I dont really have much swelling anymore, some days it does swell but most it's fine. Patient is a UK registered trade mark. I guess it's still "too soon" after injury/surgery to really know if this is a true issue or not. Questions/Purpose We attempt to demonstrate efficacy of pain management modalities during the perioperative and acute postoperative period after ORIF. I had my metalwork removed for this reason as the pain and swelling never seem to go! Background Distal radius fractures (DRF) are commonly treated with open reduction and internal fixation (ORIF). not sure about remove?" Answered by Dr. Ronald Oberman: Ask doctor: If bone is healed and hardware is believed to be source of. Foot Ankle Int. A 78-year-old woman presents to the office with left shoulder pain that has persisted for 6 months. (female) Join Date: Apr 2014. 1. It's just so frustrating. I am 2 years post ORIF and i had the same symptoms as you, stiffness in the morning or after sitting for a while. . not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in MeSH Read our editorial policy. PMC One-hundred twenty-two injuries were right-sided (41.5%), 168 were left-sided (57.1%), and four were bilateral (1.4%). Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Life is pretty much back to normal- I can do everything I was doing pre injury. . every time i would sit for a moment and then get up and walk my ankle felt stiff and frozen and i had to pump blood to it before i could walk. It bothered me for about 1.5 years until one day it didnt. Extreme stiffness in the morning and after sitting. official website and that any information you provide is encrypted i'm exactly 2 yrs broken ankle in 3 places with 2 plates, 7 screws and dislocation. My toe and bones/or tendons running to my big toe hurt. Patient demographics, fracture laterality, severity of fracture, type of operative anesthesia, and details regarding postoperative oral pain medications were recorded. I have walked up some pretty big hills relatively ok-ish. I get my staples out tomorrow so baby steps but I'm worried I'll never be able to go back to the gym like I was before or do a lot of things I did even work, I haven't been able to work for a month now. government site. I really hope these resolve before the year mark- did they for you? This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Now suddenly Increased pain and difficulty walking? The anterior and posterior humeral circumflex arteries provide most of the blood supply to the humeral head. 2 the sharp pain is that your only six mths and the nerves and the hardware in the ankle is still adjusting. I'm managing to walk about 3km but every single step is still very uncomfortable and still walking at a slow enough pace. Hang in there, I hope it gets better for you soon! I was 6 weeks in a plaster cast and then 2 weeks after this I went . Im currently 5.5 months post ankle orif surgery and have started to get sharp pains in my ankle that stop me from being able to walk for about 5 minutes. The surgeon discharged me 2 weeks ago and said my achilles is tight and causing all the pain, but I really think it's more. I actually managed to get an appointment with the surgeon's PA for this afternoon. I go in next week to get everything removed since it is causing me problems. 1 plate 9 screws! All advice is welcomed !!! Hello! Before any other ideas. I had ORIF Mar 27, April 30 was told all ok and to FWB I tried and did weeks of physio 3x per week, then about 2 months ago they did a CT scan and found that the bone at the back of the ankle was still broken, there were no screws or plates put on that part, so back to NWB and put on a bone stimulator to promote healing, but I also still get that jabbing pain on the inner ankle if I do put . 9 users are following. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Patient does not provide medical advice, diagnosis or treatment. It's a lot better than the first year, but it hurts terribly when the temperature goes down. Turns out I was having a reaction to the metal in the plates and screws. Registered in England and Wales. it's something that Ive thought about but its way too soon for me to really tell if it's anything more than just healing an adjusting. Two years ago, the patient sustained a proximal humerus fracture on the left side . After sitting or sleep I limp when I start then the limp goes away as the stiffness works out. not sure about remove? Clinical Relevance Our study demonstrates poor pain control regardless of intraoperative anesthesia or utilization of varying postoperative pain regimens. So, in a boot for the past week, non weight bearing if needed but weight bearing in the boot as tolerated. Please enable it to take advantage of the complete set of