Recovery


A Tibial Plateau fracture is really not much fun, but it helps if you are prepared and in many cases doctors will not prepare you properly for daily life after your injury. If I had to give you only one piece of Advice on Tibial Plateau eracture recovery it would be: be patient. And in the end, it’s not as bad as it looks.

Below is a more elaborate list of time-tested knowledge and information on different subjects related to your Tibial Plateau fracture. There are also separate sections for the different stages of recovery (from the menu above choose “1-8 weeks” etc.)

*Note: this website is not intended to provide medical advice. Your doctor is a much better source for medical advice.  This information is based on firsh-hand personal experience and research*

What to expect – overview

You will be leaving the hospital on crutches, usually with a hinged brace. For the first few weeks you will experience quite a few different uncomfortable symptoms but these all pass quickly. Natural symptoms include limited range of motion in your leg (in the knee and ankle joints) as well as pain, heat flashes, edema and stiffness Some of these will be caused by the fact that you are not completely mobile. Things will progress from here until in the end you are (in most cases) completely able to do your everyday activities, but it will take some time and hard work.

Time to recovery

Recovery from a Tibial Plateau fracture is different from person to person. It depends very much on the exact type and specifics of injury, your age, prior issues, level of physical activity, physiotherapy, nutrition and many other factors. Given all of these differences it is still quite safe to say that for most people, if you the injury was treated by surgery, you will still be in some kind of recovery for a complete year after your injury¹. In most cases it will be more than that, Improvement showing up to three years after. This sounds like a lot, and it is, but I can assure you that it does get better and that for most people after a few months your the injury will not prevent you from continuing with you daily life and you will be able to do all your daily activities to some extent including walking short distances, going out, meeting with friends, going to work etc.

Weight Bearing

For a period of about 6-8 weeks after the surgery you will be NWB (non-wait-baring), this means that you can not put any pressure on your knee and leg and will need to use a wheelchair, crutches or both. For some injuries it might take up to 12 weeks until allowed FWB(Full weight bearing). Depending on your doctor and your specific health condition you will be moving from NWB to PWB (Partial Weight bearing) or FWBAT (Full weight bearing as tolerated). This period of NWB will cause many mobility concerns and will affect your daily routine.

Mobility

You will be spending a few days in a hospital bed then progressing to a wheel chair and crutches, which you will be using for about 2 months, possibly followed by a single crutch and walking stick (see paragraph above – “weight bearing”). It could be up to 3 months on crutches, and up to 6 still using a walking stick (but usually much less). Also expect that initially you won’t be able to bend your knee much for a few weeks. This is called limited ROM (range-of-motion). Crutches are hard to use at first, and may be painful on the hands and shoulder, but don’t worry you will get used to them very quickly. And as a bonus you will develop very strong arm muscles. In some cases, overuse and pressure on your hands can cause secondary injuries to your wrists, arms or shoulders. If you are in pain from using crutches take it easy and use a wheelchair for a short while. You should also consider testing different types of crutches. Forearm crutches are usually more comfortable (then underarm) and come in ergonomic varieties. Today many advanced crutches also support ergonomic designs, anti-slip, and special features (link, link). Underarm crutches are usually safer then regular forearm crutches (link), but tend to be less comfortable, and don’t come with as many smart designs. Platform crutches might be good for people with a poor grip, but I haven’t tried them myself. Some crutches will also have shock absorbers to help your wrists and arms absorb shock (link).

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All this will require that you prepare for a period of partial mobility. Things you might be limited in doing include – walking up and down stairs, house jobs (cleaning, cooking, washing), carrying things from place to place (no free hands when using crutches), reaching high and low cabinets, showering. At first, you might also have trouble getting dressed and undressed but this will pass quickly. The best way to deal with this is have friends, partners & family help you with everyday chores and prepare the house as much as possible to make things easier. A few things you could do are:

