Fractured ribs - Appalachian Trail

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#1

While hiking on the AT on North Carter Mt. in November I fell on a steep icy part of the trail and sustained multiple rib fractures and a hemothorax. The latest CT scan shows that the worst fracture, on my back, is still separated. I’d greatly appreciate information from anyone who has experience or expertise with rib fractures and backpacking since I’m planning on starting my thru-hike April 1 and want to do everything I can to be completely healed by then. The doctors I’m seeing say that modern medicine has not treatment other than to wait and hope that the ribs heal. I’m very grateful for any advice. Thanks, Annie K.

Rainbow

#2

I’ve heard of them being removed in such a case…unless it’s in a supporting area for the muscle. You can’t wear a pack now? I would think that one with a frame sheet would help support it. Although hiking with it, all the bouncing and jarring, would make it like hiking, well, with a broke rib…sore.

Bushwhack

#3

My chestplate was cracked from an auto accident years back, and the doctors told me pretty much the same thing. There’s no magic pill or cast that can fix it. Your body is going to have to do all the work. It’s not just time, like some might say. The quality of your self-healing focus will deterimine the outcome. Your job is to create a good healing environment in your body, to make its job easier. Drink tons of water, eat a lot of food that’s alive (like raw fruits, vegggies, nuts), and don’t stress your ribs excessively. Of course, you should remain active. Maintaining a low packweight will help tremendously during training and later on the hike. Be confident that your body will heal itself, and it will!

I severely sprained my ankle playing basketball last April. The next five months, I walked from Mexico to Canada with no problems. Positive physical and psycological environments work indeed! A wise man once told me, “Whether you believe you can or you can’t, you’re probably right.”

Tha Wookie

#4

about 3 years ago, i lived in knoxville TN and had a small 3ft fall near a house I was working on. I broke at least 3 ribs and only missed work one day. I couldn’t lift walls. Now I didn’t sleep well for some time, but I didn’t stop working. My ribs are fine. I crack at times like a charoprater might make ya sound, but I don’t have any misgivings about your hike…except if the back bones are far worse than my breaks.

If you are interested in the pain factor, it should be going away except for a twinge now and then. I didn’t have a cat scan, so maybe you did far worse damage. Granted, I was in pain for some time, and i did lessen my work load temporarily. You’ll do fine. April 1st is2.5 months away…enjoy!

burn

#5

oh, the rib may stay seperated from original forever, only recalcifying, so that is really no big deal. Very Normal.

I am no doctor, but drinking whole milk, and eating high calcium foods would help wouldn’t it.

burn

#6

You have been mislead through tricky slogans and sleek advertisers. The TRUTH is: Milk Sucks! There is only about 5-10% usable calcium in milk – the Milk Industry knows this, too (like cig co.'s and the maleffects of tobacco)! In fact, in order to absorb that 5-10% usable calcium, it is fortified with Vitamin D. Despite what the Milk Industry would have you believe, Milk is a VERY POOR source of Calcium. Your best best bet is THA WOOKIE’s suggestion, EAT RAW! Plants build; Fruits eliminate! It is all about the internal environment!! Want to learn more? Check it out…

http://www.living-foods.com/welcome.html

I just had a knee surgery and 8 days later I am almost 100%! I’m even planning a hike next weekend!

Goodluck!!! Dawg.

dawg

#7

Annie, like the Wookie, I also have had a cracked sternum. Hurt like all h***, but it healed back together okay.
I also severely broke by ankle, when I was 15. I put my foot on the back of my leg, by doing cool flips over a fence and landing on my feet. Turns out one of them wasn’t so cool after all.

Also about ten years ago, I fell off a truck load of wood straight backwards on to asphalt. I threw out my arm to break my fall. It did, but it also broke my arm, i.e. wrist–both bones in it. My hand was up on top of my arm, had to be pulled back straight using weights and then set and casted. Took several months to heal and quite a lot of physical theraphy, but it healed okay and I’ve got good movement in it.