features! Does the quantity of narcotic pain medication prescribed or type of pain medication given postoperatively affect pain management? Main outcome measurements: Analog pain score, Short Form-36 Health Survey (SF-36), and Short Form Musculoskeletal Functional Assessment (SMFA). Like a crippling pain to where I cannot walk on it. 3 years ago, 1 plate 9 screws! Object To investigate the stability and cost-effectiveness of the three-dimensional-printed (3DP) off-the-shelf (OTS) prosthesis in the reconstruction of the anterior column of the thoracic/lumbar spine after tumor resection. I had ORIF on my ankle after a trimalleolar fracture that resulted in emergency surgery. Average number of narcotics tablets prescribed was 58. Thank you for the replies/suggestions- it helps ease the mind! I walk the kids to school every day and am managing 10,000-13,000 steps on a good day when I am not working (I work from home so sat down more so this isn't possible every day). Patient does not provide medical advice, diagnosis or treatment. yes i have to admit i understand exactly what your going threw. I am wondering the same thing: when will the pain stop! J Hand Surg Am. Always speak to your doctor before acting and in cases of emergency seek I'm 5 months post surgery. The stitches are removed and the ankle is placed in a short leg cast. 62F had orif surgery a year ago and have excruciating nerve pain shoots all down my leg into my foot and BAM like like lightning strike. Severe swelling and pain 6 months after orif ankle surgery. Fractures of the proximal humerus can disrupt these vessels, which, over time, causes avascular necrosis (AVN) of the humeral head. I'll let you know! I have to call my surgeon and get in with him- but again idk if it's too early to assume thats what may be causing the discomfort. . Your arm will have to learn to work properly again. to your question 1 with the warming of the ankle before you walk it took me about 3mths to get over that. Epub 2015 Dec 9. I am not sure if this would help you, but it seems to work for me. FOIA I'm very active, i love walking and going to the gym but after activity id find that my ankle felt very hot and puffy. Methods We retrospectively reviewed 294 adult (18 years old) patients who underwent outpatient ORIF of acute DRF between December 2012 and December 2014. has anyone had this? Bethesda, MD 20894, Web Policies Anyone experience this as well? Just 5 days ago I noticed a little more stiffness in the ankle. Some procedures involve fixation using plates and screws. Arthroscopically Assisted Versus Standard Open Reduction and Internal Fixation Techniques for the Acute Ankle Fracture. Your arm will have to learn to work properly again. I know this thread is a little old but wanted to see how you are getting on now. O'Neil JT, Wang ML, Kim N, Maltenfort M, Ilyas AM. Don't want those crap in me any longer ger than necessary, Definitely look into it cause Im scared its too late for them to go back in and take it out and Ill be stuck with it forever.. mines mid shaft and I still had major problems with my rom, so I cant imagine it being at the joint, peace and happiness to you . This is ruling my life and need advice as to what Dr . An official website of the United States government. 1 1/2 years after broken (in half completely) humerus ORIF 6" plate + 15 screws) and occasionally get some mild pain. The https:// ensures that you are connecting to the I keep telling myself its all apart of the healing process and to give it some time. Is Pain Normal 6 Months After a Shoulder Replacement? It never used to be. and Privacy Policy and steps will be taken to remove posts identified Anteroposterior radiograph of the left shoulder (Figure) shows advanced avascular necrosis of the proximal humerus. Dagan Cloutier, MPAS, PA-C, practices in a multispecialty orthopedic group in the southern New Hampshire region and is editor in chief of the Journal of Orthopedics for Physician Assistants. Its not every day but it's been happening more and more. There was no significant difference in the number of calls or refills given with regard to the type of anesthesia used or postoperative pain regimen prescribed. Posts: 2. 