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This topic contains 111 replies, has 2 voices, and was last updated by  Tina 1 month, 1 week ago.

  • Creator
  • #238 Reply


    A place to ask all of your questions!
    Feel Free to ask your questions so that other people who are going through the same process can help you out

  • Author
  • #110476 Reply


    Has anyone had experience using physio-stim (Orthofix or other brand) device to aid in bone regrowth with tibial plateau fracture? I am 3 months out with non-displaced fracture that still has portions of bone that have not knit together. I am not yet FWB on the injured leg, walking with cane, and experiencing pain & swelling upon overexertion. Doc seemed unconcerned, but I am questioning…

  • #110472 Reply


    bump bump bump bump

  • #110466 Reply


    Hello all,
    I am 8 weeks post surgery to repair my 2 Right Leg Tibia fractures . My Dr. allowed me last week to go full weight bearing as tolerated . He suggested using two crutches for a week waking on affected leg, 1 crutch for 2 weeks then no crutch , maybe use a cain in needed after . Generally my quad and knee muscles are weaker but gaining strength in therapy / Home PT . I have 2 questions :

    1. My affected knee when I walk does appear somewhat distended in comparison to my non injured leg and it’s knee . Is this normal for others , I know I still have some swelling but was curious of this went down with time?

    2. After 4 weeks of PT my Dr made me FWB as tolerated , he was a little concerned that my knee flexion was just a bit under 90 degrees and mentioned a potential procedure called manipulation under anesthesia. I’m not keen on going back under general anesthesia to be bent. I am getting a dynasplint as well hoping this will help so I can avoid MUA. If I can get past 90 degrees is MUA still wanted ?

    Thanks ,

  • #110458 Reply

    Vivian Barron

    I’m 6 weeks past a non displaced 5-6mm TPF. I’ve been advised to start weight bearing now;, working up to full weight (100 lbs) over the next month. Reading the guidelines and others posts I fear this is too soon and that I am not yet healed. (As you all know you cat tell from X-rays.) Has anyone else done FWB so quickly and how did it go? I am a thin, athletic 68 year old with osteopenia.

  • #110455 Reply



  • #110430 Reply


    I am currently 4 weeks in on TPF with no surgery. I am in a brace that can be removed for a shower and sleeping. When I am sitting, my leg is propped up. Twice today while sitting I have had this pain that just came out of the blue and was like I was electrically shocked in my knee. It was kinda on the top towards inner side of my knee. It hits real quick, kinda takes my breathe away, and is gone within 30-60 seconds. The first time it happened, it was right after I put ice in but the second time was just sitting here. Anybody ever had this? I would love to think it is norm and nerves healing but I manage to be scared about everything.

  • #110420 Reply



  • #6283 Reply


    You are Amazing hunny! I just saw tonight on the news about a 13 yr old who was bileuld due to a typical stereotype and commited suicide heartbreaker . but young ladies like you make all of the difference, I’m in the works of skin cancer awareness and that i enjoy how you are telling young girls that they dont need to seem like that, it’s fake! props to you hun, you inspire me and i’m twice your age! <3 XOXOXOXO

  • #6145 Reply


    i am 11 weeks post op and i am still nwb with a hinged brace i had a plate and screws with a bone graft as well, my appointment keeps getting put back and my next appointment is the 13th march 15 my physio wont do anything because i am still nwb.
    is this going too affect the outcome of my recovery?
    i am also having some weird sensations in my knee and shin like cold liquid trickling down into my foot is this normal.
    many thanks

  • #6102 Reply

    Tammy Barrett

    Always glad to meet new friends, but so sorry its this way! I will more then likely say, yes its normal. anytime you have your knee affected in such a way it will affect your foot. I have read that all of us have a swollen foot, foot pain, ankle pain etc. I would also think that your knee will give you fits on and off for awhile.
    Besides walking on crutches and a hinged brace, what else do they tell you to do? Have they offered physical therapy to you?

  • #6089 Reply


    Hello fellow tpf members. Definitely not a group I signed up for…but here I am.

    I was hit by a car about a month ago. Initially taken to the ER, where the doctor did exrays, and said there was nothing wrong… nothing broken. My left knee and lower leg was swollen, red, and beginning to bruise. Moving my knee was impossible due to extreme pain that also radiated down my leg. Any attempt to move or bear any weight on my leg leg caused excruciating pain and I was sobbing. I had to practically beg for pain medication and when I was discharged I asked “How am I going to walk?” Only then did the doctor tell the nurse to give me crutches.
    Unconvinced that nothing was wrong, I made an appointment with my regular doctor. During that visit, I found out that the hospital radiologist had stated possible tibial plateau fracture and he recommended that the ER doctor order a CT scan or MRI. Ohhh…I was angry,to say the least. Referred to an awesome Orthopedic Specialist who confirmed that I had a tibial plateau fracture. I was sent home in a hinged leg brace and pain medication. No surgery needed at this time.

    My question/concern is: It has been almost a month and I still have episodes of bad pain in my knee, calf, and foot. Is this normal?

  • #4709 Reply


    Hi Mary,

    If your insurance covers a second opinion, you may be able to get more information about your injury and treatment from an O.S. Also, you may be interested in the links on this site


  • #4704 Reply

    Mary D.

    Hi Eilleen,
    I did submit about 20 questions via email before my last appt. I see a PA not a orthopedic surgeon..He answered online, then seemed more full of concerns at the appointment. The PCL is sprained, could possibly have caused some of the fracture, is inoperable due to location, but a full knee replacement can be in the future due to the arthritus that often sets in. My leg will ever be the same as before the fall. We don’t know the extent of damage to the ACL/PCL until weight bearing begins. Kind of a bummer..Bones can take 12 weeks to heal-6 months to remodel fully.
    Now, for some reason these last two days (in week 5 of NWB) I feel great! I have been crutching more, even standing on two feet calmly (except the heel doesn’t touch the ground) and not in the pain of before.. don’t know what happened. The thigh is atrophing so am trying to excercise more.. A friend brought an ultrasound for bone stimulation (Osteogen) to use daily. Has anyone tried it? I start PT in week 7..have about 60* and no straight leg. Tempting to over do because it is so nice to not be in daily pain…

  • #4602 Reply



    It seems as though you need more information about your condition and what you can expect. Keep asking–even if you need to ask other specialists–until you are able to get the information you need to make your best choices. Be aware that the medical community thinks that us over 50 women can get by with less mobility that our younger counterparts. I wish you well.


  • #4334 Reply

    Mary D.

    Hi, I am new to this group..after tripping over a “curb stop” at a gas station 12/1/14. Ct scan 2 days later revealed a mildly displaced TPF. It is in a “hard to reach area for surgury (directly in the middle back of tibea) so they are oping a brace and 12 weeks of non-wt bearing & 12 weeks of PWB will do the trick. Your posts have been so helpful as figuring out what that means in daily life. I, too, and single- with pets to care for..and the old tall claw foot tub etc that needed a bench for modification, and a hand held shower nozzle. Purchasing a small portable wheelchair made life in the home so much easier.. Someones tip on Mobileg crutches also helped..Found them on Craigslist. This is hard!!!
    Crutching is exhausting (also late 50’s with no upper arm strength)..and a benefits- no work, no pay). So I am getting the impression, streching , flexing, seated excersizes are a good thing.. healing can happen..but we need to try to build core strength and not atrophy from sitting? The first two weeks were painful..but now it is not too bad..I just wonder how the piece fuses back to the long I should wait with leg up before trying to get out and about on crutches.. (It seems every time I go out grocery shopping or something-it is painful at night) .. I don’t want to jepordize healing and end up needing surgery. Has anyone tried acupuncture too?
    All of your experiences have been helpful!

