Ouch (possible NSFW pictures of my rear to follow)

Ouch (possible NSFW pictures of my rear to follow)

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Dibble

Original Poster:

12,941 posts

241 months

Tuesday 28th July 2020
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WinstonWolf said:
Dibble said:
WinstonWolf said:
Built up shoes are st, I had one that looked like a club foot shoe...
Inserts are infinitely better IMO, they allow your foot to work over a much wider angle and you can walk with a more natural gait.
It's certainly worth giving one a go if you get a chance.
Good luck!
I’ve got an orthotic insert of 12mm for each shoe and then the sole is built up by 16mm. The boot definitely works better than the trainer, as I don’t get my heel lifting out the same way. They’re ok, but not great. While I’ve options to try and improve length (oo-er, Matron), I’m going to go as far as I can with that. I’ve the additional issues with knee function and alignment at the top of my femur to try and get sorted and hopefully, the surgery will improve those areas as well. It’s a bit of a three for one deal and even minimal gains with knee function/bone alignment will be better, even if the length doesn’t change.
IME that shoe will make your limp worse, I wore the same thing for many years then had a heel insert made. I thought I was working terribly but my gf at the time said "bloody hell, you're walking like normal".

The ankle can accommodate a lot of shortening, but you need to be able to roll your toes which a full length raise prevents. You're probably raising your hip and stalling briefly as your duff leg comes off the floor?

The surgery is obviously going to bring you benefit in the longer term but a heel only insert is worth trying in the short term. Your calf muscle will soon develop.
I have tried heel raisers from the physios at the limb reconstruction unit, although admittedly not a full insole. It may well be worth considering down the line, depending on how successful the lengthening is (the heel raisers helped, but didn’t solve the issue).

Dibble

Original Poster:

12,941 posts

241 months

Tuesday 28th July 2020
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I’m bloody starving already and it’s going to be another four and half hours until I can eat! I’ll be leaving home in a bit to get to the scan appointment. I can confirm that drinking loads of water does not “fill you up”. It just means I need a piss every five bloody minutes!

Dibble

Original Poster:

12,941 posts

241 months

Thursday 30th July 2020
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The scan all went fine. Because it was at 4.30pm, the hospital was pretty quiet and they’ve got the one way system/masks/distancing all sorted out. I got checked in, weighed and measured (I’m still a fat knacker) and injected with the isotope. Then you just have to sit around fir an hour, so I had a snooze as they prefer you not to read etc.

Then i5 was int9 the scanner for about 40 minutes, so I took the opportunity for another snooze! I know some people don’t like being inside the machine, but they were only doing my bottom half, so I wasn’t all the way in anyway.

I won’t get the results until I next see the consultant towards the end of August. The images take a little while to process/stitch together and then they send them to the consultant for her to look at. She’ll also discuss them with a consultant from the imaging department.

I’m still not convinced about the Stryde nail. After all the faff so far with infections, I’m still not keen. I’ll just have to wait and see what the consultant says and talk through the results and options with her at my next appointment. I’m really happy with her and I really trust her as well. She doesn’t pull any punches or flower stuff up, she’s very straight talking, takes as much time as I need and explains stuff in a way I understand what she’s telling me.

Dibble

Original Poster:

12,941 posts

241 months

Saturday 22nd August 2020
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The show rolls on...

I had the follow up with the consultant yesterday. The good news is that my most recent PET CT scan is showing absolutely no signs of infection, at all. In this image, the picture on the left is my scan from about three weeks ago and the one on the right is just before they started the reconstruction surgery. The lighter colours show infection and as you can see from the image on the right, there’s a fair bit there. As they scrolled through the image layers on screen, there was a fair bit of red as well, which is the highest level present. There was nothing in the recent scan, so I’m as infection free as they can tell.



A bit more of the previous lurking gunk...



I went through the options again with the consultant (and the registrar there on rotation). I had about 90 minutes with them altogether as I had a big list of questions to ask them. I’d already decided that I was going to go for more femur lengthening as it seems sensible to not mess around with the as-yet unmessed around with leg. If I went for shortening of the good femur, I’d lose a lot of quadriceps function, at least initially, while gaining nothing in my right leg, which there are still issues with.

The issues at the moment are lack of knee bend range, some over rotation of my foot, the fact the femur is shorter and it’s not the right shape, causing my hip/knee/ankle to be out of alignment. The options for lengthening are the Stryde nail or another external frame and there are pros and cons for both. For me, the biggest risk with the Stryde nail is infection. Because it would be completely enclosed, any infection that did appear would take longer to show up, whereas with pins and a rail, it becomes obvious fairly quickly.

