Page 2 of 2 FirstFirst 12
Results 51 to 97 of 97
  1. #51
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi Ryki! Sounds like you are coming around pretty good! You get used to the DynaSplint after you have worn it for a bit. I have always tossed and turned in bed, so in order to eliminate that I sleep in a recliner so my arm will stay in one place while I sleep. As you tighten up the tension on the splint it will hurt a little until you get accustomed to it. No pain no gain! I went to the Dr. last week and he said he thought it was helping so he ordered me to wear it for another month. You could wear it during the day if you are concerned about sleep, but you can't really do much but sit with your arm still. That's why I wear it at night. I'm still doing my PT exercises and have been able to lift a little bit of weight with my arm. I still have some pain if I move my arm wrong and my wrist is stiff every day when I wake up. The Dr. said it will probably be like that forever and I'll just have to do exercises to loosen it up every day. My wrist pops a lot when I do the exercises and feels better afterwards. I had a lot of pain in my wrist in the beginning and it will eventually go away. The exercises really helped my wrist. Plus I massaged my forearm a lot. That helped with numbness. I have had to exercise my shoulder too. This is week 16 for me. My next Dr. appointment is next month. I'll give an update soon.

  2. #52
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi Ryki! Sounds like you are coming around pretty good! The pain in the wrist is normal. After a while that will go away. The PT exercises helps along with massaging your arm. I discovered that massaging helped the numbness go away too. I remember at first when the splint first came off I thought I had broke my wrist it hurt so bad! The DynaSplint is not too bad. I sleep in a recliner at night because I toss and turn in bed too bad and need my arm to rest in one place. When the tension is tightened it is somewhat uncomfortable until you get used to it. The Dr. thought it was helping me and ordered me to wear it for another month. Currently I'm in my 16th week. I have another Dr. appointment next month. I'll post an update soon.

  3. #53
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Sorry I posted the same message twice...I couldn't find my first message once I posted. :P

  4. #54
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    think im gonna give the dynasplint a miss, im not one for sitting still alot!

    I had my 1st PT session yesterday. I thought I was going to get 'beasted' but it was prettty miminal in the end. I've been given 5 minute 'gentle' exercises to do every hour until my next app on thurs. My range is 85 - 115 which is what I thought to start with. Loads of cracks, pops and squelchs when doing the exercises, it drives the wife nuts! lol

    My wrist doesn't hurt as much now either which is nice!!!

    I shall report back next thurs!

  5. #55
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    I went to the Dr. yesterday and he said that I have plateaued in progress of extension/flex which is currently 15/125. I still need to continue PT exercises and see if I can get more extension, but it doesn't look promising. He told me from the beginning that it might not ever be the same as it was. My supanation/pronation is very good...no issues there. My wrist pops 2-3 times a day when exercising it. I haven't experienced any clicking noises thank goodness but I can barely touch my shoulder. I'm now at 19 weeks post surgery. I've been released from the Dr. and no more follow-up appointments are needed he said. How are you doing ryki?

  6. #56
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    Hey Purrsey!

    All is going very well I feel for me! For 1st couple of weeks out of cast (weeks 6 to 9 post op) I had two 20 min PT sessions a week and alongside that I did 10-15min exercises every hour every day and things were going smooth!

    Then I went to 1 session a week and plateaued (weeks 9 to 11 post op) as I was starting my PT sessions at 65/120 and finishing at 60/120 everytime! I then changed my PT person and my home excerises and things have improved! I found that massaging the muscles for 10 mins three times a day helps to relax them enough for me to stretch them during my exercises!

    I'm now 55/120 at week 13 post op. I had doc check up last week, my sup/pronation is excellent, prob 2 degrees off perfect! In terms of final outcome for my extension/flexion he thinks 15/125 is what i'll be able to finally manage! He also told me that I split the head of my Ulna too which I didn't even realise!


    Went back to work yesterday and also got back on my bike too (to get to work!lol) with my nice shiny new helmet! A bit strange having one arm bent but I'm managing!

    Have you managed to squeeze a few more degrees since writing your last comment? Hows the wrist popping? Doe's it ache much still? I haven't got any pops, sometimes it'll sqwelch but its very rare. It really aches around the Ulna on the inside of my arm but thats only when I've exercised.

    Got another doc appointment in 3 months.

  7. #57
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi ryki!

    Sounds like you are coming along well! So glad you changed your PT person! What a difference that made! I haven't changed any from 15/125. I have a feeling that might be as good as it gets for me. My wrist still pops during exercise everyday. It feels so much better once it pops. I don't have a whole lot of aching, just stiffness every day when I get up. Once I start using my arm the stiffness goes away. I still don't have all of my strength back, but I'm working on it. I bought a little red wagon to carry groceries and heavy items from my car to the house. I hurt my other arm (good elbow) by carrying too much trying to compensate for bad arm. I think I have tennis elbow in it or something. I feel like I can't lift much now until I heal further. It stinks! You don't realize how much you lift things until you don't have the option any more. I'm glad you discovered the wonders of massaging your arm. It really helped me with the numbness. I'm looking to purchase a Nike Golf Sleeve to cover my arm for when I go to the pool. I've also been using 100 spf sunscreen on my surgical scar when outdoors. Doctor said to protect it for at least a year. Keep us posted on the results of your next doctor appointment!