  • #4213 Reply


    I suffered my TPF on October 25, 2014; had surgery on October 29: 8 screws and a plate. I am now FWB but using a 4 prong cane for support. I am in PT and feel this is going well. When doing my surgery, they used a nerve block to reduce the anesthesia needed as I react quite poorly to it. I now am having an increase in sharp pain in the back of my knee and shooting both up and down the back of the leg. In addition I have very small bumps that started adjacent to my incision and have now spread across my leg and up to my upper thigh. These bumps are extremely itchy and I have scratched them in my sleep to the point of bleeding. Anyone else have anything similar happen? Any thoughts on what is going on? No one here seems to know what the bumps are.

  • #3584 Reply


    Hi Robin,

    If you have bumps on your tendons, or elsewhwere, you can use a massage oil/lotion and rub hard back-and-forth, or in a circular pattern. When done, rub upward toward heart to push fluid up.


  • #3533 Reply


    I am now getting into my 5th month after surgery (plate & 12 screws). Walking unsupported, doing stairs, squats some weights and resistance exercises. I just started noticing a few small what seems like fat pockets around the knee. Anyone else seen this? Anything to do to get rid of the,? Will they be absorbed? Anything of concern? Thnx to all for help.

  • #2830 Reply

    marion gibbins

    The doc and PT are quite right ,first I practiced balancing between parallel bars ,with each foot on a different pair of scales ,when it was equally balanced which took a few days I went on to crutches .Am now down to one crutch when I am tired and rarely use it in the house or garden .This was about a month in total bearing in mind I have 5 labradors around me all the time I don’t think that is too bad .I do rest frequently still ,an hours house work and an hours rest is about it in the mornings .Physio in the afternoon for and 1 hours then rest before pool exercises .Morphine as and when ,but I try to limit this obviously to the minimum .Did a driving simulation yesterday but don’t feel quite confident yet .All in all 4 months BUT everyone is different ,I use the exercises bike no problems but small things like control of a small ball being pushed up the wall really hurt still .

  • #2805 Reply


    So appreciative of all the stories. I too was in a motor scooter accident and I am supposed to move from NWB (with toe-touching) to PWB next week. Looking specifically for suggestions on how to prepare for that transition? After 11 weeks of avoiding putting any weight on it, it’s hard for my brain to prepare for bearing weight again. My doc and PT all say it will be easy and take about a week, but the stories on this site tell a different tale. Appreciate any advice to set my expectations. Thanks.

  • #2608 Reply


    Exactly! The perfect way to put it – as much as I love my potato chips! Thanks for putting things in perspective. A good lift to the spirit.

  • #2607 Reply


    Thanks so much for your reply. I am in a phase now of having to deal with my mind along with the leg so some reassurance is really helpful.

  • #2606 Reply


    Hi Robin.

    I also am an excellent and skilled motorcycle rider…so much so I ended up with my very own TPF! hahaha

    Anyways, I have exactly what you have. Straightening the knee sounds like someone stepping on a bag of potato chips. My physical therapists and doctor does not seem too concerned with this at the moment as it is common.

    Since there is no pain (no pain for me, either), I have been told the most likely cause is fluid and air that comes with the breaking up of scar tissue and general healing itself.

    The way I look at it is this: I almost lost my lower leg, so if dealing with some weird pain-free popping and cracking sound is what I am left to deal with, I consider myself lucky.

  • #2599 Reply


    Hi Robin

    You’ve got crepitus (bone crackles), which is caused in one of two ways: arthritis, where a worn-down meniscus means there’s bone rubbing on bone, or little gas bubbles in the synovial fluid that burst when you move the joint. If you’re not feeling pain, then it’s likely *not* arthritis (but please don’t quote me on this! That’s something your OS can/should confirm/dispel), but just popping bubbles.

    I had a bit of crepitus in my affected knee, but it kind of resolved itself. Not a big deal or anything to worry about.


  • #2592 Reply


    I had a motorbike accident June 8 and surgery June 10, 2014. Titanium rod and screws. Have been doing regular exercises as per physio therapist and now FWB with 2 crutches about to move to a cane in the next week or so. My question is that about a week into FWB my knee makes a lot of crackling sounds while straigtening fully. No psin to dpeak of and not sure if it is only my mind that feels irritated by the sounds! Anyone else experiencing this or know whst this could mean? Is it common? Thanks for any help.

  • #2350 Reply


    Hi guys…punched my TPF Fracture on 6/25. Medial side, one clean fracture from the front top middle of the bone, diagonal to the back of the leg. Leg had to be realigned.

    Supposed to be NWB for 11 weeks until I see the Doc.

    I have full ROM, but some drop leg when I try to bend my knee while standing. Should improve with strength training and conditioning.

    I’m 10 weeks post op. I have no pain, some weird shooting pains sometimes but they go away quickly. I can sleep on my side, have been off pain pills since week 6. Ditched the brace while at home a couple of weeks ago.

    I accidentally took 2 steps at week 6 but held up. Took a casual drive yesterday with some minimal braking, no issues but I’m not pushing it.

    Very anxious for my visit with the Dr. who I haven’t seen yet. Surgeon who did my surgery was off my case after that day in the ER, I think he did a great job so far. 6 screws and a plate on the medial side.

    I toe touch around the house for balance but no weight bearing, test my leg just resting on the ground at the dinner table.

    Docs were very surprised at my ROM in the hospital and how quickly I was flying around on crutches 2 days after surgery.

    I’m 30, and in moderate shape, maybe 5-10 lbs over my ideal weight.

    Was interesting to read people’s issues with going from NWB to WB. I will report back on how I feel. I’m sure it will hurt but I am a quick healer and have a high pain tolerance.

    Cheers guys! Keep your heads up, life sucks, this sucks, but I know I will get through it and adapt to however my body needs to work go forward. Going to miss running, skiing, etc. but oh well. At least I am alive.


  • #2298 Reply


    Not sure if my info is getting through will try again,I am now 6 weeks recovery and my brace is set at 90 but still NWB for further 5 weeks was told the reason I didn’t get surgery was because my knee is full of arthritis and I need a knee replacement think they are waiting to see how I am once knee is healed will discuss more at next appt,as this happened to anyone else. Michelle

  • #2297 Reply


    Ha ha no worries i cant do alot til my next xray im still only pwb and am starting hydrotherapy tomorrow
    The thought of putting weight on my leg scares me being able to walk seems a million miles away..i do have fb so will check it out thanks

  • #2291 Reply

    Jay Jay

    Lindsay, sorry for the gramtical errors, my phone likes to auto choose my words. Ugh!

  • #2290 Reply

    Jay Jay

    Hey Lindsay, don’t feel discourage, you have to remember many of us have different TPF’s and different categories, so people recover differently. It is unfortunately for that I got a late start. The previous physical therapy place did not do well for me. No fault of anyone, I thought this place was really good. A recommendation of a fellow cyclist. I should have listen to my OS is in the first place and go with his recommendation for PT places. Since changing and going with his recommendation, I have progressing very well. I am doing things I could not do before with the previous PT place.

    If you have an opportunity, continue to do knee slides. You will get there. I was worried at the new pt place that I was not going to get past 94, becuase I was not doing any knee bend exercises. I am glad I was not doing them at PT, instead, he put me on the recumbent bike and not I am past a 105 in two weeks.

    Hang in there. Say if you have facebook, I found this really great support group for TPF. It is called, Tibia Platuea Recovery. You can ask questions, and the people will help answer your questions. They are an awesome group!

    Wish you the best in recovery.

  • #2273 Reply


    Well everyone seems to have recovered well im almost 12 wks and stil only allowed to partial weight bear cant even do a 90 degree bend yet… Now i feel worse

  • #2026 Reply


    I am also a nurse and my knee snapped during pt at 6weeks.the therapist was scared I ripped something. Knee swelled and turned red. I am off pt for now and on steroids. X-Ray was good also. Will see if better in 2 weeks. I am hoping I don’t have trouble with my patella when pwb. I was in good shape and was progressing well when this happened. Keep posted

  • #2012 Reply


    I had my Appt with my OS yesterday and after 9 weeks have the go to begin PWB. That was interesting….however My knee hurts on the left side…the TPF was on the right Tibula. The bottom of my foot hurts as well….Is this all normal? I have four weeks until my next OS appt. During this time I’m expected to move from crutches to a cane. I will start physio next week as well….All in all my leg doesn’t appear to have suffered too much, no pain around the plain just the opposite side of the knee.

