Torn ligaments in ankle after fall from horse - Update: getting back in the saddle??

I took a tumble off my (large) pony today, and ended up making a Thanksgiving visit to the ER. Turns out that somehow (I’m guessing my toe caught on the top of the stirrup?) in falling, I tore the ligaments in my left ankle that hold leg and foot/ankle bones together. I’m unsure of the actual word for these ligaments, but the doctor (who has a horsey ladyfriend/wife) kept referring to it as a “check” ligament tear.

I’m home and in a splint, but await surgery in the next day or two. SUPER sore, my hip/butt on that side took most of the force (no breaks, but lots of deep soft tissue bruising) and it makes it tough to get comfy. ankle isn’t TOO ouchy, but the hip makes even bending my knee on that side hurt, which makes hobbling around on crutches tough! haha

It sounds like the injury requires two surgeries, one to put the pins in, and one in 3-4 months to take them out again, which means 6 weeks of being on “stall rest” and 6 weeks of slowly increasing the weight on that foot, but then another surgery to take the pins out and then repeat the healing process? seems kind of odd to me, has anyone else had the surgery?

I’m going to go crazy not being able to get out to see my pony for 6+ weeks (not allowed to drive for at least 6 weeks, and i drive stick shift at that). Any suggestions for coping with being “stall bound”? The barn managers are AWESOME and one of them has offered to work Java on the days his leaser can’t come out (which is great for me because she’s a great western rider/trainer and I’m hoping to take him in the western direction as far as my riding goes). I don’t deal well with being stuck in the house in general, but being ORDERED to stay at home for X amount of time is horrible! I’m losing my mind already and I only came off 7 hours ago!

tl;dr - tore ankle ligaments in freak fall from horse, 2 surgeries required within 3-4 months of each other, 2 6-week-long doctor-ordered “do not leave the house”, already going crazy and it’s only day 1 of injury!

So sorry about your fall and the injuries. Soft tissue injuries take so long to heal. I am contemplating a peroneal tendon surgery (outside the foot/ankle) soon and that’s going to make me housebound for at least 4 weeks, possibly more like 6. I’ve also had both hips replaced, and other hip/leg tendon surgery with post op complications, which caused me to be homebound for quite a while. Here are some things that kept me sane.

If you do any kind of craft, have someone help gather the supplies you need and put them in one box or bag (I used cloth reusable shopping bags because they had handles that made them easier for me to carry and manuever with a walker).

Watch TV–Even if you aren’t a TV watcher (I wasn’t), you’d be amazed how interesting some of these shows get to be after you start watching them day after day. I was into the court programs especially, and would watch a series of them every afternoon. Get a Netflix subscription, watch Youtube videos a lot–you can catch reruns of your favorite shows (I found a free site that let me watch every Hogan’s Heroes episode without commercials). Use your laptop or tablet to just surf around the internet looking up all the things you want to research and learn more about but you never had the time.

Encourage people to phone and visit you. People may need to hear you ask for visits, especially if they don’t live nearby or have hectic lives. Most people can squeeze an occasional visit into their schedules when they know how important it is to you. Some people think they will be bothering you if they visit or phone very often. Make it clear that they won’t be. If you are able to get out safely, ask people take you for car rides if you are able to do so. Even a short ride in the country will feel good after you’ve been in the house for so long.

If you live alone and have a limited support system, think of people who can help you with day to day tasks. You would be surprised how many people are willing to lend a hand if they know you really need help. I’ve heard so many people say “I’d love to help so and so, but I don’t know what she needs and don’t want to bother her if she is not feeling very well.” It’s been my own personal experience that I like visits and phone calls unless I’m feeling TOTALLY awful. I have had to tell people on occasion, though, that I needed to rest and cut visits or phone calls short sometimes, but I always thanked everyone profusely for taking the time to do whatever they did, hoped they would come again soon, and they seemed to understand.

Best of luck with your recovery.

I feel your pain! LITERALLY. I got bucked off my horse on the road and ended up breaking my talus bone (ankle, where it pivots) and also tore the ligaments on the outside of my right foot.

I was stuck in the house for two weeks and everytime I moved my foot swelled up like crazy. I watched a lot of TV series / movies on netflix and also read a lot of books.

I am back to work now (partially) and in total have 12 weeks with no weight on my ankle at all. I started with a fiberglass ace wrap cast, now I’m on to cast #2 which is the normal one. Eventually I’ll be put into a cam walker.