  8. #58
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12

    5 weeks

    Hi All,

    Really glad I can upon this site. Found it while sitting with my wife in the hospital. She fell of her bike, just street riding for enjoyment. She dislocated her right elbow and shattered RH. The implant was placed on June 1, 2011. She sat in a partial cast for 2 weeks. Originally the Dr wanted her to begin moving within 2-3 days. However because of the extent of damage to the elbow, including the metal plate with 8 screws, he had her hold off for 2 weeks. We began working pysical therapy/phisio therapy (PT) during the third week with just her and I. I've had a lot experience with PT so I did what I could. Her flextion and extension are max at 35 and 105. We've transitioned to licenced PT and it is working well. The concern is that she stiffens up very quickly. Every day when she starts PT she has to work for 20 plus minutes just to get to where she was the day before. The PT is now using heat to loosen her up first then they are using electro stimulation then rolling into the exercise routine. The Dr already told her that because of the amount of repair that she had to have, he would be happy with 20 degrees extension but flextion she can go as far as she can handle. He is concerned about ripping certain sutures which I do not fully understand. I am hoping that she can do better than 20 degrees but I am happy that she is okay. Did all encounter breaking through the same barrier each time they starting a different days PT?

    thank you,

    JAPR

  9. #59
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12

    Shoulder movment

    Hi there,

    My wife's shoulder seems to be over compensating significanly when extending and flexing her arm after the RH replacment. It makes her look like she is extending and flexing further than she actually is and I am concerned about shoulder injury to add to the elbow injury. Did anyone else encounter this problem? Did you find anyway to hold the shoulder still while working on flextion and extension.

    thanks,

    J

  10. #60
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi JAPR,

    Sorry to hear of your wife's accident. Did she have an implant put in or were they able to save the radial head pieces with a metal plate and screws? I too had to wait 2 weeks before I could take the 1/2 splint off. When they did take it off my wrist hurt so bad I could barely move. My shoulder hurt when I did my exercises so I began doing shoulder exercises which helped immensely. You might ask your PT to add shoulder exercises to her daily therapy. My recovery has been a slow process and has definitely not happened overnight. Tomorrow will be 7 months to the day of my accident. I still have some stiffness daily, but once I actively use my arm it goes away. Hope this helps and keep us posted on her recovery.

  11. #61
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12

    6 Weeks

    Hi Purrsey,

    Thank you for the suggestion.

    She had a RH implant plus she broke the Ulna right at the Olecranon as well as shattering a piece of the Olecranan. The Dr had to plate the Ulna to the Olecranon with 8 screws and from what the Dr said the part that kept her imobalized for those couple of weeks was that he had to also suture a couple of things together (not sure I completely understand this part) to compensate for the shattered piece of the Olecranon so that the elbow does not disslocate.

    I will surely begin working with her on shoulder exercises and recommend to PT.

    With the limited range of motion that these surgerys cause at first, do you happen to remember what exercises you did at the very beginning in-order to work on your bicept and tricept strength?

    It is very hard at the moment because her range of motion seems to be limited to passive rather that active motion.

    I'm glad to hear that while you do get stiffnes it sounds like you've advanced well in 7 month.

    Best,

    JAPR

  12. #62
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi ryki,

    I'm just following up to see how your exercises are going? I'm hoping all is well! Hope to hear from you soon.

  13. #63
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    JAPR,

    I'm going to provide a pdf link that has shoulder exercises to try. I'll post it as soon as I find it.

  14. #64
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi JAPR,

    OMG! Her injury sounds to be a little more complicated. I've attached a pdf link that you can go to and print off the various exercises for the wrist/arm/shoulder from The Ohio State University Medical Center. These PT exercises were also approved by my Orthopedic Specialist. The PT can recommend how many reps and how often to do them in a day. The exercises worked for me but it took some time. Be careful not to push it too hard for she can overstretch the ligaments (Hypermobility) and that's a whole other issue. Keep us posted on her progress.

    http://www.medicalcenter.osu.edu/pat...r/elb-fore.pdf

  15. #65
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12
    Hi Purssey and Ryki,

    Hi Purssey, thank you very much for the link to the exercise routine. We are always looking for different ways to address some of these exercises just to keep them interesting and motivating.

    Hi Ryki, I was looking at a few past postings and came accross your xrays. They look very similar to what my wife had done. Both the RH replacement and the Ulna and Olecranon plated back together. Did your Ulna and Olecronon completely break from each other and is that why they were plated or did the ulna fracture and they put the plate on plus wrap it with a wire band to help heal the fracture. My wife is a surgery nurse and she is thinking it is a wire band to keep the ulna together. How are you feeling and how is your progress?

    PS I will post her xrays once we get them back from the Dr.

