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