Nerve damage from broken tibia fibula

Reelyfe
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6
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2/14/2017
Location
Pass Christian, MS, USA
3/5/2017 2:18pm
**UPDATE** Just wanted to update my condition in case someone else comes along needing answers to the same condition. After I went to the Dr last month, I asked him if he could increase my dosage of gabapentin before changing me to lyrica since it was so expensive. I was on 300 mg 3 times a day. He increased my dosage to 900 mg 3 times a day on a gradual 3 week increase. By the third week when I made it to the full 1800 mg a day dose, all of my outward burning sensations pretty much went away! It was like a miracle, as I was in so much pain in that foot it had become life consuming! A few days ago I missed my mid day dose, and by 7:00 pm that night my foot and toes were on fire! And the tendon in the right side started tightening up! So I'm fairly certain the increase in gabapentin (nerontin) is doing the trick! So thank you guys for sharing your experiences which lead me to ask for the increase! Crazy thing is, one of my nurses told me when I called for a refill that I was on the max dose!!
swtwtwtw
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Location
Apple Valley, CA, USA
3/5/2017 4:43pm
Reelyfe wrote:
**UPDATE** Just wanted to update my condition in case someone else comes along needing answers to the same condition. After I went to the Dr last...
**UPDATE** Just wanted to update my condition in case someone else comes along needing answers to the same condition. After I went to the Dr last month, I asked him if he could increase my dosage of gabapentin before changing me to lyrica since it was so expensive. I was on 300 mg 3 times a day. He increased my dosage to 900 mg 3 times a day on a gradual 3 week increase. By the third week when I made it to the full 1800 mg a day dose, all of my outward burning sensations pretty much went away! It was like a miracle, as I was in so much pain in that foot it had become life consuming! A few days ago I missed my mid day dose, and by 7:00 pm that night my foot and toes were on fire! And the tendon in the right side started tightening up! So I'm fairly certain the increase in gabapentin (nerontin) is doing the trick! So thank you guys for sharing your experiences which lead me to ask for the increase! Crazy thing is, one of my nurses told me when I called for a refill that I was on the max dose!!
Thanks for the update....i have damage to the median nerve thru the wrist (from a severe dislocation and radius break) and often wondered if massive doses of gabapentin could be effective.
TheWeapon
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AU
3/5/2017 5:04pm
Looks quite similar to mine - I did tibeal plateau / fib in '01 and had a plate and 7 or 8 screws. I had a patch of numbness on the right side of my shin, about the size of a credit card, which never really improved. No big deal, but a little weird and annoying more than anything.

For anyone who has had a tibial plateau fracture - have you had any follow up surgery? Mine is over 15 years ago now, and the range of motion in my knee has never been great - I was wondering if there are any options to go in and clean up the joint / articular surface and whether there is any potential improvement. The only other surgery I had was about 12-18 months post, where I had the plate and screws removed.

Cheers. Good luck with the recovery!
kzizok
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3/5/2017 5:11pm
TheWeapon wrote:
Looks quite similar to mine - I did tibeal plateau / fib in '01 and had a plate and 7 or 8 screws. I had a...
Looks quite similar to mine - I did tibeal plateau / fib in '01 and had a plate and 7 or 8 screws. I had a patch of numbness on the right side of my shin, about the size of a credit card, which never really improved. No big deal, but a little weird and annoying more than anything.

For anyone who has had a tibial plateau fracture - have you had any follow up surgery? Mine is over 15 years ago now, and the range of motion in my knee has never been great - I was wondering if there are any options to go in and clean up the joint / articular surface and whether there is any potential improvement. The only other surgery I had was about 12-18 months post, where I had the plate and screws removed.

Cheers. Good luck with the recovery!
How old are you?

The Shop

MXMattii
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BE
3/5/2017 5:45pm
I didn't read it all because I've a little headache but because I've some experience with this kind of stuff I wanted to ask if the DR. already spoke with you about "Transcutaneous electrical nerve stimulation" (TENS). Because that helps sometimes in some cases.