  • Get a shower chair so that you are able to shower without bearing weight (link) and possibly also invest in some big bags or drycast or other cast covers (link) so that you can shower without taking your brace or cast off during the first few weeks.
  • Be very careful when using crutches in a wet surface because you could easily slip. Even more dangerous is if the crutches are wet and the floor is not. Make sure to dry the bottom of your crutches on a towel before leaving the shower.
  • If your crutches are very old and the tips are cracked, replace the tips with new rubber tips. The come very cheaply (link)
  • Use a gripper (link) to be able to reach those unreachable cabinets and to be able to grasp and retrieve items you would not be able to otherwise while on a wheel chair (link).
  • Make sure that someone prepares food and goes shopping for you. Other options include ordering in prepared food and ordering groceries online.
  • If your bed is on the second floor, Consider sleeping in a different room if you find it hard to get up the stairs. You can also climb stairs with crutches, or sitting down.
  • High and low cabinets are are hard to reach. Try moving things around so that they are easier to reach. Doors on low cabinets can also be unhinged to allow for easier access with a wheel chair. They can easily be put back on later.
  • More useful ideas can be found in the “logistics” section and “Tips & Tricks

Physiotherapy

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Physiotherapy is going to be a regular part of your life. The are several goals: increase ROM, increase muscle-mass, teach your musculoskeletal system to operate as before and increase your stability. It is very very important that you start physiotherapy as early as possible and keep at it until you are completely better. This is the one factor that will affect your recovery more then any other and it is completely up to you. I’ve written a complete section on physiotherapy alone. Usually you will be given exercises to perform from your physiotherapist. At the very beginning you will probably not be able to bend or straighten your knee at all. This can be quite frightening but don’t be alarmed. Initially exercises will aim to teach your neurological system to control the leg again. It might even only be hours before you will start to be able to bend your leg, or it could be a few days.  After this, during the NWB (not in all cases) period you will be performing gentle exercises to enhance your ROM, strengthen your muscles and reduce stiffness, sometimes using stretch bands(link). Exercises might be done at home or in a medical center. It is very important that during this stage you follow PT instructions and do the exercises as soon as possible and as much as possible. This will reduce stiffness, boost recovery and give you a better chance at developing good ROM. When you progress to WB, physiotherapy will include many exercises with weights and machinery with the aim of gaining stability and muscle and to exercise everyday activities like walking. I can not emphasize enough how important it is that you keep at it (even if it means you go to work less). To be able to do physiotherapy at home you can consider purchasing light ankle weights(link).  For more info and tips, have a look at the physiotherapy section.

Medical professional

Several medical professionals will be involved in your recovery process, including the radiologists, the OS (“operating surgeon”), Physiotherapist and sometimes others. You will be having regular checkups with them. It is very important that you make sure your OS is a good one, and that you consult with him on every question you have. Be curious and ask everything you want to know. Sometimes doctors will not be generous with information, make sure that you get your answers. You deserve them. Seek extra information in sites like this one (more sites in the further reading section). In many cases the PT and the OS will be discussing your condition either directly or passing notes through you. Make sure that they talk if they are not already talking, but remember that when they give contradicting advice – the opinion of the OS is always the one to go by. You might also want to consider getting a second opinion both before or after your surgery.

Diet

Bone healing requires quite a lot of nutritional help, especially during the first 3 months(This is when the bone is healing), so make sure to eat well, and consider supplementation. For your healing to progress well you need to make sure that you get a lot of Calories, Protein, Antioxidants and minerals. During the first few weeks of healing your body will consume about 2-3(!) times as many calories as normal. This is about 6000 calories per day, so no need to feel bad if you’re eating a lot and very hungry. It’s all going to healing.

Protein is an Important nutritional ingredient. By volume, roughly half of your bone is comprised of protein, and you will also need to get a lot of it to reduce muscle atrophy as much as possible. If you think you are not getting enough protein consider using protein powder to supplement your daily protein intake (link), or adding protein rich food to your diet (meat, eggs, milk products, nuts & seeds).

Minerals are very important for several reasons. By weight bone is about 70% minerals. These are the building blocks of your bones. The high need for minerals will mean you might no be getting enough of them, which can cause other problems. If you are depleted in magnesium for example this may cause muscle cramps which are not much fun during a Tibial Plateau fracture. Consider using a multi-vitamin(link) containing minerals during the recovery process just to be sure. Studies have shown a lower rate of complications in healing in people taking multi-vitamins (link). The most important minerals to consume are Zinc, Copper, Calcium and Silicon.

Vitamins are the catalysts for the process of healing and are also in high need during recovery.  Vitamins that play an important role in bone healing include: Vitamin C, Vitamin K, the Vitamin B-series. Be sure to eat a varied diet and Consider using a multi-vitamin for Vitamins and minerals (link).

