Post-Surgery Care for Ankle Lump Removal: Pain, Swelling, and Recovery Time

Removal of a lump on the ankle?

Hello Dr.
Lai, I'm sorry to bother you again.
I just had surgery to remove a lump on the inner side of my left ankle, but postoperatively, I'm experiencing pain, numbness, and swelling.
What should I do? I also can't put weight on it when walking.
Typically, how long does it take to remove the stitches after this type of surgery?

Yingguang Fenhong, 20~29 year old female. Ask Date: 2006/06/21

Dr. Lai Jihong reply Surgery

Generally, superficial wounds, particularly those involving the epidermis, heal within about one to two weeks, at which point sutures can be removed.
However, for the underlying subcutaneous tissue or even deeper fascial layers to heal securely, it may take six to twelve weeks.
Therefore, after suture removal, we recommend applying silicone adhesive strips for at least one month to enhance the skin's resilience and protect the wound from reopening, especially during physical activity.
As for the swelling, pain, and numbness in your left foot post-surgery, this may be a normal phenomenon, as the tissues can swell and circulation may be compromised, leading to edema.
During this period, it is advisable to keep your foot elevated and minimize movement to expedite recovery.
Wishing you good health! :)

Reply Date: 2006/06/21

More Info

Post-surgery care for an ankle lump removal is crucial for ensuring a smooth recovery and minimizing complications. After undergoing surgery to remove a lump from the inner side of your ankle, it is common to experience pain, swelling, and some degree of numbness or tingling. Here are some guidelines and insights regarding your recovery process.

Pain Management
1. Medications: Your doctor may have prescribed pain medications to help manage discomfort. It’s important to take these as directed. Over-the-counter pain relievers like ibuprofen or acetaminophen can also be effective, but consult your physician before taking any additional medications.

2. Ice Therapy: Applying ice to the surgical site can help reduce swelling and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes every hour as needed. Avoid placing ice directly on the skin to prevent frostbite.

3. Elevation: Keeping your ankle elevated above the level of your heart can help minimize swelling. Use pillows to prop up your leg while resting.

Swelling and Numbness
- Swelling: It is normal to experience swelling after surgery. However, if the swelling worsens or is accompanied by severe pain, redness, or warmth, contact your healthcare provider as these may be signs of infection or other complications.

- Numbness: Temporary numbness or tingling can occur due to swelling or nerve irritation during surgery. If this persists or worsens, it’s important to follow up with your doctor.

Mobility and Weight Bearing
- Non-Weight Bearing: Initially, you should avoid putting weight on the affected ankle. Use crutches or a walker as recommended by your physician to assist with mobility. This will help prevent strain on the surgical site and allow for proper healing.

- Gradual Return to Activity: As your pain decreases and swelling subsides, your doctor will provide guidance on when you can start to bear weight on your ankle. This typically occurs in stages, starting with partial weight-bearing and progressing to full weight-bearing as tolerated.

Recovery Timeline
- Stitches Removal: The timeline for stitch removal can vary depending on the extent of the surgery and your healing process. Generally, stitches are removed about 7 to 14 days post-surgery. Your surgeon will provide specific instructions based on your individual case.

- Follow-Up Appointments: Regular follow-up appointments are essential to monitor your healing progress. During these visits, your doctor will assess the surgical site, manage any complications, and adjust your recovery plan as needed.

Rehabilitation
- Physical Therapy: Once your doctor gives the green light, physical therapy may be recommended to restore strength and mobility to your ankle. This typically involves exercises to improve range of motion, strength, and balance.

- Home Care: Continue to monitor the surgical site for any signs of infection, such as increased redness, swelling, or discharge. Keep the area clean and dry, and follow any specific wound care instructions provided by your healthcare team.

Conclusion
In summary, managing pain and swelling after ankle lump removal surgery is vital for a successful recovery. Follow your doctor's advice regarding medications, activity restrictions, and follow-up care. If you have any concerns about your recovery, do not hesitate to reach out to your healthcare provider for guidance. Remember, every individual heals at their own pace, so be patient with yourself during this process.

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