Saturday, March 21, 2009 Geralyn B asks

Q: I broke both my tibula and fibula right under my right calf and have chronic swelling, leg spasms.

I was in a car accident 2 yrs.ago. I broke both my tibula and fibula right under my calf. I have a rod and pins in my knee and ankle. I'm left with a 7% impairment. My ankle and knee swell with the weather, my knee stiffens with just a few steps and I still have pain in my leg that feels like the rod is a hot rod. I get toe cramps, lately legs spasms. My dr. said I would just have to live with off/on swelling but my leg is fine. I cant run like I used to and can't bend my knee to pick up things or at church. I cant do stairs. I was powerwalking the malls the weekend before the accident with my 74 yr old mother. I was 48 at the time. What can or should I do. I feel somethings not right. Should I go back to my doctor. The first year I took an Advil or Motrim just to sleep through the swelling and aching. I'm starting to take something again now more often than I would like. Geralyn B please help me.

 

I'm concerned my lack of mobility could be causing blood clots. I sit all day at work and feel my leg twitching from the spasms. I try to put my leg up while I work or get up and stretch or walk around. The stiffness and swelling keep me from being active so I don't know what options I have. My dr. said I should wait to remove the rod and can't guarantee it will make my symptoms any better. I've been taking a Naproxen generic which really takes the bite off of the aching.

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Answers (2)
Lisa Emrich, Health Guide
3/22/09 1:20am

Hi Geralyn,

 

Welcome to MS Central.  I'm not sure exactly what your question is in relationship to multiple sclerosis.  Do you have MS and wonder how your experience with the broken leg affects your symptoms and what to do about it?  Or are you concerned you might have MS?

 

Sounds like you have some concerns, especially when I comes to worrying about developing blood clots.  I'm not a doctor (none of us here are) so I don't know what your risk for blood clots is.  When you have concerns, it is a good idea to call your doctor.  If you feel that your doctor is not listening to you and treating your needs sufficiently, you certainly can go for a 2nd opinion from another doctor.  In my non-medical opinion, it would seem to make sense that, if you are able to get up and move around regularly, you would lower your risk for developing blood clots.  But a physician would have more knowledge to advise you with.

 

Perhaps you can clarify and provide more details related to your question.  I hope that others will chime in with their thoughts.

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3/24/09 4:27pm

Hi,

It's not clear whether you have MS, but if you do I am very happy that you are able to do so much physical exercise.  The question you ask doesn't seem to be directly related to MS, however, especially if it is a result of your fractured tibula and fibula.  I too had a complex tib/fib fracture of my right leg several years ago and had a rod and screws put in my leg from my knee down.  Unfortunately it got badly infected and I had 3 more surgeries in an attempt to clean up the area, finally the rods and screws had to be removed.  One year later I fell again and fractured my right hip, which the doctor first put a rod in and one month later I had a full hip replacement.

My leg started to swell badly a few months later, and within six months both my legs were swelling and getting very red.  The redness and burning turned out to be from chronic cellulitis from the infection of the tib/fib.  It took me five years to get a diagnosis for the bad swelling, which got to be as bad as four times the regular size of my leg.  It turned out I had Lymphedema, a result of several lymph nodes being compromised during all the surgeries on my right leg in a short period of time.

I saw over a dozen doctors trying to find out why my legs were swelling and each time I brought up Lymphedema as a possibility, which I discovered on the Internet was a common diagnosis for the symptoms I had, I was told that only cancer patients who have lymph nodes removed get that.  It wasn't until I went to Sloan Kettering, five years after my legs started to swell, that a doctor agreed to order the diagnostic test for Lymphedema, which validated what I had known.  Unfortunately by this time the situation was much worse than it was 5 years before and after a long treatment process I still have periods of time when my legs are so swollen it is difficult to walk on them.  

I am not saying you have Lymphedema, in fact you probably don't if only your joints are swelling.  My point in telling you about my experience is to encourage you to pursue the situation with your doctors and urge them to take it seriously. If this swelling began after your tib/fib fracture and surgery then definitely go back to the surgeon and see what he says.  If he doesn't have an answer or says it is not related to the fracture then ask him who you should see to pursue it.  I had dopplers to see if my circulation was okay, which it was, and I was sent to an orthopedist, several vascular surgeons, a dermatologist, and even an infectious disease doctor, and all of them said they didn't know why my legs were swelling so badly and that it couldn't be Lymphedema.  

This is just another example of why we must be our own advocates in our search for quality medical care.  Good luck to you.  And let me know please if you have MS and if that is what caused you to fall.

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By Geralyn B— Last Modified: 12/26/10, First Published: 03/21/09