The hardest part for me is that I don’t have anyone to ride my horse, so you’re lucky! My horse is green and still needs a lot of work so I don’t want just anyone riding him anyways. :s

I went into the ER Thursday night, had surgery Friday morning. I got two plates and eight screws in my ankle that will be taken out again in a year. :expressionless: Good luck to you and I hope the time passes by faster for you than it is for me!

Netflix is my friend! It’s the best Christmas present my parents got for us (the whole family). We each have a profile on the account too, so when we click on our profile after logging onto the site we get recommendations that suit our personal tastes. It’s a really neat feature that Netflix recently introduced. Dad is figuring out how to hack our IP address so it’ll let me watch American Netflix, since it has more to offer than the Canadian version.

I’m hosting a tea party with a group of friends next week, it’ll be fun!

I got called back to the hospital on Monday around noon, originally hoping for surgery at 3pm. Ended up getting pushed to yesterday morning at 7:30am. surgery went well, I’m on minimal amounts of pain meds. I take the strong stuff before bed (two pills), when i wake up (one pill) and about halfway through the day (one pill), then in between am/midday and midday/bedtime doses I take gabapentin (which i took last year for mood stabilizing effects) just to stretch out the stronger stuff’s effects. I feel no pain in my ankle, just pressure from the swollen area pressing on the cast. They gave me an awesome neon orange cast, because I said I love bright colours and rainbows.

I go back next wednesday to get the cast switched out. I think it’ll be a smaller plaster/fiberglass cast. then in 4-6 weeks when i’m allowed to start putting weight on it they’ll switch me to an air cast boot.

in January ish I’ll go back to get the pins taken out before they break and become unremovable. Then it’ll be the same 6 weeks of no weight, cast changes, and then when i can add weight i’ll be going to physio as well.

I’m lucky to still be living at home. It just so happened that Dad has this week and next week off of work, so he’s home to help me out. Mum comes home every day for a break from about noon til 3pm ish, so she makes me lunch or brings me snacks to nibble on. My appetite is only slightly less than usual, and I find that I’m happier to graze on snack all day rather than having actual meals.

The simple act of stabilizing the ankle and having a well balanced cast has made getting around on my crutches WAY easier! the splint they put on in the ER put pressure on the damaged area, and trying to raise my leg to get in/out of bed hurt like heck!

I lucked out and got the best orthopedic surgeon on the island to do my procedure. My whole hospital experience was fantastic, the doctors and nurses were wonderful. I had my own room for most of the day on Monday, but then was moved into a room with three elderly ladies. From there I got to see and hear some really awful abuse towards the nurses, there were two men in nearby rooms who had to be strapped to their beds/chairs because they were becoming dangerous to themselves and the nurses! There was one woman in my room who screamed profanities at the nurses anytime they went to check vitals or give her her medication. Another woman was throwing things at the nurses. I was the youngest person on the ward (at 22) by several decades too. But all the nurses and staff were wonderful to me, one night nurse on Monday night was a horseperson, so she sat with me for a while and we talked about horses, I showed her pictures of my little guy, and it turns out she had a very similar injury 3 years ago and had the same surgeon do her procedure, and she’s better than ever, so that made me feel really good! I ended up sending some of my friends who are in nursing school emails saying thank you for getting into nursing and that it’s people like them that make hospital stays WAY more pleasant. I could never be a nurse, but boy do I appreciate the people who are!

The ride leading up to the fall was actually a ton of fun. Everyone at the show was saying I should be a bronc rider, I apparently have quite the sticking power! haha. I stuck out three good rodeo episodes, and the fourth one was the longest (and most fun, I was laughing at his silliness) but he ran into the wall, deeked right, i went off the left side, and somehow caught my toe on the top of the stirrup (my heel stayed on the right side, so no, it didn’t go through and I didn’t get dragged), and it popped out of the stirrup as my hip/butt hit the dirt.

I think i’m going to sign up for some online classes in web design, maybe some administrative stuff, and do food safe online as well, in hopes of bulking up my fairly pathetic resume. I have been out of work since May (got laid off when the doggy daycare I worked at had to downsize), and have been on Employment Insurance (EI) since. Now I’m getting my doctor to help me apply for medical EI so that I don’t waste my regular EI benefits. That way, for the 6-9 months I’ll be not-quite-work-ready, I’ll have some income still, because I’m not going to be work-ready by the time my regular benefits run out in March.

