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View Full Version : How do you know if you should go to the Dr. after a fall?



evans36
Nov. 4, 2010, 11:06 AM
So I fell last night. One of those stupid slow-mo falls from walking around the ring on the buckle totally relaxed, no stirrups, after a nice hack, and some kids came whizzing around the corner on bikes. I landed right on my tailbone. It hurts like hell, obviously.

I can't decide if I should go to the dr - I don't want to spend the $ if it's not necessary, but if it's something to do with my back I don't want to wait too long to fix it. What are the signs that make you think, yeah, I should man up and go see someone about this?? I think head trauma is pretty obvious, but what about for other things that might be borderline?

mjrtango93
Nov. 4, 2010, 11:11 AM
Well I have stupidly good health insurance so luckily for me it doesn't come down to paying for the Dr. However, I rarely go for minor falls. Basically know your body. I have an incredibly high pain tolerance, but I also can tell when something isn't right that needs to get checked. I would say with your tailbone you could wait it out a bit as long as it isn't travelling up your back, and it is bareable. Bruises take a bit, escpecially ones you have to sit on. If the pain worsens or starts moving then get it checked. I would say regardless if it isn't starting to feel better after 48-72 hours a call might be in order.

SevenDogs
Nov. 4, 2010, 11:19 AM
Regardless of what you decide re: dr. Ice is your friend. Throw a couple of bags of tortillas in freezer and alternate the 20 mins on/20 mins off. Tortillas are great because you can sit/lay on them or tuck inside pants.

GotSpots
Nov. 4, 2010, 11:27 AM
When you said tortillas, I pictured tortilla chips - which had me all sorts of confused. ;) I use frozen peas, but same idea.

In general, I think about visiting a doctor if either the pain is sharp and ongoing (sufficient to make me think something's broken), if there's any chance there might be head trauma, if there's anything that might need stitches or raise a spectre of needing a tetanus shot, or if the pain doesn't diminish but persists at the same level past a few days or substantially impedes the basics of life. Other than that, ice, ibuprofen, sleep, gentle stretching seem to work for me. And cussing. Lots of cussing.

bornfreenowexpensive
Nov. 4, 2010, 11:29 AM
yeah..... I'm looking at my ring finger which I jammed getting on my OTTB (when he took off)....it was three times the size it should be within 30 minutes. Pretty colors too. Was pretty sure I didn't break it (but maybe dislocated it). It hurt but I could move it.....it would be fine right...it is just a finger.

Didn't bother to go the DR. (but did ice it). Now 9 weeks later...thinking I probably should have gone to the Dr. as it isn't healed (and looks kind of crooked).

If you have accute pain...I'd say you should probably go to the DR. Not that I take my own advice....;)

scubed
Nov. 4, 2010, 12:03 PM
They aren't really going to do much for a tailbone (bruised, cracked, whatever). I don't go for stuff that I don't think needs a cast. I also keep frozen packs in the freezer at all times and use arnica liberally. I landed smack on my tailbone in late April. I find it is usually (it is surprising how many times I've done this, not all riding related) 3-4 weeks before it is 100%, though I was able to ride within a week and have always been able to ride within 2.

If it does not feel substantially better within 1-2 weeks, I would then consider seeing a doc.

mustangsal85
Nov. 4, 2010, 12:12 PM
I just went to the doc twice for a fall where I fell into a fence and bruised the crap out of my calf. I couldn't put weight on it and my foot was really cold and numb so I got worried, but both times I went to the doc they basically told me that I was being paranoid and there was nothing wrong with me. I have good insurance but I spent about $100 for them to tell me that, so I won't be going unless there is obviously something broken. :)

doccer
Nov. 4, 2010, 12:14 PM
i use the same logic as when i would take horsey to the vet :yes:

are you lame for more than a couple days without getting at least a bit better with some sort of amateur care?

are you having obvious signs of distress? heart rate normal? capillary refill ok? how do your eyes look? temp??

in all seriousness tho (i fell off last week and clunked my head and neck pretty hard) if i dont start feelin better in a week, id go stand in line at the clinic. if its a blinding pain, i'd go to the e.r.

in my experience tho, even for a massive laming pain to a person... alotta dr's say the same old, ice it, take it easy, you'll be fine. even with x-rays etc... waste of time goin to a dr unless its major.

hope you feel better (my head and neck are finally getting better after a week ;) altho i did book my first ever chiro in 2 weeks lol )

Take it easy with the tailbone eh! :)

asterix
Nov. 4, 2010, 12:17 PM
It does really depend on WHAT is hurt. If it is your tailbone, as scubed said, they won't really do anything for that. You will want to sit on a cushion, ice it, etc etc. They can't exactly splint it :D (related excellent story; my grandmother cracked her tailbone sitting on our tile floor rooting for Secretariat to win the Derby -- she bounced so hard she cracked it. She was a serious racing fan...)

