Broken ankle--any advice/experience

  1. pascal

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    I wanted to seek advice from anyone on the the forum who has had experience with a broken ankle. This is slightly on topic because I sustained it in Louisville at Cross Worlds (fortunately it was at the end of the day after the racing was done.)

    So my fibula was fractured, and I received a plate and six screws to stabilize it. Now sitting a lot with the ankle elevated to reduce swelling, etc. The surgeon says 12 weeks for "full" recovery (no driving for 8 weeks-yep, got my right ankle)

    Anyone get back to cycling after a similar injury? We're you able to get back to it fairly easily or is it a long road?

    Hoping there is light at the end of this dark tunnel...

    Posted 3 months ago
  2. george

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    Bummer pascal,never had a broken ankle but did break both wrists in a fall but saved my head.
    Took me two months before I was swinging a hammer again ( I wuz a carpenter).
    I exceeded the Docs expectations by 2 months.

    Posted 3 months ago
  3. pascal

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    That's fast for two wrists. We're you super-vigilant with rehab?

    Posted 3 months ago
  4. pascal

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    That's fast for two wrists. We're you super-vigilant with rehab?

    Posted 3 months ago
  5. george

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    Yes, started with a squeeze ball within a week and half,hurt like hell, then transferred to light weights.
    Funny thing is my wrists felt stronger once I was fully recovered than they did before.

    Posted 3 months ago
  6. Entheo

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    my stepson recently broke both bones just above the ankle (fell off a skateboard). metal plate first surgery; just had his second surgery for second bone & ligament repair last night. 4 months recovery estimated. hate to say it but i think it's a long road.

    Posted 3 months ago
  7. Big DanT

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    I Broke Tib/Fib below the boot in a ski accident. Luckily the boot kept the bone aligned so no additional hardware was needed. I was back a bike in @ 3 months. Pretty much as soon as the cast from my toes to my hip came off.

    Dan

    Posted 3 months ago
  8. pikeHillRoad

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    when I was a kid, I had a tim fib fracture right at the ankle. It was the reason I started cycling in the first place. I was able to do something on the bike long before I could do anything else (except swim). I am not sure how long it took, and I was 14 at the time. Certainly that break had a silver lining...

    God luck healing.

    Posted 3 months ago
  9. DonnaMobile

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    I broke my right ankle hiking in Aug 2008 (you can read how it happened: (https://bicivenetojournal.wordpress.com/2008/08/20/la-donna-immobile/). In my case it was the malleus, and it didn't need any hardware, only a cast, which I had to wear for a month. The first two weeks I couldn't put weight on it, then I could walk with crutches. I had to inject myself each day with blood thinner (Heparin) to prevent a blood clot.

    When the cast came off the ankle naturally lacked range of motion, especially laterally. Damage to the ligaments was more of a problem than the broken bone. After a few days I started driving, and after 10 days tried riding. I started out on a road bike with MTB pedals, since they require less force and lateral movement to get out of. It felt weird at first, but I knew that riding was good therapy. I did easy rides and only pedaled sitting down. After about two weeks I was able to do a small climb on my road bike and was excited and happy with my progress. AFter that, there was a steady but slow improvement.

    I spent the winter and spring in NJ, riding mostly flat roads and little hills. In May I was back in Italy, riding normally and doing my usual climbs, but there was still a stiffness at one point in the ankle's range of motion. One day at the beginning of June (10 months after the accident) I was riding up a climb and when I stood on the pedals I felt a snap and a terrible sharp pain. I was about 15 miles from home and the ride back was a painful one. I wrapped the ankle with an elastic bandage and applied ice, and rested it for a couple of days. After that my ankle was perfect! I guess something must have healed in a slightly wrong position, and then moved back by itself.

    Everyone's injury and healing process is different, of course; the one constant is time and patience.

    Posted 3 months ago
  10. Orange Crush

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    Yikes - another reminder I got off lucky once again with my recent crash. Almost back to normal although carrying that cooler of beer last weekend was a 5 min mistake that stayed with me for a day.

    Heal well.

    The wise man said follow me...and he walked behind.
    Posted 3 months ago
  11. timmsteiner

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    With an isolated fibula fracture, you should be able to mobilize quickly. Ask if you can be put into a boot quickly (2-3 weeks post op) so you can start some early therapy for motion (but stay non-weight bearing). You should be able to spin on a trainer without resistance at 4-6 weeks. Regular bike by 8-10 weeks. All assuming no complications.

    My only experience is doing this to people for a living.

