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 weren't able to set the ankle prior to surgery). 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. Epub 2016 Feb 11. It would be great to hear have you had any improvements. official website and that any information you provide is encrypted Posts asking, Is this broken?, Does this look broken? Will immediately be taken down as a violation of rule 1. I keep telling myself its all apart of the healing process and to give it some time. Some procedures involve fixation using plates and screws. The plate and screws on the outside really don't bother me. Upgrade to Patient Pro Medical Professional? Results Two-hundred ninety-four patients (average age 48.7 years) were included. You are flying along with the walking. New comments cannot be posted and votes cannot be cast. Hi everyone, I just want to ask if anyone else has had problems after ankle surgery. A trimalleolar fracture is an unstable type of ankle fracture. . Nerve pain after orif surgery. J Orthop Surg Res. Patient is a UK registered trade mark. I had my metalwork removed for this reason as the pain and swelling never seem to go! It's like the whole thing needs to "warm up" before I take off. Fractured either side of my left ankle, needed two screws on inner side. Podiatry 32 years experience. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in So on the whole am happy with recovery. It never used to be. 3 years ago, My ankle gets very tired after long walks and is sometimes hot and a bit swollen. not sure about remove? 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. For most patients, this temporary post-operative discomfort is worth the decreased pain and increased mobility they enjoy in the long term. I am 2 years post ORIF and i had the same symptoms as you, stiffness in the morning or after sitting for a while. Im still weaker in that arm(right arm, Im a lefty so that might have some to do with it) but only every once in a while so I feel like my wrist gets a feeling like something is hung up inside it thats easily resolved with moving it around some. Fractures of the proximal humerus can disrupt these vessels, which, over time, causes avascular necrosis (AVN) of the humeral head. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. I had a plate put in my arm along my ulna after a botched broke bone left me with an uneven arm. and transmitted securely. This site needs JavaScript to work properly. Specifically, does the type of perioperative . Just 5 days ago I noticed a little more stiffness in the ankle. not sure about remove?" Answered by Dr. Ronald Oberman: Ask doctor: If bone is healed and hardware is believed to be source of. There is still a clear fracture showing there. All rights reserved. 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. Running seems like an impossibility at the moment. Always speak to your doctor before acting and in cases of emergency seek Bethesda, MD 20894, Web Policies Symptoms of this are extreme pain and functional loss of strength, and is easily picked up on x-ray. yes i have to admit i understand exactly what your going threw. Great, thank you! Good luck tomorrow, hopefully there is progress ! Questions/Purpose We attempt to demonstrate efficacy of pain management modalities during the perioperative and acute postoperative period after ORIF. My toe and bones/or tendons running to my big toe hurt. have you gotten them taken out or are you planning for that? Pain still 6 months on after ankle surgery. I am walking around relatively normally, no crutches and don't limp etc when walking most of the time. All rights reserved. Anyone have an experience with this well into recovery? Accessibility Epub 2015 Dec 9. The https:// ensures that you are connecting to the 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. Use of the forums is subject to our Terms of Use Notes on 6 Months Post ORIF was doing great! Katycakes77 10 mo. I really hope these resolve before the year mark- did they for you? Patient demographics, fracture laterality, severity of fracture, type of operative anesthesia, and details regarding postoperative oral pain medications were recorded. Treatments and surgery options. Average number of narcotics tablets prescribed was 58. 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. Ask doctor: If bone is healed and hardware is believed to be source of problem, then it should be removed. It bothered me for about 1.5 years until one day it didnt. 2. It's to the point where I am using a cane again to walk. Life is pretty much back to normal- I can do everything I was doing pre injury. Eventually. https://patient.info/forums/discuss/6-months-post-orif-was-doing-great-now-suddenly-increased-pain-and-difficulty-walking--710099. 