    Best,

    JAPR

  16. #66
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    Hey JAPR, I have been reading your comments and it does sound like your wife has an almost identical injury to mine but on the right elbow. My Ulna was as good as broken completely and yes my Olecranon was damaged too, it 'split apart.'

    The wiring I presumed was to hold the Radial Head and Ulna in position and stop them from dislocating? Maybe I should ask the doctor about this (or listen when he does tell me!) ! Does your wife have something like this too? Or maybe this is what the sutures are doing? Maybe they 'bound' some tissue together to keep things 'snug' and then expect through PT for this to fix itself? These are massive guesses, I'm no doctor!

    Great news that she's doing PT already. I seem to be the only one ever to be put in a full cast for 7 weeks for this injury so my PT has been alot different!! I think my muscles built up too well whilst in the cast as I was still using them ALOT (the muscle that runs along the top of the arm from the joint was absolutely massive!) and so now it has hindered me abit as I have alot of scar tissue to try and work as its too tight and strong!

    35 Ext is awesome I think. I'm only at 45 Ext and I'm nearly 5 months post op! My doc only expects me to get to 15-20 Ext.

    Flexion is really poor for me. Its something I haven't concentrated on nowhere near as much as Extension, mostly as the Doc said I'd get 115-120 out of it which is what it was at when I had my last appointment in May. It hurts more trying to excerise in that direction and everything around my elbow feels insanely tight to the point were I can see my skin go white from pressure were the plate is poking out!

    In terms of stiffening, yes it still does stiffen up this far down the line. Example, I had a PT appointment last fri early morning. I had no time to 'warm up' so went straight to my appointment. At the start of the session I started at 60 Ext which is a barrier I had past a good month ago and it took the whole 20min session too get back to my current angle of 45 Ext. All because it has stiffened up overnight.

    In terms of shoulder movement, my shoulder also 'leans forward' alot which makes me feel like my arm is doing great during exercises when in actual fact its not, its just my shoulder sticking out! Aslong as your wife is concious of that movement she should just try to keep it to a minimum. Maybe exercise lying down?

    The exercises I like do at home (when life/work doesn't get in the way!) mainly involve lifting a heavy shopping bag of weights for 30 - 60 secs three times an hour (this is to remove any stiffeness built up) and then just holding a heavy dumbell in my hand and letting my arm muscles relax so that the weight naturally forces my arm downwards. Again 30-60 secs three times an hour. I use my elbow as a pivot (with cushions underneath) and hold the dumbell over the table edge. I first did this lying down to reduce the shoulder movement but have since prefered to do it sitting up. I used to use 6kg and really push myself but have tried out 2kg this week and I can hold it for longer periods and it feels more comfortable!!!!! Whether it will have done me any good, I will find out tommorow at my PT session!

    My PT session is once a week. They do 5 mins massage and the rest of the session is spent doing a technique called 'hold and relax' which involves me pulling my arm up with the therapist pushing against my arm for 5 secs and then me relaxing my arm whilst the therapist still continues pushing down (alot more gently though). Gradually my arm will get weaker and weaker until I cant pull up no more! Thats when we stop and measure!

    As I dont check this page much now, if either of you guys (or anyone else who comes across this msg) wants to add me on facebook to chat more then feel free. I'm happy to answer any questions that you may have. My name is Ricky Jordan (Weymouth, Dorset)
    link here (might need to log in to view it) >> facebook.com/profile.php?id=900020353 <<

  17. #67
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    I have a new x ray which is much clearer than the others I posted but this site wont let me display the, until ive made a few more posts so here they come . . . . .

  18. #68
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    little and often is the key to exercises . . . . .

  19. #69
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    make sure she still alows time for recovery too. If it gets too much then reduce or stop the exercise for a day

  20. #70
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    im wittering on now like a mad man sat in front of a computer screen at 12.15am, oh wait I am!

  21. #71
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16

  22. #72
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    well switching to a lighter weight and doing more exercise often doesnt to seem to have done me any favours. I should be hitting 50/45 Ext at the start of my PT session, today I was at 55 and I finished on 50. Disappointed massively. Think I'm gonna switch back to the heavy weights and just push myself insanely!

  23. #73
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12
    Hi Ryki,

    I was just thinking along the same lines as you yesterday. I believe you may have a very good point. Less exercise with more frequency. Right now she is trying to do a full work out two to three times a day which seems to be a barrier because her arm seems to thighten more. I'm going to write up a schedule for her to do stretches every two hours while awake. Then do one full work out each day rotating the part of the arm that she works on from one day to the next. I work out a lot and if I tried to work out my arms every day or more than once a day I'd have nothing left.

    You're xray does look very similar to hers The Dr told her that if and when she get to 30-120 he will be satisfied. She has a complete brake in the Ulna from the Olecronon. When we saw it on the xray it looked almost scary. Doc said that bone should grow back in and if it does not then they may go back and put some filler in between the two pieces. For now he did not want any thing in their because of fear that the filler would create friction elswhere and cause asthritis. My wife (a surgery nurse) calls this people bondo like they use on a car.