  • #1705 Reply

    Jay Jay

    Emma, it is great to read that you found something that worked for you. Wiahing you the best in walking without any aid. Let us know how things are turning out.

  • #1661 Reply



    If your back has not yet been diagnosed, you may want to see an osteopath or your primary care provider before going to an OS. If you can go to a good PT and you are able to do daily strengthening and stretching, you may be able to achieve greater comfort than you would having surgery.

  • #1658 Reply

    Rob Williams

    My injury was 5 years ago last month – I have plate, screws, etc. – I still have issues with my hip and lower back hurting. I have been to a multitude of massage therapist. I guess my next step is OS – but I do not want to go under another knife….

  • #1655 Reply


    Hi Crystal your story sounds similar to mine although much shorter, I went 4 months before being diagnosed with tpf. I too have been told nothing about weight bearing and am still waiting to see an ortho. I haven’t been given a brace or any advice on how to proceed while waiting. Everything I have read says no weight bearing so I am very concerned about having walked on it for 4 months. My pain levels are increasing. My knee is still very swollen. I called the Health info line and spoke to an RN who was very concerned but gave me no information, she just transferred my call to the hospital who let me know they will be in contact soon with an appointment time for me – useless.

  • #1644 Reply


    I am 8 weeks post op and in my late 50’s. I’m supposed to start walking without my crutches next week. I have a plate and pins and had a dislocated fracture and powdered the bone. I can’t imagine giving up the crutches yet and after reading the above I can see it’s a confidence issue. However, I did find great crutches! Mobilegs – they are light weight, easy on the hands and shoulders. They cost around $100 but are so much more comfortable.

  • #1628 Reply


    Thanks for the feedback…..I have a plate and 9 screws. After the operation I had a full leg brace that allowed for 90 degrees ROM. Although initially I couldn’t move my leg 90 degrees. I could begin raising my leg after the first week…..So I sit on the couch and do leg raises continually and ankle flexes……I have 6 weeks until my next OS appointment. This forum has been a great source of strength and information. Can’t imagine trying to have guessed things that may or may not happen.

  • #1613 Reply


    Yes. Phone your doctor.

    I had to wait about 3 weeks post surgery before I got the OK to start physical therapy to work on ROM for my knee. All non-weight bearing work, but still work on ROM needs to happen.

    Maybe your doctor has a good reason for not following up with this. Maybe not. Never know unless you talk to him/her.

  • #1612 Reply

    Karen Lou

    I started doing leg lifts immediately after 1st ortho appointment (about a week after fracture)-worked up to 400 straight-leg lifts a day. What kind of fracture do you have, mine was non-displaced. Are you in a brace so you can’t bend your knee and possibly damage the top of the tibia? I was, the doctor told me – total straight leg for about 2 months, then brace was adjusted so I could start bending my leg- I was still NWB at this time. But, I started doing the leg lifts soon after my injury. I was told to take 1 350mg aspirin a day to prevent blood clots and move my foot around in circles, back and forth. Then after a month or so, I started doing isometric exercises of the calf and thigh muscles, just isolating them and squeezing. As soon as my brace was adjusted (started out at 45% but quickly worked up to 90%), I started doing knee bends and other ROM exercises. So, to wrap this up, I was NWB for 2 months, now I’m supposed to be FWB, but, it’s been a bugger! Two steps forward, one step back-on a cane for a day, then, back to the walker. Guess that’s the way to go, listen to your body and don’t hurt yourself or set yourself back. Sorry if this post was a little bit rambling, but, I hope it helps. When in doubt, call your doctor, that’s what we pay them for!

  • #1609 Reply

    Jay Jay

    Fred, I am NWB and started physiotherapy a few weeks after surgery. The therapy was mostly ROM and moving my foot. However, now at a facility, and my physiotherapist only has me do NWB exercises until the doctor says otherwise. Then the real work starts.

    If you have an opportunity. talk to your ortho about physiotherapy, we have to remember there are many different types of tibia platuea fracture and doctors may have different treatment plans for their patients.

    My physiotherapist has me do glut and thigh squeezes as these are important muscles that will support the knee when one starts walking. – among other NWB exercises.

    Good luck and hope your healing process is a success.

  • #1608 Reply

    Jay Jay

    Fred, I am NWB and started physiotherapy a few weeks after surgery. The therapy was mostly ROM and moving my foot. However, now at a facility now, and my physiotherapist only has me do NWB exercises until the doctor says otherwise. Then the real work starts.

    If you have an opportunity. talk to your ortho about physiotherapy.we have to remember there are many different types of tibia platuea fracture and doctors have different treatment plans.

    My physiotherapist has me do glut and thigh squeezes as these are important muscles that will support the knee when one starts walking. – among other NWB exercises.

    Good luck and hope your healing process is a success.

  • #1606 Reply


    I read peoples stories and I’m struck that some are doing physio while they are in their period of NWB…Whats the deal? I’m off my feet and never has the OS mentioned doing physio prior to getting to the point where I begin to put weight on the leg. I sit on the couch and flex my foot and do minor leg raises but is physio a good option at this point? Im at the 5th week mark with 5 more weeks to go before I see the OS again.

  • #1600 Reply

    Karen Lou

    Thanks Miriam, I appreciate the quick response. Amazing how many people check this web site. You’ve mirrored the thoughts I had, but, you know, we get so impatient to get back to normal. Especially this time of year, it’s summer, lots of stuff going on that we don’t want to miss. I’ve got a family reunion next weekend at my house, I usually cook a big meal for Saturday, roast pork, mashed potatoes, gravy and dressing. This year, I’m having it catered just so I don’t have to mess around with it. We all have to figure out how to adjust our expectations and relax (something I’m not good at!)

  • #1599 Reply


    Hi Karen Lou, if i where you i would not push harder! It is very normal to have pain and setbacks after you just have been FWB, you might harm something if you push to much. I had tremendous pains in my foot and ankle the first week FWB and went a few days from using 1 crutch to 2, then my body could find the proper balance. We should not forget that our bodies are working really hard to heal, don’t overdo it,
    Best of luck

  • #1598 Reply

    Karen Lou

    I’ve been FWB since the 30th of June. Did great on that day, went to see ortho using a cane, by the end of the day my leg hurt so much I was back to the walker and used the walker for the next day or so. And that’s the way it’s been since- use the cane, leg hurts, back to walker. Here’s my question: should I be using the cane more, suffering through the pain, will this help in the long run or set me back?
    I have fairly good ROM-up to 90% , good flexation. Still doing my leg lifts 200 or more every day and stretching the hamstring out. Don’t have too many problems with leg strength. I expect I’ll be going to PT at the end of the month after my next appointment with ortho.
    I just don’t know if I should be pushing this more than I am. Any suggestions or thoughts would be greatly appreciated.

  • #1589 Reply


    The Percocets have let me get a full night’s sleep for the second night in a row, but you’re right – I’m not the most comfortable sleeping. I’ve been on the couch so far because it’s on the main level, but tomorrow’s big project is hauling myself up the stairs to my bedroom. I miss my queen-sized bed.

  • #1588 Reply


    If it is a feeling of heat that comes in waves or wave sometimes this can be caused simply by the fact that you are not getting enough quality sleep due to pain or worry.
    Try to get a good night’s sleep and see if it goes away

  • #1587 Reply


    I’m in a bit of a tight spot with that, so I guess I’m switching over to light rant mode. I live in Canada so one of the downsides of our socialized healthcare is copious amounts of waiting. I don’t have a doctor for this fracture yet (although I was seen by four different ones on two occasions for the leg), just my family doctor. I have my first appointment this Friday morning at the fracture clinic, which I suppose is where I’ll get a doctor’s name and number I can use.