I recently crashed and hurt my hands -- they really thought one was broken, and it turns out that if the bone they were worried about HAD been broken, and not treated properly, it heals really badly and can cause serious arthritic problems in your hand/wrist down the road.

In the end I just needed some splinting and time, but I would definitely go again for anything in my hands/wrists, just in case.

For you, I'd say you could ice it and see it if seems to be getting (slowly) better....

Equibrit
Nov. 4, 2010, 12:24 PM
GO ! So what if all you lose is a few bucks. Doctors can make pain/worry go away and healing go faster. Then again, you may just enjoy pain and suffering!

Ghazzu
Nov. 4, 2010, 12:37 PM
In my latest adventure (horse tripped and I pitched off over his shoulder), I decided to hit the ER after the pain was severe enough to make me lie down again in the ring after walking across it to catch the horse.
Fractured L-2, and I'm in a brace.

SevenDogs
Nov. 4, 2010, 12:44 PM
Ghazzu: that sounds painful!

Maybe we should start a list of triggers that should send you to the doctor following a fall:

1. If you lay back down on the ground in the arena after catching your horse.....

And yes, GotSpots... I meant the flat tortillas. The tortilla chips might be tough to get to freeze properly, but would be handy if you need a snack! ;)

Toadie's mom
Nov. 4, 2010, 12:45 PM
All good advice above. If the pain doesn't lesson, or go away after a few days I'd go. Also go if the pain spreads to another part of your body!

I didn't even fall off and I'm facing surgery. After an event in Aug. I had neck and shoulder pain. It got worse after a week, so I went to the emergency room. They said it was a pulled muscle. After pain pills, and muscle relaxers for 3days it still wasn't better so I went to my reg. Dr. He sent me for an MRI and I have 4 bulging discs.

IronwoodFarm
Nov. 4, 2010, 02:10 PM
I think it is a matter of knowing yourself. Most falls I have had result in bruises. So, if I don't clunk my head and obstensibly bang myself up, I'll wait before I bother. Ice and aspirin work for me. An occasional glass of wine isn't bad either.

However there is a law of averages with falls. In August I took a hard fall off a green horse that IF Jr. spooked while schooling at a show. I fell hard on my right side and had the wind knocked out of me. Couldn't even shout at IF Jr. to cut it out! Of course I was super busy with running the show that weekend, so I waited to see how the bruises were doing. After the 2nd day it was still hurting more than I thought it should, so I decided to make an appointment to see my GP. I do have health insurance so cost is less an issue than making the time. Sure enough, I had fractured two ribs and fluid in one lung. :no: My doctor thought I was asymptomatic (a fancy name for being weird) for the trauma I experienced. She insisted that I get a CAT scan of my head for a concussion -- even though I knew I hadn't hit my head. I've had a concussion before, so I knew what that was like. Anyway, no concussion and I had to stay off horses for 6 weeks. I feel great now and I'm back riding.

Bottomline with ribs is that the fractured ones just need time to heal. You don't tape them. I showed up for work as scheduled and that drove my staff wild because they really thought I should take time off. However, being vertical was the most comfortable position, so I was fine with working.

yellowbritches
Nov. 4, 2010, 02:57 PM
I, unfortunately, do not apply the same logic to me as I do to my horses (on many, many things). I often probably skip going to the doctor when I should, but I'm also not used to having insurance!

When I sprained my ankle last spring (not from falling off a horse, just from jumping off a fence...dumbass), I got hauled off to the ER kicking and screaming (almost literally). BUT, my ankle was blowing up rapidly and within the time it took to get me out of the pasture and to the barn it had already started to turn pretty colors. I was convinced it would be ok...but then I would try and put a little weight on it and crumple. Considering how BAD it hurt even after getting put in an air cast and handed a pair of crutches, it was probably a wise choice. I also went to the doctor last winter when I fell down a flight of stairs and separated my shoulder...again. That trip wasn't worth the effort (basically was told to toughen up until I really mess it up).

