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Discussion in 'Snow Talk' started by skifree, Sep 27, 2017.
I’ll 3rd MRI. Only thing that detected my fracture, 3 weeks later.
I’d suggest hold the scan for a couple of weeks, @Ozgirl. Even one week post injury there is so much joint oedema an MRI can over call somethings and under call others. No test is perfect. You would get a more reliable result waiting for a bit.
If there are concerns still it may be worth getting an opinion from a foot orthopod first before scanning as sometimes an arthrogram (dye injected into the joint) will get you the most sensitive test. Because that’s all they do (foot and ankle) they will have the best idea for the scanning with the most bang for the buck. Whatever you do, good luck! It always seems miserable the first couple of weeks but if you have to rehab, you are in a beautiful part of the world to do it!
Something to consider is wether an MRI would significantly change management, and also wether it would change the outcome.
What MRI findings would change management from the current plan?
Full lateral complex tears - if @Ozgirl has lost her ATFL/CFL and PTFL and wants to keep skiing she would benefit from repair I’d guess. Waiting for chronic instability increases long term joint degeneration. You’re right re thinking that possible management change would influence scanning - if she’s keen on skiing next year I’d say that’d tick that box. Or at least clarifying the current plan.
Yes very much my concern.
As mentioned previously I don't want this to be a life changing injury, so I don't want to complacent.
It looks like you’ve started a trend Ozgirl (apologies if you don’t know who she is).
Yes I know exactly who she is.
Plaster.... that’s awful. I was so happy when I woke up and I wasn’t in plaster. Almost two weeks of it was enough
My mum was in plaster for 7 weeks. Conservative treatment of broken fibula/ankle. She's recovered extremely well, has full range of movement, no pain or swelling (a year after the injury). She is 70. Walks like a trooper
My only pain is sleep time. I can't get comfortable.
So Panadeine forte at night.
Out and about with mum and dad last night. Can't wait for the scooter to be delivered tomorrow!!
The good foot, out for its daily dose of arnica.
Those are some glorious colours!
I may have pumped up the pop on the filter. But in person. Yes very colorful.
A true badge of honour
We need to work on the story though.
My mother in law was the same. Broke her tib, fib and ankle when she slipped on black ice. Laid in a ditch for about two hours until the ambulance could get her. She’s an amazing woman.
Ah yes, night time hasn't been my friend for almost 2 years now. I can tolerate minor discomfort and pain during the day, but at night, it all seems to get worse.
just caught up to date with this thread.
now everything makes sense.
with the avatar....
by now I see you in mend and rehab mode.
trusting all goes well for you , you are made of the right stuff .
sense of humour goes a LONG way in this biz.
That ankle just keeps looking worse and worse!
So just went to see doc Breathour.
Yep, you need an MRI. Here you go.
(Referral says possible talo fibular rupture)
Are you using any heat packs yet to help clear that bruising? Will increase your circulation and help clear the trapped blood.
Brutal. Absolutely brutal.
A few things that have helped me at night.
Magnesium - orally and topically (@JA has a great product)
OTC pain killers - particularly naprogesic
Heat packs (ice after exercise or movement)
Nervoderm patches - only useful in certain circumstance but can be a game changer when they are. I had an injured thumb joint from a board collision, it kept me awake two nights in a row until I tried the Nervoderm wrapped around the joint - within half an hour I felt no pain and slept like a baby. But the nerves sending the pain message need to be near the surface of the skin for the anaesthetic to work, deep issues it won’t help. And it’s important you only use it in a situation where ignoring or blocking pain signals won’t make things worse. (IE don’t numb an injured joint so you can then use it and exacerbate the injury!).
i should you are right.
will get some little hotties in there,
@Ozgirl you should have come from hospital with a management plan including what to do with icing, heat packs and exercises etc. but there is no guarantee they made one for you. The swelling needs to be reduced to facillitate ROM exercises. If you don't have a plan, I urge you to get one. Applying heat too early can make it worse. Too much icing can be counter-productive too. Knowing what not to do is important, as is knowing what to do and how much to do. Seek out expert guidance for your particlar injuries. If the MRI shows any damage that needed surgery, how the foot is being managed now can affect when the surgery can be done. My advice comes from having far too much personal experience going through ankle ops and rehab and I've always been into learning about first aid, physiology and medicine as a personal interest but I'm not a medical doctor or an allied health professional. Consider the the well-intended advice being given on this forum but please also validate it with the professionals. Protocols change and aspects of our collective advice could be out-dated. Also I don't intend to be condescending. You might be on top of all of the above.
Good to see you are already in a moon boot for the right foot.
Plaster for almost three months on my two feet got a bit uncomfortable heading into a hot Summer in 2009.
I had a few weeks when I was getting a regular pinging, sharp nerve pain at night in bed in my right ankle. It could go on for about four hours. At The Alfred I was prescribed an anti-depressant that had a side affect of reducing nerve pain but after reading the drug pamphlet and doing some research of my own I decided to put up with the interruption to sleep. I regard that prescription as a quick fix by the on-duty doctor and I'm glad I didn't take that particular bit of treatment. The other side effects were potentially unpleasant and I'd have to wean off ithe drug t over a month or two.