Both breaks healed okay and never had to have pins put in either my ankle or wrist. I’ve also had my jaw broke, but that is another story as well. Also I’m sure I’ve had a very minor cracked rib or two, hurt like heck but I’m okay.

My advice is this: take one of those multi vitimin packs every day, plus in addition take an extra calcium pill, and an extra vitimin C pill wouldn’t hurt also.

Also keep pack weight down like others have said. A external frame pack will carry well, be sturdy, not jump around and has fabalous rigidity (support). You might want to consider one.

Also keep those ribs wrapped tight, i.e. maybe a real tight large elastic wrap with velcro closings, so that it is easy on and easy off. Having a cracked rib is not bad, but what you don’t want is the broken rib pieces working back and forth against each other, or working into your flesh, causing internal damage and bleeding, etc. That is why cracked ribs are generally always treated with a tight ace elastic wrap to hold them in place. You should be okay as long as you do the above, and if you feel any movement of the parts of that unhealed rib against each other, then cease and desist doing whatever it is that is cause the movement. People work with broken ribs all the time. They should heal ok, but slurk those Calcium pills and drinking milk would help too.

I hiked/jogged about 30,000 miles plus or so. So I’ve got a little experience with it and broken bones, etc. I think you should be okay, just take it easy and listen to your body. If you’re overdoing it, your body will let you know.

You’ve got a couple of months of healing time before 1 April, so vitimins pills (multi pack) and calcium pills, etc. Plus get out and walk as much as you can. It will just take time for to heal.

What happens when you break a bone is that you get a separation, even if that separation is only a hairline fracture, it is still a separation. In the case of a more severe break, that separation can leave a greater gap between the bones. What happens is that they fuze back together providing you eat right, take care of yourself, etc. Fuzing means they literally grow back together. Wearing a tight rib wrap could help push the bones back closer to each other so that they would fuze back together quicker and easier, that I suppose also is why rib wraps are use for folks with broken ribs (to help hold them in place so they can fuze back together easier and quicker)–a rib wrap to broken ribs is sort of like a cast is on a broken arm (to hold the bones securely in place so that they fuze back together quicker and easier).

It’s only been a couple months since the fall and breaks. Give it some time. X-rays, etc can see dense bone but soft tissue like fuzing bone cannot be seen as well. So give it some time, use those rib wraps, and take those vitimins. Also eat well, lots of fruits and vegetables as mentioned able, etc.

Also, Annie, get yourself a good set of hiking poles and use them. They will help keep the weight somewhat off of your back, shoulders, etc.

You might also want to do a www search, look up broken ribs on webmd and see what advice is given there and what is said.

See you out there. :cheers

Maintain

#8

i broke 3 ribs last year while sledding, i must say i got a ton of air, but it had its price, and yah couldn’t do anything bout it, i got wrapped up in an ace bandage every day, in time it was back to normal, but i still wince every time i sneeze/cough

clong:boy

Clong

#9

Thanks for the advice, folks (esp. Tha Wookie and Maintain). I’m taking vitamins and extra calcium. My base weight on my pack is 20 pounds. I’ve been told NOT to wrap my ribs because it decreases lung capacity and therefore increases the chance of pneumonia. I’m deliberately not using treking poles right now because when I did three weeks ago it caused a major setback because the arm and shoulder muscles are connected to the back muscles that are trying to support the fractured ribs. I agree that one’s attitude can affect healing. I’m truly bound and determined to start hiking April 1. Wish me well!

Annie K

#10

Sorry, folks, I just signed the reply as my name rather than my trail name. I’m still one and the same! Annie

Rainbow

#11

rainbow, i def. have to agree that wrapping reduces lung capacity, I got a bunch of “gunk” in my lungs and was coughing forever, but i never put two and two together, well that just shows u how much 8yrs of medical school taught my doctor huh, good luck with your hike

clong:boy

clong