So, I guess the best idea is to know yourself. I know what's what for the most part, and have enough people around me to tell me what the difference is between a little thing and a big thing (like the ankle).

JER
Nov. 4, 2010, 03:12 PM
When you said tortillas, I pictured tortilla chips

And I pictured Totilas. In the fridge.

I don't go to the doctor unless I think they can do something for me. Which isn't often. Much of what doctors do is give you tools to allow your body to heal on its own. When there is no displacement (and even when there is, to some extent) most fractures heal just fine and don't require treatment (actually, there is no treatment in many except rest and NSAIDS).

But then again, I'm an EMT and usually know what I'm looking at and what to do about it.

One thing I want to mention on the subject of falls in general: if you have ANY amnesia about a fall, go to the doctor. If you don't remember the events leading up to the fall, the fall itself, or the events following the fall, have someone else drive you to the ER. Even if you remained conscious throughout -- amnesia is more significant than being out briefly.
:)

Laurierace
Nov. 4, 2010, 03:42 PM
I have suffered enough pain for twenty lifetimes. I go to the Dr if for no other reason then to get some pain relief. No sense suffering needlessly when you have a legitimate injury.

FalseImpression
Nov. 4, 2010, 03:51 PM
The advantage of living in Canada. You never ask yourself IF you should spend the $$$. You just go! No cost.

A friend of my daughter's fell on ice two winters ago and hurt her tailbone. She ended up with cysts that had to be removed in August. The pain never subsided. I don't know what she did or did not do at the time of the injury though, but I am sure she went to the doctor's.

Tobias
Nov. 4, 2010, 03:52 PM
I have also fell off (no I got bucked off!) and landed on my tail bone. Yes it hurts like heck. I walked like a 90 yo woman, (i'm only 23) and it hurt for a long time. I would suggest going to the chiropractor. That's what I did, he told me that I jammed my tail bone up and to the side. But it wasn't broken. They take a while to heal. Like months. It happened to me over a year ago, and occasionally if I am sitting wrong it will flare up.

Ice it and take it easy, but the only thing a Dr. can do if give you pain killers.

RiverBendPol
Nov. 4, 2010, 04:21 PM
I don't go to the Dr. nearly as often as I take my animals!:winkgrin: I figure if my head isn't involved I'll be OK.
My list of injuries that have eventually required a doctor's help were:
-End of thumb chopped off with big pruning loppers by my very good buddy. We both agreed duct tape wouldn't be the answer. That time I went immediately bc there was alot of blood involved.
-6 broken ribs and a concussion in one episode. I didn't go right away-put the horse to bed and lay around on the frozen peas for a few hours. Then I passed out in the bathroom. Poor daught had to get me off the floor and dial 911. Spent that night in the hospital.
-Broken leg this past April. Fell onto the very sharp edge of a ditch whilst schooling. Got back on, jumped the ditch a few times (made my point), took horse home and put him to bed. Ice, Advil, hobbly. Next day, same poor daught kidnapped me and took me to the ER, xrays showed a lovely break.

I have many finger joints that have been bent the wrong way or squashed. They hurt most of the time but I know how to make a splint and have worn a few for a few days here and there. When my back is involved, if it isn't fine in a few days I run right straight to my chiropractor.

Tailbones are tricky. They hurt like crazy even if they aren't broken. If it really kills and you're really curious, get an xray. It won't make any difference but at least you'll know. You can get a rubber donut at the pharmacy-stick it in a plastic bag then into a pillow case. Stuff the hole with bags of frozen peas and you're all set. Advil. Wine. Bourbon. They can all help.

evans36
Nov. 4, 2010, 04:21 PM
Thanks everyone for the responses. I generally go with the "know thyself" code too - this fall just sortof scared me because when I first got up, my butt/lower back was kindof tingly, like it had fallen asleep and was awakening. That got me thinking about nerve damage, etc. and sortof freaked me out. But I think I am alright without the Dr. at this point.

Tobias, I have needed the chiro for a while but I am going to have to wait a while before I go - the thought of someone pressing on my back right now makes me shudder! But I think that's most likely the route I'll take once the bruising goes down.

