In reply to Jon James:
I'm extremely sorry to hear that you've fractured your calcanium. It's a very nasty injury indeed. OK, here's my story:
In July 2009 I had a 3 metre groundfall onto solid rock and ended up with a badly displaced class 5 calcanial fracture; the calcanium, talus and subtalar joint were all shattered. I was hospitalised for over 5 weeks and had a 6.5 hour operation which involved an open reduction and internal fixation with eight pins and five non-locking calcanial plates. I also developed post-op Compartment Syndrome and also ended up with permanent nerve and tendon damage. The pain initially was beyond belief and I was on a cocktail of morphine, oxynorm and oxycontin for 3 months.
Due to the severity of the injury I was told that I had suffered a "terrible, life-changing injury", received counselling and was warned that I would have a permanent limp, acute or chronic pain, much loss of mobility and would never be able to run, dance or jump again. A year later this all turned out to be true. When I asked the consultant surgeon if I'd ever climb again, he icily replied that 'heels are b@stards' and his only priority was to ensure that I could simply walk again!
I was on two crutches, then eventually on one, for 6 months. I had intensive physiotherapy for 6+ months. A year after the accident I could manage, just about, to walk a quarter of a mile before crippling pain literally stopped me from going any further. I was in constant pain once on my feet and my heel/ankle would swell as soon as I put weight on it. I had to wear an orthotic support in my shoe and walking barefooted was completely impossible. I could climb though, which was a big plus, but it did take some 10 months, post-accident.
For a good while I became less and less positive about regaining any semblance of normal mobility but then over a 2 year period, I gradually pushed my pain tolerance up to the point when, by last summer, I was able to walk 2-3 miles in one go.
My GP was unsympathetic and opinioned that I was very lucky to be walking at all. But I persevered and eventually got referred to a different consultant. He operated again last year (another 4 hour job), removed all the metalwork and did a lot of trimming of bones which were still displaced. This was successful and improved my quality of life a lot - no more orthotic support and I could walk barefoot again. I was on crutches for about a month, but was back climbing within 2 months.
So, 4 years on, this is how it is for me (and this may not apply to you):
The good:
- I still climb regularly, generally at better grades now than when I broke it.
- Walking up to 3-4 miles is now possible with little pain.
- I can run (a few paces), dance (badly - no change there) and jump (modestly).
The bad:
- I have a slight, permanent limp, which gets worse depending on how much I do.
- After a 'long' (3-4 mile) walk, the next day the foot is very stiff and is extremely painful, but after a lot of excrutiating limping it comes back to something like normality. This is getting worse and is presumably due to osteoarthritis.
- Trekking poles are vital over any real distance.
- Walking on uneven ground is challenging/ painful.
- My balance, when walking, isn't what it was.
- Bouldering outdoors is limited to problems without a drop as I can't jump off anymore.
- Alpine climbing, UK mountain days etc are impossible due to my much reduced mobility. I haven't been up a mountain since 2009 and expect I never will again.
- Multi-day trips aren't at all easy and need careful pain management.
- My right foot is also a full size bigger than it was; a real bugg£r when it comes to normal footwear, let alone walking boots, climbing shoes etc.
Ask if you'd like more detail - it's not necessarily as bad as it seems. Despite the fact that all serious calcanial fractures are extremely complex injuries, they are individual in nature and one person's experience will not necessarily be indicative of someone else's. Hopefully you'll experience will be far more positive than mine.
All the best with your recovery.
Dave