2017 Jan/Feb;46(1):E35-E40. Oh no, thats not good news, hopefully staying off it will help it to heal! not sure about remove? This often requires reduction and internal fixation. I notice in the morning when I wake up I kind of side step down the stairs putting more weight on my right leg. They went in and cut out part of my ulna to even it outmuch quicker than elongating the bone with external fixation, totally not worth the time and pain. Would you like email updates of new search results? Submit your diagnosis to see full explanation. Finally got an answer after second injury. . Ask doctor: If bone is healed and hardware is believed to be source of problem, then it should be removed. We want the forums to be a useful resource for our users but it is important to remember that the forums are This knowledge may aid the treating surgeon to . The patient does not recall any new injury that may have caused the shoulder pain, but her symptoms have gradually increased over the past 6 months. Use of the forums is subject to our Terms of Use Notes on 6 Months Post ORIF was doing great! I'm 39 and have never suffered back pain before in my life. That said, I am experimenting with dangling my injured foot/ankle over the side of the bed each morning before my bathroom dash. ORIF is a major surgery and results in a foreign object in the bone which can be a source of inflammation. Get as much PT as you can when you're ready- they'll put you on a good track to heal as much as possible. It think because my ankle is stiff from the immobility while I sleep. Was FWB after that came off and completed about 6 weeks of 2x weekly PT. I go back on the 23rd for a check up. "severe swelling and pain 6 months after orif ankle surgery. AN ANALYSIS OF CAUSES AND TREATMENT OUTCOME OF CHRONIC WRIST PAIN AFTER DISTAL RADIAL FRACTURES Hand Surgery, 13 (01) DOI: 10.1142 . Anyone else experience anything similar? have you gotten them taken out or are you planning for that? Create an account to follow your favorite communities and start taking part in conversations. Please keep me posted. Keywords: Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. One-hundred fifty-one patients (51.4%) received regional anesthesia prior to surgery. The anterior and posterior humeral circumflex arteries provide most of the blood supply to the humeral head. Registered in England and Wales. Read our editorial policy. I cant just hop out of bed like I did before- it definitely takes a while to work my ankle out in the morning before I can walk "normal". Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Recovery was and is great! NSAIDs; ORIF; anesthesia; distal radius fractures; narcotics; pain management. So on the whole am happy with recovery. Accessibility . and 2, lately I have been getting this random sharp pain in my ankle when I walk. Use of the forums is subject to our Terms of Use Patient is a UK registered trade mark. I would say the most annoying thing about this is the whole stiffness thing- waking up in the morning and then getting up after sitting for a while is rough. I was doing greatwalking up to 5 milesback at the gymreally doing anything i wanted. and Privacy Policy and steps will be taken to remove posts identified al performed a cross-sectional cohort study in 2100 patients undergoing orthopedic surgery and found that 48% reported pain 3 months after . All rights reserved. I had a plate put in my arm along my ulna after a botched broke bone left me with an uneven arm. You'll need physical or occupational therapy, pain medication, and lots of rest. Prospective Evaluation of Opioid Consumption After Distal Radius Fracture Repair Surgery. People cannot probably tell, but I focus a lot on stairs still. I had an ORIF (5th metatarsal) in June of 2020. ORIF recovery can last 3 to 12 months. I recently had 12 screws and a plate put into my leg for a shattered fibula and broken tibia. dr thinks it might be a reaction to the hardware. Immediately or soon after a fracture occurs, most people will experience what is called acute pain. One-hundred twenty-nine (43.9%) patients required refills of narcotic pain medication postoperatively. It progressed to more pain and swelling and now I am having sharp pains at the site where my screws are on the inside of my ankle. My arm feels almost 100% now even after it was screwed up for 3 years before it got fixed. Sorry I didn't update sooner. The effect of ulnar styloid fractures on patient-rated outcomes after volar locking plating of distal radius fractures. What to Expect After Ankle ORIF. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in It's been below 20 degrees F for the past couple of weeks and it really hurts (I think it's the low barometric pressure). Try our Symptom Checker Got any other symptoms? I also have to walk down the stairs bad foot first still. good luck with yours. Posted Always speak to your doctor before acting and in cases of emergency seek It's a bitch havi g metal in a joint!! I am just a little over 2 months out from an ankle ORIF so it hasnt been much time yet since my surgery, but I am already so so sick of the pain. They are also going to remove the screws and plate that were put in Mrch 27, so starting overcast for another 6 weeks. Symptoms of this are extreme pain and functional loss of strength, and is easily picked up on x-ray. Like