Post-Surgery Complications and Disability Certification in Orthopedics

Q: Post-Surgery Complications and Disability Certification in Orthopedics

Hello： Having a disability does not mean that one can apply for certification with just a slight functional impairment; there is a standardized criterion. <br>Based on your symptoms, unless there is a noticeable difference in muscle size bilaterally, it may be difficult to demons

Postoperative sequelae & disability certification

More than two years ago, I accidentally fell from the third floor, resulting in what appears to be two fractured lumbar vertebrae and open fractures in both legs.
I have undergone approximately ten surgeries, including hardware removal, and during the healing process, there were infections in the areas where skin grafts were performed.
However, even now, I am unable to stand or sit for long periods, and walking becomes difficult after about 15 minutes, leading to redness and skin breakdown on the soles of my feet.
When I wore work shoes, the insoles would tear because the bones in the front of my left foot are protruding, and my right ankle has already deformed.
Therefore, I wear shoes indoors and outdoors, as walking barefoot on the floor is extremely painful.
Additionally, I frequently experience significant pain in my lumbar region and persistent soreness throughout my back.
During follow-up visits, the doctor mentioned that there is inflammation and that my prolonged standing, walking, and lifting heavy objects are aggravating the condition.
I have repeatedly expressed my frustration to the doctor, asking what kind of work would be suitable for me, and the doctor always responds with a wry smile, indicating that these are residual effects of my injuries.

I wonder if I need pain medication? Initially, my left foot also sustained nerve damage, which affects my sensation.
At times, I experience frequent cramps in my left foot at night, waking me up in pain, and this seems particularly pronounced when I walk longer distances.
I want to know if there is any hope for improvement.
I have been out of work for nearly a year and truly do not know what to do.
I originally held a mild disability certificate, but during a recent evaluation, the doctor indicated that I might qualify for ankle-related benefits, although there are angle restrictions that I may not meet.
When the results came back, I saw that the rehabilitation department assessed my work capacity as far below 100%.
Despite this, my disability qualification from 2016 has already been revoked.
So, am I unable to apply for any certifications now?

YOYO, 10~19 year old female. Ask Date: 2016/01/24

Dr. Wang Shouji reply Orthopedics

Hello: Having a disability does not mean that one can apply for certification with just a slight functional impairment; there is a standardized criterion.
Based on your symptoms, unless there is a noticeable difference in muscle size bilaterally, it may be difficult to demonstrate muscle strength impairment sufficient to pass the disability assessment.
Thank you!

Reply Date: 2016/01/24

More Info

Post-surgery complications, especially after significant orthopedic trauma like yours, can be quite complex and challenging to navigate. Your situation, involving multiple surgeries and ongoing pain, is not uncommon among individuals who have experienced severe injuries such as open fractures and spinal injuries.
Firstly, it’s essential to understand that the recovery process from such injuries can be prolonged and may not always lead to a complete return to pre-injury function. The symptoms you describe, including difficulty standing or walking for extended periods, persistent pain, and skin issues on your feet, are indicative of the complications that can arise from both the injuries themselves and the surgical interventions.
The pain you are experiencing could be attributed to several factors, including nerve damage from the injury, chronic inflammation, and possibly complex regional pain syndrome (CRPS), which can occur after orthopedic injuries. The fact that you have a history of nerve injury in your left foot may also contribute to altered sensations and pain, including cramping and discomfort during the night.
Regarding your concerns about work and disability certification, it’s crucial to have a comprehensive evaluation by a specialist in pain management or a rehabilitation physician. They can assess your functional abilities and limitations more thoroughly. It may also be beneficial to engage with a physical therapist who specializes in post-surgical rehabilitation to develop a tailored exercise program that can help improve your strength and mobility without exacerbating your pain.

In terms of disability certification, the criteria can vary significantly depending on your location and the specific regulations in place. In the U.S., eligibility for disability benefits often requires a demonstration of how your condition limits your ability to perform work-related activities. The fact that you have been evaluated and found to have limitations in your work capacity is a positive step, but it’s essential to ensure that all relevant medical documentation is thorough and accurately reflects your condition.

If your previous disability certification was canceled, you might consider reapplying, especially if your condition has worsened or if new evidence supports your claim. It’s advisable to consult with a disability attorney or advocate who can guide you through the process and help you understand your rights and options.

In the meantime, managing your pain effectively is crucial. If your doctor has suggested pain medication, it may be worth considering, especially if it can help improve your quality of life and ability to engage in daily activities. Additionally, exploring alternative pain management strategies, such as physical therapy, acupuncture, or cognitive-behavioral therapy, could provide some relief.

Lastly, it’s important to maintain open communication with your healthcare providers. If you feel that your concerns are not being adequately addressed, don’t hesitate to seek a second opinion or ask for a referral to a specialist who can better assist you with your specific needs. Your health and well-being should always be the priority, and there are resources and support systems available to help you navigate this challenging journey.

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