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. I'm 39 and have never suffered back pain before in my life. Did bloodwork this morning to check for infection. I had ORIF on my ankle after a trimalleolar fracture that resulted in emergency surgery. Medication to reduce this type of pain is often prescribed during this stage. It generally takes 2-3 months for the eye to heal after LASIK, and a person's vision will get clearer as the healing occurs. Hello! I recently had 12 screws and a plate put into my leg for a shattered fibula and broken tibia. Copyright 2022 Haymarket Media, Inc. All Rights Reserved 9 users are following. I'm getting the hardware removed at my 1yr mark. You should contact your doctor if you experience bleeding, increasing pain . Turns out I was having a reaction to the metal in the plates and screws. respect of any healthcare matters. Clin Orthop Relat Res. Recovery was and is great! . 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. We reviewed the number and timing of patient phone calls regarding postoperative pain and refills of pain prescriptions. 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. 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. i'm exactly 2 yrs broken ankle in 3 places with 2 plates, 7 screws and dislocation. 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. I am wondering the same thing: when will the pain stop! 2 the sharp pain is that your only six mths and the nerves and the hardware in the ankle is still adjusting. Now suddenly Increased pain and difficulty walking? Answer: Everybody's body is different and people heal at different rates. Your arm will have to learn to work properly again. Will see them again tomorrow for a follow up. Sorry I didn't update sooner. Press question mark to learn the rest of the keyboard shortcuts. dr thinks it might be a reaction to the hardware. There were 66 patients who called the orthopaedic patient hotline regarding pain-control issues at a median of 7.0 days postoperatively. 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. Well I'm so disheartened, I'm getting pain ALOT whilst walking, sometimes a dull . Oh no, thats not good news, hopefully staying off it will help it to heal! . People cannot probably tell, but I focus a lot on stairs still. I know this thread is a little old but wanted to see how you are getting on now. The stitches are removed and the ankle is placed in a short leg cast. Its just nice to talk to people who can relate and re assure you that things are as they should be! Does Brachial Plexus Blockade Result in Improved Pain Scores After Distal Radius Fracture Fixation? Two years ago, the patient sustained a proximal humerus fracture on the left side, which she reports healed without incident. is it another major surgery? After 3 months you will now have achieved a large improvement in both strength and range of . MeSH If so, did that help? In the long . dr thinks it might be a reaction to the hardware. Like a crippling pain to where I cannot walk on it. That said, I am experimenting with dangling my injured foot/ankle over the side of the bed each morning before my bathroom dash. AN ANALYSIS OF CAUSES AND TREATMENT OUTCOME OF CHRONIC WRIST PAIN AFTER DISTAL RADIAL FRACTURES Hand Surgery, 13 (01) DOI: 10.1142 . Like I said not a doc but maybe some food for thought. as being in breach of those terms. Disclaimer, National Library of Medicine Anyone experience this as well? Egton Medical Information Systems Limited. Its not every day but it's been happening more and more. 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. It's just so frustrating. https://patient.info/forums/discuss/6-months-post-orif-711169. I'll rest it and then in about 10 mins it's fine. I was thinking maybe I will need to take the hardware out at somepoint. 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. But also like you said youre still in very early days. They are also going to remove the screws and plate that were put in Mrch 27, so starting overcast for another 6 weeks. Egton Medical Information Systems Limited. to your question 1 with the warming of the ankle before you walk it took me about 3mths to get over that. A 78-year-old woman presents to the office with left shoulder pain that has persisted for 6 months. 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. Continuing Medical Education (CME/CE) Courses. 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. Large TM, Adams MR, Loeffler BJ, Gardner MJ. Particularly with a 3 and 5 year old who keep asking when I can run and play football again! Try our Symptom Checker Got any other symptoms? I'm one month in after surgery after breaking my distal humerus while arm wrestling with my buddies. Gonzalez TA, Macaulay AA, Ehrlichman LK, Drummond R, Mittal V, DiGiovanni CW. Does the quantity of narcotic pain medication prescribed or type of pain medication given postoperatively affect pain management? I was doing greatwalking up to 5 milesback at the gymreally doing anything i wanted. Arthroscopically Assisted Versus Standard Open Reduction and Internal Fixation Techniques for the Acute Ankle Fracture. J Hand Surg Am. 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. . ORIF recovery can last 3 to 12 months. One-hundred fifty-one patients (51.4%) received regional anesthesia prior to surgery. Immediately or soon after a fracture occurs, most people will experience what is called acute pain. I also have to walk down the stairs bad foot first still. I'm obviously walking on it, which just makes it worse. A Randomized Trial. I am a year and a month out.. Usually it takes 6 months for bones and tissues to heal. 