Post-operative care after an ankle closed fracture surgery?
Hello 👋 In March, I had a car accident and underwent an X-ray, which revealed a displaced closed fracture of the right fibula at the lateral malleolus, along with intra-articular loose bodies in the right ankle and ligament tears.
After undergoing a series of examinations, I had surgery in mid-June, where bone screws were placed next to my right ankle and the ligaments were sutured.
It has been just over two months since the surgery, and the incision site has healed.
My next follow-up appointment is on October 18.
During this period, I have been undergoing rehabilitation, but sometimes I still experience pain near the surgical site of my right ankle.
Walking too much leads to significant discomfort from my ankle to my knee, and I also feel slight pain and numbness near the incision site.
Should I apply heat, do more stretching, or avoid movement? Is it safe for me to exercise?
Ling Ling, 20~29 year old female. Ask Date: 2022/08/19
Dr. Shi Guozheng reply Orthopedics
It is important to ensure that there are no issues with the fracture site before engaging in any physical activity.
Reply Date: 2022/08/19
More Info
Post-surgery recovery from an ankle fracture, especially one involving the fibula and associated ligament injuries, can be a challenging process. It is essential to approach rehabilitation with a structured plan that addresses pain management, mobility, and strength recovery. Here are some tips and insights based on your situation:
Pain Management
1. Medication: Continue to follow your physician's recommendations regarding pain management. Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. However, always consult your doctor before taking any medication.
2. Heat and Cold Therapy: Applying ice packs to the affected area can help reduce swelling and numb the pain, especially after physical activity. Conversely, heat therapy can be beneficial for muscle relaxation and improving blood flow, but it should be used cautiously and not on swollen areas.
3. Elevation: Keeping your ankle elevated can help reduce swelling and discomfort. Try to elevate your foot above the level of your heart when resting.
Rehabilitation
1. Physical Therapy: Since you have already started rehabilitation, continue working closely with your physical therapist. They will tailor a program specific to your needs, focusing on range of motion, strength, and functional mobility.
2. Gentle Stretching and Strengthening: Engage in gentle stretching exercises to maintain flexibility in your ankle and surrounding muscles. Strengthening exercises should be introduced gradually, focusing on the muscles around the ankle, calf, and even the knee to support overall stability.
3. Weight-Bearing Activities: As you progress, your therapist will guide you on when to start weight-bearing exercises. It’s crucial to listen to your body; if you experience significant pain, it may be a sign to reduce the intensity or duration of your activities.
4. Balance and Proprioception Training: Incorporating balance exercises can help improve stability and prevent future injuries. Simple exercises like standing on one leg or using a balance board can be beneficial.
Activity Considerations
1. Listen to Your Body: If you experience pain or discomfort, especially sharp pain, it’s essential to stop the activity and consult your therapist or doctor. Pain is a signal that something may not be right.
2. Gradual Return to Activities: While it may be tempting to return to sports or vigorous activities, it’s crucial to ease back into them. Start with low-impact activities such as swimming or cycling, which can help maintain fitness without putting excessive strain on your ankle.
3. Avoid High-Impact Activities: Until you receive clearance from your healthcare provider, avoid running, jumping, or any high-impact activities that could stress your healing ankle.
Monitoring Progress
1. Regular Follow-Ups: Keep your scheduled follow-up appointments with your orthopedic surgeon. They will monitor your healing progress and may adjust your rehabilitation plan as needed.
2. Report Symptoms: If you notice increased pain, swelling, or any new symptoms, report these to your healthcare provider immediately. This could indicate complications that may need to be addressed.
Conclusion
Recovery from an ankle fracture is a gradual process that requires patience and diligence. By adhering to a structured rehabilitation program, managing pain effectively, and listening to your body, you can optimize your recovery and work towards regaining full function in your ankle. Remember, the goal is not just to heal but to return to your daily activities and sports safely and effectively. Always consult with your healthcare team before making any changes to your rehabilitation plan.
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