I’m REALLY lucky that the one barn manager is putting some real training on my pony though. she’s already won with a hose and clippers (hosed him off on monday after a HARD ride, and gave him a bib clip this morning to help keep him a bit cooler during workouts) and he’s the sort of horse who needs heavy sedation to bathe or clip (was beaten with hoses in a previous home, and is just plain terrified of clippers. takes more tranq to clip/bathe than it does to do his teeth!). She’s an amazing rider and I adore her and love the way she works with horses, so when she’s through with him he’ll be one dead broke pony! When my driving trainer returns in the spring, I’m going to have her work him while I watch/listen and get him going in the cart, so I can drive him while I wait to be riding-ready :wink:

kkmrad94 - hope you heal quick! the bone will heal faster than the ligament though :frowning:

be patient and compliant!!!

I had my ankle reconstructed on May 30. It was my 2nd reconstruction…same ankle. My advice is to be patient. I got a knee walker…its a cart that you kneel and has a nice basket on the front! This helped me quite a bit to get around and feel mobile. I also used my crutches for places the walker couldn’t go. So my advice - don’t count time and be a good patient! You don’t want to mess up your surgery and have to start all over…

I’m definitely being compliant! My dad has connections at the municipal Legion, so he’s going to get me a knee walker, mostly to make it easier to get from my bed to the bathroom, haha!

I have extended family who had ankle surgeries and who didn’t listen to the doctors and years later they still have serious issues. I don’t want to screw this up, I was VERY lucky not to do worse damage (like breaking my hip when I landed on it!) so I’m definitely wanting to make sure I do things right (even if it sucks big time to be so limited in what i can do/where I can go)

It sounds like you are on your way to recovery. Keep up the good work!

Thanks. I’ve hit the depression period already. Parents are back at work, friends are all too busy to come visit, my cat won’t come near me (she’s terrified of the cast and crutches), I’m getting cabin-fever from being able to see the beautiful sunny weather through my window but not being able to go out and enjoy it. My parents are over-policing my meds claiming I’m “getting addicted” (though I’m finding I need to take less than what was prescribed in order to get the effect I need), though I believe that they reached this conclusion simply based on the fact that the big one is opiate-based. Really, I’m an adult and they shouldn’t be policing, and while I understand their concern I’m REALLY angry with them for taking my meds away. I slept like crap last night because I was hurting.

Wednesday can’t come soon enough, I get my cast swapped for either a smaller plaster cast, or an aircast that I can remove in order to shower more comfortably. Right now I have to sit on a stool with the bad leg hanging out, cast wrapped in plastic wrap/a towel/more plastic wrap (which makes it HEAVY and causes pain in my hip to hold it up while I shower, but I can’t rest it on the floor). It would be nice to sit on the stool, both feet to the back of the tub, and not have to worry about soaking my cast or hurting my leg or leaving a lake of water on the floor.

Welcome to the trashed ankle brigade, even if you’re not on that thread.

There is wonderful thing to cover a cast with in the shower, it has a rubber gasket at the top and a bag attached. Something like this:http://www.walgreens.com/store/c/sealtight-original-cast/bandage-protector-adult-long-leg/ID=prod3400232-product Your help should be able to find it a decent size drug store or pharmacy. Well worth the $$. :slight_smile: Do you have stool IN your shower? If not get one; you’ll need it for months.

I would have a big ol’ discussion about the meds. That much damage HURTS. I had just about everything in my ankle rebuilt last February except the bones. I took the good pain killers for about a month. Then I took them occasionally. When I finally got back to work 2 months later, I still kept some Vicodin in my desk for awhile. Have the discussion with your doc. Mine preferred to have me not in pain, even if it meant narcotics.

I have a stick shift, too. I ended up buying an automatic (Still have the stick). 1) It got my mother out of my house (she moved in for a month :eek:) and 2) I could drive it with my left foot. This was pretty handy. I didn’t go far, but I could get out a little bit.

I got a cup holder for my crutches off Amazon. It’s really for baby strollers. Best $6 I spent.

My cats loved me being in a cast. So much bed & couch time, they thought it was Christmas in March.

My dad picked up a wheelchair for using on outings. I’ve just been struggling too much with the crutches for more than getting around the house. :frowning: I feel ridiculous using the chair, but it sure makes life easier!

Got the fiberglass cast taken off, stitches/staples out (31 closures total in 3 different incision areas), and an aircast put on today. I HATE the aircast! I still have numbness/pins-and-needles in the thigh from landing on my hip (they figure pinched nerve, and it’ll either fix itself or it’ll be like this indefinitely, ugh), but the aircast is my toes going numb and between the sock and the padding of the cast that foot/leg are overheating and making me nauseous. I have issues with temperature regulating. If my hands or feet are an uncomfortable temperature, I’m MISERABLE. So, needless to say, I’m pretty miserable right now.

