| Pain Control |
First 24–72 hours |
Moderate pain is common and may be strongest during movement or when the initial anesthetic wears off. |
Take prescribed pain medicine exactly as directed. Use ice only if approved, with a cloth barrier, for short sessions. Support the operated limb and begin permitted movement early.
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Whether pain is gradually becoming more manageable, sleep quality, medication side effects, and the ability to perform approved exercises. |
Contact the surgical team if pain is severe, rapidly worsening, or not controlled by the prescribed plan. |
| Pain During Activity |
Days 3–14 |
Mild to moderate soreness may occur after walking, therapy, or daily activities. A temporary increase after exercise can happen. |
Increase activity gradually. Follow the rehabilitation plan and avoid “catch-up” exercise. Rest between sessions and use the recommended support, brace, or assistive device.
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Pain that settles with rest, whether swelling returns to its previous level, and whether function improves week by week. |
Seek advice if activity causes persistent pain, new weakness, loss of movement, or a clear decline in function. |
| Swelling Management |
First 1–2 weeks |
Swelling and bruising are common, especially around the incision and lower part of a limb. Swelling may fluctuate during the day. |
Elevate the limb as instructed, perform approved ankle or joint movements, avoid prolonged standing, and use compression only when specifically recommended.
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Skin color and temperature, increasing tightness, changes in sensation, and whether swelling improves with elevation and rest. |
Get urgent medical assessment for sudden one-sided swelling, calf pain, chest pain, shortness of breath, or coughing blood. |
| Swelling During Rehabilitation |
Weeks 2–6 |
Some swelling may remain after activity and can persist for several weeks, depending on the operation and the individual. |
Use a gradual activity schedule. Keep follow-up appointments, continue prescribed exercises, and avoid smoking because it can impair circulation and tissue repair.
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Overall trend rather than hour-to-hour changes; the limb should generally become less swollen and more functional over time. |
Discuss swelling that steadily increases, becomes hot or very painful, or is accompanied by fever or drainage. |
| Wound Protection |
First 48 hours |
The dressing may show a small amount of expected spotting. Mild tenderness near the incision is common. |
Keep the dressing clean and dry according to discharge instructions. Wash hands before touching the dressing and do not apply creams, powders, or antiseptics unless prescribed.
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Amount and color of drainage, wound-edge separation, increasing redness, and the condition of surrounding skin. |
Report heavy bleeding, wound opening, persistent leakage, or rapidly spreading redness. |
| Incision Healing |
Days 3–14 |
The incision should gradually become less tender. Bruising can change color before it fades. Sutures or staples may remain until the scheduled review. |
Follow bathing instructions, avoid soaking the incision until cleared, wear clean loose clothing, and do not remove sutures or staples yourself.
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Redness limited to the immediate incision area versus redness that expands; odor, drainage, fever, and increasing pain. |
Contact a clinician for pus-like drainage, foul odor, fever, chills, worsening redness, or increasing warmth around the incision. |
| Mobility and Circulation |
From the first day, if cleared |
Short, assisted movement is often introduced early, but weight-bearing limits vary widely by procedure. |
Follow the exact weight-bearing instructions. Use crutches, a walker, or other equipment correctly. Perform prescribed circulation exercises and avoid sitting still for long periods.
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Ability to move safely, new numbness or tingling, foot or hand color, and increasing limb temperature differences. |
Seek urgent advice for a cold, pale, blue, numb, or severely painful limb, or sudden inability to move it. |
| Physical Therapy |
Days to weeks, as prescribed |
Therapy commonly focuses on safe range of motion, strength, balance, gait, and return to daily activities. |
Complete only the exercises prescribed for the operation. Maintain consistency, record symptoms, and tell the therapist if pain remains elevated after exercise.
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Range of motion, walking tolerance, strength, balance, and recovery of practical tasks such as dressing or climbing stairs. |
Ask for reassessment if exercises repeatedly cause sharp pain, marked swelling, or reduced function the next day. |
| Nutrition and Hydration |
Throughout recovery |
Healing requires adequate energy, protein, fluids, vitamins, and minerals. Appetite may be reduced temporarily after surgery. |
Eat regular meals containing protein-rich foods, vegetables, fruit, whole grains, and fluids unless medically restricted. Prevent constipation with movement, fluids, and prescribed measures.
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Appetite, hydration, bowel function, unintended weight loss, and tolerance of pain medicines. |
Contact a healthcare professional if vomiting, dehydration, persistent constipation, or inability to eat continues. |
| Sleep and Recovery Load |
First 2–6 weeks |
Sleep disruption is common because of pain, positioning, medication effects, and reduced activity. |
Keep a regular sleep schedule, position the operated area as instructed, limit late-day stimulants, and balance activity with planned rest rather than complete inactivity.
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Sleep duration, daytime fatigue, pain at night, and whether activity is increasing without excessive exhaustion. |
Discuss persistent insomnia, confusion, extreme drowsiness, or suspected medication-related breathing problems. |
| Return to Daily Activities |
Weeks 2–12 or longer |
Recovery speed depends on the joint or bone treated, surgical technique, general health, and rehabilitation progress. |
Resume driving, work, lifting, bathing, and sports only when cleared and when strength, movement, reaction time, and pain control are adequate.
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Safe performance of essential tasks, tolerance of increasing activity, and compliance with restrictions. |
Request guidance if progress stalls, a previously improving symptom returns, or restrictions are unclear. |