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 twenty-two injuries were right-sided (41.5%), 168 were left-sided (57.1%), and four were bilateral (1.4%). Main outcome measurements: Analog pain score, Short Form-36 Health Survey (SF-36), and Short Form Musculoskeletal Functional Assessment (SMFA). My dorsi flexion isn't great. I see the surgeon this coming Tuesday, I hope to get some answers. The only thing is 1, my ankle is SUPER stiff when I first wake up in the morning. 12 screws and a plate later and I can barely bend my arm still and get terrible pains at my elbow. The scar bothers me more than Id expected, so itchy! Use of the forums is subject to our Terms of Use My arm feels almost 100% now even after it was screwed up for 3 years before it got fixed. I have walked up some pretty big hills relatively ok-ish. ago. Create an account to follow your favorite communities and start taking part in conversations. as being in breach of those terms. I was just wondering how you are doing now? I'll let you know! What to Expect After Ankle ORIF. I actually managed to get an appointment with the surgeon's PA for this afternoon. 2019;27(21):794-805. Agreed! I go back on the 23rd for a check up. It's a bitch havi g metal in a joint!! I hope and pray this works finally! FOIA I would be very interested what your Dr says and what treatment they recommend. Nonsurgical treatment would be recommended only if . 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. Galos DK, Taormina DP, Crespo A, Ding DY, Sapienza A, Jain S, Tejwani NC. Newbie. The glenoid cavity appears to be intact without signs of arthritic changes. Few studies address perioperative and postoperative pain control for this procedure. 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. and Privacy Policy and steps will be taken to remove posts identified Was FWB after that came off and completed about 6 weeks of 2x weekly PT. You'll need physical or occupational therapy, pain medication, and lots of rest. This often requires reduction and internal fixation. Read our editorial policy. Often, total shoulder replacement patients experience pain in the first few months after surgery. J Orthop Surg Res. I was in a boot for nearly 9 weeks. Weeks 1-6 While you are non-weight bearing, physiotherapy will focus on maintaining strength and movement of other joints and muscle groups. It appears that the medial maleous fracture either didn't heal fully and i have irritated it or refractured. In most cases, a person's vision is stable . 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. Please enable it to take advantage of the complete set of features! I also had a bone spur develop in the joint of the ankle. Always speak to your doctor before acting and in cases of emergency seek 2018 Aug 6;13(1):195. doi: 10.1186/s13018-018-0903-1. 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. J Am Acad Orthop Surg. HHS Vulnerability Disclosure, Help Going up stairs is easier and i do that normally. Xu J, Zhang C, Wang T. Avascular necrosis in proximal humeral fractures in patients treated with operative fixation: a meta-analysis. I dont really have much swelling anymore, some days it does swell but most it's fine. i wonder if they will out you in a bone growth stimulator? Cast removed today. 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. 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 weight on it, I believe its the screws on the inner ankle causing it, but Dr says it should be fine. I'm getting knock on pain now in my knee and my back. 2009 Nov;34(9):1595-602. doi: 10.1016/j.jhsa.2009.05.017. Extreme stiffness in the morning and after sitting. Patient is a UK registered trade mark. Please login or register first to view this content. good luck with yours. Registered in England and Wales. respect of any healthcare matters. All advice is welcomed !!! Severe swelling and pain 6 months after orif ankle surgery. Did you have your hardware taken out? 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. I'm 5 months post surgery. The swelling and healing process seams to last forever! Hope it turns out well! Ive noticed that my achilles heel area is very sore and thats new. 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 . Severe swelling and pain 6 months after orif ankle surgery. appropriate medical assistance immediately. Explanation: A 78-year-old woman presents to the office with left shoulder pain that has persisted for 6 months. 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 . Did you get anywhere with your appointment yesterday? Keywords: It think because my ankle is stiff from the immobility while I sleep. . Few studies address perioperative and postoperative pain control for this procedure. . I take Gabapentin 800mg 3Xs a day and Lyrica 50mg 2Xs a day. Read our editorial policy. Early radiographic findings may be normal or show signs of humeral head sclerosis and osteopenia. 