Also, at least now I can think about how swollen my ass is instead of how big it is :) And I had someone put some tortillas in the freezer for me to chill down before I get home - I was using frozen limas, but I'm intrigued by this idea!!

Humblepie
Nov. 4, 2010, 04:32 PM
I got dumped HARD a couple of years ago off my then 4 year old at the end of a lesson. Landed hard on left hip. Layed on the ground for a few minutes to gather my senses. Got up and limped to a chair and watched my trainer catch and get on the bucking bronco. Drove home, packed butt/hip in ice and laid on couch for several days. Refused to go to the doctor (I'm a nurse) but managed to make it to work after a few days and limp up and down the halls. Earlier this year I went for a bone density scan (last one was before the fall). Had to fess up about the fall when he questioned the changes in my left hip. It was denser than before, thus raising the question that there had been some bone remodeling and possibly a fracture....oops....

Would still manage it the same way now. Unless spurting blood, head injury, bones/joints at odd angles or completely unable to bear weight, WILL NOT GO to doctor....but then medical people are the worst!

bornfreenowexpensive
Nov. 4, 2010, 04:37 PM
Thanks everyone for the responses. I generally go with the "know thyself" code too - this fall just sortof scared me because when I first got up, my butt/lower back was kindof tingly, like it had fallen asleep and was awakening. That got me thinking about nerve damage, etc. and sortof freaked me out. But I think I am alright without the Dr. at this point.

Tobias, I have needed the chiro for a while but I am going to have to wait a while before I go - the thought of someone pressing on my back right now makes me shudder! But I think that's most likely the route I'll take once the bruising goes down.

Also, at least now I can think about how swollen my ass is instead of how big it is :) And I had someone put some tortillas in the freezer for me to chill down before I get home - I was using frozen limas, but I'm intrigued by this idea!!


If your Chiro is like mine...he still might be able to help a bit. There are other things they can do to help you stretch...heal etc. without pressing on you. That said...my Chiro will not touch me if anything could be broken until I'm cleared with xrays.

He laughed at me when I showed him my finger and asked if he could help.....Dr. appt with the hand specialist is next week. I suppose I really should be able to straighten my finger.....

RunForIt
Nov. 4, 2010, 07:41 PM
If it involves my head I go to the doctor (two concussions even with my helmet on)..if I have to hold up my head because my neck can't do it, I go to the doctor - one broken neck as in the C2 shattered and a hairline fracture in the C1 (said happily since there was no concussion and I am miraculously running and riding again - some fusion of the C2 and C1 have given me less mobility in my neck, but hey...:D).

For what it's worth, I had so much of my labor in my back during childbirth with my first daughter I broke my tailbone from bearing down so hard on the table! And no, not much you can do...:lol: :cool:

SevenDogs
Nov. 4, 2010, 11:50 PM
For what it's worth, I had so much of my labor in my back during childbirth with my first daughter I broke my tailbone from bearing down so hard on the table! And no, not much you can do...:lol: :cool:

YEOW!!!!!!!!!!!!!

MattMan
Nov. 5, 2010, 12:39 AM
I always wait until after the show season and see if it still hurts.

ezmissg
Nov. 5, 2010, 01:04 AM
One thing I want to mention on the subject of falls in general: if you have ANY amnesia about a fall, go to the doctor. If you don't remember the events leading up to the fall, the fall itself, or the events following the fall, have someone else drive you to the ER. Even if you remained conscious throughout -- amnesia is more significant than being out briefly.
:)

This happened to me about a year ago...back of my helmeted head bounced on the ground pretty good, I guess. And, no, I didn't go to the doctor. I remember everything about the fall, but the next thing I knew, I was standing in the barn next to my tack locker. A woman was talking to me and I said "Wait, how did I get HERE?" After a few minutes, it kinda came back to me, but there was definitely a period of an hour or so when I realize now that I wasn't right.

