Inquiry about recovery after minimally invasive surgery on the little toe?
After undergoing minimally invasive surgery for a fracture of the little toe and having the metal pin removed about 8-10 days ago, I am experiencing recurrent swelling and pain.
I would like to ask the doctor if this is a normal situation.
1.
Typically, after slight activity during the day, the sole of my foot turns dark and swells (sometimes accompanied by pain in the sole).
At night, I experience numbness and stiffness that spreads up my leg (the pain and swelling were present before the pin removal, but the numbness appeared only after the removal).
2.
The next day, the swelling subsides, or if I lie flat and elevate my foot for a while, it returns to a normal color, and then this cycle repeats.
3.
Since the pin has been removed, I am unsure whether I should engage in some light activity, but I am also concerned that not moving for too long may hinder my recovery.
Thank you, doctor, for taking the time to respond! I greatly appreciate it! Best wishes!
MA12, 50~59 year old female. Ask Date: 2022/05/11
Dr. Chen Bochen reply Orthopedics
Hello, rehabilitation after a fracture surgery should be monitored with X-rays for accurate assessment.
It is recommended that you consult the surgeon who performed your operation for more precise guidance.
Reply Date: 2022/05/11
More Info
Post-surgery recovery, particularly after a procedure like toe surgery, can be a complex and sometimes frustrating experience. It is not uncommon to experience swelling and pain after the removal of hardware such as pins or screws, especially in the early stages of recovery. Let's break down your concerns and provide some insights based on medical knowledge.
1. Swelling and Pain After Surgery: After a surgical procedure, especially one involving bones and joints, it is normal to experience some degree of swelling and pain. This is part of the body’s natural healing process. The swelling you are experiencing, particularly after activity, can be attributed to increased blood flow and fluid accumulation in the affected area as your body responds to the surgical trauma. The fact that your foot turns dark and swells after activity indicates that there is likely some inflammation present, which is common post-surgery.
2. Symptoms of Numbness and Stiffness: The numbness and stiffness you are feeling, particularly at night, could be due to several factors. After surgery, nerves can become irritated or compressed, leading to sensations of numbness or tingling. Additionally, if you are not moving your foot as much as usual, this can lead to stiffness in the surrounding muscles and joints, which may contribute to the discomfort you are feeling.
3. Managing Symptoms: It is essential to manage your symptoms effectively. Here are some recommendations:
- Elevation: Keeping your foot elevated can help reduce swelling. When resting, try to prop your foot up on pillows to encourage fluid drainage.
- Ice Therapy: Applying ice to the affected area can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to protect your skin.
- Gentle Movement: While it is important to rest, gentle movement is also crucial for recovery. Engaging in light range-of-motion exercises can help maintain flexibility and prevent stiffness. Consult your physician or physical therapist for specific exercises that are safe for your condition.
- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult your doctor before taking any medication, especially if you have other health conditions or are taking other medications.
4. When to Seek Medical Attention: If the swelling and pain persist or worsen, or if you experience new symptoms such as increased redness, warmth, or discharge from the surgical site, it is crucial to contact your healthcare provider. These could be signs of infection or complications that may require further evaluation.
5. Follow-Up Care: Regular follow-up appointments with your orthopedic surgeon or healthcare provider are essential to monitor your recovery progress. They can provide personalized advice based on your specific situation and may recommend physical therapy to aid in your rehabilitation.
In summary, while some swelling and pain after toe surgery can be expected, it is essential to monitor your symptoms closely and engage in appropriate self-care measures. If you have any concerns about your recovery or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further guidance. Your recovery is a process, and with the right care and attention, you can expect to regain full function in your toe and foot.
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