Anti-Infalmmatory Nutrients help reduce inflammation and pain. Bone creates a lot of inflammation which causes pain.  Unfortunately it is not advisable to take NSAID (Non Steroidal anti-inflammatory Drugs) during the bone recovery process as these slow recovery. Natural Anti inflammatory agents that may work to reduce pain include Vitmain C, Omega-3 (link) and others.

There are many foods you should avoid. Some foods will interrupt normal absorption of nutrients and their consumption should be limited. Some of these are:

  • Salt or foods prepared with lots of salt
  • More than one cup of coffee or other caffeine beverages. If possible, avoid coffee altogether.
  • Sugar
  • Chocolate (because to caffeine content)
  • Soft drinks and carbonated beverages
  • Alcohol (it inhibits calcium absorption)
  • Caffeine (it increases rate of calcium loss and inhibits absorption)

Pain

Pain is an unpleasant but normal part of recovery. You will be experiencing different types of pain and discomfort throughout your recovery. Pain might be felt in different parts of the leg, and won’t neccesarily concentrate only around the knee. Most pain comes during the first few days and weeks after the surgery. Pain management is an important part of your recovery and you should not be in constant pain. You should use pain medication as advised by your OS or hospital medical staff. If you are unable to use the medication prescribed by your doctor or are more comfortable using a different type of pain medication remember that some types of painkillers should not be taken for long periods of time(read the label!), and that you should never take NSAID as pain-killer while the bone is still healing. These types of medications will postpone healing. Brands included in the NSAID group which you should not use include Aspirin, Motrin, Ibufen, diclofenac, naproxen and others. Don’t use these. Instead use what is recommended by your medical staff or another medication that is not a NSAID. In some case, mostly in the first days you might experience more severe pain that can be treated with stronger drugs. This is normal, but if you experience abnormally strong pain or other abnormal symptoms, get yourself evacuated to a medical center as this is usually nothing but could be a sign of a complication. Make that in the first few weeks you have a bottle or box of painkillers in your pocket so that it’s always handy. Remember – liquid pain medication usually act faster then the tablet equivalent of the same brand.

Staying at home/Mental Health

You might be staying at home a lot and will be quite immobile for a while. This can get affect your mood very much and can at some point get depressing, especially if you are used to being very active. There is no magic pill for this, choose a good book, and a good TV series and try to regularly talk to as many friends, family and close people as possible. The proximity of  friends and close ones is very important. You might also want to find a community of people who have suffered from Tibial Plateau fracture before who share your experiences and feelings. There are several such communities, and some of them they can be in the further reading section of this website. Also, try to do as much exercise as you possibly can. Even if this means exercising while sitting or lying down. This can give real boost to your mood. Another good Idea is to start watching a new TV-show you’ve never had time to watch, or subscribe to online video providers like netflix or amazon prime (link). If in need, consult a psychologist or mental health professional. It is quite normal to be affected by a prolonged period of immobility and recovery, and a psychologist will be able to help with this.

Physical Activity

You will eventually probably be able to do anything you were able to do before your injury. However, this might take a long time (1 or more year for some sports) and you might have to be careful when doing extreme sports. There is a limited amount of things that you may not be able to do exactly as before, for example some yoga postures will not be possible with limited ROM, but you can always work around these limitations by doing things slightly differently. Also, you might experience some pain which will be limiting. If you want to take up a fitness activity shortly after the injury bicycling and swimming are both good options which will also help with recovery. Upper body weight training might also be a good option but will not directly advance your recovery.

Work

You Might be dying to get back to work or could be in need for a vacation. Going back to work is something that very much depends on you and on your specific job and state of mind. Some people go back to work on crutches after 4 weeks (me, for example), while others might wait a whole 6 months.  There is a good side to going back to work (aside from money) since you will be interacting with people all day long and will not be bored. The important thing to remember is that you must avoid overworking and stressing yourself out. When you go to work it is important that you leave enough time and mental energy to be able to do your physiotherapy as much as you need, to rest, to relax and to visit your medical professional. This will allow your body to recover. You might be tempted to sacrifice your physio for your career. Don’t do that. Your career will still be there when you recover, the condition of  your leg is something you will be living with forever.

Sex

There is no physical limitation from having sex as soon as the initial pain has subsided, but this injury can affect your sex life, something which you will not find a lot of information about and your doctor might not tell you. Decreased mobility in one leg and one leg which is half the strength of the other can naturally affect sex. This gets better as your leg heals and strengthens, and you will need to ask your partner to be patient as you progress through the recovery process.