I think you've scared me sufficiently that I'll do things differently if that ever happens again! :eek: :o

EightBelles134
Nov. 5, 2010, 08:21 AM
I fell off in may and landed HARD on my back.My back was swollen for about a month and i felt intense pain right after the fall.And that included an sharp,burning pain that shot down my back into my legs,making me incapable of moving my legs for about ten minutes. After that subsided,i felt a sharp stabbing pain in my lower left back-it felt like something was out of place.I'm also pretty sure i blacked out because i came around to the barn manager telling me "open your eyes,open your eyes". The barn manager was teaching lessons that day,and she was worried enough to call the main instructor down to the ring.The main instructor told me to "I'm not calling an ambulance.suck it up and get back on,if you'd broken your back,you wouldn't be talking to me". So i did.Worst mistake i've ever made.I could hardly walk after the lesson.And i told her that and her reply was "well yeah,you'll probably be a tad sore for a few days".My mom refused to bring me to the hospital saying "There's not much they can do for a back".Even AFTER i told her it was swollen,she still brushed me off saying "ya i'll bet it is-it's no big deal".Fast forward to now,its almost November.My back's STILL swollen and the pain now occurs off and on. I don't want anyone to go through what i did.So my new rule is going to be if in doubt-go to the dr or to an ER.

yellowbritches
Nov. 5, 2010, 08:21 AM
If it involves my head I go to the doctor (two concussions even with my helmet on)..if I have to hold up my head because my neck can't do it, I go to the doctor - one broken neck as in the C2 shattered and a hairline fracture in the C1 (said happily since there was no concussion and I am miraculously running and riding again - some fusion of the C2 and C1 have given me less mobility in my neck, but hey...:D).

For what it's worth, I had so much of my labor in my back during childbirth with my first daughter I broke my tailbone from bearing down so hard on the table! And no, not much you can do...:lol: :cool:
Jesus!!! Reason #976 for not having children!!!!! :lol:

AUeventer
Nov. 5, 2010, 09:01 PM
I had a similar fall where I landed on my tailbone. It hurt sooo bad for about a week. I was trying to decide to go to the doc or not. The owner of the horse I fell off of is a doc and he said if there is no point tenderness (ie if you touch it, is it sore to the touch?) then you are probably ok. i had no point tenderness so after about 2 weeks i never went to the doc and i was completely fine. i was just paranoid bc i knew a girl who had a similar fall, felt fine, kept working, then had to go to the ER in the middle of the night bc it turned out she broke her sacrum and was in unbearable pain. so maybe the point tenderness is a starting point for you to decide...

Nvr2old
Nov. 5, 2010, 09:17 PM
Duct tape - well, at least you didn't try superglue (you don't want to know, trust me). Ice, rest, repeat. Frozen peas are your friend. fingers can't really be helped, they just kinda heal and let you know when it's gonna get cold or rain. If pain persists, or if anything goes numb, go see a Dr. Chiropractic is always good, might wait a day or two till the bruising subsides a bit. Good luck.

Kementari
Nov. 5, 2010, 09:26 PM
And I pictured Totilas. In the fridge.

You must have a heckuva big fridge!

katie+tru
Nov. 5, 2010, 09:43 PM
My basic rules. I will go the doctor/ER if:

- I'm bleeding continuously. Not just a nosebleed, like if I were punctured or cut badly.

- I'm showing signs of a concussion and/or lose consciousness.

- Someone heard something pop or snap. lol Obviously.

- I have continuing, strong pain in my back, neck, or ribs.

- I have soreness strong enough that it effects my sleep and daily motions after a week of aspirin.


I had a week last summer where I must've been way too exurberant shoveling sawdust out of the truck bed. The twisting caused 3 or 4 vertebre in my upper back to lock together. I didn't notice it right away until days later when the soreness would not lessen and I noticed it specifically hurt when I turned my body. I went to my family doctor who is also an osteopath. He cracked them loose the pain was gone permanently. It was not something that would fix itself or lessen with time. The man literally had to push down with some serious force to unlock my back. Not a fun sound.

This past summer I had a another brilliant moment while helping move round bales around the loft. I fell halfway an open trap door. Basically, what broke my fall was my ribcage on my right side. It didn't hurt too terrible at the time after I caught my breath, but as I cooled off from riding afterwards (yes, I rode after that, probably a bad choice) and was driving home, I realized a couple of my ribs really hurt. Like I could press a finer to them and it hurt pretty bad right on the actual rib. I began to get seriously concerned that I broke them. I went to the doctor, who said they did not feel broken, but was sent of an x-ray right after at the local imaging center. X-rays came back with no breakage, only bruising. I was okay with wasting time getting it because broken ribs are not something I wanted to go around with not knowing it.