    She is currently wearing a brace for flexsion and extension but it is not dynasplint. We are still fighting with insurance to get the dynasplit. Did you end up using it and what are your thoughts? I read a lot of different opinions on it both good and bad.

    The brace she is wearing you crank a knob and then leave it on for several hours. At first she was trying to crank it two quickly and to much and only could stand it for 30 minutes but that did not do any thing.

  24. #74
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12

    Dynasplint

    Hi has anyone used the dyansplint for elbow extension?

    If so does anyone know if the dynasplint elbow extension brace work for either a left or right arm?

    I know some of dynasplint's stuff is left/right specific but I was wondering if anyone knew specifically about the elbow extension brace.

    thanks,

    JAPR

  25. #75
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    I haven't used any brace or supports but Purrsey has. What is it that your wife is using? I looked into Dynasplint but was put off at the fact they don't have prices on their website and also that everyone who has used a Dynasplint on this thread has gone through Insurers to get one which made me think it might be too expensive!

    I have another PT sessions today. I have been using a heavy weight all week and as a result my arm has been aching loads, hopefully this is a sign of improvement!

    I have found a way to reduce shoulder movement too. If you lie down on your side with the injured arm outstretched along the floor (which should actually be stuck up in the air!) then you are putting all your body weight onto that shoulder that is movng therefore it should be restricted now!

  26. #76
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12
    Hi All,

    Just got the dynasplint two days ago. It was in fact a battle with the insurance. The dynasplint people do not want to sell them. They want to rent them at a very high rate. The insurance company agreed to pay for a few month but I think our max $$ amount will run out before them. She got a splint for the extension and one for the supination/pronation. You have to wear the extension for 8 hours at a time so she does it while sleeping. Not easy to get comfortable. As for the wrist one that is 3 Xs a day 30 Minutes each. That one works very quickly but looks like something from Terminator.
    We go see the doc in 5 days. Hoping he'll note some improvement. Her arm is still very weak. but ROM as gotten a tiny bit better. Now 8+ weeks post op.

  27. #77
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    Hey JAPR, hows your wife getting on with the dynasplint?

    I did eventually look into getting one and they have said I can buy one for £1000 which I would like to think is good value for money IF I knew I was going to get some results from it because at this point in time I have been discharged from physiotherapy

    My final ROM is 115/50 and after two months of trying I can get no further than 45 degrees after excerise. I had a doc app yesterday and he said he wasn't particularly suprised at the ROM and that they will probably do another operation to remove some scar tissue to 'free' the arm up a bit. This isn't going to happen until the new year though once everything in my arm has completley settled.

    In the mean time I still need to get on with my on physio regime ( 3 times a day) to make sure my arm doesn't recoil backwards and ruin the progress that I have made.

    Oh I have a hernia on my forearm too which is probably from over exercising!!! typical!

  28. #78
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12
    Hi RYKI,

    Your injury and my wife's are almost identical. She is now 3 month post op and she can get to 115/50, with streching from the therapist she can get to 118/45. We saw an elbow speciallist two weeks ago and he said that she will need a surgery soon to remove from the excess scar tissue and also because the gap in the bone that the plate is holding together has not filled in yet so they will need to do a bone graft to fill in the gap. The specialist seemed to think that more PT will not do much good. But he is willing to have her try it for a bit longer. Also he is recommending a bone stimulator machine to try to grow the bone in the area that was broken on the Ulna. She is currently wearing the extension brace for 6 hours during the day time. She is wearing the Flexion brace for 6 hours during the night time and is wearing the supination/pronation brace 30 minutes 3 times a day. YES three braces. Because they are so expensive the insurance would only cove them for a couple of month. I found an extension brace on e-bay for 225USD. I don't know if they are really working. What they are doing is preventing her from regressing. The problem with her is that she is not getting stronger. Without the strength she will not be able to break through any scar tissue on her own. She exercises all the time but needs to push for heavier weights but no luck there.

    The brace may help you maintain your ROM but I'm unsure about how well they work for gaining more ROM. I will tell you that she is not dilegent in wearing it exactly how it is suppose to be worn. That is my opinion as I've done a lot of research and watched a lot of video's on You Tube of how they are suppose to be worn. There is a very specific procedure to wear them and that you should sit still for as long as possible. My wife get's rather restless.

    Keep me posted on your progress and what the Doc says. We see two more Doc's in Sept and will most likely choose the next path. PS are you back to work? She is suppose to go back Sept 1 but now pushed back to Oct 1 or Nov 1.

    Best,

    JAPR

  29. #79
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi JAPR,

    I used DynaSplint and didn't have any issues with it. My insurance didn't pay for the rental of the splint, so DynaSplint worked out a payment plan with me that was affordable. I wore it for 4 months and did see improvement. I wore it at night while I slept but had to sleep in a recliner with pillows propped up beside me under the arm. I tend to toss and turn a lot in bed, so this method kept me still. It was worthwhile for me to use the splint, but you do have to wear it faithfully. Sometimes I had to take a break from it for a night, especially when I had tightened it. I could only wear it for 5-6 hours until I got accustomed to that level of tension. The recommendation is to wear it for 8 hours. I hope your wife is able to stick with it, the results were worth it for me.

