L4 transverse process fracture recovery

smansfield7
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34
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6/3/2020
Location
Weymouth, MA US
Edited Date/Time 8/4/2020 12:36pm
2 weeks ago I took a pretty bad hit and was lucky Enough to only have 1 transverse process fracture in my L4.. has anyone dealt with this similar injury and when did you get back on the bike?
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turnip
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16
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10/3/2008
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GA US
8/3/2020 2:12pm Edited Date/Time 8/3/2020 2:14pm
Luckily, this injury isn't too serious. The transverse processes in the lumbar spine are simply anchor points for muscles - specifically ones that rotate and laterally flex your spine. There is no neurological risk with a transverse process fracture. The Standard of care is usually xrays every 2-ish weeks to monitor healing. Healing usually takes place in 4-6 weeks from the injury date. Just continue to follow up with your ortho until they release you - shouldn't be too long. This is a common injury, I think it was either Drew Brees of Tony Romo who had this injury a few years ago.

If you have symptoms other than low back pain, a CT scan or MRI maybe ordered but doesn't seem likely since you're two weeks post-injury. Physcial therapy rehab exercises may be recommended after the bone is healed if you have any residual pain or movement impairments - this isn't needed that often.

Good luck and heal up.
2
smansfield7
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Location
Weymouth, MA US
8/3/2020 3:39pm
turnip wrote:
Luckily, this injury isn't too serious. The transverse processes in the lumbar spine are simply anchor points for muscles - specifically ones that rotate and laterally...
Luckily, this injury isn't too serious. The transverse processes in the lumbar spine are simply anchor points for muscles - specifically ones that rotate and laterally flex your spine. There is no neurological risk with a transverse process fracture. The Standard of care is usually xrays every 2-ish weeks to monitor healing. Healing usually takes place in 4-6 weeks from the injury date. Just continue to follow up with your ortho until they release you - shouldn't be too long. This is a common injury, I think it was either Drew Brees of Tony Romo who had this injury a few years ago.

If you have symptoms other than low back pain, a CT scan or MRI maybe ordered but doesn't seem likely since you're two weeks post-injury. Physcial therapy rehab exercises may be recommended after the bone is healed if you have any residual pain or movement impairments - this isn't needed that often.

Good luck and heal up.
Would I be crazy to try easing my way back onto the Bike in 3 weeks if the pain is pretty much gone?
moore433
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525
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11/2/2011
Location
Denton, TX US
8/3/2020 4:00pm
I would do exactly what your dr said to do. You don’t wanna mess something up trying to ride too soon.
I’ve had 2 lumbar fusion surgeries and a neck fusion surgery and did all the dr wanted me to do and it took a while to get back going, but I feel great on the bike now!!!
In fact I just picked up a 2020 ktm 150sx...


2
8/3/2020 4:07pm
I snapped off a process several years back. The injury was no big deal. I struggled with concussion symptoms longer than the neck issue.
2

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captmoto
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4/22/2009
Location
Rancho Cucamonga, CA US
8/3/2020 5:11pm
Would I be crazy to try easing my way back onto the Bike in 3 weeks if the pain is pretty much gone?
Are you losing money or wages being off the bike?
JAFO92
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4255
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3/21/2016
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BFE, TX US
8/3/2020 7:12pm
3 level cervical and 2 level lumbar. Daaaaaaaaaaaaaamn !

I can see the reference pins on the L5-S1 from the PEEK cage, but what kinda cage is at L4-L5? Im not familiar with that type of spacer, Im guessing its titanium?
brocster
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Aliso Viejo, CA US
8/3/2020 7:26pm
turnip wrote:
Luckily, this injury isn't too serious. The transverse processes in the lumbar spine are simply anchor points for muscles - specifically ones that rotate and laterally...
Luckily, this injury isn't too serious. The transverse processes in the lumbar spine are simply anchor points for muscles - specifically ones that rotate and laterally flex your spine. There is no neurological risk with a transverse process fracture. The Standard of care is usually xrays every 2-ish weeks to monitor healing. Healing usually takes place in 4-6 weeks from the injury date. Just continue to follow up with your ortho until they release you - shouldn't be too long. This is a common injury, I think it was either Drew Brees of Tony Romo who had this injury a few years ago.