The one thing I did NOT go to the doctor for was when my toenail was pulled out when my horse stepped on my foot (I was wear boots, quite fine footwear). In most other circumstances I probably would've, but the nail came clean out in one piece and the rest of my foot was in no pain. I probably got off pretty lucky there. There was nothing else the doctor could've done. The nail was out and nothing was hurting, so I just took care of it myself.

jump4me
Nov. 5, 2010, 09:46 PM
When I broke (or jammed, or something) my tailbone, I didn't do anything other than some ice and Aleve. Slept on my side for a while, learned to sit down veeery carefully haha. An ER doctor I know says there isn't anything to do for a tailbone, other than painkillers.
So I now have a crooked tailbone... yay?

Hope you are feeling better soon!

RunForIt
Nov. 6, 2010, 08:35 AM
Jesus!!! Reason #976 for not having children!!!!! :lol:

ha! But daughter (and grandsons) were definitely worth it :lol: :D )

Moderator 1
Nov. 6, 2010, 11:14 AM
Moved to Off Course as the topic isn't just eventing-related.

Happy healing everyone! ;)

CatOnLap
Nov. 6, 2010, 11:42 AM
Tortillas are great because you can sit/lay on them or tuck inside pants.

some things are just too funny!

Seriously, if you think you should go to the doctor, go.

I once didn't go because I figures things would get better, no point tenderness, no bleeding, no loss of consciousness, just what I thought was a bad muscle sprain, which on x-ray about 6 weeks later showed healing fractures in my spine...

Flash44
Nov. 6, 2010, 11:52 AM
Even if you don't have insurance, you should still have a primary care physician. You can probably negotiate the price for an annual office visit at about $100. Then you will have someone to call on the telephone if something goes a little bit wrong. If something goes more than a little bit wrong, you can always go in for an sick visit and it will cost between 1/3 and 1/10 of the cost of an ER visit.

Urgent care centers are also way less expensive than a hospital. Finally, if you are friends with your vet, you may be able to negotiate cheap xrays!

Seriously people, if you suspected something was wrong with your horse, you'd be on the phone with your vet in half a heartbeat. And you can also negotiate bills with the hospital if you end up there.

Pinkster
Nov. 6, 2010, 01:23 PM
I got bucked off my 3 year old QH last December. It was all stupid human error. I sat through the whole buckfest and when it was over I was adjusting my seat and she decided to throw another in for good measure and I was gone...

She's the shortest horse I ever fell off of and it hurt the most!

The ground was frozen mud. I was covered, and I couldnt get up. I finally got myself up with the help of the mounting block. A friend of mine was there and she took care of my mare. I took myself home. I drove 25 mph and ever bump hurt.

I showered and made my 18 year old son drive me to the ER. I thought I had broken my pelvis. They thought I had broken my pelvis. Xrays said different. Thank god for pain killers. That happened on a saturday. Tuesday morning I was in my chiropractors office. I could barely walk. It hurt like hell but OMG I could walk. As he said to me "hmm your right leg is 2-3 inches shorter than your left leg and I dont ever remember your legs not being equal"... It hurt but I could function and walk almost pain free. Went back two days later for another adjustment and I was just about back to normal. Go see the chiropractor!

carolprudm
Nov. 6, 2010, 03:21 PM
yeah..... I'm looking at my ring finger which I jammed getting on my OTTB (when he took off)....it was three times the size it should be within 30 minutes. Pretty colors too. Was pretty sure I didn't break it (but maybe dislocated it). It hurt but I could move it.....it would be fine right...it is just a finger.

Didn't bother to go the DR. (but did ice it). Now 9 weeks later...thinking I probably should have gone to the Dr. as it isn't healed (and looks kind of crooked).

If you have accute pain...I'd say you should probably go to the DR. Not that I take my own advice....;)
`
I did that a few years ago. Thought I jammed my middle finger, iced it, went to the dr a month later because it was still red and swolen. X rays didn't show a break so they splinted it and said come back in a month.
Two months later it wasn't better so I went back, got an MRI and referal to a hand surgeon. The extensor tendon had started to shorten and my DIP joint was hyperextended. Xrayed it again and sent me to PT. After several weeks it was still dislocating so they scheduled surgery

Whereupon they found that I had torn the volar plate and the only way to keep it from dislocating it was to pin it.

