Ligament Recovery After Surgery: Common Concerns and Insights - Orthopedics

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Ligament healing process?


Hello, Doctor.
I have a question I would like to ask you.
I was in a car accident previously, and I suffered a ligament tear at the junction of my right calf and the inner side of my foot.
I underwent surgery for suturing and had a cast applied.
After about two months, the cast was removed, and I started walking.
It has now been six months, but whenever I walk, the surgical area swells up.
Although it is not very painful, I am concerned as it has been six months and I still have not fully recovered.
Each morning, the swelling decreases slightly, but it swells again as soon as I start walking.
Is this condition something that cannot be completely resolved? Thank you.

Xiao Zhou, 20~29 year old female. Ask Date: 2005/04/07

Dr. Shi Guozheng reply Orthopedics


Ligament healing takes a certain amount of time, typically more than three months.
Additionally, the surrounding blood circulation also takes a long time to recover, so there may be some swelling before that.
If there is no pain, rehabilitation therapy can be initiated to help reduce the swelling gradually.

Reply Date: 2005/04/07

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your recovery after ligament surgery. It’s understandable to feel anxious about the healing process, especially when you are experiencing persistent swelling and discomfort six months post-surgery. Let’s delve into your situation and address your concerns.

Firstly, it’s important to recognize that ligament injuries and subsequent surgeries can lead to a prolonged recovery period. Ligaments are tough bands of tissue that connect bones to other bones at joints, and they can take a significant amount of time to heal fully. The healing process involves several stages, including inflammation, tissue formation, and remodeling. Each individual’s recovery timeline can vary based on several factors, including the severity of the injury, the specific ligament involved, your overall health, and how well you adhere to rehabilitation protocols.

The swelling you are experiencing is not uncommon. After surgery, it is typical for the affected area to swell, especially when you begin to put weight on it. This swelling can be exacerbated by activity, as movement increases blood flow to the area and can lead to fluid accumulation. It’s also possible that the swelling is a result of residual inflammation from the injury or surgery. In some cases, the body may still be in the process of healing, and the tissues may not yet be fully resilient.

Here are some insights and recommendations that may help you manage your recovery:
1. Rest and Elevation: Ensure that you are allowing adequate rest for your leg. Elevating your leg when sitting or lying down can help reduce swelling. Try to keep your leg elevated above the level of your heart whenever possible.

2. Ice Therapy: Applying ice to the swollen area can help reduce inflammation and swelling. Use an ice pack for 15-20 minutes several times a day, especially after activities that may aggravate the swelling.

3. Compression: Consider using a compression bandage or wrap to help manage swelling. Compression can provide support and reduce fluid accumulation in the area.

4. Physical Therapy: If you haven’t already, engaging in physical therapy can be beneficial. A physical therapist can design a rehabilitation program tailored to your needs, focusing on strengthening the muscles around the joint, improving range of motion, and gradually increasing activity levels.

5. Gradual Increase in Activity: It’s essential to gradually increase your activity level. Start with low-impact exercises and slowly progress to more demanding activities as tolerated. Listen to your body and avoid pushing through pain, as this can lead to further complications.

6. Follow-Up with Your Surgeon: If the swelling persists or worsens, it’s crucial to follow up with your orthopedic surgeon. They can assess the surgical site and determine if there are any underlying issues, such as scar tissue formation or complications that may require intervention.

7. Patience and Time: Healing from ligament surgery can take time, and it’s important to be patient with your body. While six months may seem like a long time, some individuals may take up to a year or more to fully recover, especially if the injury was severe.

In conclusion, while the swelling and discomfort you are experiencing can be frustrating, they do not necessarily indicate that your recovery is not progressing. With appropriate care, rehabilitation, and follow-up, many patients can achieve significant improvements over time. If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized advice and support.

Wishing you a smooth and successful recovery!
Best regards,
Doctor Q&A Teams

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