If I stand correctly the machine puts electrical signals true your nerves so they are full and can't accept any new info from your region that has pain. But like I said it isn't always effective, but if it is then it's cheap and easy to use.

TheWeapon
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AU
3/5/2017 5:51pm
TheWeapon wrote:
Looks quite similar to mine - I did tibeal plateau / fib in '01 and had a plate and 7 or 8 screws. I had a...
Looks quite similar to mine - I did tibeal plateau / fib in '01 and had a plate and 7 or 8 screws. I had a patch of numbness on the right side of my shin, about the size of a credit card, which never really improved. No big deal, but a little weird and annoying more than anything.

For anyone who has had a tibial plateau fracture - have you had any follow up surgery? Mine is over 15 years ago now, and the range of motion in my knee has never been great - I was wondering if there are any options to go in and clean up the joint / articular surface and whether there is any potential improvement. The only other surgery I had was about 12-18 months post, where I had the plate and screws removed.

Cheers. Good luck with the recovery!
kzizok wrote:
How old are you?
35. Grew up racing, and avoided any real injuries until I was 18.... then did tib/fib/ankle at nationals in '00...then the following season had the shattered tibial plateau. Game over.
kzizok
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3/5/2017 6:05pm Edited Date/Time 3/5/2017 6:10pm
^^^^OK. A knee replacement could be a possibility. The reason I asked age is, the younger you are, the more revisions you may need. People in their 60-70's may need one or so, but possibly none. They are done on people your age, with good results, but with the more likely revisions as a caveat. Obviously there are lot of considerations, but it could be an option.

Edit: meant to quote TheWeapon
MXMattii
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3/5/2017 6:11pm Edited Date/Time 3/5/2017 6:13pm
kzizok wrote:
^^^^OK. A knee replacement could be a possibility. The reason I asked age is, the younger you are, the more revisions you may need. People in...
^^^^OK. A knee replacement could be a possibility. The reason I asked age is, the younger you are, the more revisions you may need. People in their 60-70's may need one or so, but possibly none. They are done on people your age, with good results, but with the more likely revisions as a caveat. Obviously there are lot of considerations, but it could be an option.

Edit: meant to quote TheWeapon
I've got one when I was 20, your body will probably be not happy and your muscles and all other fibers around your knee will be tighten up like crazy (a problem old, non trained, weak muscle oldies don't have). But when you overcame that with lots of fysio and kinetech hours it something you never regret! It works just like a original one and riding is probably possible too, as long you do it smart.
mark293
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Kingwood, TX, USA
3/5/2017 6:14pm
Weapon
Man, you are bringing back bad memories. Right leg TPF in 2001 during a dad's pit bike race. I have the same plate and screw fix as you do. I also have the same credit card size patch of numbness, except in is on the inside of my right leg, just over the incision area. I slacked on the rehab and it bit me in the ass (not even close to getting the back of my knee to touch the floor when sitting). I took up running a couple of years ago. I was doing as much as 30 -35 miles a week and running in 5k's 4 or 5 times a year. I have decreased my weekly mileage to about 15 a week after a coworker told me he was out jogging and compound fractured his tib/fib. He too had a prior injury that required plating, however it was not a TPF. Talk about scary............ I can't go through that sh*t again, especially not at 50 years old. I am scared to even ask an OS if the hardware should come out. I can honestly say, there has not been a day gone by where I have not experienced some sort of pain or numbness. Game over sums it up nicely.