If you have symptoms other than low back pain, a CT scan or MRI maybe ordered but doesn't seem likely since you're two weeks post-injury. Physcial therapy rehab exercises may be recommended after the bone is healed if you have any residual pain or movement impairments - this isn't needed that often.

Good luck and heal up.
Would I be crazy to try easing my way back onto the Bike in 3 weeks if the pain is pretty much gone?
Were you planning on racing at Loretta Lynn’s Ranch on 8/15. If the answer is no, you should probably follow Dr’s orders and stay off the bike the recommended time for proper healing.
smansfield7
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Location
Weymouth, MA US
8/3/2020 8:27pm
There is a long story behind this but I originally crashed racing went to the ER got a ton of xrays taken and the doctors said nothing broken just bruised. 4 days later I went to my primary care who also said it was bad bruising. Fast forward to a week and a half and I had scheduled an appt with a hip doctor over a month ago for something that had nothing to do with my crash, the hip specialist took xrays of the hip and noticed that I had broken a transverse process on my L4. She recommended I start Physical therapy this week (17 days out) and if I still have pain in a week(3 weeks out) she gave me a spine specialist referral.

So I’m basically trying to see if anyone had had a similar injury how long they were off the bike
Highflier
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Location
TX US
8/3/2020 11:34pm
I'll share my experience fracturing transverse process, but it sounds like you're wanting to hear 'you'll be fine'.
Thats your call, but I would opt for the long term picture and be patient.

I fractured L3, 4 and 5 transverse process and broke multiple ribs in a crash a couple years ago.
Was off the bike for the ribs for 2 - 3 months and once they healed enough I was able to ease back into normal.
Dr. recommended some PT but I passed on it.
I figured 3+ months I should be good

At first I had no real lingering issue until 3-4 months later.
Kept pulling a back muscle for no reason, one time just picking up the dogs empty food bowl.
The dog bowl and one other time it was drop to your knees and don't move it hurt so bad.
I had never experienced anything like that, ever.

Finally went to my Ortho to see what was up.
He reminded me that to fracture the traverse process you have a massive pull from your muscle to break it ( the ground impact).
Often times the muscle and ligaments pulls off the bone, a little to a lot.
During the healing process the bone heals much faster than the soft tissue will.
He said you can have swelling at the tear site for months, up to a year before it fully heals.
In my case after 6 months I resumed everything normal, snow skiing, riding the bike, etc.
I was slowly aggravating the soft tissue injury to the point it finally tore again, my 'muscle pulls'

I followed his directions and did a month of PT.
To be fair, I was 52 when it happened and healing just takes longer the older you get.

Haven't had a single issue in the 4 years since that happened.

Whatever you do, good luck.
1
8/4/2020 4:39am
Should be a 4-6 week recovery and then just a pain tolerance thing for when you get back on the bike.
If it's only a transverse process fracture should be that easy. If you have any other underlying soft tissue or facet joint injury, disc etc might be a bit longer but hopefully that isn't the case.
#injuriesareapartofmoto
1
turnip
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Location
GA US
8/4/2020 7:22am
There is a long story behind this but I originally crashed racing went to the ER got a ton of xrays taken and the doctors said...
There is a long story behind this but I originally crashed racing went to the ER got a ton of xrays taken and the doctors said nothing broken just bruised. 4 days later I went to my primary care who also said it was bad bruising. Fast forward to a week and a half and I had scheduled an appt with a hip doctor over a month ago for something that had nothing to do with my crash, the hip specialist took xrays of the hip and noticed that I had broken a transverse process on my L4. She recommended I start Physical therapy this week (17 days out) and if I still have pain in a week(3 weeks out) she gave me a spine specialist referral.