    Please keep us posted on her progress. I wish her the best.

    Purrsey

  30. #80
    mtbr member
    Reputation:
    Join Date
    Feb 2011
    Posts
    13
    Hi Ryki,

    Sorry to hear you might have to have another surgery. I'm glad you are continuing your PT exercises despite the setback of a hernia on your forearm. Hang in there for it will get better!

    As far as my progress goes, my elbow now pops occasionally along with my wrist. I have occasional aches and when I go walking/jogging for long periods of time my arm will stiffen up and I have to exercise it. I can ride my bike now and have started wearing elbow pads for protection when riding. My scar is beginning to diminish somewhat. I've been using 100spf on it when outdoors. My arm is not completely straight, but that's expected. I'm just hoping that I don't develop arthritis in my elbow. Time will tell I guess.

    I hope you keep posting your progress here Riki for I'm not a member of Facebook.

    Take care,

    Purrsey

  31. #81
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12
    Hi All,

    Almost 14 weeks post op. Flexion seems to be doing better. The dynasplint seems to be working for that. However the extension is still stuck at 50 degrees and no improvement there. Supination and pronation also seem to be stuck Doc seemed to think that there was a bit of regression on the supination. Maybe the bone calssification jumped from the Ulna to the Radius. This will probably have to be cleaned up once and when they go in to clean up. For the last week my wife's been unable to stand the extension brace for any period of time. There is an odd swelling at the end of the plate near the forearm. It is also very very tender to the touch. Can't tell if it is swelling from an infection (does not appear to be) or maybe one of the screws has come lose. We see the doc in three days so we'll find out. Hate to have set backs but we kind of figured they would happen.

    Will be back soon,

    JAPR.

  32. #82
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12
    Hi All,

    16 weeks. Extension progress has come to a stall. Working on scheduling surgery for a bone graft to fill the gap that is in the Ulna. It will most likely come from the hip. Doc wants that to heal for 3 month then he will do another surgery to free up the arm.

    JAPR

  33. #83
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    Hi all! No progress from me. Elbows still stuck at 115/120 and 55/50. Doc has brought my surgery forward to December of this year, The surgery involved is called an 'Anterior Release'. They will remove scar tissue from both sides of my arm. Hopefully they will fix the hernia too and also remove the 'wiring' as the block that holds them together has been irritating me!

    Sorry to hear about wife needing a bone graft JAPR, thats quite a big set back.

    Glad your on your bike Purrsey, good idea with the elbow pad, just make sure your wearing a helmet too!!

  34. #84
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12
    Hi All,

    Wife just had bone graft from Illiac crest (pelvis) to the elbow. Surgery took about 3 hours. Two doctors already warned us that the hip will hurt more than the elbow. xrays show that the gap is packed in very well. Pain in the hip is very uncomfortable. Hurts when walking/sleeping moving around. Doc's say that will take a decent amount of time to heal. Elbow is not so bad but very stiff because doc does not want too much movement until bone graft sets in. wife is using a bone stimulator to accelerate bone healing. two month from now wife will have what we hope will be the final surgery to release the arm (remove the calssified bone and maybe remove some of the metal hardware). BTW the doc had to change two of the screws because they were too long.

    Hi Ryki, I hope your elbow release turns out very well. It looks like your "release" and my wife's will be about one month apart. Please keep us posted. I'm very interested on how you progress. Best of luck, keep posting.

    thanks
    JAPR

  35. #85
    mtbr member
    Reputation:
    Join Date
    Jul 2011
    Posts
    12

    Update

    Hi All,

    My wife just saw the surgeon last week. Xrays show that the bone graft is healing well. The next surgery to release the elbow will be the first week of February. According to the Doc he may have to remove the radial head and clean up the scar tissue and then put in a new radial head.

    All the best,

    JAPR

  36. #86
    Ride Hard. Go Fast.
    Reputation: OldschoolBMXer's Avatar
    Join Date
    Sep 2008
    Posts
    253

    Radial head replacement isn't the end

    Hey everybody, just wanted to let all of you know I read this thread after blowing up my radial head into 8 pieces in Oct 2011. I can't thank all of you enough for giving me inspiration and confidence to make it back in the saddle again.

    The surgeon I had did a wonderful job in removing the pieces and replaced it with a prosthetic. After 6-7 months of PT and me stretching and exercising, I was able to get back to 93-95% movement, I gingerly made my way back to riding again. PT can do wonders; the more you put into it on your own time the better your results will be. The surgeon explained that I'll never have it 100% again and obviously warned about the risks with riding again, but I think in anything we do there's inherent danger and minimizing the risk can help.

    I've been happily back riding for 9 months and trying to enjoy a different side of riding I didn't appreciate before (trail riding). I've been slowly building back confidence and being better at focusing on my riding because it's this part that got me hurt (being too relax about what I was doing). I have to say I didn't know I could actually be better at just riding and controlling a bike on the ground. So there's a light at the end of the tunnel.

