Nerve damage from broken tibia fibula

surfercross
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Boca Raton, FL, USA
Edited Date/Time 12/15/2017 7:50am
I broke my tibia and fibula pretty badly.I had to have internal fixation and a external fixator as well.There is a plate with 8 screws holding my tibia together.Now the area where the break is doesn't hurt at all but the top of my foot is numb by my toes and when I touch that area it feels like its on fire.It will feel like its on fire even when I don't touch the the top of my foot.My foot also feels like it cramps up and it has muscle spasms.The doctor said I have nerve damage and gave my lyrica to treat the nerve pain.It has been six weeks since I first broke my leg.
So my question is has anybody else gone through this and what have your recovery times been?
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Shawn142
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Burleson, TX, USA
9/2/2011 10:14am
When I tore my ACL for the 2nd time it came with some nerve damage on the inner part of my foot from the back of my heel all the way to my big toe. Basically the entire length of my inner left foot went numb. Luckily with mine there is no pain, just the soft tingly feeling like it's asleep. I haven't gotten very many opinions from doctors because it doesn't really bother me, but the general consensus was the damaged nerves will never generate feeling again. I did that back in '07 I believe, feels roughly the same today as it did then.
Rooster
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9/2/2011 10:17am
I had a strange nerve issue in the top of my foot after an accident years ago. Doesn't sound like it was as bad as yours is. It was more a numbness and tingly feeling. Same area on the top of the foot though.

I hate to tell you but it took years to go away. Nerves heal very very slowly.
TeamGreen
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9/2/2011 10:20am
Yes, In my right-hand-thumb (Ulnar-Collateral Ligament Surgery...re-attachment), Left Knee (ACL-Meniscus) and Rt. Ankle...all surgeries...all had some long-lasting effects on the nerves; yet, all...but jus' slightly the left ankle...came back with-in a year or so (Feeling that is) All of this is over a 24 yr period.

Usually had numbness lack of feeling or "Severe-feeling like it's asleep"...if that makes sense.

Do your homework, ask questions...really ask the Re-Hab folks...they'll, usually, know the most about this stuff.

Most importantly: Take it easy, do it right, LOTS of REST and good nutrition.

Good luck...from a guy that's still at-least 4 months "out" from gettin' to ride (But, Today is my 1st day of rehab!)

Signed,

Old Dude, 48 and still doin' it!
Ddavis
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9/2/2011 10:25am
Been there done that, my foot was numb for a long time after I broke mine but eventually went away. I had an external fixator and also around 8 screws. I don't know if I had nerve damage but I hope you have a speedy recovery. Like TeamGreen said, take it easy and get lots of rest. Don't rush into it and re-injure it.

The Shop

leighracer
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Murrieta, CA, USA
9/2/2011 10:25am
I had a similar injury last year Shattered tib/ fib and Tibial plateau. Longest plate they make + 13 screws. Top of my foot was numb, but none of the "on fire" type pain. It's a year since the surgery and most of the feeling has returned. They told me the nerves grow back at a rate of 1/2" per month but it's not guaranteed that you will get all the sensation back. I still have aching above my ankle when I walk or run, but that's probably going to remain forever.
surfercross
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9/2/2011 10:26am
Oh damn you guys are freaking me out.I was hoping for something more positive.I was told that nerves do heel it just takes awhile for them to come back.The nerve pain was so bad that I had a anxiety attack last week and I broke down crying and I am not the kind of person that gets depressed either.The good thing though as it seem s to be settling down a little and I hope the lyrica works.
TeamGreen
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9/2/2011 10:30am
Oh damn you guys are freaking me out.I was hoping for something more positive.I was told that nerves do heel it just takes awhile for them...
Oh damn you guys are freaking me out.I was hoping for something more positive.I was told that nerves do heel it just takes awhile for them to come back.The nerve pain was so bad that I had a anxiety attack last week and I broke down crying and I am not the kind of person that gets depressed either.The good thing though as it seem s to be settling down a little and I hope the lyrica works.
Dude, this is typical and it usually goes away...jus' kinda slowly sometimes. Get this: Someday you may wonder how the hell you got your feeling back and..."when"...