To insert a Stryde nail, they need a straight run to hammer it into - it goes inside the bone cavity itself. As you can see, there’s a definite bend at the top of my femur (as well as what looks like half a face of Jeebus, hidden in there!). It seems counterintuitive to me to remove the bone I’ve grown, to stick the Stryde nail in and risk an infection, which puts my whole femur (and potentially leg) at risk. Yes, they could start with that and see how it goes, but why faff about when there’s another, workable option? I’d also end up with a semi-permanent nail down my femur, even if the Stryde worked. My body doesn’t seem to be a huge fan of metal being attached internally.

If I go for another external rail, I know exactly what’s involved and what to look out for. The rail itself can be fixed lower than previously, so it won’t stick out from my leg quite so much, so will be marginally less awkward. They can straighten the head of my femur out and lose less bone doing so than if I go for the Stryde option. Yes, I’ll still have bits of metal in my bone, but the area/volume they take up will comparatively be much less. Straightening the femur will also improve my hip/knee ankle alignment, which in turn, should improve knee function. They’ll manipulate the knee joint while I’m in theatre to “reduce adhesions”, which is no fun for a couple of days afterwards, as it basically means ripping off any bits of muscle/ligament/tissue that has attached itself where it shouldn’t... they will also probably remove the last rogue pin that’s in my knee from the original surgery, which should also help, while at the same time, reduce an infection site.

Despite how all this reads so far, I’ve not made a final decision, but I’m definitely leaning towards more of the same with the external rail again. I don’t have to decide just yet as I’ve no date for the next surgeries to start, but I am on the list for pre-op assessment and the consultant says she wants me near the top of the list, as she knows how long it’s being going on for. Despite me being somewhat of a problem child, I’ve never once felt she isn’t totally invested in getting the absolute best result for me, however long it takes or how complicated it gets (which is completely at odds to the initial orthopaedic consultant, who seemed like he couldn’t wait to get rid of me).

TL;DR More of the same to straighten my bendy femur and make it longer so I’m balanced (for the first time in my life!)

Dibble

Original Poster:

12,941 posts

241 months

Saturday 22nd August 2020
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fwaggie said:
Had an MRI on my knee.

At the time I had not long ago had an operation for a total knee replacement so all the stories about MRI machines ripping out bits of metal were giving me a bit of anxiety.

Got there, they saw the scars, read the notes, and said "Ah, sorry sir, we can't put you in this MRI machine, you'll have to be booked into the special one" (that can cope with metal bits).

Seems that titanium isn't ferrous so isn't affected by MRIs, but any metal at all will completely mess up a normal MRI image so they have a special MRI machine for people with metal in them.

Normal MRI machines cost eeek, gawd knows how much the special one cost.

But thanks to the Nuffield in Oxford, they had one.
I’ve only just seen your email I’m afraid, while I was checking my junk (so to speak), so I’ll ping you a reply in a bit, but thanks for taking the time to wrote and I’m sorry if you thought I was being ignorant and ignoring you! I do try to reply to all the emails people have been kind enough to send me, as well as comments on here. They are all much appreciated.

Dibble

Original Poster:

12,941 posts

241 months

Sunday 23rd August 2020
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Esceptico said:
I didn’t have the special length adjusting nail in my femur but I did have a titanium rod through the middle of the bone from hip to knee. Just my experience but didn’t have any problems, fixed leg and was taken out a year later. Appreciate you have had problems with infections. However if you an external framework you have holes in your leg and wouldn’t that be a pathway for infection?
Cheers chaps.

You would think the pins would be more an infection vector, as they go from the outside to the inside, but from what I’ve been told, our bodies are actually pretty good at sealing the holes. It’s actually quite difficult for an infection to track all the way down from the skin and there’s lots of defensive stuff in each layer, which prevents it happening (in most cases). The pin site care routine is pretty stringent as well, at least initially. Once the pin sites have scabbed over a bit, they’re pretty effective at sealing themselves. You can’t get them wet, so showering is tricky. If there is any infection internally, the pin sites give any gunge an easy route out and it’s easier to see earlier, rather than anything buried in there. It seems counterintuitive, but for me, as I’m prone to infection, I’m better having less metal in the bone itself, which is one of the benefits of the external rail and pins.