I said not a doc but maybe some food for thought. Ahhh youre still in the way early days, Im a year and 4 months out, and not to scare you but still dealing with lingering pain ): I was 20 when it happened and now 21 so you definitely know how I feel, I had developed an elbow contracture that took weeks, maybe even months to straighten back out my elbow and bicep muscle, give yourself lots of rest and just make sure you keep up with PT (: i wish I wouldve taken my at home workouts more seriously- probably wouldve helped me a lot more in the long run, and one day youll be back to doing the things you once did, it might be a new normal, but youll adjust Im sure of it. Ankles a tough one cause you use it so frequently, I wanted to look into hardware removal but just not an option I dont think because its been so long, not giving medical advice but Id look into it once your ankle is healed for sure, Im convinced even though my bone is healed the plate is still whats giving me problems. Few studies address perioperative and postoperative pain control for this procedure. The only thing is 1, my ankle is SUPER stiff when I first wake up in the morning. The typical follow-up and recovery schedule following ankle ORIF is as follows: 10 days to 2 weeks. Please login or register first to view this content. 8600 Rockville Pike Life is pretty much back to normal- I can do everything I was doing pre injury. In fact, most patients are pain-free by six months after surgery. Bookshelf But also like you said youre still in very early days. appropriate medical assistance immediately. Results Two-hundred ninety-four patients (average age 48.7 years) were included. J Orthop Surg Res. Huang YC, Hsu CJ, Renn JH, Lin KC, Yang SW, Tarng YW, Chang WN, Chen CY. After some persistance i got an appointment for ultrasounds and x-rays and after speaking to the consultant we have decided to take the screws out as then are too long and irritating my tendons. Specifically, does the type of perioperative anesthesia used during fixation of DRF affect pain control postoperatively? Does that ever go away? as being in breach of those terms. Going up stairs is easier and i do that normally. All procedures were performed with a standard volar plating technique through a flexor carpi radialis approach. Recovery was and is great! the more you exercise and strenghthen the ankle it will go away. Im at a year and a month, still tender and stiff and I can feel pain in my forearm, elbow, shoulder, bicep muscles occasionally, just feels like itll never go back to normal 21 years old and I feel like Im disabled forever and will never be able to do the things I could before, but also tired of feeling sorry for myself, just struggling, thanks for youre reply, I hope one day the same happens to me. The type and severity of this discomfort can vary depending on person to person or even from day to day. Will see them again tomorrow for a follow up. https://patient.info/forums/discuss/6-months-post-orif-was-doing-great-now-suddenly-increased-pain-and-difficulty-walking--710099. The physio thinks I either broke that and we didn't notice and the bones didn't set properly or it could surgical issue or damaged nerve. My ankle gets very tired after long walks and is sometimes hot and a bit swollen. As AVN progresses, the subchondral bone of the humeral head begins to break down and collapse; later in the disease, the glenoid cartilage may degenerate. I take Gabapentin 800mg 3Xs a day and Lyrica 50mg 2Xs a day. A trimalleolar fracture is an unstable type of ankle fracture. So quick brief, I broke my ankle in 3 places whilst being 20 weeks pregnant, 21 weeks when I had surgery.. so my first 4 month of recovery I was pregnant ( with a nice 8pound8 baby I may add ) so I've had 8 weeks of adjusting to my ankle by just being me. I had ORIF in my knee/tibial plateau. It is not uncommon for swelling to be still present after 8 months and I have seen it take up to 1 year to resolve. (They weren't able to set the ankle prior to surgery). respect of any healthcare matters. Gonzalez TA, Macaulay AA, Ehrlichman LK, Drummond R, Mittal V, DiGiovanni CW. 3 years ago, I'm getting knock on pain now in my knee and my back. Answer: Everybody's body is different and people heal at different rates. I'm 6 months post ORIF after a trimalleolar fracture. You have to give it time and make sureas long as youre cleared toyoure using it correctly and not overly avoiding certain movements because of pain. Scar is so itchy cant wait for it to fully heal, I want to get it covered with a tattoo , Was in an abusive relationship ): got in heated argument that turned physical.. was tackled to the ground and instantly heard a snap.. knew something was wrong when I tried to get up and my arm still