Kissena Forum Archive

Injury: Sprains, Strains, Breaks & Insurance

1422 comments · 11940 views
Dang, good luck Jeff.
Medical education was probably not intended to be experiential dude... hope you don't need to go under the knife.
Well it's completely torn but the interwebs say varying things.  As long as I never want to run or race CX again and don't mind an unstable ankle, I could probably be okay.
that's some shit news Jeff.  you thinking of surgery?
that's some shit news Jeff.  you thinking of surgery?
A psychic surgeon perhaps?  Only I hear they don't take insurance.
I have $5 to spend at JP Partland's Wonderland Emporium Bazaar of Mediums, Channeling, and all your Seance needs.  What can that get me?
^Ponytail consult

Any specific advice on treating a sprained ankle? I would say the sprain is between mild and severe. When I wake up, it's hard to walk. As the day goes on, it loosens and becomes more normal but is still sore. 

I'm at the 72 hour mark, so what I'm reading says icing at this point doesn't do much, although I have been icing over the past few days. 

This happens to come at a week where I should be backing off and resting a bit anyway, so I'm happy to take a few days off and hit the rollers.

So yeah, the question is, anything specific I should be doing besides rest? 
Ice reduces swelling. Swelling causes pain and inhibits blood flow and also inhibits healing. When I have an injury, I continue to use ice and NSAIDs like naproxen sodium until they are better. Unlike NSAIDS, ice has no long term health consequences (unless you get frostbite).

Also, keep it elevated and get a cane to keep weight off of it as much as possible. This all sounds very dramatic, but until it stops hurting, you need to favor it as much as possible. At least you can say that you got injured doing some respectable activity, not something stupid like playing soccer or basketball or tripping on a sidewalk crack.
I recall the most recent advice is to talk on it without support as much as you can... Not at desk or I'd link you.
Here's a recent position statement on sprained ankles from the National Athletic Trainers' Association:

http://www.nata.org/sites/default/files/ankle-sprains.pdf

Interestingly, it says RICE treatment falls into "Evidence Category C" which basically means "consensus, usual practice, or opinion."
http://well.blogs.nytimes.com/2013/07/22/after-a-sprain-dont-just-walk-it-off/?_r=0

Oops.
Dear Past Yang,

So you broke your ribs about 2.5 weeks ago and they're still sore but you want to slowly regain your fitness eh?  Heed my advice, do not attempt to relearn how to ride rollers on a twitchy track bike because you WILL fall and you WILL injure yourself further.

If this comment disappears that means I've actually invented a method of time travel within the Kissena forums and you did the right thing (sort of like Marty McFly's hand disappearing in Back to the Future).

If this comment stays up that means I've failed to invent said time traveling method and you will end up with a bruised hip and elbow and have scared the shit out of your wife and cat.

You. Stupid. Dumbass.


Sincerely,
Future Yang
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Jules said:
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I would LOL but it hurts when I laugh.
We're all laughing *for* you @Yang... Well mostly *for* .... Some *at* but mostly *for*.....
Interesting article on bike/car accidents.

http://www.competitivecyclist.com/learn/car-vs-human-what-to-do-if-youre-hit-by-a-car

So the inter-webs predicted 3-6 weeks for an injured rib to heal, and they seem spot on. Since my crash at Westwood I've had some significant rib pain and been unable to sit up, cough, sneeze, lift heavy things, etc. without pain.  

Early this week I noticed I could get out of bed more easily. Nice. Yesterday I did plank for 1 minute, and was totally able to handle it. This should help with racing since my back is really my weak link. 

I was also able to jog on my injured ankle yesterday. It was definitely sore afterwards and needs some strengthening, but that is also on the right track. 

I'm hoping to be able to race Supercross healthy and then head into the off-season with a healthy body. Yay! 

I hope Yang Jim Nelson and Todd and all our other wounded cyclocross warriors are on similar recovery paths. 

Speaking of broken bones... we've been giving out the BONES badge for people who have busted an ossifier riding their bike while on Kissena.

Lets see a show of hands for anyone I missed.
Eric has a broken knuckle or finger or something that he's refusing to get checked out until after North Hampton.


That is correct. Broken knuckle.
Eric has a broken knuckle or finger or something that he's refusing to get checked out until after North Hampton.


eragot said:
That is correct. Broken knuckle.
Eric has a broken knuckle or finger or something that he's refusing to get checked out until after North Hampton.


Stop punching walls.
I had the same experience. 

After 3 weeks I had to pull out of Marty's during the first lap. After 4 weeks I raced Bubble with no rib pain. That one week made a big difference.

I still can't lay on that side and Sarah is under strict orders to curtail the daddy punching bag workouts for a while yet but I'm definitely feeling better. 

For me it was not only the rib pain but back pain as well. I've been on my feet a fair amount for work lately and walking around for long periods trying to hold my torso at a strange angle to mitigate the rib pain set my back muscles aching something fierce. That's also much better.

Hope everyone is on the mend.
@Perlberg, thanks for the broken ribs shoutout.  Similar experience with you and Jim.  This Tuesday marked 3 weeks and I was experiencing sharp pains and even had to take an ibuprofen that night because sleeping was uncomfortable.  Woke up Wednesday morning and felt totally different, still achy but more of a dull pain, and I've been feeling better and better since then.  Weird how the body works.

Hoping that by this time next week I'll be ready to hit the road again.

Glad to hear people are healing up as well.
Broke 2 bones in my hand last year :(
Jules said:
Speaking of broken bones... we've been giving out the BONES badge for people who have busted an ossifier riding their bike while on Kissena.

Lets see a show of hands for anyone I missed.

Knee people, I've been dealing with some dull knee pain near the bottom left of my right knee cap. I think it could be from riding my commuter bro fixed gear bike everyday day for the past month. Anyone else ever deal with this? Ice and ignore? Time off the bike?
Hey Wes.  I got my single speed commuter in September and experienced the same kind of dull pain for a few weeks.  I tried to adjust my saddle to the measurements for my race bike, which helped a bit, and found I finally got used to the bike.  But, I've also been trying to be conscious about not starting too hard.  I stop a lot at red lights and stop signs and have the tendency to try and take off with a hard push (in order to get in front of the slower riders who inevitably pass me and stop at the light in front of me).  I find if I do these hard starts, my knees begin hurting again.  So, for me, I ease into the ride after each stop, a nice hard push from the ground, but light pressure on the pedals until I'm back up to speed.  
And then I wait for a bridge to pass everyone again.
I think it could be early stages of patellar tendonitis.  

http://www.mayoclinic.com/health/patellar-tendinitis/DS00625

 I don' think it's the fixed gear or hard starts.  Plenty of people do both without issue.

It could be the volume of riding overall, it could be any change in your position.

Short term, RICE--Rest, Ice, Compression, Elevation.  Yes to analgesics.  Try topicals as well, they may or may not make you feel better.  

Cut volume, increase rest. check position.
"...riding every day for a month..."

aka recipe for trouble
Take 'er easy, Wes.