Thank you for the welcome to the boards.
I probably should have come here months ago, but I guess it's not until things really get bad you turn in all directions for help.
The clinical diagnosis for my situation:-
"Lateral process of the talus fracture (snowboarders ankle) debridement of osteochondral defect and removal of impinging lateral talus fragment.
I also had chronic synovisits caused by the previous so that was cleaned out in my "grease and oil change"
I'm an obese male, however I have lost 26kg (57 pounds) in the past 7 months.
I'm very flat footed and while doing an Aqua Exercise class I inverted my foot which was initially thought to have caused multiple severe ligament sprains. We think
that while during one of these classes in the pool I landed with such force that I fractured my Talus.
Sought Physio (Physical Therapy) treatment and got some basics exercises to do and it didn't get much better.
Visited local GP and had referral for X-Ray "if it didn't get better"
Got X-Ray done and that's when the first part of the diagnosis was in (although they missed the fracture)
Things were getting worse, pain was incredible and I was starting to take too many days off work.
I ended out seeing a specialist and got the MRI. OCD and Chronic Synovitis was diagnosed yet, fracture still missed.
I had a steroid injection into the ankle in the hope that swelling would reduce and it incapacitated me further. (made things worse)
Surgeon could not explain why I was in so much pain and said my only option was surgery if it didn't get better.
I suggested a Moon Boot (pneumatic walker) which I wore for 4 weeks with little improvement.
Surgeon said that exploration surgery was next step. (This was after a E.D. / E.R. visit one weekend) I was just in too much pain.
I was not about to consent to surgery when there wasn't a clear diagnosis.
I visited a local specialist sports medicine clinic where I visited a sports doctor where he asked "has anyone told you, you've fractured your ankle?"
surprised I said "no"
Anyway I dropped the previous surgeon and saw a new surgeon about 3 weeks later.
He confirmed the fracture and the surgical path.
My understanding is they've gone in via arthroscope and removed the synovisits and scare tissue flushed it out and then done a open incision to remove the impinging bone fragment.
Surgeon tells me that swelling and bruising is always worse when they do this. Sadly something I can attest to.
I think this is where the bulk of my pain is coming from.
The part of the ankle joint involved is avascular, there is some debate about if I have ligament damage (will wait for follow up appointment with surgeon) if there
is, I'm told this can take quite some time to heal and that could be part of it.
The fact they've got stuck in and removed part of bone (fragment) (I'm unsure if they shaved any parts while I was under) could well contribute to it.
Sorry to read about the pain you've gone through, while I can relate on some fronts, you really have been through quite a few battles.
I don't wish to sound rude or nasty, but I'm forever thankful that was I'm experiencing while it has taken nearly 6 months to get to this point, I should make a full recovery over the next few months.
I do take some comfort in the fact knowing that when it comes to stuffing up a weight bearing part of my body, while I've needed surgery I've really got off lightly!
I'm going to see my GP tomorrow and chat about my pain meds. The main ones are still opiate based, which worry me as I don't want to become addicted.
My GP tells me that as long as I'm in pain and I take the recommended dosage I should be fine. It's if I just take them when not in pain that's a problem.
I'm going through a "weaning" process now which while hard is largely working, but I've "afforded" myself the permission that if I need to step up the pain killers I do.
I'm keeping the empty packets as a reminder of what I've gone through. Not entirely sure it's helpful as there are quite a few packets, but at least it allows me to
understand that this has impacted on me hugely over the past few months.
I've been using a really cool iceing system called BodyIce, it was developed by an Olympic Gold Medal Aerial Skier who injured herself many times.
It works really well, the only downside is having to use real ice. I've worked out how to generate enough ice at home and I'm lucky that I have access to a ice machine at work.
I have tried using commercial ice packs and I find using real ice so much better.
Thank you for replying and sharing part of your pain/surgery journey.
Hopefully the above has answered most of your questions.
I'm not familiar in using online forums and still trying to work out how much to share
Hopefully the above answers some questions too.