    I'm getting a little more comfortable everyday and hardly notice that I have a repaired elbow and only reminded of it when I'm trying to do more than I'm suppose to. I'm still trying to work on the strength, but as time passes, it's been harder to be disciplined.

    I wrote a review on the POC pads I would recommend to you all. I spend a lot of time researching safety pads and these have been the best I've used. Take a read if you like here. I encourage you all to have hope and determination to get back on the saddle.

    Happy Trails...
    Last edited by OldschoolBMXer; 02-07-2013 at 04:08 PM.

  37. #87
    mtbr member
    Reputation:
    Join Date
    May 2013
    Posts
    1
    Aloha - I too had a mountain bike accident. Shattered both my elbows in 2006. Screws in both. The right was worse and after years of pain and issue I had a elbow replacement 5 months ago. Got the green light 4 weeks ago to to things, helped my husband move a dresses and rotated the radial replacement head 180 degrees. Crap. So last week had surgery for the Third time on my elbow and he removed replacement and now there is an empty space in my forearm.

    I was a rock climber - not any more. I have been surfing since i was 14 (now 43) and hoping to be able to again. Got the green light to surf till I lifted that damn dresser.

    Anyone with no radial head? Activities? Any advice would be great. Sure wish my doc told me not to lift heavy items.

  38. #88
    mtbr member
    Reputation:
    Join Date
    Mar 2011
    Posts
    16
    hey all, quick update.

    Over two years have passed since my injury. ROM is still pretty poor for me. 115 - 45, so a window of about 70 degrees. It hasn't hindered life much. Struggle a bit these days now that my 18mth little girl is getting heavier to carry, aches the muscles around the elbow in the evening!

    Comfortable on the bike even tho I cant outstretch but Im still able to stand and hold the handle bars with comfort. Swimming is interesting, I go round in circles a lot (just kidding!).

    Verdict, PT every second you can as it will benefit in the long run. Sadly I cant really do much PT now as life gets in the way and the PT I have tried doing recently has been painful for the days afterward which has an effect on the quality of my life so I made the decision not to continue.

    If you have time off work with the injury, use it to its full capacity in doing PT!

  39. #89
    mtbr member
    Reputation:
    Join Date
    May 2014
    Posts
    1
    I am 53 years old and I had a radial head replacement in my right arm after an MTB accident 1 year ago, in May 2013. I was devastated at the time but would like to give some hope to anyone out their in the same situation, because a year later I am riding as much as I ever did and doing quite rocky, bumpy trails with no problems at all. Best advice in no particular order: firstly, be patient! I fell in May 2013, started smooth tar rides in late August, and was back on MTB trails by the end of November. I was in a brace for 6 weeks, the first 2 of which I was not allowed any movement at all. I did intensive physio 3 times per week from week 3 after the surgery, and the physiotherapist encouraged movement of the joint very early in the process. After the brace was removed physio was quite aggressive and painful, but I am grateful for that, as I have heard that others who followed a more conservative approach with regards to movement did not get good ROM back. It is vitally important to religiously do your home physio exercises every single day, and do them properly. There are no short cuts! I did physio twice per week for 4 months, and daily exercise at home in that period. I also started strength training at the gym in about month 4 after the operation, and I am still doing that once per week. Avoid free weights and stick to gym machines that are based on pulling and pushing cables, and keep the weight under 5kg. Don't attempt any exercises that involve the arms above the head. Besides the ROM problems, don't underestimate the loss of strength and muscle in the rest of the arm, especially biceps and triceps, and watch out for shoulder problems because of using the shoulder to compensate for loss of reach. After all that my arm is now as good as straight, extension is full, but flexion is not as good but nevertheless fully functional. Supination is almost full, and no problems with that at all. But the very best thing that I did was go to a good biokineticist (who participates in MTB and has a good understanding of the demands on upper body) in January of this year, and he gave me a set of 7 exercises to do using a theraband, 4 times per week. I am still doing those exercises and will continue for another 6 months at least, if not make them a permanent ritual, as they help so much. They have made a massive and positive difference and my arm is strong and the elbow joint is stable and strong, and I have no problems with MTB at all, except for a mild ache in the forearm, especially on long rides. But I have done road cycling events in excess of 5 hours, and my arm coped well. I avoid carrying heavy weight in my right arm, as the surgeon warned against doing so, and I am always conscious and aware of the fact that my right arm is no longer "normal" and so I need to be careful with it. But I am once again fully functional on my mountain bike and I ride every weekend, albeit a little more carefully!