Dibble

Original Poster:

12,941 posts

241 months

Sunday 23rd August 2020
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Krikkit said:
It sounds like another external rail might well be the best option then Dibble, but both of them sound rather traumatic!
I’m happy (it’s all relative, obviously!) with the external rail. I know exactly what’s involved, I know exactly how much it will hurt and I know how to manage with the rail - just stuff like doing my dressings, showering, mobility, sleeping, clothes.

In an ideal world, it would all have been sorted by now, but bearing in mind I could’ve been killed, paralysed, brain damaged*, lost my leg, I can cope with a bit more time to get sorted.

  • Some might say it’s questionable whether or not that’s happened!

Dibble

Original Poster:

12,941 posts

241 months

Sunday 23rd August 2020
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Tango13 said:
Esceptico said:
I didn’t have the special length adjusting nail in my femur but I did have a titanium rod through the middle of the bone from hip to knee. Just my experience but didn’t have any problems, fixed leg and was taken out a year later. Appreciate you have had problems with infections. However if you an external framework you have holes in your leg and wouldn’t that be a pathway for infection?
The nail in my femur is stainless steel and will have been in my leg for exactly 31 years on the 12th of next month, when I enquired about having it removed after a couple of years they were less than enthusiastic about removal as they considered it to be fairly major surgery.
If I was less infection prone, I’d be less concerned about metal buried inside my femur. The other issue (for me) is that my femur is pretty bendy and they need more of a straight run to install a nail.

Dibble

Original Poster:

12,941 posts

241 months

Thursday 26th November 2020
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Hi all.

The latest update is... there is no update. The next surgery was pencilled in for September, but lockdown put everything on hold. Again. I’d be surprised if it happens before next February. It’s tedious and I’m still working from home, but there are plenty of people in a worse position than I am with all the Covid/lockdown stuff to deal with, so I try to look on the bright side.

I’m still hobbling round on wonky legs. I had a week at the Police rehab centre at the beginning of November, which was useful. Pilates, gym exercises, hydrotherapy pool, some specific gym classes (mobility, stretching, lower limb) and daily sessions with the physio as well. I was fully expecting it to be postponed (again), as I should’ve been there in July. They’ve got everything set up for social distancing, running at less than 50% capacity, one way systems through the building (meaning every time you go somewhere, there’s ALWAYS a flight of stairs to go up!) and meals are all served rather than some of the buffet options.

I’m still leaning towards another bike at some point. I’ll be able to retire in about 4 1/2 years, so I’m currently planning a trip to the US/Canada... the initial route is something like start in St John’s, Newfoundland. Head west(ish) over the top of the Great Lakes, then zig zag across the Canada/US border (still heading west) to Vancouver. Turn right, head to Alaska, up as far as Prudhoe Bay. Turn around, head south to the US/Mexico border. Turn left, head inland to Vegas and Yosemite, then to Key West, via Austin, Charleston and Miami. Turn around at Key West and head north, up the east coast to New England.

Finally, some of The Idiot:




Dibble

Original Poster:

12,941 posts

241 months

Thursday 26th November 2020
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mybrainhurts said:
I don't wish to cause alarm....

but...

I think that wolf just ate you.
He is extremely fierce...


Dibble

Original Poster:

12,941 posts

241 months

Thursday 26th November 2020
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Turn7 said:
black-k1 said:
Good to hear from you again Dibble and I'm glad that there is still progress even if it is very slow. My fingers are crossed for February but I suspect good dose of Christmas COVID super spreading may just have an impact on that.

That is one HUGE bike trip. That'll definitely take you a couple of weeks! wink
Yeah, good to hear you're ok at least.

Always good to see Jussi as well.

Remind me, what area of the country are you ?
Even if it ends up not being a bike trip, I'd still like to do it. I follow a few YouTube "van life" (utterly want phrase, sorry) types. I've just started following the "Foresty Forest" channel, he's a Canadian who converted a Chevrolet minivan to a one man camper. Its very compact, but if I ended up down that route, I wouldn't stay in it every night anyway, I'd mix it up with hotels/AirBnB type stuff. I've a few friends in the US who will all put me up for a few nights as well. I'd happily spend six months or so doing it. It's in the very early planning stages at the moment, but if all goes well, I'm going to be launching a website (nothing fancy) and maybe some YouTube stuff as well. That way, anyone can see where I'm at and what I'm up to.

