Nighttime Pain After Fracture Surgery in Teens - Orthopedics

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Pain at night after surgery for a fracture?


I'm sorry, but I am 17 years old.
I had a fracture in my left fibula and underwent surgery.
The day after the surgery, I returned home to rest, and the pain gradually decreased to the point where I usually don't feel any pain.
However, a few days later, I was awakened in the middle of the night by pain, which has continued for two days.
I'm unsure what could be causing the pain at the surgical site while I sleep.

Zhang Tongxue, 10~19 year old female. Ask Date: 2016/03/02

Dr. Chen Yongxue reply Orthopedics


Hello, regarding your message, it is mostly due to high activity levels or frequency of use during the day in a short period of time.
However, be cautious about the possibility of a post-surgical infection.
It is recommended to follow up at the outpatient clinic.

Reply Date: 2016/03/02

More Info


Experiencing nighttime pain after fracture surgery, especially in teenagers, can be concerning and frustrating. It’s important to understand that pain following surgery is a common occurrence, and several factors can contribute to this discomfort.
Firstly, after a surgical procedure, the body goes through a healing process that involves inflammation and tissue repair. This process can lead to pain, particularly in the initial weeks following surgery. The pain you are experiencing at night could be due to a few reasons:
1. Positioning During Sleep: The way you position your body while sleeping can significantly impact pain levels. If your leg is not properly supported or is in an awkward position, it may lead to increased discomfort. It might be helpful to use pillows to support your leg and keep it in a more comfortable position during the night.

2. Increased Activity During the Day: If you are engaging in more activities during the day, even if they seem minor, this can lead to increased strain on the healing area. The pain you feel at night could be a result of overuse during the day. It’s essential to balance activity with rest, especially in the early stages of recovery.

3. Nerve Sensitivity: After surgery, nerves in the area may become more sensitive as they heal. This can lead to sensations of pain or discomfort that may not be present during the day but can become more pronounced at night when you are trying to relax.

4. Muscle Tension: Sometimes, the muscles surrounding the surgical site can become tense, especially if you are subconsciously guarding the area due to pain. This tension can lead to discomfort that might be more noticeable at night.

5. Infection or Complications: While less common, it’s crucial to be aware of the possibility of infection or other complications following surgery. If the pain is severe, persistent, or accompanied by other symptoms such as swelling, redness, or fever, it’s essential to consult your healthcare provider.

To manage your nighttime pain, consider the following strategies:
- Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, always consult with your doctor before taking any medication, especially if you have been prescribed specific pain management strategies post-surgery.

- Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the fracture site and improve mobility, which may reduce pain over time. A physical therapist can provide tailored exercises and strategies to help with your recovery.

- Follow-Up with Your Doctor: If the pain persists or worsens, it’s crucial to follow up with your healthcare provider. They can assess your healing progress and determine if any further interventions are necessary.

- Rest and Recovery: Ensure you are allowing your body adequate time to heal. This includes getting enough sleep and not pushing yourself too hard during the day.

In summary, while experiencing nighttime pain after fracture surgery is common, it’s essential to monitor the situation closely. By understanding the potential causes and implementing strategies for pain management, you can help facilitate a smoother recovery process. If you have any concerns, don’t hesitate to reach out to your healthcare provider for guidance.

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