I’m in the most pain I’ve been in since surgery day now, after all the jostling and such at the hospital today. I’m impatiently waiting for my meds to kick in…

On top of it all, my left ear is totally plugged, making balance a bit off.

Ugh, I think I’m going to just curl up and sleep for the next 5 weeks (til I go back to see the surgeon again). :frowning:

I was not a huge fan of my two part fiberglass cast (cast number one). It “allowed my foot to breath”, but honestly it gave me too much room and the swelling still wouldn’t go down.

Keep your chin up though! I am in week four of broken ankle / cast right now and the pain is completely gone. (Unless I accidentally hit something, trip, or someone hits my leg). I was on a Norco and ibuprofen medicine schedule for the first two weeks solid taking each med every six hours and maxing out what you can take.

Sleeping was the hardest part for me and I’m just now getting to the point where I can sleep comfortably without drugs. (Yippie!) I kept telling my mom how I was concerned that I would get addicted to the drugs, but honestly they make me sick. Sure I could sleep, but I couldn’t get up without being completely disoriented. So I didn’t have to worry about getting addicted.

I have two more weeks in my normal purple cast (cast #2), then I go into a cam walker. I cannot wait for that because my leg is super itchy and in dire need of being shaved. :frowning:

Neat that you got a wheelchair though. I was afraid my co-workers would hi-jack it and wheel me places I didn’t want to go (all in the name of… fun). For now I’m just stubbornly crutching every where and trying to avoid falling!

Hope you can get your pain under control. I would definitely have a doctor / family sit down and talk about how pain pills aren’t optional at this point. :frowning: Best of luck with the rest of your recovery.

I have to agree that AirCasts suck. Do you have an AirCast aircast or one made by someone else? I was lucky (???) I had a boot from the previous year’s surgery that was much, much, more comfortable than the AirCast one. I could do the Aircast part of the day (and on trip’s to the doctor’s office :winkgrin:), but at night especially, the old one went one. It was light, cooler & just plain more comfortable. You might check Craiglist to see if someone is has one they want to get out of their closet.

Hate to tell you kids, but it’s going to be awhile before the swelling goes down.

How sad it is that I can do a comparison between walking boots?

it’s one of the new extra-pneumatic aircast brand boots. Because I have large calves (large meaning thick, they’re bloody shrot though…) I had to get put in a boot that’s too long in the foot and is constantly getting bumped/caught on the ground when i’m using my crutches. I think I need to trim the foot part of the front plate a bit to relieve some of the pressure that’s making my toes go numb. Luckily with the boot vs my fiberglass post-op cast, I can actually feel ice packs through it, so I vetwrap a gel ice pack to the front of the boot at night and i’m MUCH more comfortable for sleeping! Yay temperature regulation!

the mere act of adjusting the cast (even worse is putting it on/removing it) HURTS! holy crap. I had to up the strong painkillers again to deal with it. The fiberglass cast was a lot better as far as pain goes, and I could easily change pj pants over it. the aircast NEEDS to come off in order to change, it’s just tooooo big to try and peel clothes over it. I’m really grateful to be able to take it off to shower now though, no more awkward maneuvering to make sure the cast doesn’t get wet. just need to make sure I don’t get soap on the incision sites before the remaining stitches dissolve, especially since my body wash has salycilic acid to treat and prevent acne (yay testosterone and second puberty! boy puberty is a lot greasier than girl puberty, yuck).

the pinched nerve in my hip is doing wonky things now too. I woke up in serious pain last night because I moved and the nerve tweaked and HURT! up until now it’s just been causing numbness/tingling in my thigh, but either the nerve is starting to be released from whatever pinched it, or something else is up because if i move a certain way it twangs and yeouch!!!

Mum and I are going out this afternoon (me with my wheelchair so I can actually enjoy the outing), so that’ll be nice. I’m going stir-crazy!

aww sucks your having cast issues! Sent you a fb pm.

Feel better soon cs!

sent you a pm

I hope you feel better soon!

Interesting to read this. We have an exchange student who ruptured her Achilles playing basketball and spent 3 weeks in an aircast BEFORE the surgery - tedious paperwork issues played a part in this. She had the surgery a couple days before the school’s fall break and we did worry a little bit about the narcotics - after day one she came out of the bedroom and said, “I need a pain pill” and took one right on time every 8 hours and zonked out, she had probably the dullest week off one could imagine. Now, I voted that we get her a wheelchair and get us a temp handicap, mainly because I’m used to maneuvering my wheelchair bound mother and I’ve run into all the hindrances, but our girl didn’t want that and couldn’t have it at school. The best time she’s had so far was 4 wheeling in the little pickup when we picked pumpkins at a friends, and being the center of attention of all the cats. She went to the Dr today and has two more weeks to go, then lots of PT. I don’t know whether to be glad she had such a straightforward injury or not. I have recurrent hip pain myself and in my case Celebrex with a Lortab on top made it so I could sleep. For a long time I had to make a pillow mound to put my leg on top of just right and then if I needed to change position . . . This is a great time to do small tasks that you might have put off, sew, crochet, catch up on reading, sketching and art, inventory tack and clean it slowly, clean out one drawer at a time, stuff like that. sorry for the run on, my formatting is N/A so no paragraphs. Best of luck to you!

I’m SO done with being laid-up. Nobody follows through with their offers to come visit, dad’s away for work, mum had someone at her work quit on her so she’s working overtime and isn’t able to come home at lunch time like she usually does. I’m lonely, bored, cranky, frustrated, tired (not sleeping well because all I do is sleep it seems). I’m having issues with the pinched nerve in my hip now causing actual pain, but I can’t get to my doctor to get a prescription for something to cope with that because a) I can’t drive because my car is a stick shift, and b) nobody is available (or willing) to drive me the 10 minutes either way.

All I’ve done today, for example, is cry, nap, cry more, moan and groan to a COTH friend on Facebook, cry some more, and then post here. My appetite has gone down the tubes, I eat maybe once a day, partly because there’s only someone home at night (so I get dinner), and partly because I’m so sick of the peanut butter granola bars I’ve had for the last couple weeks and that’s all I have in my food stash because mum was having an MS attack this weekend and didn’t have the energy to go pick up snacks for me.

I honestly don’t think I can do 5 more weeks of this BS (yes, 5 weeks. i’ve already done 2 weeks of NWB but it’s another 5 flipping weeks before I get to see the surgeon again).

:sigh::no:

I’m so sorry you are feeling this way. My ankle surgery was about 13-14 years ago (I tore my post tib tendon), but I was VERY depressed about being stuck in the house with nothing to do. I lived at home then too.

I remember thinking that I would never walk again - it didn’t seem possible with all the pain and weakness. I also cried and freaked out about things and probably made my poor family insane. :wink: At one point they did get worried about how depressed I seemed.

Here is my advice for you:
Be more proactive about letting the doctor know how much pain you are in - be a pain in the ass if you have to! Is it possible to take a cab to the office? Or call in favors from your friends? Let your family know that you are suffering and depressed. It’s a fact that pain is linked to depression and will slow the healing process.

Your family won’t know how you are feeling unless you speak up. Also, let your friends know that you are lonely and only have granola bars to eat, etc. Post something on Facebook if you have to. As riders we’ve all been laid up at some point and know what it feels like.

One great thing someone did for my mom when she had major surgery was arrange for someone to visit her each day and bring some type of food/snack/drink/magazines, etc… I’ve also made baskets of things to do for friends who were injured. Magazines, movies, snacks, crafts are something to look forward to. You’d be surprised how fun coloring books can be as an adult! :slight_smile:

I know it feels like the end of the world right now, but you are young and things will get MUCH better. I’d be glad to send you a care package if you send me your address - maybe some of the other COTHers would like to pitch in too?

Just keep trying to keep your mind active and you will be surprised at how quickly things seem to go - the first week is always the worst, but it gets easier.

You are in my thoughts! Hang in there.
PaintPony

It will seem odd since you’re pretty young, but a home health aide can be a big help. It’s not likely you can get insurance to spring for one, but some people do private duty. I had a gal come in once or twice a week for about a month. She would take the trash out, run the vacuum & took me to the dr (2 hrs away:eek:) And best thing of all - she talked to me!

I got a list of people from the local council on aging. They may also be able to connect you with someone who could get you to the doctor.

We have Peapod down here - grocery delivery. Even if you find an aide, if available, I would go that route. I ended up pay $60 for an aide to wander through the grocery store for 3 hours because she never went down the cat food aisle before.

I got some plastic canvas needlepoint kits. They were really tacky, but didn’t require much effort from my drug addled brain.

Ceylon feel free to add me on fb i think i sent a request, im a good listener and vent away! Too bad im on the opposite side of the country.

Im having medical issues so up at random times to chat

Tasha