I remember OX tellin' me he'd lost feeling in a knee, that was simply from a fall, and he rememebered it being numb for the longest time...then...one day..."Hey!...when did I get that feeling back?"

You jus' gotta roll with it and heal.
PC
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9/2/2011 10:39am
I broke my fib last year pretty bad and it took forever to get back to 100%. In fact, it still hurt when I run and that happened Sep of last year.

I also hit some dude head on last year and sustained some nerve damage and ultimately tissue decay near my elbow. I've got most of the feeling back now, but it was so numb for 7-8 months that I couldn't feel a needle going through the skin.

Even my worst injuries have healed 100% or very close to it. The body is a crazy thing!
crf250pilot
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Manning, OR, USA
9/2/2011 10:49am
I had a tib/fib break in 2002, plate and rod setup, took several years before it was back to any normal condition. I now have more sensitivity in the foot of the leg that I broke. Also had all the hardware removed and that helped out big time. I would suggest to anyone if possible get that metal out when you can.
9/2/2011 11:25am
When I was 14 (12 years ago) I shattered my tib fib in 20+ places. Took 8 surgeries to get it all to stick together good enough to heal up straight and a year and a half before I could even walk. From then on my big toe was 100% numb...numb enough to stomp on and not feel a thing...about 2 months ago my toes, one by one, started going numb as well I met with the doctor who did all the work and he basically said...."Yep, you messed your leg up pretty bad....I'm surprised you had feeling below your ankle this long"...But he said everything should be fine as long as blood continues to flow to my foot and toes.

So I guess to answer your question....Recovery time (depending on how bad your break was) is a life long deal. I'm sitting here 12 years later still having issues.
Digger437
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Wisconsin Rapids, WI, USA
9/2/2011 3:39pm
Shattered both ankles in 2004. Will never be able to run ever again unless some day they cut them off and put those springer legs on me. I bear my cross and deal with the daily pain accordingly but you know what, I'm still upright and taking nourishment and glad to be here!

Riding again although old and slow and banged up. It took along time for the nerves to connect after my surgeries especially with the ankle that was a compound fracture. External Fixators came out after 6months but have the screws still in the ankles To this day, if I don't watch it I fall down because I don't have the stability or sensation to "feel" with my feet where I'm going. But again, life throws ya a curveball, knock the shit out of it and live life.

Stay positive and listen to the docs and eventually things will come around. Ankles are tough extremities to heal so you gotta have patience.

The best news is, my doctor thinks I'm crazy for riding again, but he said that as messed up as my ankles are I can't really hurt them any worse than they already are and that the riding is actually good for them to stretch and keep them active.

Good luck!
disbanded
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9/2/2011 3:44pm
Head amputation is the only way to get over something like that.
TeamGreen
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9/2/2011 5:13pm
The Bright-Side:

I fell...really hard-n-bad on June 3rd out-side of Ensenada. I was Grateful jus' to get up. My rt shoulder was stinging and it was prickly from some-kinda "impact"...? On the scene I had someone hold my arm and I "put it back"...more than a few of you know this move.

PAB and his radio skills were all over it with the SCORE folks. The F&L Crew threw me in their Class 1 and we were off to the Hospital: X-Rays looked OK; but, something wasn't right...btw, INSTANT service...NO WAITING...SCORE rules!

Fast Forward: MRI = Surgery on August 1st.

Re-attach Bi-Cep.
Re-attach Supra-Spinadus.
Manipulation of the Labrum/clean-up Lab.
Repair the "Sack" around all of it.

I had no idea how serious some of it was until Post-Op # 2 a coupl'a weeks later when we reviewed all the "images" and damage and planned the re-hab. I was still positive; but, very fuckin' nervous...well..actually...I was scared.

It seems that the Supra can be a lil' tricky in it's re-attach phase...as in "If" it does...hell...so can the Bi-Cep...based on the combo of damage I did.