On a good note

Tibial plateau Recovery takes a long time but at the end of the process you are looking at excellent recovery and usually a fully functional life.  Moreover, trying to find the good embedded in the bad, this injury can help you put things in perspective and appreciate all the things you have in life: friends, family, health, a loving spouse. It gives you an opportunity to stop and think about what matters most.

1,771 thoughts on “Recovery

  1. Hi, I’m a 22-year-old female about six weeks into non-weight bearing after surgery for a lateral, tibial plain fracture (I believe the doc put in about eight screws to fix it). I’m doing very well with recovery, and already have my full ROM back. I’m concerned about getting my leg back into shape when I’m finally allowed to get off the crutches. How soon will I be able to dead lift heavy objects from the ground? Will the bone still be fragile and prone to breaking even after eight weeks? Is there any type of workout I should avoid?

  2. Hi Caroline: I know you can hardly feel lucky here but you are, in fact, lucky to have avoided surgery and the associated hardware that typically goes with that injury. My wife, probably close to your age, did what you did a year ago while skiing but did end up with surgery and hardware. Just so you know, she was quite diligent about the physio, etc and is back to very close to normal again, albeit with the metal still there.
    Being in shape to start with, as you evidently are, will certainly hurry along the healing process.
    Good luck! That light at the end of tunnel gets closer every day.

  3. I had a tpf along with acl dislocation on 2/5/17 which required surgery with plate and pins. I am now 10 weeks post op and can proceed from PWB to TWB as tolerated with my walker and therapist. I am really scared as to how bad it feels to try to walk after all this time! I’m afraid I will be disabled and needing a walker or cane for the rest of my life (I am 62) These articles helped me to realize that it probably will take longer than I anticipated and I am trying to be positive and tolerate the pain. It can be very depressing and every day is a struggle to get my mind on something more positive.

    • Hi Diane, I am also 10 weeks post op after a level 5 tibial plateau surgery with plate and 8 screws. While waiting for the bones to heal I seriously doubted being able to walk properly again. I have been able to bear weight now for 4 weeks and am also 4 weeks into physio. It is painful and I have had to increase my pain medication, especially before physio. I was very excited when I Moved to crutches after 1 week at physio and now can walk, almost without a limp and without crutches. I use 1 crutch when I go out still.
      Since I didn’t walk for so long my ankle is quite inflexible and gets swollen easily.
      I can’t get enough physio and practise walking and stretching as much as I can.
      The more you improve, and the improvement to me seems so slow, the more positive and better you become.
      Good luck for this second phase of your recovery. After doing nothing for so long this is all about doing the most you can. I now trust that I can put all my weight on my injured leg and that I will fully recover.

  4. Hi Tracey,
    Sorry to hear about your discomfort. I found that the oxycodone didn’t really help me and also upset my stomach. After taking them a few days, I stopped and just took Acetaminophen (two 325 mg. tablets every 4-6 hours) and iced my leg/knee a lot!! I was also told to take regular aspirin (325 mg., enteric coated) twice a day to avoid blood clots, for the first month, so the combination of Tylenol, aspirin and ice was what helped me the most. At night I put a pillow under my leg and that helped cushion my leg which also helped with the pain. I can’t stress enough the importance of icing your leg. It helps so much!!!
    I hope this information helps you. Keep us posted on your recovery.

  5. I had tibial plateau repair 3/28/2017 (a little over 3 weeks ago) with 2 plates and 11 screw. I am still in significant discomfort, especially at night. How long can I expect to take pain killers? I have been taking oxycodone 5mg. I know that I shouldn’t transition to NSAIDS.

    I am happy to find this site, there is a lot of positive information about a depressing injury.

    • Hi Tracey, it is 10 weeks since my tibial plateau injury and surgery with a hockey stick plate and 8 screws. The worst time in the beginning was bedtime. Some nights I sat up in bed to avoid the spasms and slept like that. I tried ice and pillows and took my targin and endones.
      Bedtime is still difficult although now I can lie on my sides and on my stomach. If the aching becomes bad during the night I take an endone and this works well.
      I found early on that massage of my ankle, which was and still is, swollen and inflexible was helpful.
      Regarding the painkillers, I did ween myself off them around the 6 week mark at which time my bones had mended and I,was able to transition to 100% weight bearing.
      However, I have had to restart taking the endones before physio and also again at night on bad nights. The physio involves pain because relearning to walk involves putting plenty of pressure on the leg and also unfreezing overworked muscles.
      You will start to see improvements especially after you can weight bear in a few weeks time.
      I have finally stopped getting really down about my situation and am getting excited about returning to my normal active self. This injury is a real test of patience and also a test of relationships. It is unusual to have so much time to contemplate and evaluate.
      Go well with your recovery, Paula.