    I actually called the hospital today to try and procure a wheelchair, and was told none of them on staff could fax over a letter to the Red Cross because they hadn’t seen me. Last time I went in on Sunday, it was a two-hour wait to see someone. So, it’s still a little warm, but no massive increase of pain, which is what the doc on Sunday said would be a warning sign.

    Sometimes, I wish I just had wads of cash I could throw at this to make everything go away.

  • #1583 Reply



    I agree with Eileen. Call your doctor’s office and speak to someone. However, we here on this site have had some major traumas to our legs. That’s going to cause various problems with swelling and odd nerve sensations. Hell, I spent an hour one day looking for a small pebble in between my toes; not because there was one there, but because I had the sensation I felt one. Just some crazy nerve freaking out that day I guess.

  • #1572 Reply



    When I get concerned I call my OS. That said, having your leg down for awhile might have caused swelling. If you put cold on the knee and elevate it higher than your heart, this may help.

  • #1566 Reply


    I don’t know if anyone’s experienced this before or could help me out, but I’m a little worried about something.

    Managed to give myself a sponge bath and wash my hair today for the first time since the accident. It felt great and went a lot better than I expected, but a couple hours ago, I started feeling warmth in my injured leg from the knee down to my foot. I’ve been obsessed about not putting weight on my injured leg, but it’s warm and a bit edemedous. I’m also super focused on keeping my leg elevated and trying not to have it rest on the ground, but is this normal? I’m not experiencing any new pain, so I’m not freaked out, but just a little worried.

  • #1553 Reply

    Karen Lou

    Boy, do I know how you feel! TPF (left leg) on the 3rd of April, almost to the day March 28th-6 years earlier, I broke my left kneecap. Surgery, 3 screws, purple cast (Vikings fan) for 6 weeks, surgery to remove adhesions, foam cast for another 6 weeks. Ain’t life grand? It’s hard to maintain a good attitude, a couple months ago, I woke up, looked down at my stupid leg and cried, had a nice little pity party all by myself. Sometimes we just have to do that, if we can’t feel sorry for ourselves, who will? But, the frustration is the worst-I live by myself and it drives me ape sh**, can’t vacuum, sweep while balancing on one leg. Can’t get out and feed the birds, mow the lawn, all the things that were so easy and are now unattainable. Get tired of asking people to go to the grocery store for me, take my garbage and recycling down to the curb. And then, we think the recovery is going to be a slam dunk-WRONG! Recovery time from my broken knee cap is going to seem easy in comparison to this. But, after reading other people’s stories, I’m pretty lucky, my TPF was non-displaced.

  • #1552 Reply

    Karen Lou

    Man, I’d fire my doctor after receiving treatment like that! I have been seeing an orthopedist every month since my tpf, started seeing him less than a week after initial injury (April 3rd). Xrays at every visit, cat scan immediately after 1st visit.
    I’ve been fwb since Monday, 31st of June. Did good on that first day, walked into ortho’s office using a cane and walking almost normal, didn’t last all day, by the afternoon, I was back to a walker (highly suggest getting a walker, so much easier than crutches!). It’s been touch and go since. Some days, I get out of bed and can get by with a cane, but, doesn’t last all day. I’ve been on the walker almost all day today. I guess I was under the impression, once you were fwb it would get better daily, not the case. I’m more than a little disappointed that my ortho didn’t alert me to how difficult the recovery time is after this injury. But, since I found this web site, I get a much better idea as to the reality and don’t feel like a failure because I’m not just walking around like I could before.

  • #1550 Reply


    I suffered a tibia plateau fracture type II, I was told I’d need surgery but it didn’t happen as the consultant said l was too fat ( l am slightly over weight) and have seen a lot larger people have surgery, this happened 20 March 2014 l was sent home in a leg brace unable to use crutches, I had to bum shuffle up the stairs, I wasn’t seen until 11 weeks later had X-ray and was told to walk. I was shown some exercises to do and referred to physio, l left barely able to move on the crutches. My physio was concerned that l wasn’t very mobile considering the injury was 121/2 weeks old when l first saw her, she has referred me to hydrotherapy because my knee locks and my gait is poor. 14 weeks on no real improvement in mobility except l can use crutches to get up and down the stairs, moving a bit better on crutches consultant told me l should be walking and driving , can l really if l can’t bend my leg. Is this normal treatment for a patient and recovery.

  • #1546 Reply


    No. You are not alone.

    I am 7 weeks out from my tpf, still non-weight bearing, and it KILLS me that I cannot get out and participate in activities (I was into long distance bicycling and mountain hiking). This has made my moods less than happy. I also try to stay away from the meds to control the pain…I hate the feeling of daze they give me.

    For me, I have used simple radical acceptance of my moods. I own up that I am depressed or irritable at the time, coupled with the message that no feeling lasts forever, and maybe in an hour or two, I will be out of the funk.

  • #1545 Reply



    I am happy I found this website. I am 7 weeks out from my tpf and knee dislocation surgery. I had a motorcycle crash that resulted in the injuries.

    I now have 2 plates and 14 screws in my lower leg. I am non-weight bearing and will be for another 2 mores or so. Physical therapy has gotten my knee to 104 degree bend, but that was with their help (pushing, pulling, holding). On my own I can get to 95 degrees.

    Thanks for listening.

  • #1520 Reply



    When I first started FWB it was very difficult and the knee did feel like it would collapse. Added to that my ankle was very painful as it hadn’t been used for so long and the ligaments basically seized up!

    I think the initial stages of walking includes some confidence issues. Considering what we have been though the last 3 months simply dropping the crutches and walking is not easy. It is literally one step at a time.

    However after 2 or 3 the knee pain does reduce and the muscles strengthen making like easier. I still limp and use a walking cain when the knee feels under stress. I expect to use the cain occasionally for another 4 weeks.

    Cycling is however very easy? It strengthens the knee without the impact of walking……just be very careful.

    The ankle being flexible helped my knee and confidence enormously.

    If you haven’t done this already, try placing your foot a couple of inches from a wall and then without lifting your heel touch the wall with your knee. Do it with your good leg first to see the difference in how far your foot can be placed from the wall.

    Good luck

  • #1507 Reply


    Anybody tried aphostherepy does it work

  • #1500 Reply


    Hi Janelle, I may not be the best person to answer your question because I am still in the NWB phase. However, during physiotherapy, they have me doing quad (which also squeezes the knee muscle), glut squeezes, leg lifts, as well as hip reduction to strengthen the upper part of the leg for support when I start bearing some weight.

    Peoples bodies are different and it also depends on people doing there exceecise, so I apologize for not being able to answer your question, but thought I provide you some exercises you can speak with your physiotherapist.

    Wish you the best in your continued recovery.

  • #1496 Reply



    Thanks for sharing. I will be 6 to 8 weeks NWB, and I guess I need to read up on Warfarin.

  • #1489 Reply


    I am now a little over 90 days post op! I was finally cleared for full weight bearing. My doctor made it sound like I could just drop the crutch and go. So far that has not been the case. Grant it I am also dealing with complete reconstruction of every ligament in my foot. Everytime I try to step my knee just doesn’t seem like it can handle it. I’ve been in therapy since the week after surgery and they have even told me I am back to full range of motion. So my question is how long did it take for you guys to have the strength in your knee to hold your weight and walk?

  • #1488 Reply


    Eileen, blood thinners are common after this type of injury because of NWB (most importantly, to avoid blood clotting). I was on it for 30-days, but my primary DR. Did not understand why the ER Dr. prescribe it for so long (typically, it is for 2 wks). However, the OS said the same thing, but he rather had me on it the time prescribe becauseI am NWB for 3-mo. He did not what me on blood thinners any longer that perscribed.

