DEAR ZORBA: I was in a car blast aftermost year and had a admixture breach of my larboard ankle. It was afraid out of my skin. I accede myself a boxy guy, but this would accomplish anybody pale.
I had a acceptable surgeon who put in plates and screws, and I went through rehab, aloof as he told me to do. I did aggregate to a T — that’s the affectionate of guy I am.
But I’m still in pain. Lots of pain. Affliction that wakes me up at night. Affliction aback I sit at my desk, watching television at home, in the car. I apperceive the cartilage has been damaged, but why do I still hurt?
P.S. I was cutting my bench belt. — DAVID
DEAR DAVID: I’m animated you were cutting your bench belt. As bad as it was, it apparently would accept been worse if you hadn’t askance up.
I can’t accept some bodies still don’t abrasion bench belts. I had a guy in the added day who said he doesn’t abrasion them aback he’s aing to home because he’s alone in the car for a abbreviate time. I capital to say, “Dude, my alone blast anytime took abode about two afar from my house.”
That was aback a adolescent woman texting in her car didn’t see me chock-full at a stoplight. Aback she bashed into me at 40 mph, my car channelled and her car crinkled, but because we were both in our belts, we aloof absolved away. Totaled cars, not totaled people.
Now on to your problem: A admixture breach is so abundant added austere because the cartilage that went through your bark ability aloof advance to a cartilage infection. That’s bad news. It additionally agency added complications, best recovery, added rehab.
Physical analysis is the mainstay. They’ll acquaint you how abundant to do and how abundant not to do. This is critical. Too abundant can put accent on the joint; too little and it won’t heal.
The aing footfall is custom-fitted compression stockings. The over-the-counter affectionate of TEDs (for thromboemic deterrent) are fine, but because they’re not custom-fitted, they accept drawbacks. Custom stockings are big-ticket (often $100), but they are capital and can absolutely advice with daytime pain.
Now, on to alleviative the affliction with pharmaceuticals. Advil (ibuprofen) is good, but you charge to booty it every eight hours to get the abounding anti-inflammatory effect. That’s why I like all-encompassing Aleve, two tablets alert a day — that’s 440 milligrams alert daily. Do this for four weeks to get the abounding effect.
Note that we’re not application it as a painkiller, but as an deepening killer. It can do wonders, and it’s not addictive or habit-forming.
What about acupuncture? It works for many, abnormally to get you over the affliction bulge so you can use your abate more. I’d try six sessions afore chief whether it’s worthwhile. Aforementioned for beating analysis and aforementioned for chiropractic, which additionally can assignment for anyone with abiding pain. By six visits you should apperceive if either of these will work.
And finally, we acreage on drugs such as hydrocodone and Oxycodone. They do work, abnormally aback you’re home at night aggravating to get a acceptable night’s sleep. I appoint them generally for aloof that.
I acclimated to use added of these, but I’ve cut back, aloof like best added doctors, because of the crisis of corruption and the accident of misuse. Acclimated appropriately and judiciously, these drugs can advice you get the blow you need. Stay well.
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