    • I had Tibea Plateau fracture repair on 3/24/2017 with 1 plate and 7 screws. I took Oxy for 3.5 days then 600 Ibuprofen as needed. I wouldn’t recommend any pain medication besides Ibuprofen if really needed at this point. Oxy is VERY ADDICTIVE!

  6. Hi Slavcho,
    First, let me say how sorry I am that you were injured. You sound like you have a very positive attitude though which is great! I had no luck with crutches on stairs so I went up and down on my butt. When I arrived at the top of the stairs, I would hold onto the banister and pull myself up, swivel around, and sit onto a folding chair that my husband placed on the landing. Once I was seated on the chair, I could then grab my walker, or in your case, crutches, and come to a standing position. My husband would then remove the chair so that I could walk to my bedroom or bathroom. It sounds complicated but it actually flowed very well and it became routine and easy. Going down was easier. My husband would help lower me onto pillows that he placed on the landing and I would scoot over to the stairs and go down once again on my butt. Once I got to approximately the second step from the bottom, I would grab my walker and pull myself up. Needless to say, I developed very strong upper arms doing this.
    Good luck and keep us posted!

  7. Hi, I had a tibia nail interlocking surgery on March 6, 17 . I broke both my tibia and fibula in Cliff jumping accident on the night of 4th. The doctors said that I had a transverse compound open fracture and surgery was the only solution. It’s been more than six weeks post OP and I have an appointment on 22nd April tomorrow to see the doctors and find out if bones are healing well. I have started partial weight bearing as I don’t feel any pain or discomfort while walking without crutches. Can anybody help me with the PT exercises required to be done post 2 months of OP?

  8. Hi Slavcho,
    Sorry you’re going through this! I have several stair cases in my house and would have to go up and down a large one to get from the bedroom to the kitchen. I got two pairs of crutches and would leave on pair at the top and one at the bottom. I would go up and down on my butt and hoist myself up at either end using the banister and a crutch.
    Think I was 8 or 9 weeks, post op when I finally drove.
    Good luck!

  9. I had my tpf on 24th of March and i had a surgery the day after. I can imagine that psychological issues are the worst, but luckily I am software developer so i can work and keep my mood on high level.
    This article is very good, but i found one issue that is missing, and that i am concerned. How to climb stairs using crutches in case of fixated knee? I leave on 3rd floor without elevator, and this is really a problem.
    Also, I am interested about the time when it is expected that you can drive after this kind of injury.

    • I understand your problem. I live in a 4-story house and work on the third floor of my office building with no elevator. I learned to use crutches, but found the fore arm crutches, aka Canadian crutches, much easier to use on stairs than the underarm crutches. Down with the injured leg and crutches first, and up with the good leg first. (Down with the bad, up with the good.)
      I am now finally weight bearing after 14 weeks of NWB, and am walking up the stairs like normal using the forearm crutches. Going down, I still take one stair at a time using the crutches. Hoping to get to walking down them normally with crutches soon. Also, I am not allowed to drive until I am fully weight bearing, another 3 weeks or so.

      Hang in there–it does get much easier!

  10. This has been the clearest information I have found online. My tpf happened skiing on March 5th, 2017, no surgery. This Thursday, 6 1/2 weeks, I find out if I can start partial weight-bearing. I have been a perfect patient trying hard to keep positive. Just three months prior, I retired with 35 years as a police officer and was required to stay very physically active. I have never missed my concept 2 rower workouts as much as now. I have been doing calf & quad isometric exercises as well as hip circles to help recovery.

  11. Hi guys it’s DJ I’m about 6 weeks post op. I had surgery March 1, 2017.
    I had a fractured tibia and fractured ankle. Had surgery and had some plates and screws put in. I’m still NWB sadly but I have started physical therapy and I started with a ROM of 90 degrees and I’m improving. I have an appointment tomorrow and hopefully my doctor says I can PWB or FWB soon! I’m dying to walk! If you are barely starting this long journey hang in there! Honestly the hardest part is our mental and emotional state..of accepting the fact that we can’t do things on our own for now. That’s something the doctor doesn’t tell you or prepares you for. I started going out a bit more I went to a festival last weekend obviously stayed in ADA section a lot but it made me feel normal again. It’s also important to eat healthy. My worst fear is gaining weight so I watch what I eat most of the time and I try and drink water a lot. Since my accident I started realizing how a lot of places are not wheelchair friendly. Anyways I’ll keep updating my journey!

