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Broken legs and ankles heal better if you walk on them within weeks

scientificamerican.com

341–342 of 342 posts

Re: Broken legs and ankles heal better if you walk on them within weeks

#341

If anyone's heard of RICE (Rest, Ice, Compression, Elevation) for healing joints, the new guidance is called POLICE: Protect, Optimal Load, Ice, Compression, and Elevation. The key differences being Protect and Optimal Load, meaning don't re-injure it and expose it to some level of weight-bearing or usage.

It's HELM now: Heat, Exercise, Lower, and Massage. They're all designed to maximize blood flow to, and inflammation in, the injured area. (Note that exercise just means to keep it moving.) Ice and elevation restrict the flow of fluids in and out of the injured area; ice especially slows down recovery and is only recommended for pain management. (This is basically a simplified version of the protocol NFL teams have be…

I did this after breaking my ankle. I was carefully walking the next day, hiking within a week, and skateboarding within 2-3 weeks. Fully healed after a month or two. Everyone thought I was insane but I'm very glad I did it.

I thought, why should we try to intervene with millions of years of evolution? Inflammation has to be there for a reason. Nitpick that statement all you want but in this specific case I'm glad I didn't mitigate the inflammation.

I was unaware of the acronym HELM and told everyone I was doing the exact opposite of RICE on purpose.

Re: Broken legs and ankles heal better if you walk on them within weeks

#342

Earlier quoted context omitted.

Man, that's a wild ride just to get a proper diagnosis. It's crazy how much a doctor's attitude can shape recovery

I left out a bit, before I saw the doctor that told me surgery is the only way, I was consulted by another guy that was free and he scolded me because I came without the orthosis saying stuff like I don't want to get better and basically didn't even look at me or check my recovery after 3 weeks of wearing the orthosis. Told me to go to his private clinic and get a new orthosis where I decided to see any other doctor…

Wow, that just adds another layer to the mess. Sounds like some doctors care more about business than patients. Glad you found someone who actually helped you!
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