How are you now brother ,

Hi. The patient on this video had a very good outcome - but it is always a combination of injury pattern, treatment, physiotherapy, cooperation of the patient and last but not least also some luck to get a satisfactory result. If you are able to walk after this "short" time after theses fractures I think it is a very good outcome - hope it continues to progress as satisfactorily - best regards

How are you now

In fact, partially weightbearing both fractures on both sides is not really possible. But a bony healing should have taken place and full load is possible. In any case - even if things go well - the first few months will be painful and swelling is to be expected. Hope you will get a good outcome - regards

sorry for your trauma. Without any information's of the fracture (X-rays, CT) I cannot say anything concrete. In general, I do surgery to every calcaneal fracture - but it should be done early after accident (and better through a specilized doctor). regards

no - don`t think so

Hi. If you now have no possibillty to go to an hostpital for a x-ray it should be best to keep your leg up, cool it several times a day, try to get crutches not to do weight bearing and put on some bandage. In most of the cases with this kind of accident you should a sprain with the lateral ligaments torn. Most of the pain is round the lateral ankle. For a calcaneal fractur pain when compressing the heel on both sides is typical. But try to show it a doctor as soon as possible. good look Christian

med.rodemund@gmail.com

Sorry for your injury. I can't say any concrete advices without knowing the fracture situation but as you wrote it is a worse intraarticular calcaneal fracture. The accident is now 3 weeks ago, for open reduction still possible to operate but it becomes more and more difficult to get a good reduction result. So it probably will be the best to go on conservatively and wait (and hope) for a bony healing. A destruction of the subtalar joint and dislocation of fragments is to be expected. If you have luck, there will be a stable situation with a more or less stiffness subtalar and decreasing pain while walking. If there is ongoing pain the solution could be a secondary surgery to stabilize the subtalar joint (arthrodesis). But without knowing the exact situation it is of course not possible to make a serious judgement. Wish you all the best

Hi. Severity of fractures and surgical success are very different in fracture cases and consequently clinical course and outcome depends on many individual factors. But normally it will last about 4 - 6 weeks (after cast removement) with increasing load before one can walk longer distances without crutches and some months with inconvenience after more load. But nevertheless, training is the best way to get a good outcome - even when you have some swelling and pain in the evening. By the side, after 5 weeks and good osteosynthesis perhaps you will need no more cast, just no weightbearing - ask your doctor. regards Christian

Hi Sorry for you. There are two different things. The problem with the nerves and the problems with the Joints. First there would be a difference which nerve it affects. There is one for the skin on the lateral dorsal region of the foot - not that critical. But there is one for the sole of the foot and one at the ankle - not very pleasant. Additionally, there can be impingement between the calcaneus and the ankle bone. Nerve problems are very difficult to treat - first of all, an precise diagnosis would have to be made through a neurologist. The second point is usually the joint under the ankle bone. If it is not completely anatomically healed but still mobile, it will always cause pain. The first step would be a CT scan and then, if indicated, a fusion between the two bones. This must to heal the pain completely but can bring a significant improvement. You could post me some X-rays best regards

How are you now brother

NO CHANGE…over 5 years now.. health system in Manitoba not great at all. I did forget to mention I have a non mending calcaneus fracture is what it’s called plus very bad PTSD

​@@rodemundhi..👋👋

I got injured in Aug 2020 and already have 2 surgeries. It still hurts after 20 mns walking. If i sit down and start walking again, it hurts really bad. I have to warm it up again

Hi. In general, there will be pain and swelling for at least 3 to 6 months after removing the cast, even for the patients with good outcome, so it must not be a bad sign. Tongue-type fractures normally had the better outcome. But without more information about the result of the surgery I cannot say much. Training and load are recommended in any case. If severe problems persist, CT check in 6 months.

It is always better to do weight-bearing and physiotherapy with increasing load after bony healing of the fracture. It is normal that you will have pain the next months - up to 6-9 months. You should go on training. In this time and we hope the cartilage will also become stable and will fill some incongruencies in the subtalar joint. People who train too little almost always have a bad result. But I cannot say anything for your individual situation. If their is to much damage in the joint or the axes or height are not restored there could be persiting pain. Then the only solution is an arthrodesis.