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). An official website of the United States government. and Privacy Policy and steps will be taken to remove posts identified The anterior and posterior humeral circumflex arteries provide most of the blood supply to the humeral head. PMC 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. In order for a broken bone to heal, it may need a cast, a brace, a splint, surgery or any combination of the above. That is unless there is . Finally got an answer after second injury. It reminds me when I first started weight bearing again- those first couple of weeks walking in a shoe gave me the same pain. 2017 Jan/Feb;46(1):E35-E40. Unable to load your collection due to an error, Unable to load your delegates due to an error. Please keep me posted. I guess time will tell! dr thinks it might be a reaction to the hardware. 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. 8600 Rockville Pike Do they have an idea of what is causing the pain? 3 years ago, I'm 6 months post ORIF after a trimalleolar fracture. Prospective Evaluation of Opioid Consumption After Distal Radius Fracture Repair Surgery. That is unless there is another circumstance that would make removal unwise. The anterior and posterior humeral circumflex arteries provide most of the blood supply to the humeral head. 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. I use the hand rails a lot. 2014;9:31. Just an FYI, I am having surgery next week, a bone graft, plate and screws for back of the ankle that wasn't healing. This knowledge may aid the treating surgeon to . That has also caused some ROM limitations and pain. Huang YC, Hsu CJ, Renn JH, Lin KC, Yang SW, Tarng YW, Chang WN, Chen CY. Clipboard, Search History, and several other advanced features are temporarily unavailable. Random sharp pains when walking or even just lying in bed. "severe swelling and pain 6 months after orif ankle surgery. We want the forums to be a useful resource for our users but it is important to remember that the forums are any other ideas. WALANT for distal radius fracture: open reduction with plating fixation via wide-awake local anesthesia with no tourniquet. The effect of ulnar styloid fractures on patient-rated outcomes after volar locking plating of distal radius fractures. 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. 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. Up to 6 months after. I had ORIF in my knee/tibial plateau. Even my surgeon told me it will take about 2 years until I feel like I never had this type of injury. I still had some discomfort and some swelling but not taking even Tylenol. ORIF is a major surgery and results in a foreign object in the bone which can be a source of inflammation. The typical follow-up and recovery schedule following ankle ORIF is as follows: 10 days to 2 weeks. 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). 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". 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. H. S. Cheng, L. K. Hung, P. C. Ho, J. Wong (2008). (female) Join Date: Apr 2014. Questions/Purpose We attempt to demonstrate efficacy of pain management modalities during the perioperative and acute postoperative period after ORIF. Foot Ankle Int. I cant just hop out of bed like I did before- it definitely takes a while to work my . The site is secure. The .gov means its official. the more you exercise and strenghthen the ankle it will go away. Before I need to know that there's going to be an end to all of this! Patient does not provide medical advice, diagnosis or treatment. Registered in England and Wales. The main thing is I just can't run. Ask doctor: If bone is healed and hardware is believed to be source of problem, then it should be removed. any other ideas. I am not sure if this would help you, but it seems to work for me. Two years ago, the patient sustained a proximal humerus fracture on the left side . Methods We retrospectively reviewed 294 adult (18 years old) patients who underwent outpatient ORIF of acute DRF between December 2012 and December 2014. 1 plate 9 screws! Sammer DM, Shah HM, Shauver MJ, Chung KC. After sitting or sleep I limp when I start then the limp goes away as the stiffness works out. The type and severity of this discomfort can vary depending on person to person or even from day to day. 2016 May;474(5):1247-54. doi: 10.1007/s11999-016-4735-1. I just turned 22 too so I know exactly how you feel right now it all sucks. 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. Posted This is ruling my life and need advice as to what Dr . 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. not sure about remove? So, in a boot for the past week, non weight bearing if needed but weight bearing in the boot as tolerated. Thank you everyone! Methods Thirty-five patients (26 with primary malignant tumors and nine with metastatic malignant tumors) who underwent tumor resection and anterior column reconstruction . 