Over the last 10 years the nightime nerve pain woud recur sometimes after I'd inflamed the ankle but only for a night then it would go away when the inflammation died down after a day of not walking or standing. I'd be pretty grumpy the next day. Bit like the sleep deprivation effect we had from having twin babies.
Any new injuries or is the lack of access to skiing or the lack of fresh snow slowing the injury rate?
I recognise where you are. Where we take my MIL because the access is ok and there can be a nice lunchtime view.
Anyone have experience with breaking the greater tuberosity of the humerus?
Broke mine yesterday.(XRays to follow).
I pulled a back muscle unpacking the roof box after we got home from the snow, probably doesn’t really count though.
Ouch! Not funny at all
Why? What made you think this might be a good idea?
*waves* Did the exact same in Canada in Feb. Missed a drop onto a cat track in low vis, landed on the shoulder, mine didn’t show on X-ray, only on MRI 3 weeks later. Meanwhile I kept skiing, drove across the Rockies and got myself home, where I was straight out on my bike. 3 weeks later I was told to put it in a sling Physio disagreed and I finally graduated from physio this week.
So, get onto physio ASAP because I was well on the way to a frozen shoulder from not using it. I still have some reduced movement and weakness but I’m not aware of it most of the time. Didn’t sleep well for about 4 months though.
On night time pain relief, I found Panadol osteo gave me relief. It is a bit stronger and slow release and I managed a bit longer before pain woke me. I’m still taking a couple each night.
I’ll have to google that one
Yeah broke mine years ago but it was not displaced so just sling rest then physio after a few weeks to get ROM back. If its displaced, could be a whole different story....
Scooter is awesome!!!
Loved loved loved my scooter .....helped that it was red as well
You will be unstoppable now @Ozgirl .......just watch those downhill runs and sloping corners
Might need some chains on it for this weekends weather!
I went adventuring today...
To the bottom of the backyard...
Then ran out of battery...
Dad had to bring the crutches down. So I walked to the bottom of the stairs - awkward, minimal weight bearing as I could manage.
Bum shuffled up the stairs. And fell exhausted onto a dining room chair.
Dad managed to get the scooter up and into the house (you can go around the house on flat land).
And I reverted to the old wheelchair for the afternoon.
That DOES sound like an adventure Hope you’re feeling ok after the weight bearing and bum shuffling
Need a spare battery so Dad can just nip out and replace it - good to go!
So the bad foot "boot' was getting loose.
So I decided to take it off and re adjust. I knew there was a bandage underneath but it's actually very well padded.
I repositioned and firmed everything up. (Well the boot not the bandages, didn't touch them)
Lots of bruising visible.
Ouch!!! That’s a lotta bruising.
I’m using a night splint for the first time tonight. See how that goes. My tendonitis in my ankle is just not nicking off. Physio and acupuncture once a week each, exercises/stretches, ice and heat at the right times, anti inflammatory meds and gels, loads of curcumin. I’ve stopped the steroid, they didn’t seem to be helping and just make me gain hella weight - which is WORSE for my ankle.
Im hoping the night splint will keep my foot flexed and straight. I tend to fall asleep with toes pointed and feet angled inward. That shortens the Achilles and calf muscle, and also the posterior tibial tendon (which is the most unhappy tendon right now). I’ll give it a few weeks of using it every night and report back on whether that’s a winner or not.
I'm hoping the splitting works!
Freudian slip there Oz!
I reckon an opportunity to be Splitting would work just fine ...
As for the splint:
It got ripped off and chucked it on the floor at midnight when I had to get up to the whinging pooch. The few hours it was on can’t have hurt, but I couldn’t stay the distance. I’ll put some long socks on UNDER it tonight and see if thats any better (the rubbing of scratchy pointy bits got to me).
I completely displaced mine a while ago. I don't remember the fall (I lost two hours of memory with that concussion). I was lucky enough that my deltoids were strong enough to put it back in the correct place. I worked with a really good phisio and still have 95% range of motion.
Just found out from the specialist that mine is not displaced so no surgery (YAY!!!)
Sounds like I have a bit of rehab in my near future.
Did way too much today - I went to Cooma! Far out.
The novelty has well and truly worn off. And I'm so shattered that I keep hitting the walls etc with my bad leg. And then hit my elbow/funny bone on the door frame.
cooma is not made for wheelchairs (can't take the scooter in the car)
And in the woolies car park in cooma I had a hiccup and went rolling through the car park backwards. Was very scary.
A BWS worker on his break happen to see, mum saw too but she couldn't move as fast as him, she said she has never seen anyone move so fast! He caught me but was very scary for a second there. A reminder to not try and do it all myself (but mum is shattered too getting the chair in and out, she is too old for this!) I stupidly tried to stop myself with my feet - thankfully a millisecond before the employee caught me so I didn't do damage.
I also have cramping in my thighs, sharp stabbing almost nerve like pain.
Anyway whinge over, I'm going to sleep. Tomorrow is a new day.
Sorry you had such a tough day.
Rolling backwards in a wheelchair has to be horrifying.
Psychologically the SDS( skiing depreivation syndrome) is taking its toll, esp. now that the snow has finally arrived. I will have to get counselling to recover from these psychological injuries ;-P .I am soon to get RSI from cycling everyday up the steepest hills that I can find in my postcode. I can eat what I like and I am burning it off each day to stay sane in Stalag 13.