Post-Surgery Swelling: Causes and Solutions for Ankle Issues - Surgery

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Postoperative issues


Six months ago, I underwent surgery for cellulitis in the lower inner part of my calf near the ankle.
However, the area close to my ankle is still swollen but not painful.
I would like to know the possible reasons for this and how to reduce the swelling.

Tuyen, 20~29 year old female. Ask Date: 2021/08/03

Dr. Xu Kaixi reply Surgery


It is normal to develop fibrosis and a hard lump at the scar site after surgery for cellulitis.
To reduce swelling, you can obtain topical anti-swelling ointments from the hospital.
Additionally, applying heat can help improve the condition, but it will take some time for improvement to be noticeable.

Reply Date: 2021/08/03

More Info


Post-surgery swelling, especially around the ankle area, can be a common concern for patients who have undergone procedures such as surgery for cellulitis. In your case, the persistent swelling near the ankle, even six months post-operation, can be attributed to several factors.

Firstly, it is important to understand that swelling after surgery is a natural part of the healing process. The body responds to surgical trauma with inflammation, which can lead to fluid accumulation in the tissues. This is often referred to as edema. While some swelling is expected, persistent swelling may indicate other underlying issues.

One potential cause of ongoing swelling is lymphatic obstruction. After surgery, the lymphatic vessels that help drain excess fluid from tissues can be damaged or obstructed, leading to a condition known as lymphedema. This can result in chronic swelling, particularly in the lower extremities.

Another factor to consider is the possibility of scar tissue formation. After surgery, the body forms scar tissue as part of the healing process. If the scar tissue is extensive, it can restrict normal movement and fluid drainage, contributing to swelling.

Additionally, if there was significant inflammation or infection during the initial healing phase, it may have led to changes in the tissue that persist long after the initial injury has healed. Even if there is no pain associated with the swelling, it is essential to monitor the area for any changes, such as increased redness, warmth, or pain, which could indicate a new issue.

To address the swelling, there are several strategies you can consider:
1. Elevation: Keeping the affected leg elevated can help reduce swelling by promoting fluid drainage away from the ankle. Try to elevate your leg above the level of your heart for periods throughout the day.

2. Compression: Wearing a compression bandage or stocking can help manage swelling by applying gentle pressure to the area, which can aid in fluid return and reduce edema.

3. Ice Therapy: Applying ice packs to the swollen area can help reduce inflammation and swelling. Be sure to wrap the ice pack in a cloth to protect your skin and apply it for 15-20 minutes at a time.

4. Gentle Exercise: Engaging in gentle range-of-motion exercises can help stimulate circulation and lymphatic drainage. However, be cautious and consult with a physical therapist or healthcare provider before starting any exercise regimen.

5. Hydration and Diet: Staying well-hydrated and maintaining a balanced diet can support overall healing and reduce fluid retention. Reducing salt intake may also help decrease swelling.

6. Medical Evaluation: Since the swelling has persisted for six months, it is advisable to consult with your healthcare provider. They may recommend imaging studies, such as an ultrasound, to assess for any underlying issues, such as blood clots or lymphatic obstruction.

In summary, while some swelling post-surgery is normal, persistent swelling warrants further evaluation to rule out complications. By implementing the strategies mentioned above and consulting with your healthcare provider, you can work towards reducing the swelling and promoting healing in the affected area.

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