Post-Surgery Recovery: Addressing Inner Thigh Tear Complications

Inner thigh tear, issues after suture removal?

Hello doctor, I had a car accident at the end of last month that resulted in a 4 cm laceration on the inner thigh near the joint.
Due to concerns about the wound reopening, I kept my leg slightly bent after the stitches were placed.
Two weeks later, after the stitches were removed, I noticed that the area around the wound is stiff, and I cannot fully extend my leg or walk normally.
Additionally, whenever I try to forcefully extend my leg, I experience pain in my calf.
I would like to know how to improve this condition and how long it will take to walk normally again.

Mr. Li, 20~29 year old female. Ask Date: 2021/04/17

Dr. Ke Fangxu reply Surgery

This is due to joint stiffness caused by a long-term fear of bending after an injury.
It is recommended to gradually increase the range of motion and apply heat therapy.
If necessary, a physician may prescribe muscle relaxants.
If joint mobility does not improve, it is important to consult an orthopedic specialist to assess for potential joint damage or muscle tears.

Reply Date: 2021/04/17

More Info

After a significant injury such as a 4 cm tear on the inner thigh, particularly near the joint, recovery can be complex and may involve several factors that influence healing and mobility. It’s crucial to understand that the healing process can vary significantly from person to person, depending on the severity of the injury, the individual’s overall health, and adherence to rehabilitation protocols.

Firstly, the stiffness and inability to fully extend the leg after two weeks of immobilization are common. When a limb is kept in a flexed position for an extended period, the surrounding muscles and connective tissues can become tight and less flexible. This is often referred to as "joint stiffness" or "muscle tightness," which can occur due to the body’s natural response to protect the injured area. The pain you experience when trying to extend your leg may be due to muscle guarding, where the muscles contract to protect the injured area, or it could be related to scar tissue formation around the injury site.

To improve your condition, consider the following steps:
1. Physical Therapy: Engaging in physical therapy is highly recommended. A physical therapist can provide a tailored rehabilitation program that includes gentle stretching and strengthening exercises to improve flexibility and range of motion. They can also employ modalities such as ultrasound or electrical stimulation to reduce pain and promote healing.

2. Gradual Mobilization: While it’s essential to avoid overexerting the injured area, gradually increasing the range of motion is crucial. Start with gentle stretches and movements that do not cause pain. As your flexibility improves, you can progress to more dynamic exercises.

3. Pain Management: If pain is significant, consider discussing pain management options with your healthcare provider. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain, but always consult with a doctor before taking any medication.

4. Ice and Heat Therapy: Applying ice to the injured area can help reduce swelling and pain, especially in the initial stages post-injury. After a few days, transitioning to heat therapy can promote blood flow and aid in muscle relaxation.

5. Activity Modification: Avoid activities that exacerbate the pain or stiffness. Listen to your body and allow adequate rest while gradually reintroducing normal activities.

6. Nutrition and Hydration: Proper nutrition plays a vital role in recovery. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly those that support tissue healing, such as vitamin C, vitamin D, and protein. Staying hydrated is equally important for overall recovery.

As for the timeline for returning to normal walking, it can vary widely. Some individuals may start to see significant improvements within a few weeks, while others may take several months to regain full function. Consistent rehabilitation and following your healthcare provider’s advice will be key to a successful recovery.

In summary, while the initial phase post-injury can be challenging, with the right approach to rehabilitation and self-care, you can improve your mobility and reduce stiffness. If you continue to experience significant pain or limitations, it’s essential to follow up with your healthcare provider for further evaluation and management.

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