Today: My 1st Re-Hab appt. All's well and I'm "ahead" of schedule. Once, again, my Doc reminded me, "Don't screw up my work!"

The Re-Hab dude is a big J-Mac fan; so, I'm gonna get him something w/ an autograph on it and keep him from kickin' my ass too hard! (Actually, Re-Hab is bitchin' and the masseuse is a hottie!)

So, I went out and tore up a shoulder...pretty fuckin' bad.

But, it can go well. Even after all that post-surgical pain...4 weeks and 4 days out and I get to re-hab it 3 days a week and I might...jus' "might" get to ride the '12 Rip to the Tip...it's all ahead of Schedule and goin' well.

Again..."Grateful".

That's almost 10 months total off the bike: Again, ever since I got up...I've been Grateful.

I could have died...and I know it. There was a HUGE Rock with my name on it and I'd jus' lost a friend down there.

Btw, thanks to PAB (Cameron Steele...the Camera Whore) for taking such good care of us when we're in "The Baja"...
Reelyfe
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Pass Christian, MS, USA
2/14/2017 10:41am
I too suffered from a tpf with a total of 4 surgeries. I had compartmental syndrome, external fixator, and now have a plate with a number of pins and screws. The injury happened on December 23, 2016 and I remained hospitalized almost a month. From the very beginning I suffered from extreme nerve pain in the foot of my damaged right leg. I have an all the time burning sinsation on the top of my foot and toes, and on the right side of the foot between the top and bottom it stays severely cramped up. It now seems to be getting worse as I feel fire in the bottom of the foot. The Dr has me on Neurontin which is a nerve pain reliever but it doesn't seem to help. I've tried otc pain relievers and creams with lidocaine. I've tried ice packs., heating pads, and even soaking in warm water. None of these remedies seem to alievate the pain. The only minor comfort I get is from the prescription painkillers and that's only for a few hours. I can't seem to get a definitive answer from any of my health providers on how long this will last or even if it will ever stop. Any help or insight anyone has concerning this would be greatly appreciated.
Xavier
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Hossegor, FR
2/14/2017 10:51am Edited Date/Time 2/14/2017 11:02am
I had a tib/fib break in 2002, plate and rod setup, took several years before it was back to any normal condition. I now have more...
I had a tib/fib break in 2002, plate and rod setup, took several years before it was back to any normal condition. I now have more sensitivity in the foot of the leg that I broke. Also had all the hardware removed and that helped out big time. I would suggest to anyone if possible get that metal out when you can.
+ 1
I had nerve damage from tib/fib fracture (on the fib side) 25 years ago, some numbness on top of the foot (which eventually went away) and I lost command of the muscle that lifts the big toe up (that never really came back).
EVERYTHING felt better when the hardware (screws thru the ankle holding rod in the tibia) was taken away.
Before that, buckling my MX boots around the ankle area was sending like micro electrical shocks that were very uncomfortable.
Sidecar
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GB
2/14/2017 10:59am
My brother broke his arm really badly 3 years ago (technically I broke it as it was my mistake while racing our sidecar.... Sorry Rob) Anyhow he had really bad nerve damage and as it healed he had imence screaming out loud burning pains, "like a hot poker in his arm" in his words but eventually it passed and he's now over it.... He still hates the turn we rolled over in though!!!!
You will get through it man, just stay strong!!!
PDiddy241
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USA
2/14/2017 11:02am
I did something very, very similar back in '06 -- most of the top of my right foot is numb still (and will be forever).

It took me 123 days to walk (I broke the right tibia, fibula and talus and the left calcaneous and tibia) and 6 months to ride again. I will have a slight to moderate limp forever too.

But = It doesn't hurt too much anymore. I'm stiff and sore in the mornings and after exercise... I broke the joint surface and have very little cartilage in my right ankle joint.

I don't mean to freak you out... I can do whatever I want basically except run (which I never did like) or play sports that require quick direction changes on your feet (i.e. soccer)...