I have maybe 15 degrees of motion in that joint. It is bent at nearly 90 degrees permanently.

Had I gone right away it might have been fixable

TheJenners
Nov. 6, 2010, 03:41 PM
After two pages I usually don't add my $0.02, buuuuuut....

Evans, you didn't mention if you have health insurance? That was a big factor for me and I still have a knee-jerk reaction (can't go, can't afford it) to injuries. I didn't go to the doc when I fractured my PELVIS for gods'sake, but chewed ibuprofen like Smarties and chased 'em with Pepto.

Tailbones: I fractured mine, didn't get it diagnosed, and now it's bent inward and crooked. Permanently. If I ever get pregnant and have vaginal delivery, the pressure of the baby will rebreak it. Owie? My fiance broke his so badly that it broke OFF and he had to have the last inch or so removed. Makes for an interesting scar in his butt crack (:lol:). Gggaaahhh don't tell him I told!!

I had an unplanned dismount from my motorcycle on Wednesday, jumped right up and was like "holyshitohmygodI'mok!" Yipee! Shoulder hurt and knee hurt, but nothing worse than coming off a horse really. I put my arms behind me and stretched, holding my own wrists, and felt something creeeeakkkk in my right shoulder, but no grinding or popping. Rode the bike around some more and then home. Had to pick up a truck from the mechanic off the island and a friend drove me, and I took that opportunity to ice my shoulder. By the time we got there, I was stiff and owie and decided maybe I *should* get it checked the next day. Partial shoulder separation... So nothing broken, but for a small copay I know this for sure AND have some paid time off of work to recuperate, since apparently I can't tell the bad guys "Hey, my doctor said I can't tackle anyone for a couple weeks! So stop resisting!"

jawa
Nov. 6, 2010, 05:31 PM
Many years ago I came off a horse and broke my tailbone. And then proceeded to re-injure said tailbone by slipping on the ice several times that winter. It took A LONG TIME to heal. Went to the doctor and had x-rays, pain pills and ice.

Several years after that I was thrown from the same horse and had such terrible muscle spasms that I could not get up. Of course the mare grazed beside me rather than galloping up the hill to alert someone that I was down. I hurt so bad I couldn't yell. Did go to the doctor later in the day, no x-rays. Muscle relaxers and pain pills and ice.

Fast forward to just a few years ago. I was thrown from an 18 hand gelding and knew it was a doozy! I was about a mile threw the woods to the barn. I took a minute due to the muscle spasms, but was able to remount and walk back to the barn. I had my friend help me to the car and was driving myself home with the intention of getting in bed with ice and some meds. On the way home I realized that I had not been breathing normally. My breaths had been on the shallow side, so I said let me take a couple of deep breaths and see what happens. CRUNCH!! Not a good sound to hear. I called my husband to let him know that I was headed to the hospital because I had hurt myself. Get some good drugs and x-rays and 5 broken ribs!! Oh, and one minor concern about a possible broken vertebrae that looks like it had healed...Oh, i tell the doctor, that was from 20 years ago (see previous fall). At least I know why that sucker still hurts like a B!#@% when I over do things.

This week a mare I was riding spooked, lost her footing, so I bailed. Apparently, she wanted to stay with me. She stepped on my right ankle and my left thigh! It is the largest bruise I've had in my entire life. No broken bones, THANK GOD!! No trip to the hospital or doctor, just ice, tylenol and not staying in one position for too long.

As others have said, know your body. Many things heal well on their own, but a doctor can help make sure they heal with the least problems down the road.

My tailbone, back and ribs still hurt when I over do it, if I get over cold, or if the weather is just nasty.

Kestrel
Nov. 7, 2010, 02:26 AM
Any time you get "that tingling feeling" in a bad way, like after a fall, suspect nerve damage. The problem with ignoring nerve damage in the lower spine is the possibility of loosing control of your bowel and bladder, maybe permanently. The damage to the nerves may not show up right away, but if things swell too much or broken bone shifts and puts pressure on the nerve roots to the important parts, you could be buying a lot of Depends, hopefully just for awhile but maybe for a lifetime.

Pretttywaste
Nov. 8, 2010, 08:15 AM
I have always been the type that doesn't go to the dr. I have to go so often for my medical problems (crohns, asthma, arthritis, etc) that if I don't HAVE to go I just don't go.. I do have heath insurance but things add up so money is my main reasoning here.

