Is Post-Surgery Pain Normal During Pregnancy? Insights for Expecting Mothers

It has been one month since the surgery. Is it normal for the wound to still be painful?

Hello.
I am currently about 25 weeks pregnant.
On June 23, I had an accident that resulted in fractures of the bones on both sides of my right ankle and a ligament tear, which required surgery.
The doctor placed metal screws for stabilization, and I have been in a cast up to my calf.
I have not taken any pain relief or anti-inflammatory medication, nor have I received any injections, due to my pregnancy.
Since the stitches were removed on July 6, I still occasionally experience sharp pain at the injury site.
There have been a few instances during the night when I turned over in my sleep and felt intense pain in the injured area, but it subsided after a while.
Is this normal?
I have a follow-up appointment at Heping Hospital on August 3.
Will the cast be removed then? Will I need another X-ray? I have already had 4 to 5 X-rays due to the surgery, and I am concerned about the potential harm to the fetus.
Because of my foot injury, I am unable to put weight on it and am still using a walker.
Additionally, my physical activity has decreased due to my pregnancy.
Will this have any effects? I have many concerns and would greatly appreciate your response.
Thank you.

Wánzi de mā, 20~29 year old female. Ask Date: 2004/07/23

Dr. Shi Guozheng reply Orthopedics

It is normal for the surgical wound to still be painful one month post-operation, as long as there are no signs of redness, swelling, heat, or increased pain in the surrounding area.
After the cast is removed, an X-ray should be taken, and you can ask the radiologic technologist to provide shielding for the fetus to prevent exposure to radiation.
Ankle fractures typically heal within about three months, and performing appropriate range-of-motion exercises for the joint can aid in recovery.

Reply Date: 2004/07/23

More Info

Experiencing post-surgery pain during pregnancy can be a concerning issue for many expectant mothers, especially when it involves previous injuries or surgeries. In your case, you mentioned having surgery on your right ankle due to fractures and ligament tears, and now, at 25 weeks pregnant, you're experiencing intermittent pain in that area. Let's delve into this situation and provide some insights.

Firstly, it is not uncommon for individuals who have undergone surgery to experience residual pain or discomfort, especially during significant life changes such as pregnancy. The body undergoes numerous physiological changes during pregnancy, including hormonal fluctuations, weight gain, and changes in posture, which can all contribute to discomfort in previously injured areas. The pain you are experiencing could be attributed to several factors:
1. Healing Process: After surgery, the body goes through a healing process that can take time. Even after the stitches are removed, the tissues may still be sensitive, and the nerves in the area can be hyperactive, leading to sensations of pain or discomfort.

2. Hormonal Changes: Pregnancy hormones, particularly relaxin, cause ligaments to loosen in preparation for childbirth. This can lead to increased mobility in joints, which may exacerbate pain in areas that have previously been injured.

3. Reduced Activity: Due to your ankle injury and the use of a walking aid, your overall activity level has likely decreased. This can lead to stiffness and discomfort in the affected area, as well as in surrounding muscles and joints that may not be used to the same level of activity.

4. Weight Gain: As your pregnancy progresses, the additional weight can put more strain on your joints, including your ankle, which may lead to increased pain.

Regarding your concerns about taking pain medication, it is understandable that you want to avoid any potential risks to your baby. Many pain relief options are available that are considered safe during pregnancy, but it's crucial to discuss these with your healthcare provider to find the best option for your situation.

As for your upcoming appointment on August 3rd, it is likely that your doctor will assess the healing of your ankle and determine whether it is appropriate to remove the cast. They may also recommend an X-ray to ensure proper healing, but this should be done with caution and only if deemed necessary. Modern imaging techniques can often be performed with minimal risk to the fetus, but your doctor will weigh the benefits against any potential risks.

In terms of your mobility and exercise, it is essential to maintain some level of physical activity during pregnancy, as long as it is safe for you and your ankle. Gentle exercises, such as stretching or upper body workouts, can help maintain your fitness without putting undue stress on your ankle. Always consult with your healthcare provider or a physical therapist for tailored advice on safe exercises during your pregnancy.

In summary, while post-surgery pain during pregnancy can be concerning, it is often a normal part of the healing process, especially in the context of hormonal changes and reduced activity levels. Keep an open line of communication with your healthcare provider regarding your pain management and any concerns you have about your recovery and the health of your baby. They can provide personalized advice and support to help you navigate this challenging time.

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