Its probably a miracle I can even run. My right thigh is still noticeably smaller than the left. I heard TP199 had TPF in both legs. God help him when he gets my age.
TheWeapon
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3/5/2017 7:43pm
mark293 wrote:
Weapon Man, you are bringing back bad memories. Right leg TPF in 2001 during a dad's pit bike race. I have the same plate and screw...
Weapon
Man, you are bringing back bad memories. Right leg TPF in 2001 during a dad's pit bike race. I have the same plate and screw fix as you do. I also have the same credit card size patch of numbness, except in is on the inside of my right leg, just over the incision area. I slacked on the rehab and it bit me in the ass (not even close to getting the back of my knee to touch the floor when sitting). I took up running a couple of years ago. I was doing as much as 30 -35 miles a week and running in 5k's 4 or 5 times a year. I have decreased my weekly mileage to about 15 a week after a coworker told me he was out jogging and compound fractured his tib/fib. He too had a prior injury that required plating, however it was not a TPF. Talk about scary............ I can't go through that sh*t again, especially not at 50 years old. I am scared to even ask an OS if the hardware should come out. I can honestly say, there has not been a day gone by where I have not experienced some sort of pain or numbness. Game over sums it up nicely.

Its probably a miracle I can even run. My right thigh is still noticeably smaller than the left. I heard TP199 had TPF in both legs. God help him when he gets my age.
Yeah, I absolutely punished the rehab like crazy, and to be honest I'm not sure it helped much. Everything from hours of stretching to hanging weights off my knee while extended to try and get full extension back. I'm probably about 5 degrees off being able to completely straighten it. On flexion I can get it to about 45 degrees off full range.

I had the hardware out pretty quickly (I think at about 18 months) because I could feel the ends of screws on the inside, just below my knee and they were painful when I bumped them. The recovery from the removal was nothing though, no pain at all. The other reason I had them removed was that I was considering going back to racing, and didn't want to have the surgeries they explained to me would be required if I was to crash and bend the plate....

I can run, though I don't (only when I play other sports for fun etc). If I ran for fitness my knee would probably explode. I swim a few days a week as well as doing a lot of rock climbing. My theory is that the low impact sports will be better for it and osteoarthritis in the long run.

Thanks for the advice guys, really appreciate it!
Reelyfe
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Pass Christian, MS, USA
3/6/2017 9:31am
Thanks guys for sharing your experiences! I feel it's really the only way in our situations to know what works and what to expect, as it seems the physians only repair the damage and they are done! I'm around 8 weeks post final surgery (5) and I don't have a physical therapist because I didn't have insurance, so I have a recumbent exercise bike and stretch bands. All of my exercises and techniques I've learned from the web and forums. I go back for another check up where the nurse practitioner X-rays the leg next week. And I should be weight bearing 4 weeks from now.(12 weeks total) It seems like everything healing fine, I just hope my range of motion of my knee and ankle are on track. And what's the story on hardware removal? The surgeon told me it stays? Should I question this? Thanks guys for sharing your knowledge.
jonboy688
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China Grove, NC, USA
11/24/2017 7:00pm

Searching to find some answers to might be the outcome to mine. Just did this this past Sunday. Didn’t crash or anything just over shot a small rythem section when I had riders on both sides of me veering towards me. Currently waiting to go back Friday to see when the first surgery will be scheduled.










Searching
jonboy688
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China Grove, NC, USA
11/24/2017 7:03pm
The doctor is planning on doing two surgeries. The first one on the back side and wait a week or so and go in the front side and repair it. The er has no idea what to expect when I came in with my boot still one, all I could tell them was that my foot wasn’t attached to my leg lol. Once the boot came off(without cutting) they finally understood.
11/24/2017 7:13pm
That exact same thing happened to me and I can't feel a damn thing on the top of my foot. When I touch the numb spot on my foot I have a tingling sensation down my calf.. doctor can't do anything, it's been 5 years
pdub187
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AU
11/24/2017 7:43pm
I had tingling and numbness in my hand for around two years after breaking my wrist/slapping the tarmac damn hard.
Idaho747
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558
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Idaho Falls, ID, USA
11/25/2017 6:58am
I snapped my radius pretty good when I was 17.

