Broken tibia

  • brushil

    Posts: 7

    Mar 16, 2007 3:39 AM GMT
    I broke my tibia bone in my foot. It looks like 4 to 6 weeks in a cast. Any one have advice on how to expedite recovery?

    Thanks,

    Brushil
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    Mar 16, 2007 9:57 AM GMT
    Your info was too general... where inthe tibia? distal? mid shaft? proximal near the plateu? Displaced? surgical harware intact? No hardware..? The more you give me the more I can tell you something...
  • brushil

    Posts: 7

    Mar 17, 2007 2:17 AM GMT
    Got cast today. Fractured tibia above the ankle. If it wasn't fractured it would be considered a high ankle sprain. No hardware was needed.

    Thanks,

    Brushil
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    Mar 17, 2007 2:43 AM GMT
    You just have to take your time. The body repairs ALL injuries with fiber first in place of the tissue it is supposed to be, provinding a frame where new appropraite tissues will be out donw. So even if your fracture is not displaced and unioned, what is in there is just fiber, not bone yet, therefore you cannto weight bear and need to be in a cast to prevent any force acting on it, including mucle tension.

    The only thing youahve to watchout is that when healed, you will end up with more bony mass than you started... If this structural change impedes on the muscel and joint function mechanics below, you will have ankle problems...

    That you cannot prevent.. Just get to a good sports PT when your ortho says youare ready to do rehab...
  • brushil

    Posts: 7

    Mar 20, 2007 3:28 AM GMT
    Thanks for the information. How do you feel about pain killers. Because the pain is killer. I am getting ibuprofen from my doctor and it doesn't seem to be working very well.

    Thanks,

    Brushil
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    Mar 20, 2007 4:12 AM GMT
    I am not a MD, I am a sports/ortho PT. You need to address meds issues with your MD.

    But I am not sure why you are having taht much pain... IF youre casted and compliant with the weight bearing status, there should not be that much pain..

    Did the fracture change any joint structures or soft tissue structures...?

    Or youare non compliant witht he weigth bearing status? That woudl be VERY bad if youre putting more weight on it than you should, even casted..
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    Mar 20, 2007 4:18 AM GMT
    Also yu mentioned it would have been a "ankle sprain" as far as the location of the fracture...

    Ankles rarely sprains medially, the deltoid ligaments are big and tough... And if you sprained it the otherway, that ouwld fracture your fibular as well, or worse, a tri planar fracture.

    If the fracture extends into the mortise of the ankle, is your talus (the bone taht is inside the ankle joint) well set in place? If it is rotated you will never walk right again.

    Or are you getting somethign serious like a bone infection like osteomyelitis?

    Your pain sounds a bit fishy to me. If it is casted, all structures set in the proper places, and you follow weight bearing instructions, NSAIDs pain killers like Advil should be adequate...

    You need to go see your ortho.. Hopefully he is a good one..
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    Mar 20, 2007 4:30 AM GMT
    Also forgot to tell you taht a good ortho would be x raying you foot on a rgular interval to check the bony alignements and other possible issues like osteomyelitis. Regualr check up also catch rare conditions like RSD, which results from any truamtic injury (Paula Abdul had that with her near plane crash.)

    Youare young and I assume athletic. Make sure you are followed by a good sports ortho and sports PT team. There are a lot of not so great orthos out there who sees mostly geriatric population and if you can stand up and walk with a walker they are OK with it. And there are even MORe bad PTs out there, treating 5 patients in a factory clinic and will probalgy do you more harm than good. Shop around, taht is the sad fact of life in age of HMO run helath care system...
  • brushil

    Posts: 7

    Mar 21, 2007 9:34 PM GMT
    Thank you for the advice. My doctor is Osteopathic. I probably am putting more weight on the foot than I should. Thus, causing pain. I fully believe that my neurosis with a cast and inability to be active and mobile are causing more pain than anything. You bring up great points that I will ask my Doctor. I am having check-ups every two weeks.

    Again, Much Thanks!

    Brushil
  • brushil

    Posts: 7

    Mar 30, 2007 9:28 PM GMT
    Don't know if anyone is really interested but I went to the Doctor today and everything is looking good. Two more weeks in a cast then two weeks in a boot and all should be well.

    I especially want to thank nymusc for all the information. It was great to ask the doctor those questions today to confirm things that I needed to know. More precisely, that all is going to be fine.

    Thank you,

    Brushil
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    Mar 30, 2007 10:09 PM GMT
    You are welcome! Any questions on rehab part of it, just let me know as you go along.