  • #1487 Reply


    Eileen, blood thinners are common after this type of injury because of NWB.I was on it for 30-days, but my primary DR. Did not understand why the ER Dr. prescribe it for so long (typically, it is for 2 wks). However, the OS said the same thing, but he rather had me on it the time prescribe becauseI am NWB for 3-mo. He did not what me on blood thinners any longer that perscribed.

  • #1486 Reply



    My OS put me on Warfarin (Coumadin) until I finish NWB period. Is blood thinner treatment common?

  • #1444 Reply


    Hi, I had 8 screws and plate inserted on March 11th due to a skiing accident, I am 48 and quite athletic.

    Last week (14 weeks post surgery) I started to walk short distances unaided and use a wakking cain when needed.

    The leg is totally usless for 12 weeks and you must never ‘test’ the bone by trying some weight on it.

    I am also cycling everywhere and driving my car. Walking is actually the hardest thing to do. Cycling (slowly and carefully) is really good for exercise and stretching to reduce stiffness.

    The only reason I can do these things is due to the physio during those first 12 weeks. The exercises must be done every day otherwise the leg will not be ready to use once the bone has strengthened. Patience and hard work is your best friend… matter how annoying.

    My physio will last a year at which time I shoud be able to do a full gym work out.

    The really annoying thing is the swelling of the leg especially the foot. It will reduce but not until the leg is being used.

    My knee is still swollen and stiff. The only thing to do is stretching and strengthening. My cartilage is damaged and further keyhole surgery may be needed.

    Put simply, do the physio and have patience……and watch out for the weight gain.

    John (England)

  • #1440 Reply



    My Husband had a fall last week and has underwent a surgery with 4 screws to fix the fracture. He is 30 and how long approximately will the recovery time be..

  • #1423 Reply


    Hello everyone! So, I’m new to the TPF group & I’m so happy to have u all as my new friends. I sooooooo needed this. Good to know there are others who literally feel my pain {^_~} Anyhoo… my injury occurred on 12/12/13 in the Bahamas of all places. It was my 1st time visiting the beautiful beach of The Atlantis resort. Well, that beauty quickly turned into a beast. Moments after arriving to the beach, I was attempting (never actually made it in) to get into the water & lo & behold here comes a big rush of a monster wave (the beast) & knocked me over. It seemed like I was the only one in a Tsunami. I hit the sand so hard & was tossed around a bit & ended with a broken leg. It happened so fast, my husband & friends didn’t realize I was actually hurt. That is until they saw I couldn’t get up. FF .. I honestly thought at first it was just a bad sprain.. ended up being transported to a local hospital to find out it was a TPF which I’d never heard of before. Needless to say.. needed surgery but I refused & don’t recommend having surgery in the local Bahamian hospital (worst hospital I’ve ever seen) (another whole story in itself).. I still had a few more days before I could get home.. so I was put in a full leg cast (old timely & hideous) smh & a joke of pain meds .. FF..finally make it home ..had to spend Christmas & my New Year in the hospital. Ended up with 5 screws & a plate in my leg. Thanks to family & friends, made the best of the worst thing I’ve faced in my life. I’d rather have given birth 10 times on the same day than to deal with this injury. So, I tried very hard to be as positive as I knew how.. never expected to face the emotional roller coaster I’ve experienced. After the 3 months of NWB, PT was in full throttle & made a lot of progress accept w my ROM. I couldn’t get past 40 degrees for so long it was depressing. On May 9th, my doc did the MUA & got me to 130 degrees. Yahoo!!!! Today, on my own I get to 115 to 120 & w help 125. I’m happy that I’m finally bending again but still dealing w a lot of stiffness & pain. My PT keeps reminding me of how serious this injury is and it would prob be at least a yr of hard work to get good. I know it’s gonna take time but there’s lots of frustrated moments. I’ve probably cried more over this than anything. I have a keep it moving attitude in front of everyone else… but boy oh boy sometimes when I’m by myself, I get so mad, sad & angry that this is going on w me. I’m a very active person & it can be mentally draining sometimes that I’m not able to do what I’m used to. However, I’ve become very creative at how I do somethings :)) I really thought that I was developing real depression & I didn’t know how to cope. Pain is constant & I’m tired of taking meds bcuz they seem to be useless at times. I hate that it has to be “pain management”. I’ve literally taken more pills in the last 6 months than I have in my 42 yrs of life {^_~} But now.. Seeing your stories really inspires me & gives me hope that it’s gonna be fine again. I didn’t know this injury and the journeys of recovery were so common. Although I wouldn’t wish this on my worst enemy… it’s comforting to know, I’m not ALONE & there are many who understand what I’m facing{^_~} ..woooooo!!! This was therapeutic just typing this out. ~Peace-n-Blessings everyone!!!

  • #1420 Reply


    I am 34 yrs of age and it’s my left tibia that’s shattered into those 5 pieces.

  • #1419 Reply


    My date of surgery was 28th March. I hv 4 fractures n one dislocation. Hav two titanium plates fitted wid screws to align all the broken pieces together. So m one week frm completion of the 12 week period of NW(NON WEIGHT BEARING) I was so anxious to knw if my bones have healed that I tried putting weight on this broken leg only to have excruciating pain. I now feel that I will probably take a few more months to be able to walk normally. And that is extremely depressing. I have two small kids send am a single mother. And worst no help at home. I had not even come out of the separation and this accident happened. I was riding my bike and got hit by a truck. I am really thankful to God that none of my kids were with me and that it’s just my leg broken and am alive. But I just want to know as to how soon can I begin to walk without any support and all. Atleast in the house since it is a complex. Surgery that I underwent. My kids are missing me as I am irritated all.the time because of my handicap. I hope I find support in this group. Thnk u

  • #1408 Reply

    Norma Donovan

    Thanks Char V

    I am one week out from the surgery tomorrow. I am getting up more and more. I tire very easily but I see gains. My arms and shoulders are stiff so that’s got to be a sign that I am up more. Those first few days were so very difficult. Thanks for your kind words. Where are you in the healing process now? Are you weight bearing? Norma

  • #1406 Reply

    Char v

    I just wanted to let you know that weight didn’t seem to be a factor in instability with my walker, I is edit as soon as I was able to get out of bed, the day after surgery, and right up until about six weeks after surgery. I was VERY unsteady with it at first, and you are correct- the motion required to use it is exhausting, no matter your size. Just make sure to get up as often as you can manage, laying in bed all day is counterproductive. If you work at it, I promise you will get tired less quickly. And the soreness in your hands from supporting your weight on the walker will go away too. I had that as well and I weigh 140 lbs. hang in there- you can do this- I promise.

  • #1396 Reply

    Norma Donovan

    Just came across this page, glad to know I am not alone in my misery. Hit by a large golden retriever to L knee last Friday June 6 th, had surgery on Junes 13 thm plate screws and a 10 week non weightbearing status. Day 5/70 definitely better than day one but I am struggling with everything. I am female, 50 and fat so activities of daily living are a challenge. Any tips any advise any information that you think will help me I’m game. I live in a basement entry home 14 stairs which I bum up and then at the top struggle to get off the ground on my one leg. I use a low footstool and then slide into the wheelchair. The wheelchair is too wide to get to bedroom bathroom etc. my good leg seems so weak. I can get from sit to stand in wheelchair but getting off the bed is very difficult. I want to get stronger and be more independent, feel so incredibly weak and alone.
    Do I just use walker, crutches are impossible for this fatty, the walker works. I get so tired walking 20 feet. Do I just do what I need to or should I practice non weightbearing on walker as much as possible. If I could get out of bed with greater ease I could get to the bathroom no problem. I have a raise toilet seat, I have to get a pillow under me on the bed inorder to have just a bit of height to get up on one leg.
    Any exercises I should be doing in bed? At this stage I spend most of my day in bed? Should I spend most of day in wheelchairs?
    I am an rn, I’m not as tupid person and cannot believe that I am here. I am 5’9″ so not a shorty. But the weight is really making this hard. I am presently on a very healthy eating regime, trying to eat to heal but also to lose to make this process easier., any ideas would be appreciated, norma

  • #1376 Reply

    Charlie Durrant

    Hi, I had a a Tibia Plateau fracture surgery 5 years a go. I was happy with my recover. I was 18 at the time. I regains strength and mobility. I realise now I have never been able to hyper extend my knee and I am now suffering form trapped nerves in my foot under-developed calve and sometime hip pain. IN short I;m asking whether I should really be pushing for hyper extension?