Plate and 6 screws to hold it together (still in). The first 2 years had a lot of pain and tingling and numbness there after. I’m 25 now and I rarely ever notice it. Except for when I’m shoveling dirt or something like that. That particular sets the pain off really bad. Every time the shovel hits the ground it feels like a guitar string snapping in my arm.
Moto520
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Schaumburg, IL, USA
11/25/2017 7:46am
I had nerve pain that wdnt down my right arm after a shoulder/ bicep sugery and it sucked. It would hurt like hell but only in certain positions. I took the Lyrica for awhile and it eventually went away. I went so far as to get injection into my neck to try and make it go away. I had 3 of those which would work for about a month. You can only get the injections 3x/ year. Im not sure what eventually caused it to go away but im thankful that its gone. Take the lyrica in the meantime. You ha e to take enough of it, consistently in order for it to work. Dont give up if it doesnt make it go away right away.....give it 3 weeks or so. Communicate with your doctor because he may have to adjust the dosage. You can just live with it but if you are asking....it sounds like its past that point. It WILL get better but do everything you can medically while waiting.
m.hardesty16
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Odenton, MD, USA
11/25/2017 8:16am
So does the nerve damage go away after time or what?
11/30/2017 9:06pm
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.
SVT-Cobra wrote:
I really should check the dates, sorry that your pain is that bad man.
To surfercross, I broke my tibia. Risky surgery where the break was, major artery there, and can't put plate and screws where the break is. So my orthopaedic surgeon sent me to St Louis University to see a trauma specialist. The verdict was to let it heal on its own. I am experiencing the EXACT SAME sensations in my foot as you are experiencing, to the "T."

My break occurred 10-28-17 and I've been bedridden since. I cannot put any weight on my leg whatsoever for possibly 12 weeks. I hop on one leg using a walker to get to the bathroom. Tomorrow 12/1 is my first appointment back to the surgeon since the first ever appt.

My issue now is NOT my leg. My leg is fine. My knee cap is still swollen, certain ways I turn hurts my knee at times, but the excruciating pain is gone. I stopped the pain pills about 5 days after the accident occurred, except for taking one at bedtime and one if i have to go somewhere in a car as my leg sometimes hurts when its not elevated.

My leg is elevated above my heart 95% of the time. At first I could move my toes easily, and had NO issues with my foot whatsoever. Now, my entire foot is on fire. I feel shooting pains. My foot is not swollen, but feels like it is. It burns, constant pins and needles, burning, tingling, and feels like there's a bunch of wadded up socks in my arch. If someone ba rely touches it, it hurts.

Since I cannot start PT yet, I searched for a percussion-type massager with a long handle since my leg is in a brace and I cannot move it or bend it, and cannot put it on the floor since it has to be elevated. I found a long handled massager but its too heavy and i still have to stretch pretty far to reach my foot. Also, the first time i touched my foot with it, it was so intense (on lowest setting,) I about flew out of bed it hurt so bad.

I purchased a TENS unit on Amazon thinking putting the pulsating probes all over my foot would ensure it's at least getting some type of circulation of the blood. I received the unit, and put four sticky probes on the bottom side of my foot - on the heel, inside my arch, and below my toes, as close to my toes as I could stick them.

I turned the unit on, and gradually increased the intensity till I could feel it. With each increase, I felt nothing whatsoever. I increased the intensity as high as it would go and still felt nothing. The TENS unit didn't work.

I reached down to pull off the probes. The intensity was all the way up, i pulled off the first probe, screamed immediately and threw it! The unit was working, so well in fact that it shocked my hand when I touched it. THAT'S how numb my foot is, 32 days after the break.

Tomorrow I see the surgeon and will advise of the issues and see what her comment, suggestion will be.
Lightning78
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Huntington Beach, CA, USA
11/30/2017 10:14pm
leighracer wrote:
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...
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.
No ... im pretty sure that aching will go away. Hi compound fractured my tibia and shattered my Fibia and instead of a plate I had them just stick a rod through the center of the tibia much cleaner job I might add the bone was sticking out of my leg about an inch plus and the front of my knee was where they used to put the rod in so I just got along that plays for over a year almost 2 years I couldn’t write a skateboard to save my life every time I paddled with that knee leg issue it would hurt so bad I couldn’t function and I used to get a lot of pain is pain in my knee because of which all that has gone way over a couple more years and I feel like it never happened no problems whatsoever I too had numbness on the top of my foot for about nine months or so after the surgery but as you stated here get lots of rest keep it elevated and much is this me of someone here as soon as it’s somewhat slightly healed the best thing I’ve learned with injuries did you get the moving as soon as you can without further impeding healing process my break was so bad I had to get an electronic bone stimulator and wear it for six hours a day for a long time .

Funny thing is it looks just like a police ankle bracelet so whenever anybody knew came over to my house or I was hanging out somewhere and someone would ask about it I would always tell them it was ankle bracelet and I was on house arrest and shit like that it was really funny how many people fell for it even when I was on crutches LOL
swtwtwtw
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Apple Valley, CA, USA
12/1/2017 5:53am
My Dr told me for every inch of nerve damage there is a years recovery. My right wrist almost a year to the day when feeling returned.
BobbyM
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12/1/2017 7:38am
Could always be worse.

gharmon
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Valley, AL, USA
12/1/2017 9:21am
December 21 will be three years since I shattered my left hip and it knicked my sciatic never. I've had the exact same foot pain you refer to since then (it was unfreaking bearable for about 3 months). I still take gabapentin (same uses as lyrica but cheaper and my insurance covers it) 900mg TID. I live with a constant burn. Its bearable now as you have to learn to live with it I guess but i'm still waiting for my burn to go away.
jonboy688
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China Grove, NC, USA
12/14/2017 11:20am
just had my 3rd last surgery Tuesday, the went thru the front of my leg and repaired the shattered part and had my ext fix removed, and everything went well, now I have two weeks of laying around with my leg elevated till next doctor appointment... had some killer pain with this recovery, hoping that it will start easing off soon!!! the worst part is not being able to do anything and being bored.... I think I have watched every dirtbike related youtube video ever made... my big toe doesn't have any feeling as the doctor said they had to stretch a nerve and would take some time to get the feeling back
brocster
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Aliso Viejo, CA, USA
12/15/2017 7:24am
Funny how many of us have tib fib issues ATM. I am still in the hospital from an accident on 12/3/17. Tib/fib p-line fracture (pilon fracture) and a fractured distal radius and two metacarpals. Surgery on radius and metacarpels on 12/4/17(plated and screwed) external fix on tib/ fib to wait for swelling to go down. Surgery complete on 12/12/17 two plates and a pile of screws on the tib none on the fib. Going home tomorrow and from what I can tell thus far no nerve damage just yet. All feels normal outside of of being splinted on left arm and left leg. Want to return to riding but we’ll see. May take up vintage and if I go back to modern probably drop down to 250f or maybe 2t. Highly considering getting hardware removed after I am all healed up. By far my worst injury in 27 years of riding on one of the simplest aspects of riding curious as hell about my mental state on the bike once I am able to return. Sorry for the de rail... but been wanting to share/discuss.
jonboy688
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China Grove, NC, USA
12/15/2017 7:37am
I feel ya man!! hopefully you have someone at home to help out for the first few days. its rough and its crazy we are willing to get back on the bike after stuff like this, but lets face it you have a better chance of getting hurt or killed on the way to the track then at the track.. its in our blood and I think it would be hard to stop unless you just aren't able to... I feeling much better today, the swelling has gone down and I don't have the crazy sharp pains that I was having the past two days..just keep that leg up and get the swelling down so the surgery can go as planned. what makes it so hard on me is the boredom that comes with not being able to do anything and then not being able to do everything myself or help around the house. my wife has been my rock thru all this, I figured she was going to make me sell everything but she understands and is very supportive,,,, I am counting the days down till I can finally start putting some weight on it, and scared of how that is going to go
jonboy688
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China Grove, NC, USA
12/15/2017 8:01am
I have two rods and 4 plates and a crazy amount of screws. Here is from the second surgery.

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