  12. Hi carol, I really feel for you,, I was hit by a car as a pedestrian on the 7/1/17 tpf, surgery with pins and plates 10 days after as the a and e dept missed my fracture, it’s been a very long 3 and a half months, I have nerve damage which has caused my foot problems, numbness tightening, pins and needles you name it,, I really thought I would never be normal again, the hospital has been a bit of a let down, mainly down to lack of information, two weeks ago because of the lack of ROM in my knee after mentioning to the hospital many times without any answers, I took it upon myself to book in with a physio,,,,,,,, OMG I can not tell you the difference, it has been amazing,, my knee was solid and very large,I could not bend it at all, after one week it was 80% better and because of that my foot has improved dramatically, I don’t mean to go on about myself, all I am trying to say is everything will be ok,, Ive had some really dark times since January and thought this is how I am going to be for ever ,, I started FWB yesterday and think I have finally turned a corner,, you WILL get there trust me and you will be as you were before the accident ❤️❤️❤️

  13. On March 2nd, I had a level 5 trauma. Bicondular tibial fracture. It was traumatic emotionally as well, since I was holding my 5 mo old grandson. I am 58. I don’t even recall what happened. Nothing at all. I know a huge wall cabinet fell. This was loaded with heavy items and certainly light ones: Ten pound weights, george forman grill, blender, turkey roaster. Two filet knives came out of their sheathing. My harley helmet. Cookbooks…You get the idea. Somehow the baby came out with no injuries at all. When I became cognizant of things, I was on the floor and the baby by me crying. Me too. I realized the pain was over the top. I have hypermobility and suspected EDS. I am used to fractures and strains, etc, but this was different. I didn’t have my cell and my land line was high on the counter. My knee shoved to the center of my thigh area. My calf angled oddly to the left. I scooted with the baby across my entire house to get to a phone. It took an hour. Every doctor and medical person at the hospital said my injury was “remarkable”. Swell. Emergency surgery to put in a stabilizing bar. Wait two weeks for the swelling to go down enough to repair. Second major surgery two weeks later and now wait 12 weeks. Now at about 9. I’m using a walker and wheelchair. I get tired easily, but I rest and nap as my body says too. Sleep at night is iffy. I just started PT to do ROM on my knee (which had previously dislocated, and my surgeon said it looked like it tried to dislocated and then didn’t-great!). I am blessed that my grandson wasn’t hurt. Not even a bruise! I am also blessed in that a couple years ago, my hospital wasn’t a trauma one. I would have been airlifted to KUMED. I have ptsd with other medical trauma’s my family and myself have had over the last 10 yrs, and this adds to it. I am not a real athlete, but stay active. I like to walk, hike, water aerobics. I can’t do REAL aerobics because my knees didn’t tolerate it to begin with. Gonna be honest. I’m scared. I have had to get used to “new normal” several times in the last 5 years. I think my trauma surgeon is good. I’ve been in PT many times. I know it will hurt like hell as I try to do things. But…I grow weary. Bad stuff just keeps happening and I wonder what my future will be and how active I will be able to tolerate. Will I even be able to take care of the little ones? Will I burden my 3 son’s? Will I even be able to walk or walk without assistance? Already my body rebels from over compensating and lack of exercise. I have “hot” spots in my hips from my IT bands rubbing on my joints. I could keep going…it just feels good to vent in a safe place where others understand. Thank you.

    • Hi Carol, like you I had a level 5 tibial plateau injury in early February. Similarly I had very low times worrying whether I would walk properly again and also I found sleeping very troublesome. I am 64.
      I had surgery the day after my injury and was pleasantly surprised when my surgeon said the bones had healed after 6 weeks. That was when I started physio. After 1 week I tried crutches and it was a high point when I was able to walk with them.
      The difficulty with my improvements is that they seem so small. It is helpful when friends comment on how much better I am.
      Physio is the start of all improvements and apparent recovery. You are lucky that you are so young. All the other patients at my physio are in their 80,s and this makes me feel like a youngster.
      Pain is your partner in recovery and it is important to maintain sufficient pain relief.
      Go well, Paula.

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