How are you now

How are you now sushama

It is difficult to give an answer because I do not know the fracture and the result of the operation. Basically, however, it can be said that even with very good surgical success, the time until freedom from symptoms can be very long - many months, sometimes even 2-3 years. It is therefore too early to make a good prognosis. Important is a regular controlled training and physiotherapy whereby the foot can (and should) hurt and swell again and again, especially in the evening. I would definitely work towards playing footbal again. Possibly a second operation with fusion of calcaneus and ankle bone can help - this is not to be aimed because it, of course , decreases the mobility of the foot, but it can show good results - but you should really give yourself a lot of time until this operation (more than 12 to 18 months). good luck and I hope for a good result

Thank you Doctor !

@@roshanpayar2818 are you fine now

​@@roshanpayar2818how are you brother now

​@@roshanpayar2818 how are you doing brother....?

Yes - it is normal. After 4 to 6 weeks you can expect a bony healing and a stable calcaneus. But the repair of the cartilage and the leveling of existing small steps and gaps in the lower ankle joint will take time. Additional you will have scarfs in the subcutaneous tissue and muscles and there is always a reaction in the neighbouring bones. All in all , with individual differences, you will have more or less pain and swelling in the foot for the next 6 months. But it is important to go on training and weightbearing. If the foot is painful and swollen in the evening, but with elevation and cooling problem-free again the next morning, then this is a good concept. If it still hurts a lot in the morning, then reduce the intensity of the exercises a little. Patience is important, it takes its time. good luck

Really appreciate your response, I was worried that there is something wrong with me. It hurts but in the morning it's painless. So now I know I am on the right track. Thanks again, your video and response is a life saver.

@@s97738 how are you now

@@brotherhood4694 All good

@@s97738 are you going through surgarey or plaster, how much time it take to walk normaly

Brother how are you right now ? Are you able to walk freely?

In general, it must be said that calcaneal fractures can often lead to permanent problems, especially if the lower ankle joint is affected, as usually is the case, Even small inconsistencies in the joint cause persistent discomfort. You should get a CT scan. If there are severe changes in the lower ankle joint, the only option is usually an arthrodesis to relieve the pain. You are also welcome to send me pictures via file transfer. Kind regards Christian Rodemund

@@rodemund thanks for reply sir

@@syedsyedsyed3105 how are you now brother

How are you now

@@brotherhood4694 90% normal. Doing routine work as before. Running bare foot still not possible but with shoes possible.

@@amitpudale7292 how many times it takes to walk normaly.....

@@brotherhood4694 4 months with some limp.

@@amitpudale7292 how many crack are there when the accident was occurred

Hello vai apka recovery kisa ho raha ha .... Pls jara batana

How are you brother now

@@samadhanpatil2491 all ok bhai back to my regular daily routine Without pain

@@rahulvairagade9999 after how many day you start to walking.....?

@@samadhanpatil2491 i started walking with walker after 2months And after 8 month my total pain gone

of course it always depends on the individual fracture situation. First of all, the lower ankle joint should be assessed by a CT scan. In the case of severe post-traumatic arthrosis and persistent pain on uneven terrain, arthrodesis is certainly the best way to achieve improvement. However, take your time. The symptoms often improve after 1 to 2 years and the success of the fusion operation does not depend on the time of the operation.

@@rodemund thank you for your response its so very appreciated ! Yeah unfortunately my orthopedic didn't get to see me till 4 1/2 months due to insurance/workers comp issues so he has been treating recovery and is now requesting a CT to get more info ..Thanks again for your response👍🍻

@Darth Hemorrhoid how you doing boss? i jumped off a tippin ladder at work an fractured my calcaneus... didnt do surgery and am 6 weeks into this f-ing nightmare... im 45 yo maint. worker ....

just wondering how your doing...

@@waynesmith3919 how are you now

Can`t say any specific advices without knowing your X-rays.... But usually 6 weeks without weight-load is common, then the bone should be stable, followed with some months of training. In this time pain and swelling is common. But in most of the cases you have a good or tolerable outcome after one to two years

@@rodemund can I walk without any limp sir after 3 months ? I’m 27 years old

Should be possible

@@dr.saikrishnaskindoctor how are you now brother ?

