Muscle Atrophy After Tibial Fracture Surgery: Recovery Tips - Orthopedics

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Post-operative care after tibial fracture surgery?


Why is there significant muscle atrophy in the calf after surgery? Compared to the unoperated leg, it has decreased by one size.
Will it regain strength after starting rehabilitation? Is it beneficial to massage the muscles during the recovery phase?

Mr., 20~29 year old female. Ask Date: 2015/07/09

Dr. Shi Guozheng reply Orthopedics


First, it is important to determine the location of your surgery, whether it is on the tibia, femur, hip joint, or knee joint.
After surgery, the affected limb may become hesitant to move due to pain, which can lead to muscle atrophy.
In fact, it is recommended to begin movements of the limbs and joints within one to two days post-surgery to prevent muscle atrophy.
I am not sure how long it has been since your surgery, but typically, engaging in active rehabilitation within three months can lead to recovery.
Rehabilitation is not only about massage; performing movements on your own is also crucial.
It is important to mobilize the joints as well.
If you are unsure how to proceed, you can visit a rehabilitation department and ask a therapist for guidance.

Reply Date: 2015/07/09

More Info


Muscle atrophy following tibial fracture surgery is a common concern and can be attributed to several factors. When a fracture occurs, especially in the lower limbs, the body often compensates by limiting movement to protect the injured area. This immobilization leads to disuse of the muscles surrounding the fracture site, resulting in muscle atrophy. In your case, the significant difference in size between your injured leg and the uninjured leg is indicative of this disuse atrophy.

After surgery, the recovery process typically involves a gradual return to movement and strength training. The timeline for regaining muscle mass and strength can vary widely among individuals, depending on factors such as age, overall health, the severity of the injury, and adherence to rehabilitation protocols. Generally, with consistent and appropriate rehabilitation, you can expect to see improvements in muscle size and strength over time. It is not uncommon for patients to regain muscle mass and function, but this process can take several months, and in some cases, it may take up to a year or more to fully recover.

Engaging in rehabilitation exercises is crucial for reversing muscle atrophy. These exercises should be tailored to your specific condition and guided by a physical therapist. They will likely include a combination of range-of-motion exercises, strength training, and functional activities to help restore muscle strength and joint mobility. The key is to start slowly and progressively increase the intensity and complexity of the exercises as your healing allows.

Massage therapy can be beneficial during the recovery phase. While it may not directly reverse muscle atrophy, it can help improve blood circulation, reduce muscle tension, and promote relaxation. Additionally, massage may alleviate discomfort and improve the overall feeling of well-being, which can encourage you to engage more actively in your rehabilitation exercises. However, it is essential to consult with your healthcare provider or physical therapist before starting any massage therapy to ensure it is appropriate for your specific situation.

In summary, muscle atrophy after tibial fracture surgery is primarily due to immobilization and disuse of the affected muscles. With a structured rehabilitation program, you can regain strength and muscle mass over time. Consistency in your rehabilitation efforts, along with supportive therapies like massage, can enhance your recovery. Always work closely with your healthcare team to monitor your progress and adjust your rehabilitation plan as needed to ensure a safe and effective recovery.

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