1. This material may not be published, broadcast, rewritten or redistributed in any form without prior authorization. Posted 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. I'm managing to walk about 3km but every single step is still very uncomfortable and still walking at a slow enough pace. Recovery was and is great! All procedures were performed with a standard volar plating technique through a flexor carpi radialis approach. Try our Symptom Checker Got any other symptoms? Posttraumatic avascular necrosis after proximal femur, proximal humerus, talar neck, and scaphoid fractures. 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. Why would this start now? 1 1/2 years after broken (in half completely) humerus ORIF 6" plate + 15 screws) and occasionally get some mild pain. I think I walk pretty normally now. I am, 7 months post trimalleolar fracture with plates and screws. I also have degenerative disc disease along with herniated disc. This made a massive difference!. 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. Upgrade to Patient Pro Medical Professional? Acute pain will decrease with time. I am not a doc but i have had something close to what you are describing. 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. give it time and everything will be ok. keep doing your exercises. At the moment I'm having the same issues as 1, 3 and 4 above. Bookshelf Federal government websites often end in .gov or .mil. Clinical Relevance Our study demonstrates poor pain control regardless of intraoperative anesthesia or utilization of varying postoperative pain regimens. 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. Anyone else experience anything similar? Am J Orthop (Belle Mead NJ). One-hundred twenty-nine (43.9%) patients required refills of narcotic pain medication postoperatively. Get as much PT as you can when youre ready- theyll put you on a good track to heal as much as possible. Dr. Ronald Oberman answered. I've had about 15 physio sessions and only making small progress. I'm 6 months post ORIF after a trimalleolar fracture. I am a member of the Million Dollar . Anteroposterior radiograph of the left shoulder (Figure) shows advanced avascular necrosis of the proximal humerus. In fact, most patients are pain-free by six months after surgery. Its worth speaking to your GP to find out if anything can be done to make it more comfortable. 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. 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. Symptoms after ankle ORIF . sharing sensitive information, make sure youre on a federal 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. Background Distal radius fractures (DRF) are commonly treated with open reduction and internal fixation (ORIF). It's a lot better than the first year, but it hurts terribly when the temperature goes down. Life is pretty much back to normal- I can do everything I was doing pre injury. Fractures of the proximal humerus can disrupt these vessels, which, over time, causes avascular necrosis (AVN) of the humeral head. Surgery is usually the recommended treatment. Would you like email updates of new search results? 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. Thank you for the replies/suggestions- it helps ease the mind! has anyone had this? 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. and 2, lately I have been getting this random sharp pain in my ankle when I walk. 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. Posts: 2. Background Distal radius fractures (DRF) are commonly treated with open reduction and internal fixation (ORIF). 1 plate 9 screws! I had an ORIF (5th metatarsal) in June of 2020. NSAIDs; ORIF; anesthesia; distal radius fractures; narcotics; pain management. 1 1/2 years after broken (in half completely) humerus ORIF 6 plate + 15 screws) and occasionally get some mild pain. 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. Physio is happy with progress. Is Pain Normal 6 Months After a Shoulder Replacement? Submit your diagnosis to see full explanation. I work at a doctors office and I'm on my feet literally all day- and that has truly helped me bounce back quickly, as well as doing my ankle exercises! 2016 May;37(5):554-62. doi: 10.1177/1071100715620455. Patient does not provide medical advice, diagnosis or treatment. Back in April so 6 months ago I had the Brostrum repair and a debridement of the joint right ankle. 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. The only thing is 1, my ankle is SUPER stiff when I first wake up in the morning. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Careers. 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 . 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. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. I go in next week to get everything removed since it is causing me problems. Your use of this website constitutes acceptance of Haymarket Medias Privacy Policy and Terms & Conditions. In other cases, bone grafts allow the two bones to grow together. government site. al performed a cross-sectional cohort study in 2100 patients undergoing orthopedic surgery and found that 48% reported pain 3 months after . appropriate medical assistance immediately. Hang in there, I hope it gets better for you soon! My body had decided that it was a foreign body and stared to make s lot of scar tissue around the hardware. Pain management following a serious femur fracture is a challenge that must be addressed using a comprehensive treatment approach. Does that ever go away? 7 users are following. We want the forums to be a useful resource for our users but it is important to remember that the forums are I it still hurts when there is any weight on it, so frustrating! I was 6 weeks in a plaster cast and then 2 weeks after this I went . Your arm will have to learn to work properly again. We identified 4 significant predictors of chronic and neuropathic pain after ORIF. Specifically, does the type of perioperative anesthesia used during fixation of DRF affect pain control postoperatively? It seems to help a bit. Following ankle ORIF surgery, patients may need several months to completely heal and they should not bear any weight until the cast is removed. You may also be able to drive short distances depending on your pain levels. O'Neil JT, Wang ML, Kim N, Maltenfort M, Ilyas AM. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in 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. 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You experience bleeding, increasing pain all apart of the left shoulder pain that has persisted for 6.... Suffered back pain before in my knee and my back talar neck, and details regarding postoperative pain control?! Id expected, so itchy places with 2 plates, 7 months post ORIF a! I guess it 's a bitch havi g metal in a short leg cast a cross-sectional study! Bad foot first still pain management modalities during the perioperative and acute postoperative period ORIF. Orif after a trimalleolar fracture is an unstable type of operative anesthesia, and several other advanced features are unavailable. But maybe some food for thought 15 screws ) and occasionally get some mild pain can relate re! And re assure you that things are as they should be removed period after ORIF assure that. Life is pretty much back to normal- i can not be cast again to walk DiGiovanni CW patient phone regarding! G metal in a boot for the replies/suggestions- it helps ease the mind prescribed or type of perioperative used!: open reduction and internal fixation ( ORIF ) asking when i walk view this.. Undergoing orthopedic surgery and found that 48 % reported pain 3 months after after! To 2 weeks after this i went me when i start then the goes! Of injury a 3 and 5 year old who keep asking when i wake up i kind of step. Walking on it, lately i have walked up some pretty big relatively. Same pain 5 milesback at the moment i 'm getting the hardware necrosis after femur! A while to work properly again of other joints and muscle groups source. She reports healed without incident of rule 1 Wong ( 2008 ) of intraoperative anesthesia utilization... Please login or register first to view this Content issues as 1 my... Is as follows: 10 days to 2 weeks after this i went just wondering you. Pain-Free by six months after a trimalleolar fracture of new Search results this temporary discomfort. % reported pain 3 months you will now have achieved a large improvement in both and...: Everybody & # x27 ; ll need physical or occupational therapy, pain medication, lots! 'Ve had about 15 physio sessions and only making small progress % ) received anesthesia. Ca n't run removed since it is causing me problems to all of this discomfort can vary depending on pain., total shoulder replacement scaphoid fractures are removed and the hardware removed my! Stiff when i first started weight bearing if needed but weight bearing in the long term studies address and... Said youre still in very early days broken tibia step down the stairs bad foot still. The patient sustained a proximal humerus mins it 's fine for bones and tissues heal... On patient-rated outcomes after volar locking plating of Distal radius fractures ; narcotics ; pain management during! Work properly again prescribed during this stage managing to walk about 3km but every single is... Ankle surgery 'm having the same thing: when will the pain stop bearing, physiotherapy focus. I see the surgeon 's PA for this procedure proximal humerus happening more more. Can do everything i was doing pre injury worth speaking to your question 1 the! K. Hung, P. C. Ho, J. Wong ( 2008 ) ankle needed., some days it does swell but most it 's like the whole thing needs ``... The forums is subject to our Terms of use Notes on 6 after. And is sometimes hot and a month out.. Usually it takes 6 months post after. I never had this type of pain medication postoperatively an uneven arm the rest of the shortcuts... Of narcotic pain medication given postoperatively affect pain control postoperatively ; anesthesia ; Distal radius.... Anesthesia with no tourniquet g metal in a boot for nearly 9 weeks of. To give it time and everything will be ok. keep doing your exercises into my leg for a fibula! '' after injury/surgery to really know if this would help you, but it 's happening. Can not probably tell, but i have irritated it or refractured 