Hi I’m good now ..not completely alright ..pain during lift off ..continuing physiotherapy

Cant say in detail, in Austria generally the health insurancy will pay - but for private paying it is really expensive

Hi don`t got your email - please send regards

Hi Its good that you have not too much problems. But you should be a little patient with remaining problems on uneven ground. It can last for many months, you should train it, but there is a good chance to become good. But the subtalar joint needs time to build good new cartilage to cover remining gaps and steps. Move and train your foot. Good luck Christian

@@rodemund now after 18 days after removing of my cast I can walk bumpy road to , it didn't heart me now , if I started walking fast , or to much or stand more than 30 mints then it started paining but after some time of rest it goes gradually , I think after 1-2 month latter I will be back 95-99%

@@brotherhood4694 brother how many days you are in cast

@@vikramnani1070 about 1.5 month

@@brotherhood4694 bro now how is your health

Hello, sorry that it is not better yet. Normally it is a problem in the lower ankle joint (subtalar joint) due to incongruence and destruction of the joint surfaces. You should have a CT scan to evaluate this. The solution would be an Arthrodesis of this joints. It is not perfect because you loose the movement there, but most of the time, if the anatomical reconstruction is not perfect, you will have a significant limitation in this joint. If the arthrodesis succeeds and the joint is stable, it should be much better in terms of pain and load-bearing capacity.

How are you now

Fracture types, treatment options and techniques as well as the clinical course of these fractures are very different from case to case and there are simply a lot of factors that influence the outcome. Take your time. In general, persistent pain is to be expected after 12 weeks. I usually perform a CT scan after this time to see if the bone has healed, full weight bearing is possible, control axes, height, osteosynthesis….. and examine the joint situation for a prognosis and further treatment guidelines. The injured cartilage in the lower ankle joint needs much more time to heal and to compensate some remaining irregularities of the joint surface - often more than a year. Frequently there is also bone substance loss in the surrounding bones (need heal again) and also scars in the foot muscles, ligaments and joint capsules. Intensive physiotherapy is advisable - even if there is some complaint - controlled exercises are usually better than too much comfort. If there is no improvement (after 1-2 years), arthrodesis can help. Wish you all the best

@@rodemund sir thanks for reply.

@@SagarKumar-om2gv how are you now

​@@SagarKumar-om2gv how are you now brother

​@@SagarKumar-om2gv how are you doing brother now.....?

Hello, sorry that it is not better yet. Normally it is a problem in the lower ankle joint (subtalar joint) due to incongruence and destruction of the joint surfaces. You should have a CT scan to evaluate this. The solution would be an Arthrodesis of this joint. It is not perfect because you loose the movement there, but most of the time, if the anatomical reconstruction is not perfect, you will have a significant limitation in this joint. If the arthrodesis succeeds and the joint is stable, it should be much better in terms of pain and load-bearing capacity.

@@rodemund sir I'm down on them from 24 fets any hope !!

@@zakizino5008 how are you now

​@@rodemund hello doc .i had a fracture jun 24th 2023 displaced and also lost height treatment was only cast for 6weeks am of the cast now ive bren told i can put weight on the leg but it hurts so much i sitting down for long i have the swelling come in i have to keep it elevated .is there any chance this can be corrected .

sorry for your accident and misfurtune. I can hardly answer your questions because there are many different fracture patterns and additional softtissue injuries and also different ways of treatment. In general it tooks 6 to 12 weeks for bony healing and then it depends on the quality of reduction especially of the subtalar joint. It should be examined by your doctor . Good luck

@@rodemund it's communited fracture sir, but still paining and swell sometimes, and cast is on my leg now, # is it normal pain and swelling while cast on leg? My both legs are fracture And both are calcaneus fracture 1 leg is operated and 2nd is treated with cast But which leg is operated dr wear cast on my leg

@@rodemund your whats app number sir I want send my xray to you sir

Send me your WhatsApp on ct.rodemund@gmail.com

@@rodemund ok sir