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Fractured fibula rehab

 Poster: A snowHead
Poster: A snowHead
Ok so it's only 4 days since I did a complete plonker and busted my leg a little. Off to Fracture clinic tomorrow so will no doubt get some advice there but obviously my thoughts are how long before I can get on my planks again and what should I do to get myself back in shape for it. Now I know Snowheads are quite reticent about giving advice but would be really grateful if you guys made an exception Wink

On yr marks, get set, GO!!!!!!

Details - closed oblique fracture up by the knee (nice and neat so should heal quickly)
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
Eyesore, get the knee checked ASAP


I fractured the head of the fib when I blew out my ACL, but nobody noticed at the time! It meant that the ACL recon I had did not have a snowball in hell's chance of succeeding even if it had been correctly placed. Eventually I spent 6+ hours asleep in the operating theatre while they sorted out the crap that my knee had become Crying or Very sad

Get them to check out the Postereo-Lateral Corner - if they say "Eh Wot??", ask for a referral to a specialist sports injury consultant with a very keen interest in knees. It took the best part of 3 years to sort my knee out and that meant 3 seasons NO SKIING!!! Shocked Shocked Shocked Shocked

Happily to say I'm now back in action, albeit with a brace or two, but still having fun! Skied well over 40 days this season and still thinking of going out for more!

The fib heals quickly as it is a non-weight bearing bone, but the capsule where it connects to the knee is critical to lateral stability. My Ex bust his while skiing off piste with me and a a guide in breakable crust (now we know why it is called breakable rolling eyes ) He was OK and never needed PT or any further treatment apart from a walking below-knee plaster for about 4 weeks.

Good luck

Sue wink
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
keep it moving as much as possible without hurting yourself, the longer it's immobile the longer the recovery will be.
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geeo wrote:
keep it moving as much as possible without hurting yourself, the longer it's immobile the longer the recovery will be.
Quote:

keep it moving as much as possible without hurting yourself, the longer it's immobile the longer the recovery will be.


Before you do anything, listen to what your oropedic consultant has to say - particularly if you're off to the clinic. Go with the questions you want answering. I was "over keen" when I did my ankle / fib and ended up splitting one of the wounds from the op across the staples within 36 hrs of the pot coming off.

...hmm time for another thread
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Anyway, snowHeads is much more fun if you do.
so I don't get into Fracture clinic until 13th May but nurse in charge today took one look at the xray and said 'you're going to need that in plaster'. Some gribbling on my part ensued until I admitted I was reluctant because it turned it from a pretend broken leg into a real one. Sad Gave a very loud squeak when she told me it was a full leg jobbie. We compromised in that I now have a 'back slab' supporting plaster until I go back in 11 days time but it is from ankle to thigh. Means I'll be living in trackie bottoms for next fortnight - feel like a total chav!!
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Nightmare honey - I hope when you get to see the doc in fracture clinic you end up with much less of a cast. It does seem a little excessive based on the fact that the french clinic didn't put you in plaster at all! Do keep us all updated - we're all crossing our fingers for you (oh, and you could never look like a total chav - you are far to classy!)
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Eyesore, as you know, I broke my fibula skiing - half- way down in my case. The x-ray and diagnosis of the break did not take place until something like 10 days after my accident (the Fernie doctor thought I had just sprained something)- during which I tried to ski again, flew home, and came home from Heathrow by bus, carting my luggage around as required. I say my local GP (who is a sports injury specialist) on return. He sent me to A&E with the advice that if it was a break (which it turned out to be) I should resist being put into plaster, and instead ask about a ridge walker brace. The specialist who saw me the same day that I reported to A&E agreed to the brace, which was like this one;

I am more than a bit surprised that you have to wait until May 13 - but as you have the supporting plaster, maybe that's not a real problem. Perhaps one of our snowheads' docs could comment. Good luck - and keep us posted on progress.
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
I would imagine that by May 13th there would be a lot of healing already taken place.
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sad to hear, did you tell nursey that you had been out drinking the night after with lots of walking up and down hill, stairs etc.

I would think the french ski clinic sees lots of these injuries and if they say a full cast is not needed argue your case once you see a real doctor,

geeo wrote:
keep it moving as much as possible without hurting yourself, the longer it's immobile the longer the recovery will be.


I see this as good advice, Sticking it into a full leg plaster cannot keep it moving and that creates muscle loss which then does not support the leg and therefore creates more rehab.

Good Luck.
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They took a 2nd xray after I was plastered and then said I could go straight away so I'm guessing everything's doing what it's supposed to and am pretty optimistic I won't need this past my appointment. Think Nursey was just being cautious given another 10 days until I can be seen by specialist. If anything was looking dodgy I guess they would have bumped my appt up. That said, 1 day in plaster and I'm already fed up with it. Thankfully have found a pair of fat jeans I didn't throw out so dressed a little more to my taste now. It's actually proving harder work to get around in this thing than without, just coming up the stairs and I'm knackered. Roll on next week.
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Oh and thanks for all the supporting words, advice and sympathy. It's much appreciated
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And love to help out and answer questions and of course, read each other's snow reports.
Quote:

after I was plastered


Nothing new there then Madeye-Smiley
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OK so made progress today. Plaster has come off and consultant didn't see a need to put a new one on (Yay!) however, gave me stern face when telling to stick with the crutches for another 2 wks (boo). His prognosis is to expect 6-8wks to heal properly and only key concern is possible nerve damage but so far so good. Back in 2wks to get the thumbs up for my city break to Milan.
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 You know it makes sense.
You know it makes sense.
IANOD

6-8 weeks sounds fine. I skied OK (if non aggressively) on a hairline tib at 8 weeks with no ill effects. Mind you it took 3 weeks until I had MRI to get diagnosed.