    Posted 3 months ago
  12. mondonico

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    It sucks, at best, when you break something that keeps you from doing what you want and love to do. Listen to your doc., get plenty of rest, eat really well, and don't forget to work on all the other parts of your body while you work and wait on your ankle. Good time to work on flexability everywhere.

    Sorry not much help I know, but be patient when you really want to get up an go. Give you body time to heal.

    Posted 3 months ago
  13. longslowdistance

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    Tim, what if he has a syndesmotic screw or cable? Would the recovery be the same?

    Posted 3 months ago
  14. chris

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    Hi, ouch! very bad news. DM hit it on the head; "Everyone's injury and healing process is different" My break happened 10/2007, plate and 9 screws, still have the hardware. very painful to say the least, also got addicted to oxycodone/oxycontin + had laparoscopic hernia surgery a year later because the drugs are constipating and they trigger a decade old hernia. people on the forum were very helpful at the time for what was absolutely the low point of my life. cast for 6 weeks, another 6 weeks before I could walk again without a horrible limp. cycling was painful at the start, just getting my shoes on was a big effort. atrophy on my left leg is still noticeable. never had real pain but it was a life changer. trying to get back into running these days and it might not happen, I can powerwalk 14 min miles but that is about it so far, time will tell what I will be able to do. I had major nerve / ligament damage, I could not feel the top of my foot for a year, no nerves = muscles would not fire properly = cycling sucked for years. rehab; very important. I had my surgery @ cedars from one of the top guys in the country, he hooked me up with an amazing rehab guy, see below. I told him I wanted to fast track my recovery - https://www.thestick.com/ and used it all over my legs, a wobble board and I lashed 2 tennis balls together with 25' of surgical tape and use them on the bottom of my foot. get a good rehab guy and he will know about all 3 of these tricks - I would suggest that this is the most important aspect of your return to health and getting whole again. I have not heard of anyone that has taken as long as I did to recover or was in as much pain so my scenario is sort of worst case I think. I can cycle, ride m/c, ride karts, walk and pretty much do everything but run.
    Its an awful injury but there is light at the end, its just a matter of time. take care, post of you have any specific questions.

    Image and video hosting by TinyPic

    Roger Yamanaka
    Cedars-Sinai Orthopaedic Center
    PT, OCS, ATC, CSCS
    Certified Pilates Instructor
    Bachelor of Science in Physiological Sciences/UCLA
    Masters of Science degree in Physical Therapy/Boston University

    Posted 3 months ago
  15. pascal

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    Thank you everyone for the encouragement and advice. Maybe it's not as bad as I thought--I was put in an air boot right away, and they have suggested I bear weight on it as soon as the pain subsides. I have been doing so selectively, but it is a process. The swelling has gone down quite a bit, which is because I have spent most days with it elevated. So not much is getting done in my household--kind of hard to do much when you're on your ass with your leg on pillows most of the day.

    Chris--you're right about leg muscle atrophy--I'm 13 days from the surgery and already my calf is looking like Robert Gesink's calf. And that's not a look I was going for... Impressive carpentry by your surgeon, by the way. Mine looks a bit like that but a lot fewer screws.

    Donna--what a weird story about the snapping sound when you started to climb again your bike. Glad it worked out in the end...

    Will post an update in the next few weeks. Or days because I'm so incredibly bored.

    Have a great week everybody.

    Posted 3 months ago
  16. zootracer

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    Not my ankle, but fractured my hip in '05. (1) I had a good surgeon. (2) I followed his instructions. I have a screw in my right hip and a ti rod in my femur. It drove me nuts because I could not ride. I got a flat bench and a set of dumbbells and worked out with free weights. I also watched what I ate and managed not to gain too much weight

    I was off for 12 weeks also. Time went fast.

    Sooner or later we all go down. I broke my elbow in 2012. I'm finished with crashes, hopefully..

    Posted 3 months ago
  17. chris

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    oh, your in a boot not a cast huh, interesting. I know its vain and lame but I actually used to like my calves, they were and still are very developed looking for the little cycling I do and its taken over 5 years for them to match again. I know, stupid but we all have our stuff lol. I am sure you will be fine, just shoot an update once in a while I am interested in how you progress

    Posted 3 months ago
  18. flicker

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    Had a break, I think three screws, before surgery the orthopod said plates, and awesome orthopod, massive doses of Vicodin, washed down with vodka, no weight for 1 month, followed by beddie bye for 5 months, after 6 months, flat riding on pavement, odd feelings for 4 months, complete recovery afte 15 months, better than new. Worse thing was loss of work and an itchy cast, 7 months in cast, serious....

    Rest my son, your choice painkillers or not, eat well, follow the orthopods orders to a T, you will be fine..........

    Posted 3 months ago

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