But = You'll be able to ride (the docs will say no of course) and we'll be here to sympathize with you. Good luck with your recovery!









holeshot100
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Billings, MO, USA
2/14/2017 11:26am
Try Gabapentin or Neurontin. Non narcotic.
It does seem to cause some tiredness or fatigue, but so does no sleep if the pain is too bad.
Reelyfe
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Pass Christian, MS, USA
2/14/2017 11:57am
Thanks guys for the quick response. I'm currently taking the gabapentin which is supposed to help ease the nerve pain but it doesn't seem to work. From what I gather from you guys and the tpf community at large, it's going to be a long , slow process, and one needs to be patient and fight through it.







Reelyfe
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2/14/2017 12:04pm


. My new side by side was the cause of my break. I was the passenger and it started to tip over and I kicked out my leg to try and prevent it from turning over and the rest is history. I remained pinned under it for a good 30 minutes until 3 or four other riders st the atv park heard my wife's screaming. Almost two months later, here I am, greatful for the Dr's saving my leg. Thanks for the encouragement and knowledge.

gharmon
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2/14/2017 12:44pm
I had a tib/fib break in 2002, plate and rod setup, took several years before it was back to any normal condition. I now have more...
I had a tib/fib break in 2002, plate and rod setup, took several years before it was back to any normal condition. I now have more sensitivity in the foot of the leg that I broke. Also had all the hardware removed and that helped out big time. I would suggest to anyone if possible get that metal out when you can.
Xavier wrote:
+ 1 I had nerve damage from tib/fib fracture (on the fib side) 25 years ago, some numbness on top of the foot (which eventually went...
+ 1
I had nerve damage from tib/fib fracture (on the fib side) 25 years ago, some numbness on top of the foot (which eventually went away) and I lost command of the muscle that lifts the big toe up (that never really came back).
EVERYTHING felt better when the hardware (screws thru the ankle holding rod in the tibia) was taken away.
Before that, buckling my MX boots around the ankle area was sending like micro electrical shocks that were very uncomfortable.
I shattered my left hip back on dec 21 2014 and the dr's say the nerve was "knicked" from the wreck. They also mentioned that they had to manipulate the nerve a lot working around it while doing the repair (they went in thru my abdomen to repair it. My foot wasn't injured at all and was completely dead for a few days after surgery but when that bitch came back online it did so with a vengeance!! I was on fire for about 2 months. I was on 900mg neurontin three times a day and taking oxy's every three hours and I hardly ever got any relief. Also, my foot was really swollen as well. Then about two months in I woke up one morning and lots of the swelling was gone as was the pain.

Now, over two years later I still take Neurontin 600mg three times a day (but no more oxy's). I always have pain constantly but it's livable. I also have foot drop that requires me to wear a brace all the time.
Reelyfe
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2/14/2017 1:18pm
My Dr has me on 300 mg of Neurontin three times a day. I was under the impression that was the maximum dosage. That being said, it may be the case that I'm not being prescribed enough to make a difference. I go for 6 week tomorrow, so I'll be sure to question my Dr. Its so crazy that my foots hurting worse than my broken leg as a side effect from that injury! Wow. Thanks guys for sharing your experiences, it helps in knowing what to expect.
Jbulz
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Ithaca, NY, USA
2/14/2017 1:21pm
Bad deal. My brother had a pretty similar injury. Tibial plateau fracture, ACL, MCL, PCL, LCL, and meniscus damage, compartment syndrome, and mild/moderate nerve damage.

I saw what he went through and it was a long slow recovery. From my outside perspective I think the best thing he did was force himself to do as much PT as he could stand and got his full range of motion back as soon as possible.

It also seemed like the doctors loved to prescribe pain killers but didn't want to offer any support on how to ween yourself off of them. My advice is don't get hooked and just take the minimum amount possible.

He still has nerve and joint pain, but once he went against doctors orders (pretty much don't do any physical activity) and started using his leg he improved a lot. He now runs, lifts weights, and is back riding moto.

Hang in there, man.
surfercross
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2/14/2017 3:41pm
I see my thread came back to life. I don't ride anymore but I love motocross. I stopped because I re broke the same leg in the same place.