Jussi is a big help and he gets me outside every day whether I want to or not, which is a good thing for building strength back up. I'm in the NW of that there Englandshire, north of Liverpool (just), south of Cumbria...

Dibble

Original Poster:

12,941 posts

241 months

Saturday 26th June 2021
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An update (of sorts).

The original solicitor dealing with my claim is no longer doing this kind of work, so has passed the claim on to another (larger) firm. It’s been looked at again by the solicitor and they’ve also instructed a specialist personal injury barrister (a different one to the one who’s already looked at it).

I had a Zoom conference with the solicitor and barrister this week. I was semi anticipating them binning it off, but the barrister has said he feels I have a strong case (with the caveat that there’s no such thing as an “unloseable” case). He’s slightly more pessimistic than the previous barrister on my level of liability, which he thinks on a bad day could be as much as 50%, but would be at least 20% and of course possibly anywhere between those two (in his experience). The previous one thought about 15-20% for my liability.

Once I knew who the barrister was, I’ve done a fair bit of Googling, had a look at his background and history and he seems to know what he’s on about, so that gives me a decent level of confidence in him. I’m happy he’s levelled with me, rather than buttering me up and being over optimistic.

On the plus side, the new guy feels the claim is worth more than the previous guy, so even at 50% (assuming I win), I’ll end up with more than the first guy suggested, so it’s swings and roundabouts. I’m fairly pragmatic about it all, if I come away with nothing, I’m really no worse off (financially), so anything I do get is a bonus.

I’m now about 12 months behind on the surgery and any claim will depend on that. It’s progressing through the court/legal system, with procedural stays for delays in treatment being agreed.

The new barrister did say that 95% get settled without going to court, but again, I’m pragmatic in that I might well be in the 5% that ends up being heard. I’m not too phased by that, it’s still a case of wait and see.

Dibble

Original Poster:

12,941 posts

241 months

Sunday 27th June 2021
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tvrolet said:
So how are you doing? Hobbling about or skipping along. Pain or no pain? Can you ride a bike of the pedal variety? Are you looking for one of the motorised variety yet? Don’t keep us all in suspense.
My right leg is still shorted than my left (between hip and knee). My right foot is rotated out by about 15° too much and because of the way my femur has healed (which can really only be accurately described as “kinkily”…), my hip/knee/ankle alignment is out.

I’m walking around without sticks or crutches and do 2km on the beach every morning with The Idiot (dog). I can’t run, because my knee is all over the place. It looks like I’ve got posterior cruciate ligament damage, but I need properly assessing to see what’s going on and what, if any, possible solutions there are. The main issue with my knee is that it can “give” without warning and bend backwards, which is not pleasant… I can’t get assessed because I’m still waiting for more surgery to lengthen, straighten and align my leg. There’s no point starting on the knee until they know where I’m going to end up with the main problem.

I can ride a pushbike but I struggle with bending my knee and holding all my weight on my damaged leg (not really helped by being a fat fker, but here we are…). My right leg is definitely still weaker, despite daily exercises and I think part of the issue is I’ve subconsciously learnt to compensate with the undamaged leg. Ideally, I need to get back to the specialist limb reconstruction physios, but they’re only dealing with inpatients/new trauma cases at the moment. I do keep badgering them, as well as my consultant’s secretary, but there’s still no dates for my surgery.

Pain wise, my actual femur is fine. I get back and knee pain because of the misalignment. The inner side of my knee is the most painful, because the twist in my leg just keeps everything stretched out. Because my gait has changed, any time I walk any distance, I end up with blisters on my feet where I’ve never had them before. I’m a bit limited with footwear. I’ve had one pair of shoes and one pair of trainers orthotically altered, courtesy of the NHS. I’m entitled to two pairs a year and while I could pay myself, I don’t want to alter a load of shoes that would then become useless when my leg gets altered again. Yes, I could get the shoes redone, but that’s extra cost and I’d rather just get them done once if I’m going to have more pairs done.

Until I know where I’m at after the next lot of surgeries, I’m holding off getting another motorbike. I do want another one, but no idea what. Well, I want a Husqvarna Norden 901, so all this hanging around is actually a bonus…!

Dibble

Original Poster:

12,941 posts

241 months

Sunday 27th June 2021
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Tango13 said:
FiF said:
Errr, when did the title of the thread change?
Some point this afternoon I think?

