Jenny asked, I answer.
Many years ago, I had a tib-fib fracture on my left leg. There was surgery, lots of screws and plates, and then I went on with my merry little life. But lately it's been causing me a lot of pain. It's also limiting my ability to do certain movements/exercises. And this is the thing that gets me more than the rest, which is unpredictable seizing up. I was in a fitness class and was happily skipping up and down the gym when my left ankle REFUSED TO BEND and I nearly fell over. This has also happened when I've been standing in front of a classroom, walking down stairs, and you know, just when I'm sitting around doing nothing.
I went to PT and it helped with the pain, but I was essentially told that there's not much to be done about my range of motion. There are literal plates that hinder the angle at which my left ankle can bend. So this means running is not a great idea for me for exercise and there are various yoga poses I will never be able to do or, at the very least, not do without extreme discomfort. Because I tend to overuse my good leg, there is a definite difference in muscle tone between my left and right lower legs, so I have to be really careful when I'm doing bilateral work on my lower body to not do less with my left leg. Honestly, I have mostly switched to unilateral work so I can focus specifically on the left side. The x-rays show some arthritis, as was predicted when I first broke it, but not as much as they would have anticipated.
I saw the local orthopedist and he gave me two options: surgery to undo the hardware and another surgery to replace the hardware (which would give me modern hardware, but no more mobility) or surgery to fuse the ankle in place (which is a great option for older people at times, but is the exact opposite of what I wanted). I gave myself the third option of PT.
This same orthopedist is the one that "helped" my husband with his broken collarbone and literally lied in his documentation about a physical exam that he did not actually do on my husband - and charged insurance for this non-existent exam. The PT that I worked with gave me the names of other foot/ankle doctors who deal with complicated leg injuries like mine more often than the local ortho. (She did this sneakily and clearly felt some guilt while doing it, but also said that my repair is much more extensive than the average patient and the local ortho doesn't usually see anything like it. I like that she tried to defend him, but I'm over him.)
ANYWAY.
I want to avoid surgery if possible. So for now I'm focusing on unilateral work. When I do too much and my leg hurts, I ice it and try to avoid doing those exercises again. I'm carrying around more weight than I should be and that's NOT helping. One of my goals will be to lose some of that weight in 2026, but I will be close-mouthed about that process here on the blog because there's nothing more boring than people talking about how restricting calories is hard. Don't get me started on the boringness of discussing macronutrients.
If, at the end of 2026, the combo of PT exercises, careful unilateral work to build up strength in my bad leg, and losing weight doesn't help with the pain, I'll make some phone calls to those other doctors.
But for now this is the plan.
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Do you have any old nagging injuries? Have you ever done PT?
"Don't get me started on the boringness of discuss macronutrients." - well thank god because I also find such discussions boring!
ReplyDeleteUgh ugh ugh your ortho sounds pretty sketchy, and this whole situation sounds very painful. But! I'm hopeful that the PT etc helps. I hurt my hip very badly in 2019 and PT did help a lot. It took time and patience and devotion to the exercises, but it really helped. I have no lingering issues from that time, thankfully.
The ortho is so sketchy! It makes me mad, especially the way he treated my husband. I find physical therapists to be so helpful and knowledgeable and I was glad my PT took my concerns more seriously than the doctor.
DeleteI like your plan to live your life without any further input from the crappy local orthopedist and to pursue PT/weight loss. My only thought is that one year from now feels like too long to wait before getting a second opinion. Maybe try a few months of your plan, and then start checking with the other specialists to see if they say the same thing as Local Yokel or if they have better treatment options. This is major surgery with a major impact on your quality of life, so I think it's reasonable to check with at least two other docs for your options.
ReplyDeleteThe problem with a faster timeline is the weight loss situation will take a long time. And then I want to live with it for a few months at my goal weight to see if it helps with the ankle. I estimate that will take at least nine months and probably closer to twelve. So that's where the timeline comes in. I'm resistant to reach out to other doctors until I can answer all their questions.
DeleteI like Birchie's take! A year may be too long to wait. But I do like your plan- it sounds reasonable and you may see some great results. I do have to say a huge UGH to the whole situation, and I'm sorry you're dealing with this. I know I read about how you broke the leg initially but I can't remember the circumstances. But I'm pretty sure it was something pretty innocent- it's not like you were sky diving or bungee jumping. It's frustrating that one wrong step can lead to so many issues. Anyway, thanks for the update! I have been wondering about this one.
ReplyDeleteYes, Jenny, I slipped on black ice. That's how it happened. I was just living my life and going to work. *sigh* Human bodies are so fragile!
DeleteHow sucky that something you thought you'd gotten over is bothering you again, Engie. Best wishes on your plan + sending healing wishes and vibes!
