Subcutaneous tumor
Dr.
Chang, I have developed a subcutaneous tumor near my left ankle, which was surgically removed after a doctor's diagnosis.
It has been four weeks since the surgery, but: 1) The area around the incision is still swollen, although it is better than before.
2) I am still unable to walk as I did before the surgery, and my left foot always feels "tight" when walking.
I need to hold onto the handrail when going up and down stairs.
Could you please advise if these conditions are normal? How much longer will it take for me to walk normally again? Additionally, is it still advisable to limit my movement at this time?
Song, 40~49 year old female. Ask Date: 2002/07/29
Dr. Zhang Zhenxiang reply Surgery
After surgery, the wound generally remains a bit swollen after the stitches are removed.
If the wound is dry and shows no signs of inflammation, the symptoms will typically improve over time.
Wounds near the ankle usually have poorer venous circulation, especially in patients with varicose veins.
You can try using an elastic bandage; if that is ineffective, you may need to consult the surgeon.
As for how long it will take to return to normal and whether walking is advisable, it varies from person to person and depends on the healing status of the wound.
Reply Date: 2002/07/29
More Info
Post-surgery recovery, especially after the removal of a subcutaneous tumor, can vary significantly from person to person. It is essential to understand the healing process and what to expect during recovery. Based on your description, you are currently four weeks post-surgery, and while some improvement is noted, you still experience swelling and discomfort in your left ankle area.
1. Swelling and Discomfort: It is quite common to experience swelling around the surgical site for several weeks after surgery. This is part of the body's natural healing response. The fact that the swelling has improved compared to the initial post-operative state is a positive sign. However, if the swelling persists or worsens, it would be advisable to consult your surgeon. The tightness you feel in your ankle could be due to a combination of swelling, scar tissue formation, and the body adjusting to the changes after the tumor removal.
2. Walking and Mobility: Difficulty walking and the sensation of tightness in your ankle can be attributed to several factors, including pain, swelling, and the need for your body to adapt to the surgical changes. It is not uncommon for patients to feel a lack of strength or stability in the affected limb during the early stages of recovery. The need to use handrails while navigating stairs is also typical as your body is still regaining strength and balance.
3. Recovery Timeline: Recovery times can vary widely based on several factors, including the size and location of the tumor, the extent of the surgery, and your overall health. Generally, it may take several weeks to months for full recovery. Many patients find that they can gradually increase their activity levels as they heal. It is crucial to listen to your body; if walking causes pain or discomfort, it may be best to limit your activity and focus on gentle movements and stretches as tolerated.
4. Activity Recommendations: While it is essential to remain active to promote healing, it is equally important to avoid overexertion. Gentle walking can be beneficial, but if you experience pain or increased swelling, it may be wise to reduce your activity level. Physical therapy could be an excellent option to consider, as a therapist can provide tailored exercises to improve strength, flexibility, and mobility in a safe manner.
5. When to Seek Help: If you notice any signs of infection (such as increased redness, warmth, or discharge from the wound), or if the swelling does not improve, it is crucial to reach out to your healthcare provider. They can assess your condition and determine if any further intervention is necessary.
In summary, while some discomfort and swelling are normal during the recovery phase, it is essential to monitor your symptoms and communicate with your healthcare provider about any concerns. Gradual improvement is expected, and with time, you should regain normal function in your ankle. Engaging in light activity, as tolerated, and possibly seeking physical therapy can aid in your recovery. Always prioritize your body's signals and consult your doctor for personalized advice tailored to your specific situation.
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