Post-Surgery Pain and Swelling in Ankle Ligament Injuries - Orthopedics

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Lateral ligament rupture of the right ankle?


I would like to ask about my ligament, which has been surgically repaired for over four months.
Recently, I have noticed swelling and pain when walking, and my leg shakes involuntarily when I elevate it to rest.
I am wondering if this discomfort is due to inadequate stretching of the ligament, causing it to be too tight.

Jia Jia, 20~29 year old female. Ask Date: 2021/12/22

Dr. Chen Yongxue reply Orthopedics


Hello, this may need to be handled by your attending physician, as they are most familiar with the surgical situation.
Thank you.

Reply Date: 2021/12/22

More Info


Post-surgery pain and swelling in the context of ankle ligament injuries can be a complex issue, especially when it occurs several months after the initial surgery. It is not uncommon for patients to experience lingering symptoms such as swelling, pain, and even involuntary muscle spasms or shaking in the affected area. These symptoms can be attributed to several factors, including the healing process, rehabilitation practices, and the overall condition of the ligaments and surrounding tissues.

Firstly, it is essential to understand that after surgery, the body goes through a natural healing process. This process can involve inflammation, which is a normal response to injury and surgery. Inflammation can lead to swelling, pain, and stiffness in the affected area. While some swelling may be expected in the months following surgery, a sudden increase in swelling or pain after a period of improvement should be evaluated by a healthcare professional. This could indicate complications such as fluid accumulation (effusion), scar tissue formation, or even re-injury.

The pain you are experiencing when walking or moving the ankle could be due to a variety of reasons. One possibility is that the ligaments and surrounding tissues may still be healing, and any excessive strain or movement could lead to discomfort. Additionally, if the ligaments were not adequately rehabilitated or if the range of motion was not properly restored, this could lead to tightness and discomfort. It is crucial to follow a structured rehabilitation program that includes stretching and strengthening exercises to ensure that the ligaments regain their flexibility and strength.

Involuntary shaking or spasms in the ankle could be a response to pain or discomfort. When the body experiences pain, it can trigger muscle contractions as a protective mechanism. This can lead to muscle fatigue and spasms, especially if the muscles around the ankle are not being used regularly or are weak due to disuse during the recovery period. Engaging in gentle range-of-motion exercises and gradually increasing activity levels can help alleviate these symptoms.

If you suspect that the ligaments are too tight or that you are not adequately stretching them, it is essential to consult with a physical therapist or your orthopedic surgeon. They can assess your current range of motion, strength, and overall function of the ankle. They may recommend specific stretching exercises or modifications to your rehabilitation program to address any tightness and improve your overall mobility.

In summary, while some pain and swelling can be expected after ankle ligament surgery, a sudden increase in these symptoms warrants further evaluation. It is crucial to adhere to a proper rehabilitation program and communicate any concerns with your healthcare provider. They can provide tailored advice and interventions to ensure that your recovery progresses smoothly and that you regain full function of your ankle. Remember, recovery is a gradual process, and patience, along with appropriate medical guidance, is key to achieving the best outcomes.

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