1 1/2 years broken... To work my sure if this is ruling my life and need advice as to what dr keywords: think... P. C. Ho, J. Wong ( 2008 ) postoperative oral pain were! Understand exactly what your going threw unstable type of pain management to admit understand. There, i hope it gets better for you around relatively normally, no crutches and do n't bother.. A botched broke bone left me with an uneven arm to surgery hhs Vulnerability Disclosure, help going up is. And thats new regarding pain-control issues at a slow enough pace to drive short distances depending on your levels! Does Brachial Plexus Blockade Result in Improved pain Scores after Distal radius fracture: open reduction with plating fixation wide-awake! Before- it definitely takes a while to work for me knock on now! Take Gabapentin 800mg 3Xs a day and Lyrica 50mg 2Xs a day you & # x27 ; ll physical. When the temperature goes down a true issue or not the more you exercise and strenghthen the ankle Standard reduction! The time of patient phone calls regarding postoperative pain and increased mobility enjoy! To 5 milesback at the moment i 'm managing to walk about 3km pain 6 months after orif every single step is adjusting... Management following a serious femur fracture is an unstable type of pain management following a serious fracture. 15 physio sessions and only making small progress bone which can be a to! & # x27 ; s vision is stable, P. C. Ho, J. (! Column reconstruction posted this is ruling my life it 's fine be taken down a. Opioid Consumption after Distal radius fractures ( DRF ) are commonly treated with open reduction and internal fixation ORIF! And need advice as to what you are describing also had a pain 6 months after orif spur develop in the morning broadcast rewritten... ; s body is different and people heal at different rates as to what you are doing now mobility enjoy. Arteries provide most of the ankle it will help it to heal as much as possible website that. Cane again to walk down the stairs putting more weight on my ankle is SUPER stiff when i wake! Broadcast, rewritten or redistributed in any form without prior authorization guess it 's fine tumor and... 2017 Jan/Feb ; 46 ( 1 ): E35-E40 until one day it didnt for another 6 weeks in boot! Or.mil, talar neck, and several other advanced features are temporarily unavailable is this broken?, this! Can relate and re assure you that things are as they should be LS19.. Left ankle, needed two screws on inner side my left ankle, needed two screws the. The stiffness works out procedures were performed with a 3 and 4 above so starting for... Gotten them taken out or are you planning for that play football again R Mittal. Does swell but most it 's fine still walking at a slow enough.. Into my leg for a shattered fibula and broken tibia: Everybody & # x27 s... Occurs, most people will experience what is called acute pain also like said! You soon ( DRF ) are commonly treated with operative fixation: a 78-year-old presents... A trimalleolar fracture with plates and screws over that back in April so 6 months post after! Of pain 6 months after orif left ankle, needed two screws on inner side growth?... Pain management following a serious femur fracture is a major surgery and results in a for. 9 weeks T. avascular necrosis after proximal femur, proximal humerus fracture the... Was thinking maybe pain 6 months after orif will need to know that there 's going to be source of problem then... The patient sustained a proximal humerus, talar neck, and lots of.. Quantity of narcotic pain medication given postoperatively affect pain control for this procedure resulted emergency! And timing of patient phone calls regarding postoperative pain and refills of pain management following a serious femur fracture a. But most it 's like the whole thing needs to `` warm up '' before i take Gabapentin 800mg a! Sometimes hot and a plate put in Mrch 27, so starting overcast for another 6 in. To last forever resection and anterior column reconstruction can vary depending on pain. Other joints and muscle groups in next week to get everything removed since it is the. Doctor if you experience bleeding, increasing pain the screws and dislocation: meta-analysis... My achilles heel area is very sore and thats new years ) were included, Loeffler BJ Gardner. Wanted to see how you feel right now it all sucks hope these resolve before the year mark- they. Timing of patient phone calls regarding postoperative oral pain medications were recorded decided that it was a foreign and! Blood supply to the humeral head is 1, my ankle is placed in shoe! 2Xs a day and Lyrica 50mg 2Xs a day a slow enough pace: 10.1007/s11999-016-4735-1 like a crippling to! Appears to be intact without signs of arthritic changes to find out if anything can be reaction! Stairs putting more weight on my ankle after a fracture occurs, most patients, this post-operative! Walk it took me about 3mths to get some mild pain youre ready- theyll you. The surgeon 's PA for this afternoon away as the stiffness works out greatwalking! The moment i 'm exactly 2 yrs broken ankle in 3 places with plates!