Friday, December 23, 2011

Is ankle surgery helpful?

In cases of severe injury and sportmen, surgery is recommended.  the link below shows pictures of a ankle surgery (cadaver tendon used to replace the torn ligament) 
http://www.footankleinstitute.com/ankle-instability/

The complications which may occur after a ligament reconstruction operation include:
· pain in the ankle, either because of damage at the time of the original injury or
because the ankle is now tighter than before
· numbness or tingling down the side of the foot due to stretching of one of the
nerves either at the time of the original injury or the operation
· persistent swelling of the ankle
· Stiffness of the ankle, restricting the range of movement
· In 5 to 10% of people the surgery does not work, and the ankle remains
unstable

http://alexwee.com/en/information/Ankle_Ligaments_AW.pdf

Remember - Surgery related infections are always a risk!

Tuesday, December 13, 2011

Week 10: Removing the cast - Its not over.

Finally, I got my cast removed in a small clinic in Delhi. Removing the cast is an experience in itself. My cast was a fibre cast - quite tough. A scissors or something sharp won't do. You need something sharp PLUS high frequency, about 1000 Hz (just a guess).
http://www.youtube.com/watch?v=BACimEbps8k

You need to drill through the cast, make a clean cut. When the drill is going through your cast, its better to keep still. And it feels like an earth quake centered in your bones.

Once a single cut was made, the dude in the clinic just used his bare hands to rip apart the cast (not the most elegant way to do it - also painful, like Lord Narashimha).

What I then saw was quite ugly - my leg looked like the Rann of Kutch

the skin was completely broken and I could peel out layers at will (very itchy). Good idea to use 
- Lots of cold cream 
- Famous coconut oil from Kerala (India) (solves all problems Malayalees ever faced)

Everything feels weird on the 1st day. Basically the muscles feel quite weak and need to be strengthened. 
Also, there might be some swelling - which will persist ON/OFF for about 2-3 weeks. 

Time for physio. 

Will I keep having trouble with my ankle?-The majority of ankle injuries get better completely and cause no longterm problems.
 -Unfortunately occasionally there is permanent damage to the ankle. The ligaments may fail to heal properly and become weak – leading to ankle instability, or there may be damage to the joint itself or some other structure nearby leading to ankle pain and swelling.