Foot Lacerations and Muscle Tears: Recovery and Rehab Insights - Rehabilitation

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Laceration of the dorsum of the right foot with extensor tendon rupture?


Hello doctor, I had a motorcycle accident a while ago at night.
After arriving at the hospital, I underwent surgery immediately.
The doctor diagnosed me with a laceration on the dorsum of my right foot along with a rupture of the extensor tendons (I don't understand what this means).
I received 15 stitches, and now I am using crutches to walk.
However, even though only my foot was injured, my knee has no strength and cannot bend.
I would like to ask what the problem might be and what rehabilitation methods I should use to recover.
Thank you.

Shui Bai Gao, 20~29 year old female. Ask Date: 2021/09/06

Dr. Li Yanheng reply Rehabilitation


It is recommended to consult a rehabilitation specialist to develop a comprehensive rehabilitation plan, which will be more beneficial for your future recovery.

Reply Date: 2021/09/06

More Info


I'm sorry to hear about your accident and the subsequent injuries you've sustained. It sounds like you've been through a lot, and it's understandable to have questions about your recovery process. Let's break down your situation and discuss the implications of your injuries, as well as the rehabilitation strategies that may help you regain strength and mobility.

First, let's clarify what a laceration and muscle tear entail. A laceration is a deep cut or tear in the skin, which can also involve underlying tissues, including muscles and tendons. In your case, the diagnosis of a "right foot dorsal laceration with extensor muscle rupture" indicates that the injury not only affected the skin but also involved the muscles responsible for extending your toes and lifting your foot. This is significant because the extensor muscles play a crucial role in foot movement and stability.

The fact that you are currently using crutches suggests that your ability to bear weight on your injured foot is compromised. This is common following such injuries, especially when there is muscle damage. The weakness in your knee that you mentioned could be attributed to several factors. After an injury, it's common for the muscles around the knee to weaken due to disuse, especially if you are favoring the injured foot. Additionally, pain and swelling in the foot can lead to compensatory movements that place additional strain on the knee, further contributing to weakness.

Now, regarding your rehabilitation, it's essential to approach recovery systematically. Here are some general steps and strategies that may be beneficial:
1. Initial Rest and Protection: In the early stages post-surgery, it's crucial to allow your foot to heal. This may involve keeping weight off the injured foot and using crutches as you've been doing.

2. Pain Management: Managing pain and swelling is vital. Your healthcare provider may recommend medications or therapies such as ice application to reduce inflammation.

3. Physical Therapy: Once your doctor gives you the green light, engaging in physical therapy will be essential. A physical therapist can design a rehabilitation program tailored to your specific needs. This may include:
- Range of Motion Exercises: Gentle movements to maintain flexibility in your foot and ankle.

- Strengthening Exercises: Gradually introducing exercises to strengthen the extensor muscles and surrounding structures. This may include resistance bands or body-weight exercises.

- Balance and Proprioception Training: As you progress, exercises that improve your balance and coordination will be important, especially since your knee strength is currently compromised.

4. Gradual Weight Bearing: As your foot heals and strength improves, your therapist will guide you on how to gradually increase weight-bearing activities. This is crucial for regaining normal function.

5. Knee Rehabilitation: Since you've noted weakness in your knee, specific exercises targeting the quadriceps and hamstrings will be necessary. This may include straight leg raises, wall sits, and gentle squats, depending on your pain levels and mobility.

6. Monitoring Progress: Regular follow-ups with your healthcare provider and physical therapist will help monitor your recovery and adjust your rehabilitation plan as needed.

7. Patience and Consistency: Recovery from such injuries can take time, and it's essential to remain patient and consistent with your rehabilitation efforts. Progress may be gradual, but with dedication, you can achieve significant improvements.

In conclusion, while your current situation may feel daunting, there is a clear path to recovery through structured rehabilitation. It's essential to communicate openly with your healthcare team about your concerns and progress. They can provide you with the best guidance tailored to your specific circumstances. Remember, recovery is a journey, and with the right support and effort, you can regain strength and mobility in your foot and knee.

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