ReplyDeleteThanks! The doctor who originally did the surgery warned me that this might happen, so it wasn't a huge surprise, but it certainly hasn't been fun. Fingers crossed we can fix it!
DeleteI'm glad you are moving on from the orthopedist and hope the pt helps. I did pt once before after my 2nd child was born, and it helped a lot.
ReplyDeletePhysical therapists are magicians as far as I'm concerned!
Delete+1 to not talking about tracking macros. Or weight loss in general. It's a very triggering topic for me TBH... I hope that PT helps!
ReplyDeleteMy nagging issue is my finger that I had surgery on in January. I have a limited range of motion and have lost a lot of strength. So I need help with tasks that require me to grasp things, like opening bottles or jars, for example. My doctor told me that the range of motion/strength is probably as good as it's going to get so I am trying to accept that I'm just not going to have the same strength I once had. Sigh.
Oh, man. It is SO DISAPPOINTING when they say it's as good as it gets. I feel that way about running. I'm honestly just never going to be able to do it. Oh, well. It could be worse, right?
DeleteI came very close to having fusion surgery, but other physical issues led me to not do it in the end. An acquaintance had it done but after a certain number of years is having problems similar to yours.
ReplyDeleteI know it can be a good option for some people, but the idea of fusing it seems very daunting to me.
DeleteI know a bit about health struggles that impede mobility...and I also know the terrific feeling when those challenges are gone. I also know that losing my weight has been a game changer. Hope your plan brings the resolution you're seeking.
ReplyDeleteWe'll see! Fingers crossed this time next year it's a different situation.
DeleteOMG the orthopod LIED about an APPOINTMENT?! WTF, Engie. I am very glad you got some recommendations for someone else.
ReplyDeleteThis leg stuff sounds very frustrating. I am also hanging my hopes on weight loss to address a lingering health problem (sleep issues), so if you want to ever text a "this sucks!!!!" my way, I will stand with you in utter solidarity.
I personally love reading about macronutrients, and I feel strongly I can persuade you to enjoy the same rapture. In this 16,000 word essay I will...
It is interesting how some people think reading about nutrition and weight is fascinating. I do...not.
DeleteI have a meniscus tear and it is slowly driving me crazy!
ReplyDeleteI don't track protein or macros or micros or calories or anything. My eyes glaze over AND I feel incompetent when I read stuff about that sort of thing, so I just skip it ;)
YES! I feel incompetent. It's also how I feel when people start talking about investments or credit card hacks. I'm smart. I understand math. I understand lots of complicated ideas and strategies. Why do these things make me feel not smart?
DeleteUGH, rebelling bodies. UGH, shady doctors (wtf). I am having a similar problem with my left knee, including the seizing up and almost making me collapse at random intervals, which is arguably worse than the constant pain. Also doing physio and icing and trying to figure out what to do and what not to do. And also thinking I need to get some weight off my joints. Super fun. At least I have a physiotherapist that I enjoy spending time with now, rather than the one I hated.
ReplyDeleteThe unexpectedness of the seizing up is what gets me. It happens at very inconvenient times! I would not care so much if it just did it when I was eating dinner or watching tv, you know?
DeleteWhat the what with that doctor? This sounds so irritating. I would be really bummed if an injury lingered and limited my workouts. My husband IS a PT, so while I haven't gone to a PT - I have, because my husband will treat me whenever I need it. I have had 'shoemaker's children' episodes when I'm like, I can't stand up because my back hurts, can you PLEASE look at me? Ha. But eventually he assesses me. I don't really have a nagging injury aside from my back and it's not anything I can't deal with. I hope your pain subsides and you find a great PT - a great PT can make all the difference. People come from many miles away to see Coach.
ReplyDeleteThe PTs I've been to have been much more helpful than the doctors. It is a sacred profession to me!
DeleteUff. That sounds really hard and frustrating, Engie. You'll probably hate me when I tell you that I've never done PT (I know I am lucky and I don't want to jinx it), but I definitely feel your frustration. I think it's great though that you want to try work with your body (by doing PT and losing some weight). You probably also hate me when I say that I find nutrition and micronutrients highly fascinating. LOL All this to say, I really hope you'll some improvement after all the effort you'll be putting yourself through.
ReplyDeleteI know some people really do find all that stuff fascinating. I think it triggers me a bit because I'm so concerned about hitting goals and I get really down on myself if I don't. I just don't want it to become a food issue, you know?
DeleteI'm so sorry you're having pain. I really hope that PT will help you. I had great success with PT when I hurt my lower back many years ago. She showed me exercises and stretches, as well as taught me new ways to move so that I'd be less likely to re-injure myself. It was embarassing to find out that I didn't know how to bend over correctly, but relearning was a game changer for me.