My first bad fall was when I was about 13 years old. I was in a lesson doing a canter circle and my horse fell on me. I remember him starting to fall and being parallel with the ground and then I remember being outside of the ring riding back to the barn with the rest of my group lesson. I then remember sitting in the lounge - to this day I have no idea how my horse got put away or why I was in there. Apparently when he fell he'd gotten up and took off and I'd sat with my head in my knees until someone caught him and then got back on. I also apparently told my trainer not to tell my mom because she'd sell my horse and she LISTENED to me. When questioned about it later she said she wasn't worried because I hadn't blacked out and that she had seen a concussion before and it didn't look like this. There is a good hour time period that I have absolutely no memory of. I obviously had a concussion.. but never went to the dr.. went home and went to bed - bad move, I was lucky I woke back up.

Next bad fall was when I attempted to canter my evil greenie for the first time and got pitched over her head. I got back on and rode her through it but by the time I got home I couldn't move my left arm. Husband had to help me dress/undress and do pretty much everything. JI did end up going to urgent care a few days later.. they took xrays and said nothing was broken and to go get an mri if the pain continued. It did and I did nothing about it. 3 years later I STILL have pain issues with that shoulder/collar bone area and am pretty sure I broke my collar bone because I have a HUGE knot there now. '

Next injury involved the same pony.. stupidest injury ever. I was brushing her and talking to my mom on my cell phone and she tried to kick me so I smacked her. HARD. Only I had the brush in my hand also so it like snapped my wrist sort of. Hurt so bad I dropped my cell phone and had to call my mom back a few minutes later lol. There was no swelling (I have noticed I NEVER swell..weird) and I could kind of sort of still move it but no really.. but assumed if it was broken I would just KNOW. Took about 6 weeks before I could use that wrist normally again and it still hurts from time to time and again, one of the bones sticks out on that wrist much much farther/differently than it used to lol

Last fall is my most serious and I ALMOST didn't go to the dr at all, thank god I did. I was riding my mare alone and as soon as I mounted her blew up and I was on the ground within 3 seconds. The pain in my back was so intense that I couldn't feel anything else. I'm pretty sure she kicked me in the head as she ran off but I didn't feel any pain from it, just kind of heard a thud - all I could feel was this intense pain in my back/pelvis/tail bone area. I layed there for about 10 minutes unable to even move just praying she wouldn't run me over... I was then able to reach behind me and get my cell to try and call my mom but she didn't answer. It took me another 10-15 minutes before I could get up. I could barely walk and could not lift my legs more than a few inches of the ground. I somehow managed to catch my mare and lunge her a little bit - then put her away. I had a hell of a time getting into my jeep because I couldn't lift my legs high enough and had to pull myself in with my arms. I figured since I was able to walk nothing was actually wrong though - I was just super sore. I was going to go on to work but ended up driving to my moms house because I was in so much pain I didn't know what to do. Still didn't think anything was actually wrong. She ended up taking me to the ER and I went simply so they could give me pain meds (I'm not allowed to take anything otc but tylenol which SO didn't cover this lol). I felt SO stupid for being at the ER and was absolutely sure I was fine and was wasting a bunch of money even being there.. Turns out I had a compressed disc and fractured L1. I can't believe that I technically broke my back, and almost didn't even go to the dr. What if I had needed surgery right then? The what ifs are scary to think about...

Anyways my point after this novel is that if you even have the slightest inclination that something MIGHT be wrong - GO TO THE DOCTOR. You don't have to call 911 or rush to the ER but atleast get it checked out. I made so many excuses why I didn't need to go to the dr that I almost missed finding a very serious injury that left untreated could have affected the rest of my life (and will affect me still but could have been more serious..surgery, paralysis - etc)

I'm not supposed to ride but once I do you can bet if I fall off again and it is more than a tumble I will be in my drs office asap. I definitely understand the money situation but it's not worth risking your long term health and mobility.

tabula rashah
Nov. 8, 2010, 08:32 AM
I don't go to the doctor unless I feel like I'm dying- I have health insurance but it isn't great and I can't really afford to go besides the fact that I despise going to the doctors. I figure if I get hurt, as long as I start to feel at least a little bit better in a week then I'm fine.