3, and 4.
I would like to know if the anti-inflammatory medication is essential.
(I found online that anti-inflammatories can slow down recovery; is that correct? Since there is no swelling and walking doesn't hurt, can I skip it?) Also, what are the purposes of the muscle relaxant and stomach medication? (Can I also skip these?)

Xiao Yang, 20~29 year old female. Ask Date: 2021/03/06

Dr. Wang Zhaomin reply Rehabilitation

The purpose of taking anti-inflammatory medications is to eliminate inflammation, which can reduce pain and swelling.
However, the impact on recovery speed cannot be generalized, as it varies depending on the condition.
Muscle relaxants can alleviate tightness in muscles and soft tissues, thereby reducing discomfort.
Gastroprotective agents are used to prevent the gastrointestinal side effects of anti-inflammatory medications, but it is not always necessary to take them from a theoretical standpoint.
If the current pain and other symptoms are manageable, it may not be essential to use the aforementioned medications.
A proper assessment can only be made through an in-person examination, as online consultations cannot replace actual medical visits.
Please discuss the purpose and necessity of medications with your prescribing physician to achieve optimal treatment outcomes.

Reply Date: 2021/03/06

More Info

After ankle surgery, particularly following a complete ligament tear, the management of pain and inflammation is crucial for optimal recovery. Your orthopedic surgeon has prescribed a combination of medications, including anti-inflammatories, pain relievers, muscle relaxants, and a gastric protectant. Let's break down the necessity and function of each medication, especially focusing on the anti-inflammatory drugs.

Do You Really Need Anti-Inflammatories?
Anti-inflammatory medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), play a significant role in managing postoperative pain and swelling. While you mentioned that you do not currently have swelling or pain when walking, it’s important to consider the following:
1. Inflammation Control: Even in the absence of visible swelling, inflammation can still occur internally. This inflammation is part of the body’s natural healing process but can lead to increased pain and delayed recovery if not managed properly.

2. Pain Management: Anti-inflammatories help reduce pain, which can facilitate rehabilitation exercises. Pain can inhibit movement, and if you are not managing it effectively, you might avoid necessary physical therapy, which is crucial for regaining strength and mobility.

3. Recovery Speed: While some sources suggest that anti-inflammatories might slow down recovery, this is often context-dependent. In many cases, controlling inflammation can actually promote healing by allowing for more effective rehabilitation. The key is to use them as directed by your physician.

4. Consult Your Surgeon: If you are concerned about taking anti-inflammatories, it’s best to discuss this with your orthopedic surgeon. They can provide personalized advice based on your specific situation and recovery progress.

Muscle Relaxants and Gastric Protectants
1. Muscle Relaxants: These medications are prescribed to alleviate muscle spasms that can occur post-surgery. After an ankle operation, the surrounding muscles may tense up due to pain or immobilization. Muscle relaxants can help reduce this tension, making it easier for you to engage in rehabilitation exercises. If you feel that you do not have muscle spasms, you might consider discussing the necessity of this medication with your doctor.

2. Gastric Protectants: These medications are often prescribed alongside NSAIDs to protect the stomach lining from irritation. NSAIDs can increase the risk of gastrointestinal issues, such as ulcers or bleeding. If you are taking anti-inflammatories, it is generally advisable to continue the gastric protectant to mitigate these risks. If you are not taking anti-inflammatories, you might not need the gastric protectant, but it’s best to confirm this with your healthcare provider.

Conclusion
In summary, while you may feel fine without taking anti-inflammatories, they are generally recommended after ankle surgery to manage pain and control inflammation, which can aid in your recovery. Muscle relaxants can help with muscle tension, and gastric protectants are important if you are taking NSAIDs. Always consult with your orthopedic surgeon before making changes to your medication regimen to ensure that you are supporting your recovery in the best way possible. Your health and recovery should always be the priority, and your surgeon can provide the most accurate guidance tailored to your specific needs.

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