Telemark rehab over the summer worked for me.
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 Otherwise you'll just go on seeing the one name:
Otherwise you'll just go on seeing the one name:
Eeyore, so, shopping for a matching frock this weekend?
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 Poster: A snowHead
Poster: A snowHead
holidayloverxx wrote:
Eeyore, so, shopping for a matching frock this weekend?


Perhaps polka dots to match the new skis Toofy Grin
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Obviously A snowHead isn't a real person
holidayloverxx, nope, have had a rummage in my wardrobe and found something appropriate but doesn't match the sticks so clashing but stuff it. Presence over content is the best I can do with current restrictions. rolling eyes
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Eeyore, aah well, at least you'll get there. I'll PM you next week to see if you want a lift home (am in Zelll at the mo')
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Eeyore, glad you're out of your cast at last. xx
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Eeyore, sorry didn't see this thread before. Glad you're out of the plaster.
If you'd got nerve damage you would know about it by now - an area of numb tingling and possible difficulties lifting up your toes.
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Freddie Paellahead, I do get some tingling but only when I've been stationary for a while, as for lifting toes, my foot looks more like an elephants right now as the swelling has moved downwards so can't really tell but being very optimistic because I think that's a key part of the healing process Smile (regular gin and tonics seem to help a bit too Very Happy)
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Eeyore, glad to hear you're out of the plaster - well done. Very Happy
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
Eeyore, if you want to match your sticks to your outfit, get some sticky backed plastic from your local DIY store - I think the usual brand is Fablon - or buy it via mail order. I like the one with Smarties! Madeye-Smiley
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You'll get to see more forums and be part of the best ski club on the net.
Good to hear your on the mend my friend!
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vetski wrote:
Eeyore, if you want to match your sticks to your outfit, get some sticky backed plastic from your local DIY store - I think the usual brand is Fablon - or buy it via mail order. I like the one with Smarties! Madeye-Smiley


Another one for smarties, though fablon stained glass is something else- there's real class! Madeye-Smiley http://www.fablon.co.uk/Brochures/Fablon%20Handipack%202009.pdf
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 snowHeads are a friendly bunch.
snowHeads are a friendly bunch.
not sure that Eeyore is meant to outdo the bride!
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
Eeyore, good news.
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So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
I like the zebra one personally...
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 You know it makes sense.
You know it makes sense.
So, latest news. I've graduated to 1 crutch this week without too much trouble. This has been backed up by my latest hospital appt in that I've now been discharged so no more fracture clinic. No real rehab advice other put some heat on the area, lots of stretching and some squats. Succint to say the least but consultant did remind me of the article this week about the British 'stiff upper lip' approach to healthcare. Not that I'm fussed (gnarly girl that I am) but a little more guidance on how far/quickly I can push myself would have been useful. Ah well, will just have to play it by ear.
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 Otherwise you'll just go on seeing the one name:
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Eeyore, sounds similar to Julesb's experience when he was discharged by the neurosurgeon in the UK. A letter 6 weeks later (after he had been skiing, started playing squash again, and thought about mountain biking) told him he could commence 'gentle exercise' when he felt able to.

rolling eyes

Great to hear you're definitely on the mend though.


Last edited by Otherwise you'll just go on seeing the one name: on Thu 27-05-10 20:39; edited 1 time in total
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 Poster: A snowHead
Poster: A snowHead
Eeyore, You really do need to swallow the bullet and go to see a sports injury physio person to get the correct exercises and time-frame. It will be worth the money, and the NHS idea of getting you fit to fly a desk doesn't help skiers at all!
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easiski, seconded. The NHS suggested I would have a permanent limp & a significantly restricted range of ankle movement... the ex-football physio I found through a friend disagreed. It was a bad injury and it took a lot of time & effort that paid off. It's never going to be 100%, but it's masses better than it would have been had I just meekly accepted the original prognosis.
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
easiski, Butterfly, Thank you ladies. As it happens, my housemate works at the local Fitness centre where a sports physio is in residence. I shall ask for advice as advised Smile
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Toni - got my MRI results and have ruptured acl but possibly did it a long time ago. Have detailed results on EOSB thread. Wanted to say here that you have the right to be referred to any NHS facility and there are sports injury clinics all over. My GP has links with UCL, Barts and the Homerton, which have consultant sport physios - I'm aiming to get a referral to Barts for a 2nd opinion.

In reading up on acl I found some good web resources. Lovely one for knees (probably got the heads up here) is the KneeGeeks bbs and there are discussions on Tib fractures: http://www.kneeguru.co.uk/KNEEtalk/index.php?board=21.0

Another good one for knees has a section on tibs. The one on knees may also be appropriate given your fracture was just below knee? http://www.eorthopod.com/ Also made me wonder if you should get an MRI for any other possible damage to related ligaments (these do not show in X rays).

Found some good exercise regimes here: http://www.sportsinjurysurgery.co.uk/ and am already using http://www.sportsinjurysurgery.co.uk/Anterior_Knee_Pain_Exercises.pdf which I expect would be useful for you (the author has included an email in the rehab section if you want to ask). Hope it's continuing to improve - and Happy not the 30th Birthday (is it the next one?) Happy All the best
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