Does Bone Reshaping Cause Pain in Old Age? Myths vs. Facts - Plastic Surgery

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Regarding bone shaving?


Is it true that after undergoing bone reduction surgery, the areas that were operated on can become sore or painful in old age?

PP, 20~29 year old female. Ask Date: 2006/05/19

Dr. Lu Daokuan reply Plastic Surgery


Currently, botulinum toxin is used to first treat the protruding muscle areas, and then research is conducted to determine whether bone reduction is necessary and how much should be reduced.
If the areas that have been reduced are not part of the joint surface, there should not be any long-term soreness.

Reply Date: 2006/05/19

More Info


Bone reshaping, often referred to in the context of orthopedic surgery or cosmetic procedures, can indeed lead to various outcomes, including pain, especially as individuals age. However, the relationship between bone reshaping and pain in old age is complex and influenced by several factors. Let's explore the myths and facts surrounding this topic.


Myths vs. Facts
Myth 1: Bone reshaping always leads to chronic pain in old age.
Fact: While some individuals may experience pain in areas where bone reshaping has occurred, it is not a universal outcome. Pain can arise from various factors, including the surgical technique used, the individual's healing process, and pre-existing conditions. Many people who undergo bone reshaping do not experience significant pain later in life.

Myth 2: All bone reshaping procedures are the same and have the same outcomes.
Fact: There are different types of bone reshaping procedures, including osteotomies (cutting and repositioning bones), cosmetic surgeries, and reconstructive surgeries. Each procedure has its own risks and benefits, and outcomes can vary widely based on the technique, the surgeon's skill, and the patient's overall health.
Myth 3: Pain from reshaped bones is inevitable as one ages.
Fact: Aging can lead to various musculoskeletal issues, including osteoarthritis, which can cause pain in joints and bones. However, this pain is not necessarily a direct result of previous bone reshaping. Factors such as lifestyle, activity level, and genetic predisposition play significant roles in how pain manifests as one ages.


Factors Influencing Pain After Bone Reshaping
1. Surgical Technique: The method used for reshaping bones can impact long-term outcomes. Minimally invasive techniques may lead to less trauma and quicker recovery, potentially reducing the risk of chronic pain.

2. Healing Process: Individual healing responses vary. Some people may develop scar tissue or experience complications that could lead to pain. Proper post-operative care and rehabilitation are crucial for minimizing these risks.

3. Pre-existing Conditions: Conditions such as osteoporosis, arthritis, or previous injuries can predispose individuals to pain, regardless of whether they have undergone bone reshaping.

4. Lifestyle Factors: Activity levels, weight, and overall health can influence how bones and joints feel over time. Engaging in regular, low-impact exercise can help maintain joint health and reduce pain.

5. Age-Related Changes: As people age, their bones naturally undergo changes, including loss of density and strength. This can contribute to pain, especially in areas that have been surgically altered.


Pain Management Strategies
For those who have undergone bone reshaping and are experiencing pain in old age, several strategies can help manage discomfort:
- Physical Therapy: Engaging in physical therapy can strengthen the muscles around the affected area, improve flexibility, and reduce pain.

- Medications: Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), can help manage pain. In some cases, prescription medications may be necessary.

- Lifestyle Modifications: Maintaining a healthy weight, staying active, and avoiding high-impact activities can help reduce stress on the joints and bones.

- Alternative Therapies: Techniques such as acupuncture, massage, and chiropractic care may provide relief for some individuals.

- Regular Check-ups: Regular visits to a healthcare provider can help monitor bone health and address any emerging issues promptly.


Conclusion
In summary, while bone reshaping can lead to pain in some individuals as they age, it is not an inevitable outcome. The relationship between surgical interventions and long-term pain is influenced by numerous factors, including the type of procedure, individual healing, and lifestyle choices. Understanding these nuances can help dispel myths and guide individuals in managing their health effectively as they age. If there are concerns about pain following a bone reshaping procedure, it is essential to consult with a healthcare professional for personalized advice and treatment options.

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