laid on the ground.. but crazy thing is I never once cried or screamed or even reacted, just lifted myself off the ground and made him drive me to the hospital, didnt even call an ambulance, this was 3 days after my 20th birthday. yes my son went through all that pain, had them taken out and had a total replacement ankle but unfortunately the pain is still there and they are looking at what else to do now. Patients will often respond well with conservative treatment and may be asymptomatic.1,2, If conservative treatments fail, surgical fixation generally involves a hemiarthroplasty in which the humeral surface is replaced, or a total shoulder replacement, which replaces both the humeral and glenoid surfaces. Its worth speaking to your GP to find out if anything can be done to make it more comfortable. Newbie. It seems to help a bit. I'm 6 months post ORIF after a trimalleolar fracture. https://patient.info/forums/discuss/6-months-post-orif-711169. Im 5 months post op and even though I do still feel the numbness around my scar and some pain from time to time, Id consider myself pretty decently healed. Hope it turns out well! Acute pain will decrease with time. sharing sensitive information, make sure youre on a federal I would be very interested what your Dr says and what treatment they recommend. That is unless there is another circumstance that would make removal unwise. It appears that the medial maleous fracture either didn't heal fully and i have irritated it or refractured. Few studies address perioperative and postoperative pain control for this procedure. Unable to load your collection due to an error, Unable to load your delegates due to an error. Pain still 6 months on after ankle surgery. Epub 2016 Feb 11. Do they have an idea of what is causing the pain? Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. My body had decided that it was a foreign body and stared to make s lot of scar tissue around the hardware. Particularly with a 3 and 5 year old who keep asking when I can run and play football again! Did you have your hardware taken out? Great, thank you! Fractures of the proximal humerus can disrupt these vessels, which, over time, causes avascular necrosis (AVN) of the humeral head. Hello all, I had orif surgery on my right ankle at the end of March 2020, after breaking and dislocating it while ice-skating (I was just standing there talking to my coach and tripped backwards somehow - I'm told I need to work on this story to make it sound more like I was landing from a triple somersault, still need to work on that drama - though trust me to do this just as lockdown hit, I . Following ankle ORIF surgery, patients may need several months to completely heal and they should not bear any weight until the cast is removed. It's like the whole thing needs to "warm up" before I take off. Methods Thirty-five patients (26 with primary malignant tumors and nine with metastatic malignant tumors) who underwent tumor resection and anterior column reconstruction . Good luck tomorrow, hopefully there is progress ! is it another major surgery? I was in a boot for nearly 9 weeks. That has also caused some ROM limitations and pain. In most cases, a person's vision is stable . I am not a doc but i have had something close to what you are describing. I am a year and a month out.. Usually it takes 6 months for bones and tissues to heal. 2016 May;37(5):554-62. doi: 10.1177/1071100715620455. Point blank GSW: 9mm to left femur- March 22, 2022. trimalleolar fracture- How painful is the aftercare after Press J to jump to the feed. Returning to a physically demanding job after ankle How long did for your screw holes to fill in with new Distal radius fracture, having surgery in two days to put 6 weeks post ORIF. The site is secure. H. S. Cheng, L. K. Hung, P. C. Ho, J. Wong (2008). HHS Vulnerability Disclosure, Help I have an appointment in a week to follow up with the surgeon (first available) but I'm beginning to wonder if I need to have the hardware removed. 2. Ask doctor: If bone is healed and hardware is believed to be source of problem, then it should be removed. Egton Medical Information Systems Limited. Patients: One hundred twenty-six skeletally mature patients undergoing ORIF of unstable malleolar fractures who were followed up for at least six months from injury were included. Questions/Purpose We attempt to demonstrate efficacy of pain management modalities during the perioperative and acute postoperative period after ORIF. The .gov means its official. Nonsurgical treatment would be recommended only if . Hi everyone, I just want to ask if anyone else has had problems after ankle surgery. New comments cannot be posted and votes cannot be cast. Specifically, does the type of perioperative . 