ReplyDeleteYoga has really taught me a lot about how to move, too. Bending down is so much easier if you hinge at the hips, but figuring out what that means is HARD. It's not a natural way to do it.
DeleteI do not think either of those topics is boring, so feel free to text me LOL
ReplyDeleteLOL. Well, since I do not find them exciting, it's unlikely I will take you up on this offer, but thank you!
DeleteI hope your plan works or can at least get better advice from a different medical provider
ReplyDeleteWe'll see how it shakes out. Fingers crossed.
DeleteNothing is worse than having your own body betray you. I'm so sorry.
ReplyDeleteI had one really good orthopedic surgeon and one not-so-good one. One ended up in drug rehab for opiate abuse. I really liked that guy, too, and he was the really good one!
Like others, I am a big believer in PT. It has helped me many, many times. What MG says is spot on as far as how it teaches you what to do for healing and prevention.
I understand why you want to wait to see the results of your own plan, but I don't want you to prolong any difficulty or be miserable. I hope you can avoid any surgery and feel better.
There's nothing worse than our bodies being dumb, but I guess it's what we have to do! Fingers crossed it can be turned around, though.
DeleteYou have such a great, well-thought out plan! PT can be wonderous. At any point, have you tried acupuncture as an adjunct treatment? I can't explain why it works (dry needling effect alone? are my meridians better aligned), but it can be pretty great.
ReplyDeleteAlso, it does sound like your case is more complicated. A foot and ankle ortho sub-specialist would be a great source of a second opinion, should you pursue it. One of my friends is a FA and he always talked about the foot and ankle as having the most elegant joints, which is hilarious since people usually think of the hand. As I type it, I realize there is zero humor in it...I think it must have been the delivery.
I have not done traditional acupuncture, but I have done dry needling. It helps temporarily, but has not provided long-term relief. I definitely did like it for the 20-30 minutes it helped, that's for sure!
DeleteSorry you are going through this, it sounds painful and I hope that the PT helps you. I had PT a couple of years ago and was impressed. I can understand being hesitant to undo the hardware - I have a plate and pins in my elbow from many years ago which I've left in.
ReplyDeleteIf I could take out the hardware and be done, I would totally do that. But just to put more hardware in? I don't think that's the direction I want to go!
DeleteCount me in with everyone else hoping you can avoid further surgery, but also glad you got away from the shady orthopedist. My daughter sees a psychiatrist for her anxiety, and he talks to her for 5 minutes and charges for two appointments - one for the medication, which is fine. But he also charges for therapy, which, WHAT? He’s not giving her any therapy. Asks if she’s OK, that’s it. Shady.
ReplyDeleteI’ve been to physical therapy several times, and it has always helped. I hope it helps you too.
UGH on the weight loss. I need to do that as well, and yes, it’s boring as fuck. I have tried tracking macros and I am incapable. The answer seems to be ‘eat less’. I hate that answer.
People say My Fitness Pal is the easier way to track things and that's probably true, but I find the interface SO CONFUSING. Since we do so much home cooking, it's annoying to have to type in all the ingredients and figure out how many servings, etc. Oh, well. I shall have to eat less, I guess.
DeleteI definitely understand! I've dealt with carpal tunnel (got a steroid shot, which worked for about 4 months but now the numbness is back, ugh), trigger finger (more steroid shots, and that pain is slowly coming back), and now my stupid hip/IT band pain. I'm doing PT twice a week for it and I'm seeing very slow improvements. Ice/heat and stretches every day, which is boring and annoying.
ReplyDeleteI definitely think you have it worse than I do! So many things ALL AT ONCE. At least mine is pretty contained. Hopefully PT will help both of us.
DeleteThis sounds like a drama. I can't believe the doctor lied, not great! MY daughter had a tib, fib fracture, but luckily had not finished growing, so they were able to fix it without hardware, although it took a lot longer to be usable. I've used a physio many times, most recently for my stress fracture.
ReplyDeleteThe doctor is terribly unethical. My SIL is a hospitalist and she said that common among orthos. I had no idea!
DeleteHi this is Daria from mom of children
ReplyDeleteSorry you had to deal with a sketchy doctor. Ugh, as if you need additional things.
I have been to PT twice.
Once, not an injury but lower back pain. Back in 2016, got better. Even had two kids lol
Spring of 2025: migraines and something called “teachers neck” -went for about two months, felt better. The best part about therapy was heated pillows (ahhhhh) and massages/neck cracking by a chiropractor.
Who doesn't like the massage part of PT?! Ha ha. Actually I don't really like it because I don't like people touching me. But if I can get over that part, it does feel nice sometimes.
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