    There is also a lot of Noise associated with the last few degrees of straightening. Still some welling after working it but pain isn;t extreme. I’m more worried about the effect of over compensating for not getting it fully straight or hyper extending.

    Thanks for any help. I’m very grateful for the website.

  • #1230 Reply


    Thanks for the advice man. I’ll try stretching some more.

  • #1222 Reply


    I am 12 wks post operation with plate and 8 screws inserted (skiing fall in Slovenia) due to grade 4 TPF. I have 130 degrees bend and flat leg extension. The progress is due to immediate physio within 48hrs post operation and due to the excellent Slovene rehab centre at Dolenjska Toplice when specific treatments were identified (I cannot thank them enough).
    I have just started FWB but using one crutch as a precaution. It is clear to me that considered/cautious movement/stretching of the joint is essential from an early stage. I have just completed 30 min cycling (gym) on number 4 resistance. Yes, significant swelling of the knee has returned with usual stiffness (as advised) but no actual pain (except the ankle, which will pass).
    It is likely the medial ligament and cartilage is damaged therefore if the muscles can be strengthened safely then all the better. It may be painful, but get that knee extended and bent as often and as early as you can, if advised by your doctor.

    I am British, however the rehab treatment costs were reimbursed by the NHS due to recent EU directive for EU citizens. Something to think about if you are an EU citizen.

  • #1192 Reply


    Hey you guys i had a fracture last week and get surgery yesterday. I was wondering if anybody is getting a sharp knee pain when trying to lift up their entire leg? And if there is a way to reduce pain? I would really appreciate it.

  • #1038 Reply


    I was NWB for 8 weeks and was told to be patient and wait for everything to heal. What I wasn’t told was that I should have been working to get to a 90 degree bend while NWB. I would highly recommend that you do as many exercises as possible during NWB. I have been PWB and now FWB for the last month and still having serious problems with my ROM due to scar tissue build up from not doing enough in the NWB period. OS is now talking about a manipulation in 3 weeks if ROM doesn’t improve. Wish I knew this when I was in your shoes. Good luck

  • #1021 Reply


    hey julie

    Iam not allowed to bear any weight for 12weeks as well which sucks . My affected leg has lost so much muscle/strength. I will be 6weeks soon…..halfway there

  • #1012 Reply


    Has anybody else had to wait twelve weeks to weight bear? Or is my doctor over cautious sure hate this sitting and it’s bad for body to be so immobile

  • #818 Reply


    Miriam, I have a problem with my patella also. It is definitely not in the same place as the other one. I suspected it based on the way my legs look when I stand or walk in front of a mirror, but ‘proved’ it by attempting to do a yoga pose. I can’t roll over the kneecap, it’s more to the inside than the other one! Muscle imbalance does seem to make sense. I don’t have a solution for you, but will be interested to see your progress. Good luck and keep us posted!

  • #815 Reply


    Hello everyone,

    I searched through the questions but did not see the problem I am experiencing. I broke my leg in December 2013 and did not require surgery. After 8 weeks I started PWB but experienced my patella not tracking correctly and my knee would lock. They did an MRI and found that, even though the xray showed it healed, that it was still not healed. I was pulled off of PWB and have used a bone stimulator. I am supposed to start PWB again after 2 months with the stimulator are complete. My problem is my knee still pops with almost every flexion and becomes sore. I do PT for about 1.5 hours a day and more at times. My MD said it was most likely it was related to muscle imbalance. Has anyone experienced this and what did you do to over come this problem. I am a nurse and need to get back to work!


  • #747 Reply


    I posted my questions in wrong area. Please look at “circulation in foot” and offer any advice! Thank you!

  • #746 Reply


    Hi Diane,
    I am now about 90 degree flexion. I refused surgery even though the OS was leaning on me very hard to do it. I am using the flexionator, which seems to be working and wished I could’ve gotten it sooner. also had a lot of problems with swelling and old fluid in lower leg and foot. I started wearing gradual compression thigh high hose that has helped. Also massage and cupping massage has been very beneficial. The cupping has really loosened the tissues and moves out the fluid build up through the lymph nodes.

    One day, we will have to start a ROM post and tell how our devices helped us etc The range is still coming but very slowly so I am hoping that is a good sign. I am able to slowly walk down the steps like a normal person, minus the speed, so the bend is coming!!! I constantly have to stay focused on progress, no matter how small, so I don’t become discouraged!!!

    Take care everyone!

  • #740 Reply


    Swelling can be normal, but never hurts to check with your Dr. I did have surgery and was immobile for several weeks. Due to that, I developed a DVT (bloot clot). The symptom was continued swelling. Check with your Dr!! I still, months later, swell if I sit with my foot down for very long.

  • #739 Reply


    Hello again! I have a new question. Has anyone tried the JAS Knee? I haven’t been able to get much past 90 degrees so my OS ordered this to try instead of MUA. The thought of that procedure terrifies me, so I will do my best with this “apparatus”! Has anyone heard of it or tried it?
    Thanks. Best to all!

  • #710 Reply


    Question: Today is 3 weeks from my fall and I still have swelling. No surgery was required for my tpf. Is this normal? Am I not icing and elevating enough. Should I be concerned about the swelling to contact my doctor? Also having swelling in foot.

  • #681 Reply


    I had my TPF on March 23 when two Viszlas (60 lb hunting dogs) crashed into each other and my left knee at the same time, knocking me down. Surgical repair done March 31 and placed in heavy plaster cast. I had a fibreglass cast applied April 10th. Follow up scheduled May 8th at the Fracture Clinic. I’m not sure what to expect. I’ve been NWB since accident.

    Prior to injury I was spinning five times a week and walking my dog 10 k a day. I’m struggling with immobility, manipulating my crutches, being housebound and so many other limitations. I’ve tried bagging my cast to shower but I always seem to get some water in my cast so I’ve been sticking to ‘bird baths’ which are no fun. I bum scoot up and down the stairs.

    What is a realistic prognosis for me? I’m a 54 very healthy active mom with an exuberant pup ( who unfortunately has been staying with my sister as he was reacting to my crutches, wheelchair, ect).

    Any tips, recommendations would be welcomed.

  • #680 Reply


    I had my TPF on March 23 when two Viszlas (60 lb hunting dogs) crashed into each other and my left knee at the same time, knocking me down. Surgical repair done March 31 and placed in heavy plaster cast. I had a fibreglass cast applied April 10th. Follow up scheduled May 8th at the Fracture Clinic. I’m not sure what to expect. I’ve been NWB since accident.

    Prior to injury I was spinning five times a week and walking my dog 10 k a day. I’m struggling with immobility, manipulating my crutches, being housebound and so many other limitations. I’ve tried bagging my cast but I always seem to get some water in my cast so I’ve been sticking to ‘bird baths’ which are. I fun. I bum scoot up and down the stairs.

    What is a realistic prognosis for me? I’m a 54 very healthy active mom with an exuberant pup ( who unfortunately has been staying with my sister as he was reacting to my crutches, wheelchair, ect).

    Any tips, recommendations would be welcomed.

  • #550 Reply


    Thank you for your input Danielle. Glad to hear your ROM is getting better! I have been out of work since December, so I was considering anything that might help. Still using walker most of the time. Completely understand the bouts of being totally overwhelmed!!!

    Best wishes to all!!

