recovering from broken ankle

recovering from broken ankle

Post by frank » Thu, 13 Feb 1997 04:00:00


broke my ankle 6/96 while trail running. (fibula fracture that ended up
with a screw)  dr said no running for 9 to 12 months. physical therapists
said easy does it and let pain be your guide.  i am now up to 3 miles 3
times per week approx 10 min. miles.  want to get back to 25 miles plus per
week at low 8 min. miles.  problem is that my 3 small toes start to feel
like i have them in vise.  burning and aching.  this happens mostly at
night time and sometimes during the day(not while running).  quite painful.
 only way to relieve it is to massage them strongly.  dr. says just the
nerves getting back into shape after all the time in the cast.. anyone else
suffer from such a thing after an ankle injury?  any help or info would be
appreciated.

 
 
 

recovering from broken ankle

Post by rodlaw.. » Fri, 14 Feb 1997 04:00:00

Quote:

> problem is that my 3 small toes start to feel
>like i have them in vise.  burning and aching.  this happens mostly at
>night time and sometimes during the day(not while running).  quite painful.
> only way to relieve it is to massage them strongly.  dr. says just the
>nerves getting back into shape after all the time in the cast.. anyone else
>suffer from such a thing after an ankle injury?  any help or info would be
>appreciated.

Remebering a little vaguely from my neutrology days, so I'm quite willing to be corrected....
The common peroneal nerve hooks over the head of the fibula just below the knee, and is in a very exposed spot and can easily be damaged by plaster casts. You even see it damaged by people lying on the area when they are unconcious and aren't doning the normal wriggling the rest of us do. When more markedly damged, you get 'foot drop', where you have difficulty pulling the foot up towards you. Milder damge will give you sensory problems, and sound like they could well be the cause of your problem. I'm just trying to remember the sensory distribution of said nerve to see if waht you said ties in, and I'm struggling to be certain...... Could be right though.
If that's correct, then as the nerve grows again it should settle. Nerves grow very slowly though so it could take time. If it's more than a nuisance and causing real problems, you could ask to try carbamazepine or another anticonvulsant. Ordinary pain-killers are unlikely to have much effect, but then again I wouldn't want to get into the medication unles it was really disrupting life (keeping you awake at night so it disrupts work the next day for instance).

Rod.
Disclaimer; the opinions expressed are not nescessarily yours.