  40. #90
    mtbr member
    Reputation:
    Join Date
    May 2014
    Posts
    1
    I'm sorry to hear about your accident. I hope you are doing well. I also had a severe injury. I was working construction and my ladder kicked out on me. I free fell 15 ft on to my left arm (dominant). I dislocated my wrist and fractured my ulnar as well as dislocation my elbow and shattering my radial head. And I am only 23! I didn't have the best ER doctor which set my joints and plated my fractured ulna. I went through 2 months of being casted and 6 months of intensive therapy. I have so much pain and loss of motion in my whole arm. I got referred to mayo clinic in rochester. They are absolutely amazing. Last week I had surgery on my wrist. It was too far damaged to try to fix so I had the option of a full wrist fusion or a procedure to take out the nerves in the wrist the sent pain signals to the brain. It went very good. I have no more pain in my wrist!!! And doctor is hopeful that it will last long enough into the future till I'm old enough to get a wrist replacement. I have also had my elbow assessed here at mayo and have surgeru in a couple of weeks. I am going to have a radial head replacement as well as removing broken fragments and a ligament graph. I have full confidence in the doctors here. I believe they are the best in the country. I know what you have all went through and I can sympathize! I am also a very athletic person and have played sports my whole life. (Played a year of college football). I am ready to get this done and get my life back on track. I am glad you guys have posted your stories, for they were very helpful and reassuring. I hope all is doing well and are still able to enjoy your sports and activities!!!

  41. #91
    mtbr member
    Reputation:
    Join Date
    Aug 2013
    Posts
    1
    Quote Originally Posted by bryndav View Post
    I am 53 years old and I had a radial head replacement in my right arm after an MTB accident 1 year ago, in May 2013. I was devastated at the time but would like to give some hope to anyone out their in the same situation, because a year later I am riding as much as I ever did and doing quite rocky, bumpy trails with no problems at all. Best advice in no particular order: firstly, be patient! I fell in May 2013, started smooth tar rides in late August, and was back on MTB trails by the end of November. I was in a brace for 6 weeks, the first 2 of which I was not allowed any movement at all. I did intensive physio 3 times per week from week 3 after the surgery, and the physiotherapist encouraged movement of the joint very early in the process. After the brace was removed physio was quite aggressive and painful, but I am grateful for that, as I have heard that others who followed a more conservative approach with regards to movement did not get good ROM back. It is vitally important to religiously do your home physio exercises every single day, and do them properly. There are no short cuts! I did physio twice per week for 4 months, and daily exercise at home in that period. I also started strength training at the gym in about month 4 after the operation, and I am still doing that once per week. Avoid free weights and stick to gym machines that are based on pulling and pushing cables, and keep the weight under 5kg. Don't attempt any exercises that involve the arms above the head. Besides the ROM problems, don't underestimate the loss of strength and muscle in the rest of the arm, especially biceps and triceps, and watch out for shoulder problems because of using the shoulder to compensate for loss of reach. After all that my arm is now as good as straight, extension is full, but flexion is not as good but nevertheless fully functional. Supination is almost full, and no problems with that at all. But the very best thing that I did was go to a good biokineticist (who participates in MTB and has a good understanding of the demands on upper body) in January of this year, and he gave me a set of 7 exercises to do using a theraband, 4 times per week. I am still doing those exercises and will continue for another 6 months at least, if not make them a permanent ritual, as they help so much. They have made a massive and positive difference and my arm is strong and the elbow joint is stable and strong, and I have no problems with MTB at all, except for a mild ache in the forearm, especially on long rides. But I have done road cycling events in excess of 5 hours, and my arm coped well. I avoid carrying heavy weight in my right arm, as the surgeon warned against doing so, and I am always conscious and aware of the fact that my right arm is no longer "normal" and so I need to be careful with it. But I am once again fully functional on my mountain bike and I ride every weekend, albeit a little more carefully!
    Your post is encouraging. I am a 46 year old male that is 4 months post injury with one messed up elbow (terrible triad as the doc likes to call it) Anywho, my radial head was fractured into multiple pieces but the doc felt it had potential to heal so followed their advice and waited patiently, PT, bone stimulator, etc. but unfortunately the fragments haven't unified. So getting ready to do the replacement in two weeks. Being told i should be able to ride again in 3+ months. I'll be diligent in following whatever they throw at me again. I actually have recovered fairly well with the exception of the weakness and pain in the forearm up through the thumb (due to non-unified radial head). i can do a lot of things but pushups are limited to assisted knee. Haven't attempted a full pull up yet but i have hung form the bar and pulled up about 20% without pain or problems. Just can't wait to get back to non-hindered life style and getting back on the bike and exercising again at full throttle.

    Cheers

  42. #92
    RGV
    RGV is offline
    mtbr member
    Reputation:
    Join Date
    Jun 2015
    Posts
    1
    Hi all.
    I too have busted my Rh last week and had it replaced with a prosthetic implant.
    How are you guys getting on?
    I also work as an AV engineer so will have to be doing some lifting, drilling with power tools...and manual labour.
    Are there any safe limits?
    Have any you returned to kind of pre-accident normality?
    Any post would be appreciated.

  43. #93
    mtbr member
    Reputation:
    Join Date
    Jun 2015
    Posts
    1
    Not sure if I am happy or sad to see so many people on this thread having gone through a radial head replacement... I am on my third one...

    October 2013 I went head first at 40mph downhilling and shattered my clavicle and radial head... I now have a plate in my neck with no feeling from the neck through the shoulder and just went through my third radial head replacement from two failures.

