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