Post-Surgery Pain in Orthopedic Patients: Is It Normal? - Orthopedics

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Post-surgery pain is a common concern for patients recovering from orthopedic procedures, such as the one your husband underwent after his fall. Given that he had a significant injury involving the heel bone (calcaneus) and underwent surgery that included the implantation of donor bone, plates, and screws, it is not unusual for him to experience pain during the recovery process.

In the first few weeks following orthopedic surgery, patients often experience pain due to several factors, including tissue healing, inflammation, and nerve irritation. The pain your husband is describing, particularly if it feels like nerve pain, could be attributed to a few different causes:
1. Nerve Irritation or Damage: During surgery, nerves in the area may be stretched, compressed, or even damaged. This can lead to sensations of pain, tingling, or numbness, which are characteristic of neuropathic pain. If the pain is sharp or shooting, it may indicate that the nerves are still healing or that there is some irritation.

2. Postoperative Inflammation: After surgery, the body initiates an inflammatory response to promote healing. This inflammation can lead to swelling and increased pressure in the area, which can contribute to pain. It is essential to manage inflammation through prescribed medications, rest, and possibly physical therapy.

3. Bone Healing: The process of bone healing can also be painful. The body goes through several stages of healing, and during this time, the area may be sensitive as the bone remodels and strengthens. This process can take several months, and pain may fluctuate as healing progresses.

4. Surgical Site Pain: The area around the surgical site may remain tender for an extended period. This is especially true if there was significant manipulation of the tissues during surgery. The presence of hardware (like plates and screws) can also contribute to discomfort as the body adjusts to the new structure.

5. Complications: While most postoperative pain is expected, it is crucial to monitor for signs of complications, such as infection or hardware failure. Symptoms like increased redness, swelling, warmth, or discharge from the surgical site, or a sudden increase in pain, should prompt immediate medical evaluation.

Given that your husband is experiencing significant pain over a month post-surgery, it is advisable to consult with his orthopedic surgeon. They can assess whether the pain is within the expected range of postoperative discomfort or if further investigation is needed. This may include imaging studies to ensure that the bone is healing correctly and that there are no complications with the hardware.

In the meantime, managing pain with prescribed medications, applying ice to the area, and ensuring he follows any rehabilitation protocols provided by his healthcare team can help alleviate discomfort. Physical therapy may also be beneficial in restoring function and reducing pain as he progresses in his recovery.

In summary, while some pain is normal after orthopedic surgery, persistent or severe pain should be evaluated by a healthcare professional to rule out complications and ensure proper healing.