OpenHealth Q&A

It's understandable that your father is struggling with persistent pain following his multiple fractures and the implantation of metal rods. Chronic pain after such injuries can be complicated, but several strategies can help manage his discomfort and improve his quality of life.

Key Points:

1. Persistent Pain Management: Chronic pain can be managed effectively even when the underlying issue (like the metal rods) isn't easily correctable.
2. Symptoms to Monitor: Numbness and altered sensations around the surgery site could indicate ongoing nerve irritation, which should be carefully considered.
3. Non-Surgical Options: While the rods may contribute to discomfort, removal may not always be beneficial without clear medical indications.

Explanation:

Following significant trauma to the leg and surgery, it's common to experience ongoing pain, especially with issues like nerve irritation, muscle tension, or scar tissue formation. The fact that your father's pain increases at night might be related to position, stress, or simply the body's natural pain cycle when at rest. His ability to sense weather changes suggests he may have heightened sensitivity, which is common in chronic pain sufferers.

The numbness alongside the pain could point to nerve involvement from the surgery, which merits attention even if the range of motion appears normal.

Next Steps:

1. Pain Management Strategies:

   • Heat Application: Since warmth provides comfort, continue using heat packs or warm baths, particularly before bedtime to relieve muscle tension.
   • Pain Medications: Ensure that he's using pain medications as prescribed, considering any potential side effects and discussing the effectiveness with a healthcare provider.
   • Mind-Body Techniques: Explore relaxation techniques such as deep breathing, meditation, or mindfulness, which can help manage pain perception and improve sleep quality.

2. Symptom Tracking:

   • Encourage your father to keep a pain diary to document:
     • Intensity and type of pain
     • Activities before pain levels increase
     • Other symptoms like numbness This information can be helpful for any future healthcare consultations.

3. Consider Professional Input:

   • If pain persists or worsens, it may be beneficial to seek a second opinion from a pain management specialist or neurologist who focuses on nerve-related issues rather than an orthopedic surgeon alone. They might provide additional options like nerve blocks or advanced imaging studies to assess for nerve compression or other complications.

4. Physical Therapy Review:

   • Since he has worked with a physiotherapist, consider revisiting the physical therapist to possibly adjust his care plan focusing specifically on pain relief techniques and functional mobility.

By approaching this situation with a combination of self-care strategies and professional guidance, your father can work toward managing his pain more effectively. Please keep communication open about his experiences, as this will foster a supportive environment for his healing process.