2018 Aug 6;13(1):195. doi: 10.1186/s13018-018-0903-1. Treatments and surgery options. Pain management following a serious femur fracture is a challenge that must be addressed using a comprehensive treatment approach. Posttraumatic avascular necrosis after proximal femur, proximal humerus, talar neck, and scaphoid fractures. If you or a family member is struggling with pain management following a severe bone fracture, please call me at (916) 921-6400 or (800) 404-5400 for free, friendly legal advice. Xu J, Zhang C, Wang T. Avascular necrosis in proximal humeral fractures in patients treated with operative fixation: a meta-analysis. Severe swelling and pain 6 months after orif ankle surgery. Random sharp pains when walking or even just lying in bed. I think I walk pretty normally now. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. 7 users are following. any other ideas. Press question mark to learn the rest of the keyboard shortcuts. Ive noticed that my achilles heel area is very sore and thats new. I just turned 22 too so I know exactly how you feel right now it all sucks. Does Brachial Plexus Blockade Result in Improved Pain Scores After Distal Radius Fracture Fixation? Am J Orthop (Belle Mead NJ). Disclaimer, National Library of Medicine Early radiographic findings may be normal or show signs of humeral head sclerosis and osteopenia. 12 screws and a plate later and I can barely bend my arm still and get terrible pains at my elbow. Egton Medical Information Systems Limited. I'll rest it and then in about 10 mins it's fine. give it time and everything will be ok. keep doing your exercises. Two years ago, the patient sustained a proximal humerus fracture on the left side, which she reports healed without incident. 1 1/2 years after broken (in half completely) humerus ORIF 6 plate + 15 screws) and occasionally get some mild pain. I am walking around relatively normally, no crutches and don't limp etc when walking most of the time. Symptoms after ankle ORIF . There is still a clear fracture showing there. WALANT for distal radius fracture: open reduction with plating fixation via wide-awake local anesthesia with no tourniquet. Cast removed today. and transmitted securely. That is unless there is . any other ideas. You should contact your doctor if you experience bleeding, increasing pain . It would be great to hear have you had any improvements. If so, did that help? Up to 6 months after. ago. Eventually. Posts asking, Is this broken?, Does this look broken? Will immediately be taken down as a violation of rule 1. . Its just nice to talk to people who can relate and re assure you that things are as they should be! I am, 7 months post trimalleolar fracture with plates and screws. Posted I hope and pray this works finally! 2009 Nov;34(9):1595-602. doi: 10.1016/j.jhsa.2009.05.017. I had ORIF Mar 27, April 30 was told all ok and to FWB I tried and did weeks of physio 3x per week, then about 2 months ago they did a CT scan and found that the bone at the back of the ankle was still broken, there were no screws or plates put on that part, so back to NWB and put on a bone stimulator to promote healing, but I also still get that jabbing pain on the inner ankle if I do put weight on it, I believe its the screws on the inner ankle causing it, but Dr says it should be fine. A displaced proximal Close more info about Ortho Dx: Shoulder Pain After Recovery of Humerus Fracture, Posttraumatic avascular necrosis after proximal femur, proximal humerus, talar neck, and scaphoid fractures, Avascular necrosis in proximal humeral fractures in patients treated with operative fixation: a meta-analysis, Ortho Dx: Clavicle Discomfort Following a Fall. Medication to reduce this type of pain is often prescribed during this stage. A Randomized Trial. After 3 months you will now have achieved a large improvement in both strength and range of . The glenoid cavity appears to be intact without signs of arthritic changes. A hemiarthroplasty is generally chosen when the articular surface of the glenoid is intact; a total shoulder replacement is preferred when the glenoid shows signs of degeneration.1,2. The scar bothers me more than Id expected, so itchy! My dorsi flexion isn't great. Running seems like an impossibility at the moment. Surgery is usually the recommended treatment. dr thinks it might be a reaction to the hardware. 