Post-Surgery Rehabilitation Challenges After Hip and Wrist Surgery

Fracture rehabilitation

My mother underwent an open reduction and internal fixation surgery for her acetabulum and distal radius due to a car accident.
She has been actively rehabilitating after the surgery, but nearly six months post-operation, she still lacks strength when climbing stairs and squatting.
At night, she experiences numbness while sleeping, and she feels weak when sitting up or getting out of bed.
Additionally, she has weakness in her hands when performing twisting motions.
What could be the cause of these symptoms?

Mei Jun, 30~39 year old female. Ask Date: 2022/05/01

Dr. Huang Weiqing reply Rehabilitation

Hello, it may be necessary to consult the original surgeon for a diagnosis.
There are many reasons for postoperative weakness.
Generally speaking, in addition to the muscle endurance at the surgical site not having fully recovered, one must also consider the possibility of nerve damage.
Additionally, severe trauma may not completely return to the preoperative condition, which can result in sequelae.
Thank you.

Reply Date: 2022/05/01

More Info

Post-surgery rehabilitation can be a challenging journey, especially after significant procedures such as hip and wrist surgeries. In your mother's case, the combination of hip acetabulum and distal radius open reduction and internal fixation surgeries indicates that she has undergone major orthopedic interventions. The recovery process can vary greatly among individuals, influenced by factors such as age, overall health, pre-existing conditions, and the extent of the surgery.

Understanding Post-Surgery Recovery
1. Muscle Weakness and Atrophy: After surgery, it is common for patients to experience muscle weakness and atrophy due to prolonged immobility. The body requires time to rebuild muscle strength, especially if the patient has been less active during the recovery phase. In your mother's case, the lack of strength when climbing stairs or squatting could be attributed to muscle deconditioning. This is particularly relevant for the hip, where the muscles surrounding the joint play a crucial role in mobility.

2. Nerve Sensitivity and Neuropathy: The sensations of numbness and tingling, especially at night, may indicate nerve sensitivity or neuropathy. Surgical procedures can sometimes lead to nerve irritation or damage, which can manifest as abnormal sensations. If your mother is experiencing these symptoms, it would be wise to consult with her healthcare provider to assess whether there is any nerve involvement that needs to be addressed.

3. Pain Management: Pain can significantly impact recovery. If your mother is experiencing pain during movement or at rest, it may inhibit her ability to engage in rehabilitation exercises fully. Effective pain management strategies, including physical therapy, medication, or alternative therapies, should be discussed with her healthcare team.

4. Physical Therapy: Engaging in a structured physical therapy program is essential for recovery. A physical therapist can tailor exercises to strengthen the hip and wrist while considering her limitations. They can also provide guidance on safe movements and techniques to improve her functional mobility, which is crucial for activities like climbing stairs and squatting.

5. Psychological Factors: The psychological aspect of recovery should not be overlooked. Anxiety about movement, fear of pain, or frustration with the recovery process can hinder progress. Encouragement and support from family members, along with possibly consulting a mental health professional, can be beneficial.

6. Timeframe for Recovery: Recovery from major orthopedic surgery can take time, often several months to a year, depending on the individual and the complexity of the surgery. It is essential to set realistic expectations and understand that gradual improvement is the goal.

Recommendations
- Follow-Up Appointments: Ensure that your mother attends all follow-up appointments with her orthopedic surgeon and physical therapist. These visits are crucial for monitoring her recovery and making necessary adjustments to her rehabilitation plan.

- Home Exercise Program: Encourage her to engage in a home exercise program as prescribed by her physical therapist. Consistency is key to rebuilding strength and improving mobility.

- Pain Management: Discuss pain management options with her healthcare provider. This may include medications, physical therapy modalities, or alternative therapies like acupuncture.

- Nutritional Support: A balanced diet rich in protein, vitamins, and minerals can support healing. Adequate nutrition is vital for muscle recovery and overall health.

- Patience and Support: Recovery can be frustrating, but patience and encouragement from family can make a significant difference. Celebrate small victories to keep her motivated.

In conclusion, your mother's recovery from hip and wrist surgeries may be influenced by several factors, including muscle weakness, nerve sensitivity, pain management, and psychological aspects. A comprehensive approach involving medical follow-up, physical therapy, and emotional support will be essential in helping her regain strength and improve her quality of life.

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