Post-Surgery Knee Discomfort: Is It Normal After Arthroscopy?

After joint surgery, walking may feel tight?

Hello, Director Shi.
My mother underwent knee arthroscopy for debridement last Thursday (October 4).
She had her stitches removed during a follow-up appointment yesterday, but today she noticed some discomfort and tightness while walking.
Is this normal? Additionally, the doctor mentioned that the external wound has healed, but the internal wound is still not fully healed.
How long does it typically take for the internal wound to heal? Thank you very much for your assistance!

amy0930c, 60~69 year old female. Ask Date: 2012/10/12

Dr. Shi Guozheng reply Orthopedics

Wound healing typically takes about two weeks; however, swelling within the joint may last longer, ranging from six to twelve weeks.
If the joint feels tight and there are no signs of infection, it is not a concern.
Alternating between heat and cold therapy can help alleviate swelling or the sensation of tightness.

Reply Date: 2012/10/12

More Info

Post-surgery discomfort, especially after knee arthroscopy, is a common experience for many patients. Your mother's situation, where she is feeling tightness and discomfort while walking a few days after the procedure, is not unusual. Here’s a detailed explanation of what she might be experiencing and what to expect during her recovery.

Normal Post-Surgery Symptoms
1. Discomfort and Tightness: After knee arthroscopy, patients often report feelings of tightness or discomfort in the knee. This can be due to several factors, including swelling, inflammation, and the healing process of the soft tissues. The knee joint is a complex structure, and any surgical intervention can lead to temporary changes in how it feels and functions.

2. Swelling and Inflammation: It’s common for the knee to swell after surgery, which can contribute to feelings of tightness. The body’s natural response to surgery includes inflammation, which is part of the healing process. This can lead to discomfort, especially when moving the knee.

3. Muscle Weakness: Post-surgery, the muscles around the knee may weaken due to disuse or the surgical procedure itself. This can lead to a sensation of instability or discomfort when walking. Physical therapy is often recommended to help strengthen these muscles and improve function.

Healing Timeline
1. Internal Healing: The surgeon's comment about the external wound healing while the internal wound is still healing is important. Generally, the external skin can heal within a couple of weeks, but deeper tissues, including ligaments and cartilage, may take longer. Internal healing can take anywhere from several weeks to a few months, depending on the extent of the surgery and the individual’s healing capacity.

2. Expected Recovery Time: For most patients, significant improvements in pain and function can be expected within 4 to 6 weeks post-surgery. However, full recovery, including the return to pre-surgery activities, may take several months. It’s crucial to follow up with the healthcare provider for personalized timelines based on the specific procedure and individual health status.

Recommendations
1. Physical Therapy: Engaging in a structured rehabilitation program is essential. A physical therapist can provide exercises tailored to strengthen the knee and improve range of motion. This can help alleviate discomfort and promote healing.

2. Pain Management: If the discomfort is significant, discussing pain management options with the healthcare provider is advisable. This may include medications or other therapies to help manage pain and inflammation.

3. Monitoring Symptoms: It’s important to monitor the symptoms. If the discomfort worsens, or if there are signs of infection (such as increased redness, swelling, or discharge from the incision site), it’s crucial to contact the healthcare provider immediately.

4. Gradual Return to Activity: Encourage your mother to gradually return to her normal activities as tolerated. While it’s important to rest, gentle movement can help reduce stiffness and promote circulation, which is beneficial for healing.

Conclusion
In summary, the tightness and discomfort your mother is experiencing after her knee arthroscopy are likely normal and part of the healing process. It’s essential to be patient and allow time for recovery while actively participating in rehabilitation. Regular follow-ups with her healthcare provider will ensure that her recovery is on track and that any concerns are addressed promptly.

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