PH is all PC now, the 'Jap Chat' forum is now 'Japanese Chat'
Just noticed this. I’m not really sure when “arse” became offensive enough to need removing from a thread title, particularly when you look at some of the drivel and abuse posted elsewhere (NP&E, I’m looking at you). There does appear to be some extremely arbitrary moderation going on recently.

Dibble

Original Poster:

12,941 posts

241 months

Monday 28th June 2021
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NewBod said:
If you have the budget, have you tried an e-bike? Might help with the cycling.

If not, you want something with nice, big, comfy road tyres, a nice relaxed seating position and a good range of gears. Spinning in light gears is the way to do it so you don't load up your knees.
I'm ok if it's flat. I got a computer/hybrid thing through the cycle to work scheme a few years ago, which is nice and upright. It's a few years old now, but I had it given a thorough overhaul by the local independent bike shop about this time last year and me and my GF normally go out once a week (weather/work/motivation permitting). It's pretty flat round where we are and there are plenty of quieter country roads and canal towpaths to go for a trundle. We've tried out a few routes and I can manage about 25km. By then, it's usually my ARSE that's giving way, rather than anything else - one of the weird side effects of everything still being a bit lopsided is that my right ARSE cheek isn't as big/developed/as my left ARSE cheek.


Dibble

Original Poster:

12,941 posts

241 months

Monday 28th June 2021
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NewBod said:
Where specifically is the issue again? I think I missed it. hehe

I'm not as bad as you, but I had a spine injury in 2008 and ever since then my left side has been a bit weaker than my right. I lost some muscle because my discs prolapsed and trapped and killed off some bits of nerve. My left calf looks different to my right and when I'm riding, I do seem to lean over to the left.

When my back first went I couldn't put much weight on my left foot. I couldn't lift myself up on tip toes on my left side.

I had a bit of a relapse in 2015 because I was getting a bit fat. Saw a surgeon who said sort it out or you will be under the knife. Ever since then, I've been cycling. Had a lay off last year due to blood clots. Been back on it in anger since Feb though. Its helped my back no end and made me much stronger. Especially around my core area.
lol. It was my protest at the thread title getting changed yesterday.

Dibble

Original Poster:

12,941 posts

241 months

Monday 28th June 2021
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Rizzo/Yellowjack, thanks for the bike suggestions, it is definitely worth a look at. It could be quite entertaining if I do a "covert" fit for the battery pack (I've got a rear rack and Ortlieb panniers). I could casually zoom off and my GF would briefly wonder what the actual jiggery was going on!

Dibble

Original Poster:

12,941 posts

241 months

Monday 28th June 2021
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Hang on, “eccentric crank”…?

I see what you did there… roflroflrofl

Dibble

Original Poster:

12,941 posts

241 months

Monday 28th June 2021
quotequote all
At the moment when I’ve got my orthotic trainers on, my legs are the same(ish) lengths, so odd cranks would be a bit pointless at the moment, but it’s worth thinking about when the orthopaedic surgeon finally finishes what she’s doing, if there’s any remaining discrepancy.

These are the trainers in question. You can see one looks a bit “Spice Girls” with the extra sole piece. There’s a further 12mm inside on the insole, which is the maximum they can do (otherwise you can’t get your foot in and lace it up).


Dibble

Original Poster:

12,941 posts

241 months

Monday 3rd January 2022
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Hi everyone.

Thanks for the requests for an update/well wishes. Unfortunately, there isn’t an update I’m still waiting for the next lot of surgery, delayed since June 2020 because of Covid. I’m still making a nuisance of myself with the consultant’s secretary by ringing them every four weeks or so.

I’m back at work full time, on almost full shifts (I’m working the full hours, but no lates just yet). I’m not allowed out without a grown up, because I can’t do the fitness test, so consequently can’t do officer safety training, which means I’m not licensed to carry my incapacitant spray/baton/cuffs etc.

The nick I’m at has been refurbished and there is a gym going in (paid for by subscription, we don’t get it free). It’ll have free weights, some weights machines, rowers and treadmills, so I can potentially do my fitness test on the treadmill, rather than the shuttle run. There’s no way I can run and the turns at either end are impossible. Apparently the treadmill test is physically harder, as it’s 10 minutes at 6kmh, whereas the shuttle run starts at level 2 (a brisk walk) and I only have to get to level 5.4, so just over three minutes of light jogging.

The difficulty with the treadmill is that the gradient increases by 3% every 2 minutes, starting from flat, so by the end of the ten minutes, the gradient is pretty steep at 15%. The sped doesn’t increase, just the gradient.