  • #549 Reply


    I inured my knee 3 weeks ago sliding on ice. I went to the emergency room..had X rays was told nothing broke but due to swelling something is wrong. Put in immobilizer and crutches and to follow up with ortho. I saw ortho 5 days later..they drained 30 cc of fluid and tested me for gout..ra…lupus and infection. Everything came cackling normal. I then saw ortho again ..though this time it was my normal doctor who had done previous surgery. He thought it was a torn meniscus so ordered an mri. Got the mri results yesterday…tpf. I am in a brace. I was not told no weight bearing. Everything I have read says no weight bearing. My knee is still swollen and painful…is it normal for a doctor to allow you full weight on tpf?

  • #547 Reply

    barbara foster

    Hi barb,yes that makes sense.I will use my stick again and see if it is frustrating feels like 2 steps forward 1 step back.helps to know that you had same problem but got over it.thank you for taking the time to reply.barbara.

  • #545 Reply


    Hi Barbara,

    I’m 19 weeks post surgery- down to 1 crutch now, but when I first was trying to use the one crutch – but before I actually had the strength to do so correctly – I experienced lower back pain because I was contorting my body, i.e. compensating to do so as your physio says. This is not good to do obviously, because you don’t want new pain. However, now that the leg is stronger and I can bear the weight more as it should, my back isn’t hurting (cause the strain isn’t on it any longer). This is all pretty logical I guess. So the verdict I guess is that maybe you’re just not ready to give up that stick yet? I know how frustrating that sounds – but this injury is such a balance of ‘push’ and ‘patience’. There is good pain (from exercise strengthening) and bad pain (from doing something that hurts our bodies). Hope that makes sense and helps. Barb

  • #544 Reply

    barbara foster

    Its been 4 months since my surgery,had brace for 6 weeks.been going to physio twice weekly .I am now walking without a stick.I have been suffering with terrible lower back pain and aching hips after walking for more than this normal and will it improve,physio says its my body compensating for the way I walk,but its really getting me down.I would be. grateful for any advice.

  • #543 Reply


    Hi Diane,
    I basically had the same question as you. Since my last post, I have been tolerating more weight and walking with a fuller stride. I think that has been helping with ROM. Also, the PT put on kinesiotape 2 days ago. I’ve been hearing a lot of popping and the skin is not as tight and swollen so I think it is helping. ROM is beginning to progress!!
    Your ROM is still better then mine ( I am now 70 degrees!!!!!) but as long as I am improving I will not consider MUA. I have read a lot of posts on TkR saying that ROM continues to increase after a year.

  • #542 Reply


    Thank you Barb. I totally agree!!!
    This has definitely been my hardest but most glorious journey that I have walked through thus far:). It is all definitely in God’s hands and timing:)

  • #539 Reply


    As I posted earlier, my tpf was due to an auto accident on 12/13/13. Surgery, with 8 screws, plate, and bone graft, was on 12/20/13. Was nwb until late February. Developed a DVT from being immobilized for so long. So now, in April, I am finally walking with a walker. Little with a quad cane. My ROM is only 90-95 degrees. My surgeon said if it hasn’t improved by next visit, in four weeks, we can discuss a procedure. That being going under anesthesia for him to “work out” the scar tissue. Has anyone had this done? Did it work? What was it like after?? He seemed as it was not uncommon and if I choose to do this, could save a lot of more painful therapy. I was at 60 degrees when I started therapy. Any answers greatly appreciated!!

  • #537 Reply


    Hi Danielle,

    I just read your post and saw it was recent so thought I’d send a quick note to encourage.
    I am 18 weeks post-op so have been through the stage you are I guess, not that our injuries are alike – no two are. Because you opened the door “thanking the Lord” I can add that all through this I play worship music during my exercises, read the Bible in-between my sets of exercises, and try to focus on the positive. One day I laid on the bed just crying, no weeping it was! Then I heard this small voice say “Barb, you have me…think of all the people on your street even that don’t even know me”. So that turned my self-pity to praise and thanksgiving.
    But, what you are going through is real and painful and frustrating for sure – I think the key to it all is ‘patience’ – this experience is refining that in us. We live in such a fast-pased, push button, automated, have it NOW society that we just don’t want to wait. So take what you can from the help and experiences of others, but don’t get down if you think your progress isn’t as good. Everything is in God’s hands and timing – at least I believe that, and I think you may too, and that just helps take the pressure off of worrying too much.
    Anyway, be encouraged and pray for that range of movement to increase as you also do what you can to improve it as your PT directs. I love my physio and the help he has provided me get through this week by week. all the best, Barb

  • #533 Reply


    Re: ROM question and what has helped my mood swings

    Hello everyone, I’m about 9 weeks post op and about 65 degrees flexion and 3 extension. I was pretty much immobilized for 5 weeks and started doing heel slides and strengthening exercise at that point. I started aggressive PT at 8 weeks because the OS was concerned about lack of ROM ( I was at 45 at time of visit). He also mentioned manipulation under anesthesia if things didn’t progress. ( sounds rather unpleasant and do not want to go that route!). I was wondering if anyone else had problems with range of motion and things they employed to regain their ROM. I am still using crutches but now able to tolerate as much weight as possible which has seemed to help with the swelling and ROM.

    I had also been struggling with mood swings and feeling at times panicky, frustrated, overwhelmed, bouts of unexpected crying. ( Lol, different depending on the day ) I started taking adrenal support meds a few days ago which has really helped improve my sleep, moods, muscle tension and mental clarity. I also agree with others who say concentrate and rejoice about what you are able to do and your continuous improvements. It is depressing to stay focused on what you can’t do!! I thank The Lord for all my other blessings ( that can be so easily taken for granted )and my otherwise favorable health!!


  • #459 Reply


    Debbie, I haven’t been on the site in a while, but I just read your post, and I want to thank you for the links. They are very helpful. Next week I will be 7 months post surgery for my lateral TPF requiring one plate and 5 screws. My labrador retriever crashed into my leg causing the fracture. Even though I am a physical therapist, I had never treated a TPF fracture. So this has been a very humbling and eye opening journey for me.

    I returned to work mid December. I have full ROM in my knee, but I would probably guess my injured leg is about 40% as strong as my other leg. I still noticeably limp, and I have difficulty stabilizing my leg going up/down stairs. If I have been sitting or driving for more than 20 minutes my legs are stiff and wobbly when I try to walk for the first few steps. I walk like a 90 year old man when I wake up! I recently had a retired orthopedic surgeon as a patient, and we talked extensively about my fracture. He was very blunt with me as to the severity of this injury long term saying I may never fully recover from this or return to the activities I enjoyed prior to my fracture. The more I learn about this injury, the one thing I keep telling myself is to be patient. Give yourself at least a year to gauge where you are in your recovery. I know I haven’t worked on my recovery as hard as I should recently as I try to work my job as a PT as much as I can to make up for the 4 months without a paycheck.

    Debbie, tell me a bit more about your status now one month post injury. You didn’t have surgery which is great. Are you NWB? If so, for how much longer? My recommendation for you and anyone else who is NWB and in a splint is to do as much ankle and foot stretching, and isometric, theraband strengthening as possible. My biggest shock when I was allowed to put weight on my leg was how painful my foot and ankle were. I actually had more pain in my foot than in my knee! I had to do pool therapy for 3 weeks before I could really put weight on the leg on land. I fully believe this was due to the fact that I didn’t work my foot/ankle while non weight bearing. When we injure a joint like the TPF, the joints/muscles above and below atrophy so much as well. So it behooves us to work the joints we can as much as we can. Ankle/foot circles, alphabets, calf stretches, toe stretches, curling your toes, quad sets, tightening all those muscles are crucial. I didn’t do those while I was non weight bearing, and I paid the price with a lot of pain and frustration when I became weight bearing again.

