ACL reconstruction surgery in Mumbai is advised when you have sustained an Anterior Cruciate Ligament (ACL) injury. It’s common in athletes. However, sometimes, the screws and staples used to implant the reconstructed ligament might cause pain. While swelling, bruising, and some discomfort on the surgical site are common after ACL surgery, it can sometimes indicate a failed graft. It doesn’t happen in all cases, but if the screws fail, they may cause strange symptoms. Here’s what to watch out for:
Recognizing Symptoms of ACL Screw Pain
Here’s the list of the symptoms that indicate screw failure.
i) Localized Pain and Tenderness
ACL reconstruction is a major surgery, so some pain post-operation shouldn’t be concerning. However, if the pain doesn’t subside even with medication or weeks after surgery and is felt near the area where the screws were positioned, it could indicate screw failure.
The pain is defined as a poking or stabbing sensation that can be felt when walking, climbing stairs, or resting. The pain should go away gradually. If the site where screws were placed feels sore when you touch it, this could be a sign something is wrong with the screws.
ii) Excessive Swelling
Swelling occurs in the initial stage of recovery. That’s pretty normal. However, excessive swelling that worsens instead of improving is not normal. Check if your knees seem puffier than before or if they are still tender to the touch months after surgery. Discuss the swelling with your orthopedic surgeon in Mumbai.
iii) Limited Range of Motion
It takes time for the surgical site to heal and for your knee to gain full muscle strength and mobility. However, if your normal range of motion is not restored yet, it could indicate a potential issue with the screws, especially if you experience discomfort while straightening or bending your knee.
Common Causes of ACL Screw Pain
Screw pain can occur because of their location. When placed extremely close to a joint, they can cause stiffness. Mostly, surgical error is the cause of knee pain due to the screws. Metal screws can also shift during movement, particularly in athletes.
Another common reason is lifting too much weight or practicing intense workout sessions or other strenuous physical activities during your recovery. This can strain the incision site and might dislodge the screws.
Treatment and Management Options
Here’s how the screw pain after ACL surgery is fixed:
1) Non-Surgical Treatment Options
Physical therapy is often recommended for patients who can’t get rid of the pain after ACL reconstruction. The therapist will ask you to practice light stretching and knee-strengthening exercises to improve your muscle strength.
Your doctor will prescribe NSAIDs to bring down the inflammation and, in some cases, stronger medication to relieve pain.
2) Surgical Options
If non-surgical treatment doesn’t work, your last resort is surgical removal or replacement of the screws. It’s a short and straightforward surgery.
When to Consult a Doctor
Fever, redness, swelling, and warmth around the surgical site indicate an infection. This requires prompt medical attention. Additionally, if the pain persists after surgery or is accompanied by severe swelling and redness, check with your doctor.