    Some thoughts for those who read this and have just gone through the replacement surgery... GO SLOW on your recovery... Like you all, I am an extreme sports junkie still at age 48... I've never had a physical compromise in my life until now. It's critical that you do not take this recovery lightly, and please do not think you can resume your old life the way you did before. Your body is no longer the same and it's going to be important to take your recovery period very seriously.

    Radial head replacement is a rare injury and surgery. The recovery ensures the bone "grabs" the prosthetic and holds it in place. Slight movement or slippage is a very painful thing, believe me on this. Go through your PT at the beginning to only focus on stretching and range of motion. Working with your PT, only then determine when to go to minor strength training (Right now I am three months into my third RH and just picked up 1lb).

    Plan with your PT to set a long range strategy on when you should start any weight bearing activity as this WILL loosen the RH if you go too soon. Next plan long range strategy on when your radial rotation is strong enough and flexible enough to do... HEAR ME on this... Your radial rotation (arm at 45 degrees and rotating wrist) is the most common action you need in riding, paddling, etc. IF you try to get back to activity too soon, this will pop the RH prosthetic post right out. This occurred after my SECOND replacement the first time I went paddle boarding at 4 months post-op.

    Hopefully this isn't being too much of a downer for those who are just going through this, but I would rather have you ready reality check, than see a post from you that you have had yours re-done from trying to go too fast.

    Hang in there and take the long slow road to your recovery!

  44. #94
    mtbr member
    Reputation:
    Join Date
    Nov 2013
    Posts
    21
    Quote Originally Posted by RGV View Post
    Hi all.
    I too have busted my Rh last week and had it replaced with a prosthetic implant.
    How are you guys getting on?
    I also work as an AV engineer so will have to be doing some lifting, drilling with power tools...and manual labour.
    Are there any safe limits?
    Have any you returned to kind of pre-accident normality?
    Any post would be appreciated.
    I started a bit of a thread with my experiences a couple years ago: Radial Head Replacement - 3 months after

  45. #95
    mtbr member
    Reputation:
    Join Date
    Oct 2015
    Posts
    3
    This is a great thread. It's helpful to read other similar stories.
    I fell and dislocated my ulnar and shattered my radial head. Had the replacement surgery early august and doing the recovery thing. Im 42 years old. Doc didn't want me to start pt until the 6th week. Making progress but still sore every day. I'm at 20/110 now at 11 weeks out and still struggling with pronation/supination. I started doing cable based machines at the gym with light weight and that seems to help alot and I feel the strength building. Just started the dynasplint at week 11 so I will see how that goes. Anyone use one of these dynasplints? I got good feedback from a coworker that used one but he didn't have a radial head replacement, just a fracture. I see mixed reviews online.
    One thing I didn't see much in this thread was pains from quick movements. If I move my arm fast to say catch even a soft rubber ball or even a jumping jack there is a brief pain from the quick movement. Doc and pt say to expect this but was wondering if anyone else experienced this and how long before it went away. I miss riding and playing hockey the most and this this quick movement/impact pain will be the main limiting factor. I hope I can do those things again.

  46. #96
    mtbr member
    Reputation:
    Join Date
    Nov 2013
    Posts
    21
    Quote Originally Posted by Greencane View Post
    One thing I didn't see much in this thread was pains from quick movements. If I move my arm fast to say catch even a soft rubber ball or even a jumping jack there is a brief pain from the quick movement. Doc and pt say to expect this but was wondering if anyone else experienced this and how long before it went away. I miss riding and playing hockey the most and this this quick movement/impact pain will be the main limiting factor. I hope I can do those things again.
    Totally anecdotal: I went indoor karting last Thursday on a super twisty track. So lots of arm-jerking back and forth under lots of muscle stress with semi-complex movements(flex/extend/pronate/supinate, you get the idea) and it didn't bother me at all. If you're still only 3 months out you've still got time and a ways to go

    Right now your worry should be motion and after that it's just a lot of time getting back into comfort - which'll happen naturally if you keep moving the arm. Once in a while yeah, I'll still get achiness or a ping of pain out of nowhere, but they're getting more infrequent as time goes by. Honestly I'd say that somewhere between the 9-12 month mark was where I finally kind of went "hey I hardly notice this anymore"

  47. #97
    mtbr member
    Reputation:
    Join Date
    Nov 2015
    Posts
    1
    I'm not a biker but I lived on this forum when I had my radial head replaced a year ago. There wasn't much information on the web and this was about the only place I could get real life stories of recovery. It was these stories that gave me hope that I could recover. Imagine my surprise when I saw a new post. I had to join just to answer.

    I'm 49 years old and had my radial head replaced Nov, 2014. I used the JAS splint and had good luck with that. It took me 4 months to get to 5/143. Pronation and supination are great. I didn't do any strength training until I got my movement back. I did PT 5-6 times a day following the advice I got on here. I did all the PT on my own.

    At a year out I can do jumping jacks pain free. The quick movements don't bother me at all. My elbow feels stiff when I extend it but it hasn't slowed me down. I'm still mindful of my elbow only because I'm not interested in re-injurying it. Totally not worth going through THAT again.

Page 2 of 2 FirstFirst 12

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •