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Post by direkyey on Mar 28, 2008 6:10:46 GMT 8
I just broke my left humerus (bone in the left upper arm) and now in in a cast. I was just wondering how those who have had broken bones continued on with their training. I am getting an indoor trainer today and i have some concerns. -wont the sweat make the skin inside the cast more itchy? -wont the sweat meke the cast stinky like hell? all inputs are welcome...TIA  |
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Post by baboinsky on Mar 28, 2008 7:27:33 GMT 8
Sorry to hear about that Yey. What happened?
Back to your topic: Excessive sweat will make your cast smell like a rotting cheese factory. ;d My brother had to have his cast changed twice due to smell and discomfort because he couldn't stand watching us play ball.
I suggest you do walking at a moderate pace or any physical activity that wouldn't make you sweat bullets. Just increase the duration of the exercise.
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Post by galcidjr on Mar 28, 2008 10:50:21 GMT 8
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Post by rench on Apr 2, 2008 20:54:23 GMT 8
direk, The extent of your training would depend on your injury. Is it isolated to the arm bone? Do you have shoulder & elbow flexibilty? I had a similar injury. my right humerus broke near the elbow, so my arm was completely immobilized. The cast was changed after 2++ months - but I was in a cast for about 4 months. I didn't do much training then - mostly playstation. I had several months of PT after the cast was removed - It was then that I started to gain some of my lost cardio and strength - together with the lost muscle mass on the arm and the flexibilty of the elbow. And yeah, the cast still itched and smelled of old cheese - despite my attempts not to sweat too much |
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Post by direkyey on Apr 2, 2008 21:16:51 GMT 8
direk, The extent of your training would depend on your injury. Is it isolated to the arm bone? Do you have shoulder & elbow flexibilty? I had a similar injury. my right humerus broke near the elbow, so my arm was completely immobilized. The cast was changed after 2++ months - but I was in a cast for about 4 months. I didn't do much training then - mostly playstation. I had several months of PT after the cast was removed - It was then that I started to gain some of my lost cardio and strength - together with the lost muscle mass on the arm and the flexibilty of the elbow. And yeah, the cast still itched and smelled of old cheese - despite my attempts not to sweat too much my lower left arm is now like a hanging piece of meat if not supported. my doctor changed the cast yesterday and it is removable! i will be scheduled for surgery as soon as a cardiologist clears my health. i have been doing some biking by using an indoor trainer. i have to be seated upright so as not to dangle my broken arm. it is not like being in the trails but it is better than nothing. it's easier now since my cast is removable but it freaks the hell out of anybody who helps me. ot lucasvn broke his collar bone today at the exact same spot where i broke my arm. get well soon, charles! |
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Post by rench on Apr 2, 2008 22:24:51 GMT 8
removable cast? That sounds promising. If it's a clean break, then it shouldn't take too long to heal. I had a compound fracture that took longer than normal. It was really surprising how much muscle mass I had lost during the time I was in a cast. i'd like to share these x-rays, circa 2004:  x-ray of the broken arm, before casting. the humerus was broken with a compound fracture about two inches above the elbow. note the extreme misalignment of the arm bone and the ball joint of the elbow.  x-ray after casting. 4 metal pins were used to align the bone. there were some gaps between the broken bones where the fragments were too small to recover.it took few months in a cast, and several more in therapy - but it got better eventually. you seem to be doing well. the trainer's good, especially with the removable cast, so that you can clean the arm every now and then. get well soon, direk. and welcome to the club! |
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Post by direkyey on Apr 3, 2008 6:34:06 GMT 8
thanks, rench. so far, i really don't have any idea on how long this would take since i have no definite schedule for my operation yet. the doctor said that it would take the wound about two weeks to heal and for the bone about 6 to 8 weeks. so if i schedule my operation mid april, i'm looking at june or july for this whole thing to be over. oh, well. here's my x-ray.  |
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Post by rench on Apr 3, 2008 11:58:37 GMT 8
direk,
the break looks clean, so that's a good sign. it'll heal faster. you need the operation soon to get the bones stable, so that you can maintain flexiblity in your elbow and arm joints. good luck!
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Makoy
All-Mountain Rider
MTB POSER lang po
Posts: 155
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Post by Makoy on Apr 3, 2008 19:59:35 GMT 8
rench, those were the days of MP  drop by sunken, we miss you |
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Post by lucasvn on Apr 4, 2008 11:49:53 GMT 8
Thanks direk yey! Really too bad, I'll miss the saddle for 2-3 months, but still good thing is that only broken is my collar bone and not more serious like spinal or my head... thanks again. And Ride Safe guys and always pray before every ride.
Charles
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Post by Ben Dover on Apr 4, 2008 12:33:58 GMT 8
where exactly is the trail or spot where you guys took a spill?
charles, get well soon brad.
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Post by lucasvn on Apr 4, 2008 17:43:00 GMT 8
where exactly is the trail or spot where you guys took a spill? charles, get well soon brad. Thnks brad! We are both in Coffee Trail in Sta. Rosa. |
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Post by sup on Apr 4, 2008 19:04:43 GMT 8
I hope you both get well soon! |
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boyg
Lurker
Posts: 22 
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Post by boyg on Apr 5, 2008 17:37:54 GMT 8
hmmm i wonder which moment I can borrow? hehe.
Get well soon guys, the trails are really not the same without you there.
PAKNER!! LIKA NA! RIDE NA!
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Post by direkyey on Apr 6, 2008 8:47:57 GMT 8
thanks, boyg. i think the bike of charles fits you more...hehehe. LAPIT NA! OPERA MUNA!
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Post by metz on Apr 7, 2008 21:42:18 GMT 8
Direk, I wouldn't worry much about an itchy or stinky cast. Excercise results in accumulation of lactic acid, the body reacts in different ways to buffer this condition and one of them is to draw calcium and magnesium from muscle and bone which right now you need to heal your fracture. So I would rather that you take it easy. Baboinsky is right walking muna, maybe you can get some kind of grip gadget to excercise your grip and forearm.
Me...I want to borrow your GT! I can leave my Px200 at your place. ;D
Jojo H.
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okidok
Bike Commuter
MiniMe
Posts: 67
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Post by okidok on Apr 7, 2008 23:13:50 GMT 8
That kind of fracture has high incidence of delayed or even non-union. A 5or6 inches medical grade stainless steel will be placed on ur humerus. The plate will not be taken out for 18mos. Meaning no contact sport or hi velocity sport untill its removed. Gud luck, get well soon.
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boyg
Lurker
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Post by boyg on Apr 7, 2008 23:38:24 GMT 8
jojo, tara kape tayo with the GT's hehe.
oops...ot...
bimbo
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Post by metz on Apr 8, 2008 9:07:52 GMT 8
okidok-Sir, can't the plate just be left there forever? So the patient doesn't have to undergo the insult of a second surgery? On the other hand I've heard some patients complain of some vague pain at the operative site even when the fracture has completely healed and the pain goes away when the plate is removed. GS po ako, not an Ortho Surg. direk-18 months! You really need to lend me your GT! ;D Anyway, will dropby sometime, will bring the beans you brew it. Bimbo-I can imagine direk starting his GT, revving it, letting it idle, while watching it with his arm in a cast. |
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okidok
Bike Commuter
MiniMe
Posts: 67
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Post by okidok on Apr 8, 2008 11:02:07 GMT 8
metz, the reason y the plate should be removed and patient should avoid contact sport is that the ends of the plate and the last screw hole acts as stress riser. The metal implant is very stiff while our bones has a little flex. Imagine falling down and landing on your arm. U need lesser force to break that bone at the end of that plate. The intra medullary nail is diff. You can opt to leave it inside. Hth
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Post by metz on Apr 8, 2008 11:55:16 GMT 8
Oo nga thats what I was also thinking about. The plate and screws would be added leverage in case of another fall, surely resulting into a compound fracture and not just a simple one. What about immobilizing with those rods sticking out, are those what they call "external fixators"? When is the indication for this type of management?. Tnx Doc!
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Post by oldschool on Apr 8, 2008 18:49:54 GMT 8
After breaking first a collarbone 3 years ago and then an ankle 7 weeks ago, I say consider yourself lucky that you only damaged your upper body. You might wanna use this time to take a break from the bike (pun intended) and focus on healing, then enjoy a fresh start when you're ready.
Whatever the case, make sure you discuss everything with your doc, including plans for maintaining fitness on a stationary bike, the risks of nonunion, whether the plate will keep you from riding hard, etc. before he operates. A good doc should adjust the treatment based on the patient's medical condition, tolerance for risk, and lifestyle preferences.
Just the 2 cents of an aging bike junkie who's been through too many surgeries but still wants to ride hard.
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Post by oldschool on Apr 8, 2008 18:58:53 GMT 8
And lastly, sorry about your accident, hope you heal quickly. Feel free to PM me if you have any questions.
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okidok
Bike Commuter
MiniMe
Posts: 67
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Post by okidok on Apr 9, 2008 14:11:15 GMT 8
2 of the many indications of external fixator. 1,Open fracture 4 fx stability while wound could be manage easily. 2,intra articular fx. Closed fx management with ligamentotaxis. In cases of distal radial fx.
In Rench case its intra articular fx of distal humerus it is mx with open reduction and cross pinning.
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Post by the D. on Apr 9, 2008 18:07:07 GMT 8
i suggest that you take advantage of your condition, stay in bed, watch t.v., eat ice cream, demand for sex, boss everybody around.... hehehe
then when your all healed up, climb maarat, not just the wall... i mean all of it. backroads, roxas, tak-tak, giant (gatorade to us) or licao. watch your diet and get back on the training thingy. get well brad.
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Post by clunker87 on Apr 9, 2008 23:03:41 GMT 8
direkyey: I know the feeling! had been to numerous cycling accidents broken ankle (BMX) 25 years ago, Spine surgery (motorcycle accident) 2003, broken ankle again 2006 (DH) .I still have a stainless plate due for removal anytime.
Heres one thing sure "tomorow will always be better than today". the earlier you condition yourself that things will have to change during your recovery, the easier it will be for you to accept your condition. We are looking at a year of taking it easy. the last thing you have to think now is training or the rides your going to miss. believe me it takes only one to two months to get back in shape. Make the most of your rest. Spend time with your family , do other things you could not do like rediscovering your old hobby...etc .
Follow the D advise (watch TV etc). Its all a matter of outlook. The very first thing I do when I get injured is to sell all my stuff bikes, shoes , helmet. this way I dont get tempted to ride during recovery. This way you can start dreaming on your new set up after 12mons.
based on experience by a month of right training after a year of rest you'll be back to where your original fitness was
A year after my 2006 accident I was riding a 205km epic ride from Davao to Malaybalay 13hrs ride(3mons training) which I have been dreaming to do for the last 10 years.
Let your body heal , and enjoy life. Mountain biking will always be there for you!!!
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Post by direkyey on Apr 10, 2008 6:49:56 GMT 8
hey, guys. thanks so much for the replies. okidok and metz wow, 18 months! that sure is a long time. bikewise, my ellsworth would be old already by the time i can start riding it again. hehehe. thanks for the (free) diagnosis. according to my doc though, my wound will take two weeks to heal and i would be in a cast for another 6-8 weeks with the plates/screws inside me. by this time i would be allowed to carry not so heavy stuff. we haven't discussed the fact of a second surgery for the removal of anything. will keep you posted. oldschool, the d and clunker87 thanks for all the advises. they are all well taken. i have been taking it easy for the biking part-obviously. i still do the indoor trainer everyday. thanks for the removable cast that my doc deviced, i could wash my arm after every session. for some reason work doesn't want to let up (i am not complaining). i have never been busier. i am scheduled to be admitted in the hospital on the 15th but i would still be working on that day. anyway, thanks again for all the advices. will be a good boy for faster healing. will keep you all updated on my travails. hehehe demand for sex? hahaha. maski naman walang injury e (always!) |
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Post by the D. on Apr 10, 2008 13:11:50 GMT 8
here's my eperience, i've broken my clavicle years ago on a jump in palo alto. (oakley race). the doctor told me to take it easy for awhile and let my collar bone heal before getting back oon the bike. the stubborn man i am, a week later, i rode my bike, taking it easy, just cruising by the road when a bus cuts me. i bunny hopped a sidewalk, collar bone snapped upon landing and ended in the recovery for another month. gained weight like a washed up rockstar, grows long hair, lighten skin irritate the parents.
then when i'm all healed up, get back on the bike and do what i do best.... crashed. hehehe
next, i broked my arm on a jump in UPLB. hehehe.......
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Post by direkyey on Apr 10, 2008 14:11:42 GMT 8
here's my eperience, i've broken my clavicle years ago on a jump in palo alto. (oakley race). the doctor told me to take it easy for awhile and let my collar bone heal before getting back oon the bike. the stubborn man i am, a week later, i rode my bike, taking it easy, just cruising by the road when a bus cuts me. i bunny hopped a sidewalk, collar bone snapped upon landing and ended in the recovery for another month. gained weight like a washed up rockstar, grows long hair, lighten skin irritate the parents. then when i'm all healed up, get back on the bike and do what i do best.... crashed. hehehe next, i broked my arm on a jump in UPLB. hehehe....... Spell "the D" - p-a-s-a-w-a-y. hahaha. peace! |
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Post by metz on Apr 10, 2008 18:39:14 GMT 8
okidok-Interesting! Those I know who had external fixators figured in a motorcycle accident-MX actually. Maybe we shouldve started an injury thread so those who figured in one knows what to expect,
clunker87-great advise! In Direks case instead of rediscovering an old hobby, the guy bought a Mini Cooper! Hahaha!
Direk-You going to the Vespa Jamboree? Hehehe! No sarcasm meant! Before you broke your arm said you were taking a cage.
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drop by sunken, we miss you