So I’m basically trying to see if anyone had had a similar injury how long they were off the bike
It's not uncommon for it to take 5-10 days for this to show up on x-ray, similar for hairline fracture in the ribs as well. When we have a small fracture, it takes a few days for the "damaged bone" to be cleaned out by the body - that's when a fracture is more easily visible on x-ray.

If you are young (under 25) and healthy, then healing rates for this aren't bad. There is a risk of getting back on the bike, falling again (who crashes in moto?), and re-injuring it. I understand the rush to get back on the bike, but in the big picture view, let it heal and follow the directions of your ortho. It seems you're about 2.5 weeks into this and you likely have another 2-4 weeks to go. You'll be back before you know it.

I wouldn't be too concerned about the individual who has fusion above as that would not be a considered treatment for transverse process fractures.
Bramlett321
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Location
Texarkana, TX US
8/4/2020 7:28am
Listen to your doctor brother. Don't rush back the bikes aren't going anywhere. I've had my L5/S1 replaced with an artificial disc and have had zero issues until I fracture the L2 last year. The L2 kept me off the bike about 5 months.

smansfield7
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34
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Location
Weymouth, MA US
8/4/2020 8:03am
There is a long story behind this but I originally crashed racing went to the ER got a ton of xrays taken and the doctors said...
There is a long story behind this but I originally crashed racing went to the ER got a ton of xrays taken and the doctors said nothing broken just bruised. 4 days later I went to my primary care who also said it was bad bruising. Fast forward to a week and a half and I had scheduled an appt with a hip doctor over a month ago for something that had nothing to do with my crash, the hip specialist took xrays of the hip and noticed that I had broken a transverse process on my L4. She recommended I start Physical therapy this week (17 days out) and if I still have pain in a week(3 weeks out) she gave me a spine specialist referral.

So I’m basically trying to see if anyone had had a similar injury how long they were off the bike
turnip wrote:
It's not uncommon for it to take 5-10 days for this to show up on x-ray, similar for hairline fracture in the ribs as well. When...
It's not uncommon for it to take 5-10 days for this to show up on x-ray, similar for hairline fracture in the ribs as well. When we have a small fracture, it takes a few days for the "damaged bone" to be cleaned out by the body - that's when a fracture is more easily visible on x-ray.

If you are young (under 25) and healthy, then healing rates for this aren't bad. There is a risk of getting back on the bike, falling again (who crashes in moto?), and re-injuring it. I understand the rush to get back on the bike, but in the big picture view, let it heal and follow the directions of your ortho. It seems you're about 2.5 weeks into this and you likely have another 2-4 weeks to go. You'll be back before you know it.

I wouldn't be too concerned about the individual who has fusion above as that would not be a considered treatment for transverse process fractures.
Thanks! The main reason I’m asking vital is because the doctor that found the break was focusing on my hip for another unrelated injury but she noticed the break and told me basically give it 3 total weeks and if it still bothers me then to contact a spine doctor. So at the moment I’m not dealing with anyone specifically who could tell me when I can get back to riding. I’m 26 years old Here’s a pic of the X-ray
turnip
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16
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Location
GA US
8/4/2020 12:36pm
Thanks! The main reason I’m asking vital is because the doctor that found the break was focusing on my hip for another unrelated injury but she...
Thanks! The main reason I’m asking vital is because the doctor that found the break was focusing on my hip for another unrelated injury but she noticed the break and told me basically give it 3 total weeks and if it still bothers me then to contact a spine doctor. So at the moment I’m not dealing with anyone specifically who could tell me when I can get back to riding. I’m 26 years old Here’s a pic of the X-ray
I'd go by those directions. If it's still bothering you, just get another film of the area and follow up with the spine ortho.

Again, the stats are in your favor - let it heal over the next few weeks and most likely nothing to worry about. No need to rush back just 2 weeks early.

As a side note: I, nor any healthcare professional, can give you recommendations for care over a forum - too much to risk losing a license, lol.
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