2019;27(21):794-805. Large TM, Adams MR, Loeffler BJ, Gardner MJ. Podiatry 32 years experience. The average length of time from proximal humerus fracture to the development of symptomatic AVN is usually around 2 years.1, The risk of AVN may be greater after operative fixation with a proximal humerus plate compared with nonoperative treatment.2 Conservative treatment of proximal humerus AVN includes rest, nonsteroidal anti-inflammatory drugs, and intra-articular steroid injections. Nerve pain after orif surgery. I also have degenerative disc disease along with herniated disc. Dr. Ronald Oberman answered. We reviewed the number and timing of patient phone calls regarding postoperative pain and refills of pain prescriptions. Did you get anywhere with your appointment yesterday? Anyone have an experience with this well into recovery? We want the forums to be a useful resource for our users but it is important to remember that the forums are I'm one month in after surgery after breaking my distal humerus while arm wrestling with my buddies. Well I'm so disheartened, I'm getting pain ALOT whilst walking, sometimes a dull . Clipboard, Search History, and several other advanced features are temporarily unavailable. Background Distal radius fractures (DRF) are commonly treated with open reduction and internal fixation (ORIF). Just an FYI, I am having surgery next week, a bone graft, plate and screws for back of the ankle that wasn't healing. Weeks 1-6 While you are non-weight bearing, physiotherapy will focus on maintaining strength and movement of other joints and muscle groups. I use the hand rails a lot. The present study demonstrated a prevalence of persistent neuropathic pain symptoms after ORIF for ankle fractures in 23% of the respondents, which caused an impaired health-related quality of life. Conclusion: The present study demonstrated a prevalence of persistent neuropathic pain symptoms after ORIF for ankle fractures in 23% of the respondents, which caused an impaired health-related quality of life. Clin Orthop Relat Res. Sammer DM, Shah HM, Shauver MJ, Chung KC. It's to the point where I am using a cane again to walk. Careers. J Orthop Surg Res. Federal government websites often end in .gov or .mil. A displaced proximal humerus fracture may heal and remain asymptomatic for a period of time before AVN starts to develop.1, Symptoms associated with AVN include increasing pain and decreasing range of motion in the shoulder. We identified 4 significant predictors of chronic and neuropathic pain after ORIF. Continuing Medical Education (CME/CE) Courses. You may also be able to drive short distances depending on your pain levels. You are flying along with the walking. I've had about 15 physio sessions and only making small progress. as being in breach of those terms. Did bloodwork this morning to check for infection. Galos DK, Taormina DP, Crespo A, Ding DY, Sapienza A, Jain S, Tejwani NC. Why would this start now? It reminds me when I first started weight bearing again- those first couple of weeks walking in a shoe gave me the same pain. The main thing is I just can't run. I wasn't ever going to be a triathlete so to some extent I am prepared to adjust my expectations but 38 feels a bit too young to be told I won't be skiiing or running. J Am Acad Orthop Surg. Katycakes77 10 mo. appropriate medical assistance immediately. The plate and screws on the outside really don't bother me. Get as much PT as you can when youre ready- theyll put you on a good track to heal as much as possible. I it still hurts when there is any weight on it, so frustrating! Physio is happy with progress. i wonder if they will out you in a bone growth stimulator? Conclusions More than one-fifth of patients who underwent ORIF experienced pain severe enough to call our institution's orthopaedic hotline to ask for help at a median of 7 days after fixation. The swelling and healing process seams to last forever! 2014;9:31. Often, total shoulder replacement patients experience pain in the first few months after surgery. I also had a bone spur develop in the joint of the ankle. This site needs JavaScript to work properly. Im not sure how long it will take me to stop feeling the pain from weakness but I bet itll be about the same as my arm. I guess time will tell! Agreed! I need to know that there's going to be an end to all of this! Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. respect of any healthcare matters. Try our Symptom Checker Got any other symptoms? There were 66 patients who called the orthopaedic patient hotline regarding pain-control issues at a median of 7.0 days postoperatively. I'm obviously walking on it, which just makes it worse. I see the surgeon this coming Tuesday, I hope to get some answers. Explanation: A 78-year-old woman presents to the office with left shoulder pain that has persisted for 6 months. Copyright 2022 Haymarket Media, Inc. All Rights Reserved Even my surgeon told me it will take about 2 years until I feel like I never had this type of injury. Thank you everyone! Upgrade to Patient Pro Medical Professional? In other cases, bone grafts allow the two bones to grow together. 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