The nerve damage was the worst part of the whole ordeal. Non stop foot on fire and tingling! I couldn't sleep for almost 2 months. I begged the Dr for something and I don't like narcotics. He prescribed Nuerotin at first. It made me extremely depressed so bad in fact that I would stand in the hallway and cry for 10 minutes sometimes. It can have gnarly side effects. Then they switched me to Lyrica. It was a life saver. I could finally sleep, actually the best sleep I have ever had. It also increased my appetite.

I hope you make it through it will get better.
moore433
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Denton, TX, USA
2/14/2017 6:26pm
With all the back problems I've had, my left foot from the arch to the toes, too and bottom feel numb to me just sitting or laying down. But if someone touches my foot, it feels a million times more sensitive than normal... my wife walked by and ran her fingers up the bottom of my foot and I had absolutely no control, I almost kicked her head off. If she hadn't been walking by when she did it, I would have.....
SVT-Cobra
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2/14/2017 8:22pm
Not a tib-fib injury but I got hit with some shrapnel in the lower extremities. Top of the foot numbness on my left foot and it was just as you described, burning feeling with that numbness sensation also. Doctor said it will never go away. I've become desensitized to it, it's just part of my "normal" now. I didn't start wearing shoes and socks again for a while, but after I did, it took about 6 months for it to show signs of improvement and then about another year on top of that for me to be able to go all day without experiencing that burning pain. Though, when it's cold and my socks start rubbing, it flairs up a little easier. Massage really helped, especially with lotion or some muscle cream at the end of the day. I'd also soak it in warm salt water, too.
Fog 25
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Castaic, CA, USA
Fantasy
2/14/2017 8:42pm
Broke my tibia Fibia and talus us at Mammoth Mx June 18.
After the first surgery for the Fibia on the 18th.

Second surgery for the Fibia July 13th.

Just bodyweight on it, after October 10, full weight after December 28. Top of the foot still swells up due to nerve damage and cannot lift the big toe.
Feel real lucky that I got that Mitch Peyton of body fabrication surgeon



SVT-Cobra
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2/14/2017 8:46pm
I see my thread came back to life. I don't ride anymore but I love motocross. I stopped because I re broke the same leg in...
I see my thread came back to life. I don't ride anymore but I love motocross. I stopped because I re broke the same leg in the same place.

The nerve damage was the worst part of the whole ordeal. Non stop foot on fire and tingling! I couldn't sleep for almost 2 months. I begged the Dr for something and I don't like narcotics. He prescribed Nuerotin at first. It made me extremely depressed so bad in fact that I would stand in the hallway and cry for 10 minutes sometimes. It can have gnarly side effects. Then they switched me to Lyrica. It was a life saver. I could finally sleep, actually the best sleep I have ever had. It also increased my appetite.

I hope you make it through it will get better.
I really should check the dates, sorry that your pain is that bad man.
gharmon
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2/15/2017 2:16am Edited Date/Time 2/15/2017 5:36am
Reelyfe wrote:
My Dr has me on 300 mg of Neurontin three times a day. I was under the impression that was the maximum dosage. That being said...
My Dr has me on 300 mg of Neurontin three times a day. I was under the impression that was the maximum dosage. That being said, it may be the case that I'm not being prescribed enough to make a difference. I go for 6 week tomorrow, so I'll be sure to question my Dr. Its so crazy that my foots hurting worse than my broken leg as a side effect from that injury! Wow. Thanks guys for sharing your experiences, it helps in knowing what to expect.
No, 900 tid is max adult dose but according to my dr there is little evidence that there is any therapeutic benefit from 1800mg (600 tid) to 2700mg (900 tid) so he reduced me to the 60p tid. I still have nerve pain constantly but I manage. I tried the lyrica but it was only marginally better. My neurontin costs $13 a month the lyric $380. My insurance doesn't cover it.
surfercross
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2/15/2017 5:28pm
Just as a side not plates are not good. They are load bearing instead of load sharing and that makes the bone weaker.

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