    Hope that helps. Again thanks for the links. Those proprioceptive balance drills are great and I need to work those harder. I have faith that my injury happened for a reason. I am a better therapist now because I can fully empathize with what my geriatric patients are going through with their knee and hip replacements and fractures. When I meet my new patients and they tell me about their injury or balance problem, I pull my pant leg up to show them my scar, and I have instant credibility with them. They immediately realize I know the pain they are experiencing as well as the frustration. This is a great site Shlomi has put together! Everyone stay positive! You will get better day by day. Just be patient.

  • #414 Reply


    Hi. My TPF is fairly simple (no major additional tears).. it happened getting onto a ski lift 2/16. It’s comminuted but nondisplaced, and so no surgery. My question is regarding the suggested exercises. Most of the recommendations are post-operative, and I assume that after surgery there’s a certain kind of stability which I don’t have. My doctor said I could do isometrics. I would love to add as many other things as I can, but I also need to avoid displacing the fracture. I know the ITB attaches to the lateral proximal tibia… seems that certain movements could put additional pressure right where it’s vulnerable. I’m usually pretty active, running etc., so I keep catching myself moving in ways that might not be smart. e.g. leg raises (the ‘bad’ leg) while standing on the good leg brushing my teeth, or whatever. I don’t want to do something stupid & require surgery just because I’m impatient.

    I just found this site a couple of days ago, thanks so much for all of the effort involved, including all those who’ve contributed.

    Chris, if you’re still around… I’m glad to see you doing well too. I’ve read a few older posts, though I can’t remember everything of course. I wondered even then if some of these exercises could help. As a PT you probably know all about them, but I’ll post the links just in case they could help you, or anyone else. To me they seem ideal for foot/ankle stabilizing. (of course, when FWB) These were used by someone I knew who typically runs Boston at a 7 minute pace.. & he says they helped a lot!
    Could you tell me at one point you’d recommend doing some of the feet/ankles exercises using resistance?

    Sorry this is so long & scattered.

    Good luck everyone!

  • #392 Reply


    I am 7 months post surgery for TPF and only use a stick outdoors as a precautionary measure (bit of a coward at times!) Consultant has signed me off and very pleased with my progress. However, he mentioned I am showing a very slight sign of post traumatic arthritis, but told me not to worry at all, as this can happen. He kindly told me that he had to mention this, but stressed I was not to keep worrying about it, as my progess was excellant and should continue to be. Any thoughts or comments from fellow sufferers would be appreciated.

  • #390 Reply


    I had my tpf on 11/23/13. No surgery, but was nwb for 6.5 weeks. My doctor said then I could “start walking” on it, but did not recommend PT so as not to overwhelm the healing bone. I stayed on a walker for 2 weeks then graduated to crutches. Finally, started PT 8 days ago. I can walk with only 1 crutch at home & office now, but my knee is so stiff! I have gotten to a 120 degree bend and can almost straighten it, but it seems to be taking so long. MY PT uses intramuscular stimulation therapy (dry needling) which I know has helped tremendously, but I’m impatient to get on with it! It seems that the knee swelling prevents me from exercising as much as I would like. I’m using a 12-18 mmHg compression hose and wonder if a stronger one would be more helpful. Any thoughts on the benefits of compression would be appreciated. (the most uncomfortable part of this fracture was the extensive swelling of my foot…the knee wasn’t that bad, but the foot was a killer!

  • #360 Reply


    I had my fall on Nov. 30 and surgery to place two metal plates and 9 screws in on December 12. I am doing well with a rollator as far as getting around and have more movement and strength than the doc expected at this point. I can bend about 70 degrees. I had my wedding planned for March 1st. I am aware that I need to postpone this now. The doctor says I will not be released by then to be putting full weight on my leg and I do not want to have to use crutches or anything at my wedding. Realistically, how long should I plan to postpone to be comfortable at my wedding?

  • #353 Reply


    I have been fully weight bearing for the last 7 weeks. Physio has given me exercises, but says no need to see me again, as it is down to me to carry on. I can phone or see her, if I need to. I seem to be getting more stiffness during the last week or so than when I started weight bearing. I take pain killers when its necessary for me to go out and still have to rely on a stick outdoors. I know a TPF takes a long time to recover, but there are times I feel I am not achieving much. Does anyone else rely on pain killers. My ankle sometimes seems stiffer than my knee. Is this normal. I got on well with my PT, but she has never actually suffered TPF and I feel I need help from other sufferers!

  • #352 Reply


    Hey Chris!
    It’s nice to see that you are active on the site and I hope people will soon see your posts and may be able to answer based on experiences of their own.
    As far as the swelling and my own experiences, I can say that this is normal to some extent, I’m not sure weather the best treatment would be to rest more or just let it pass, but I have tried compression stockings and they worked quite well for me, I still use them sometimes if I am sore after a PT session, other things that also helped are icing and of course elevation of the leg. During the night, you are not supposed to wear the stockings but sleeping with an elevated leg helps a lot. If you are uncomfortable raising all the leg, even a pillow under your knee will go a long way. If the swelling gets worse, there are medications that can help. Also, there are different levels and sizes of pressure stockings so different strengths might fit you better.

    And one last thing – your bandages can also be a cause if swelling, if you are bandaged only around the knee, this is not optimal, as the pressure from bandages over a specific area might cause swelling in different areas. If you are bandaged, you should be bandaged from the ankle up, or very loosely and this will prevent some swelling.


  • #349 Reply

    Chris Hope

    I have a question for those that have recovered or are close to recovering from TPF. The surgeon cleared me this past Wednesday to return to work in another week or so light duty for a week, and then full load the week after Dec 10th. I am a PT working in a nursing home so I need complete balance and stability to do my job. I felt pretty good leaving the surgeons office so I decided to run a few errands for my wife. I went to Costco to pick up some food etc. I’m still using the cane, but I can walk fairly well without it. I was on my feet for maybe an hour throughout the day in total. My foot/ankle and knee were so swollen at the end of the day leaving me very despondent that something is wrong. I propped my leg up, iced it, and the swelling went down to almost normal size.

    My question is this: Is the swelling just a reaction to increased workload? Is this typical? It’s not painful, but the swelling makes me limp more. Will this get better as I gradually increase my time on my feet? Has anyone worn compression stockings or a knee brace to help during this transition? Any input is appreciated.
    Thanks in advance,

  • #339 Reply

    Chris Hope

    Shlomi, I found a good listing of TPF protocol that you could use to add to the protocol for PT section. What you have is good. I’d add some knee cap/patellar mobilizations as well as some more ankle mobility/strengthening such as ankle alphabet, resisted ankle and foot drills by hand and with theraband. For me the biggest hurdle has been foot/ankle pain when weight bearing began brought about because I didn’t do enough foot/ankle exercises during NWB. I feel I wouldn’t have had as much trouble now had I done these exercises while I was NWB. Even though we are NWB for several weeks, I feel from my experience that putting resistance through the foot simulating weight bearing is crucial to avoid the foot pain when weight bearing begins. Just my 2 cents.
    Here is the link:

    Hope this helps. I have followup with surgeon next Weds. Right now I couldn’t return to work, but I’m hoping I have a big week in therapy and make some good progress. I commend you for this site. Of course, we always have to keep in mind, everyone is different. But these general guidelines are a great start.

  • #335 Reply


    Hi Jenny,
    It sounds like this is not something to worry about at this stage, but worth keeping close attention to make sure it doesn’t get worse. I can’t really tell what it is, but It could be some light edema, which is by no means dangerous. If that is the case then having your legs slightly raised with a pillow while you sleep will likely help, as well as raising your leg for a few minutes after a strenuous walk.

  • #330 Reply


    Jenny Wrote:
    I am 13 weeks post surgery for tibia plateau fracture and full weight bearing. Physio advised walking round house with no crutches, but using one outdoors which I am doing and all is okay. However, I have developed a small soft swelling at the bottom of my stiches, not red or sore by any means, which goes down with rest, but comes up when I walk. Just wondering if it is worth bothering my physio about. I have never broken anything in my life (50 plus!) so not sure what to expect – any advice please.

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