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  1. #76
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    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.

  2. #77
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    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!

  3. #78
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    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

  4. #79
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    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

  5. #80
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    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

  6. #81
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    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.

  7. #82
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    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

  8. #83
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    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!!

  9. #84
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    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

  10. #85
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    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

  11. #86
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    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 03:08 PM.

  12. #87
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    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.

  13. #88
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    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!

  14. #89
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    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!

  15. #90
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    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!!!

  16. #91
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    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

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