Posts
76
Joined
10/11/2019
Location
Middleburg, FL
US
Edited Date/Time
5/7/2021 12:21pm
Ok, had a bad accident November of last year and severely broke my right ankle with a tibial pilon fracture (it shattered). Also had tibial plateau fracture (less severe but shattered) on left leg. Not here looking for sympathy, just curious if anyone else has had similar injury and how they have recovered/how well they can ride.
My left knee (tibial plateau) is still painful and am still gaining strength but is very bearable. My right ankle (pilon) is not so great. Have gained very little range of motion back and still lots of pain in general after 8 months of therapy. Extremely frustrating and disheartening. Tried to ride recently but stopped and tried to “retire”. Welp, that didn’t last and I’m going to start riding again soon..
Anyone here have a pilon fracture and have a decent recovery? Very hard to give up riding as most of us know.
My left knee (tibial plateau) is still painful and am still gaining strength but is very bearable. My right ankle (pilon) is not so great. Have gained very little range of motion back and still lots of pain in general after 8 months of therapy. Extremely frustrating and disheartening. Tried to ride recently but stopped and tried to “retire”. Welp, that didn’t last and I’m going to start riding again soon..
Anyone here have a pilon fracture and have a decent recovery? Very hard to give up riding as most of us know.
There is no easy was to rehab/recover, It's going to be painful.
Especially gaining back range of motion, you just have to bite the bullet and push past the pain.
Lots of icing helps, super cold water therapy also helps.
I rehabed at a sports medicine complex in San Diego they packed my leg in ice for 40 minutes before working on it and another 1/2 hr afterwards. The tech would bend my leg until tears were rolling down my face and I thought my leg was going to snap in two.
I also did my own ice water soaks to keep the swelling down during forced range of motion exercises between rehab apts.
I used a weight scale to monitor weight bearing strength and worked out on a stationary bike.
I was working my leg 4 to 5 times a day and was back to (light) riding in 4 months.
When I came out of surgery I said to myself this is it ...I quit...this sucks....and it's not worth it.
But a month or so down the road when I started to make some gains in recovery, I couldn't wait to get back on the bike again.
You have to push yourself and endure the pain, not so much as to cause a re-injury, but enough to quicken the healing process. you'll know the difference.
Best things to help immediately after therapy is complete is stationary cycling and body weight exercises.
After that you basically need to stick to a training program. I find now if i dont do squats/deadlifts/spinbike it gets weak and will hurt. By hurt i mean the muscle rubbing on the plates and screws.
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I waited 14 months before riding again, and am still riding now, but it is always in the back of my mind.
As for pain, I can walk all day and it is fine, can walk 18 holes of golf, but I run with a lip. Although, If I sit for a while, or when traveling, it takes a while to get it moving again.
I often get a burning sensation at times from nerve damage, but it doesn't last too long, maybe 15 minutes at most.
Heal up and get your arse back on the bike, just remember, you are not industructable.
I was 43 when I broke mine, if you are younger, hopefully it turns out better for you.
3 plates, 17 screws. Removed the hardware 2 years later. That was the best for me.
The plates were rubbing on my boot.
I still get a nerve burn from time to time, but with mtn./road biking and an occasional dirt bike session, I am good.
I couldn't run correctly to save my life. I did give up track riding in late 2017 not because of my left ankle, but fear of future concussions. Too many hits to the head. As my ortho says, move it or loose it.
I was in a wheelchair for 4 months, when I could finally do pt, it went on regularly for at least a year. The
Dr.s would say I'd never ride again, that I was lucky it was still attached.....I went back to riding in 2015,
hoping to just be able to navigate my way around an mx track without getting in the way. Now I'm back to
racing, mainly the +60 exp.@ REM. Don't give up-
One thing that helped a lot to get some strength before I started weight bearing was doing a zero-g treadmill. See if you can find a sports therapy place around you where you can schedule some time on it. It will let you start at 0% body weight and slowly increase while walking on a treadmill. The other thing that was hard was living alone while going through it. I bought an i-Walk and it allowed me to do things around the house like cleaning and cooking, mow the lawn, etc and really helped with my mood. It was a great conversation starter when out and about too https://www.amazon.com/iWALK2-0-Hands-Free-Knee-Crutch/dp/B00092RB06
The thing I learned the most was to be careful with the pain medication. I was only on it for 2 weeks and I had some really bad withdrawal symptoms that lasted for months. I even have a pretty embarrassing thread here while I was going through it. I would suggest limiting yourself to the absolute minimum possible.
Pit Row
I'm two weeks post surgery for my left leg Pilon Fracture. The first 5-7 days I was in a fog of pain pills and general tiredness. Now that I'm more "there" I have begun to realize the extent of this injury and how serious it is. While googling and researching this thread popped up.
We rented a hospital type bed that raises the legs and head via remote, and I basically live in the thing. Can't go upstairs to sleep with the wife. The reality that this will be my life for the next few months is slowly creeping in and its really hard not to get your spirits down.
There's obviously TONS of horror stories out there in internet land, but I was hoping to hear of any positive recoveries from this.
By all means, get the scooter! Hell I used to go to the grocery store and pull the cart behind me when I was on one. Makes life so much better to get away from those fucking crutches.
I had two weeks In hospital externally fixated before final surgery to plate and screw my breaks.I have two plates and 15 screws.Recovery was four months non weight bearing and I’m into the second month of weight bearing.Non weight bearing was crap ! -no driving and hence being at the mercy of others to get around (I have a very understanding wife fortunately).
But next stage weight bearing has been great -I can drive and as of this week I have full dorsaflexion and walking slowly without a limp.The progress in month two has been amazing.I have been religious about my rehab which is a lot of leg weights and physio instructed exercises.The muscle atrophy that I have heard a lot about is very true ! But two months of rehab and my calf muscle is on the improve and I suspect my legs will be stronger at the end of this journey.
I am a long way off running -I suspect that sustained running won’t be possible.But moto should be ok after I get the surgeons green light later this year (they said 12 months no moto post operation).
All I would say to those going through this is is stay positive, stay off the pain meds as soon as you can,
I will attach some photos of my journey.
Stay strong guys !
Luckily my pain management has been pretty good. I was on Percocet only for a day or two after I got home and haven't needed them since. I really don't have any pain, which sounds like I am lucky. For me it's the non-stop tingling and "dead foot" feeling from the nerves. More of a nuisance than pain.
I'm coming to the realization that it's very likely I won't be 100% again. No more triathlons and long distance runs. Which is OK by me, that stuff wasn't a passion of mine. As long as I can surf and ride, i'll be OK
To make matters worse my wife is 8 months pregnant with our first child and I just PRAY that when our daughter is here I am somewhat able to help with the baby.
I found that FB group earlier today and requested to join. I'm sure I'll get a lot of help and support there.
With that said, I won’t be able to run, jump, and do any aggressive leg movements again. Just don’t have the ROM for it and doc says I have no cartilage left so it’s completely bone on bone. Doc expects fusion/replacement in the near future (I’m 29 so replacement isn’t an option quite yet). Like someone else said, I had a pretty big Kankle for awhile. After we removed hardware it did go down some, but definitely doesn’t look the same as normal. Hurts a lot still to squeez my toes in and I limp often because of pain and ROM. Also doesn’t help that my opposite knee still act up too.
As for riding, I tried to ride wayyy too early. I started riding about 6 months post surgery and it was extremely stupid. I was no where near ready to be doing that and eventually decided to quit again shortly after. I started riding again about 3 months ago, so a little over a year post-surgery, and it is so much better now. Still get pretty bad pain sometimes but you learn to adapt foot placement to mitigate that.
My advice, do not rush anything. Give it as much time as possible and stay positive. I definitely tried rushing too quickly and it was foolish. I’ll attach some pictures so you can kind of compare. I added two of my knee just got funsies.
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