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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Pain After Open Tib/fib Fracture. How Do I Deal With The Pain?

Sure, I suffered a open tib/fib fracture in 2007. Today 5 yrs later I still have chronic pain which is intense at times. The damage was extreme and i almost lost the lower part of the leg... my question is how to I deal with the pain? Online research leads me to believe that the pain is not in the bone, but is instead nerve damage. So does this mean I should see a Neurologist for treatment?
Mon, 25 Aug 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
You are right that this pain is more of the neurological then of bony origin. This type of pain is called causalgia. It can be treated by neurologist. i have following suggestions to my patients.
1. Tablet Pregabalin and Methylcobal for nerve healing.
2. Nerve block can be tried, it is given by pain specialist anesthetist.
3. it may be possibility that your nerve is getting entrapped in scar tissue of the surgery, so neurolysis can be done, in this procedure, nerve is explored surgically, freed from scar tissue and then fixed with underline tissue.
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Chronic Pain After Open Tib/fib Fracture. How Do I Deal With The Pain?

You are right that this pain is more of the neurological then of bony origin. This type of pain is called causalgia. It can be treated by neurologist. i have following suggestions to my patients. 1. Tablet Pregabalin and Methylcobal for nerve healing. 2. Nerve block can be tried, it is given by pain specialist anesthetist. 3. it may be possibility that your nerve is getting entrapped in scar tissue of the surgery, so neurolysis can be done, in this procedure, nerve is explored surgically, freed from scar tissue and then fixed with underline tissue.