Surgical rehabilitation after a fracture?
Hello doctor, I would like to ask, after a titanium plate was implanted for a left thigh fracture on June 7 and a calf strain on the right leg, I started rehabilitation slowly in the fourth week.
I would like to know, generally after a fracture surgery, if rehabilitation is done consistently, how long will it take for knee stiffness (unable to descend stairs) and thigh muscle weakness to improve?
Libero, 50~59 year old female. Ask Date: 2021/08/03
Dr. Li Yanheng reply Rehabilitation
The recovery of muscle strength after a fracture varies significantly depending on the individual's physical condition, rehabilitation progress, and level of commitment, and it may take anywhere from three months to six months.
Reply Date: 2021/08/03
More Info
Rehabilitation after fracture surgery is a critical aspect of recovery, and the timeline for improvement can vary significantly based on several factors, including the type and severity of the fracture, the surgical procedure performed, the individual’s overall health, and their commitment to rehabilitation. In your case, you mentioned having a left thigh fracture treated with a titanium plate and a right calf muscle strain, and you began rehabilitation four weeks post-surgery.
Typically, after a fracture surgery, the initial focus of rehabilitation is on regaining range of motion and strength. For knee stiffness and thigh muscle weakness, the timeline for improvement can vary widely. Generally, if rehabilitation is performed consistently and effectively, patients may start to see improvements in knee flexion and muscle strength within three to six months. However, this can be influenced by factors such as the extent of the injury, the presence of any complications, and the individual’s adherence to the rehabilitation program.
In the early stages of rehabilitation, it is common to experience stiffness in the knee joint, particularly if the knee has been immobilized for an extended period. This stiffness can make activities such as descending stairs challenging. To address this, physical therapists often employ a combination of passive and active range-of-motion exercises, modalities like heat or cold therapy, and strengthening exercises tailored to the individual’s capabilities.
As you progress in your rehabilitation, you may find that your knee flexion improves, allowing you to perform activities like going down stairs more easily. However, it is essential to be patient, as full recovery can take time. The goal is to gradually increase the range of motion and strength without causing further injury.
In your case, since you are four weeks post-surgery, it is crucial to continue working closely with your physical therapist. They will guide you through exercises that promote flexibility and strength while monitoring your progress. If you experience persistent stiffness or weakness, your therapist may adjust your rehabilitation program to include more targeted interventions, such as manual therapy or specific strengthening exercises.
Additionally, it is essential to consider the psychological aspect of recovery. Many patients experience frustration or anxiety regarding their progress, especially when faced with limitations in mobility. Setting realistic goals and celebrating small achievements can help maintain motivation throughout the rehabilitation process.
In summary, while the timeline for improvement in knee stiffness and thigh muscle weakness can vary, with consistent and appropriate rehabilitation, many patients can expect to see significant progress within three to six months. It is essential to maintain open communication with your healthcare team and adhere to the prescribed rehabilitation plan to optimize your recovery. If you have any concerns about your progress or specific exercises, do not hesitate to discuss them with your physical therapist or orthopedic surgeon. They can provide personalized guidance based on your unique situation and help you achieve the best possible outcome.
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