Broken/Fractured Fibula (Leg) Bone! - No Ins. Advice?

KM43590KM43590 Posts: 298
edited November 2011 in A Moving Train
Hello friends! ...Has anyone ever broken or fractured their fibula bone in the leg? I think I may have, and I have no health Ins any longer and I'm wondering about home remedies! It's been a week and I've been wrapping it up, elevating it and icing it, and taking lots of Tylenol. I can still walk, but with a constant/dull pain and I'm wondering what to do. As I understand it the fibula isn't the main leg bone and only supports 10% of your weight, so it's not as serious as the tibia bone apparently, but of course I'm still concerned.The irony of all this is, 2 weeks ago, I lost my job and health insurance, and because of the stress and depression I was feeling, I had a few too many one night, fell and injured myself. How's that for bad luck? HAHA! Thanks in advance!
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  • dasvidanadasvidana Grand Junction CO Posts: 1,349
    I assume you live in the US? If so, you need to find your local federally qualified health center (FQHC). That is the designated place for you to access health services if you have no insurance. They generally base what they charge on a sliding fee scale (and will base the charge on your ability to pay). You need an xray to verify if it is broken. If it is broken, it needs to be immobilized until it heals. If it isn't broken, you need to be shown how to rehab it.

    Hope the information helps!
    It's nice to be nice to the nice.
  • __ Posts: 6,651
    I think you should really try to be seen. Broken bones are nothing to fool around with.

    If you only recently lost your job & insurance, have you checked into whether you're still eligible to sign up for COBRA? Maybe you could get it for just a short time. Have you looked into Medicaid? It can be hard to get, but it's worth looking into. I also agree with Dasvidana that you should look for a FQHC. Also, is there a teaching hospital or other public hospital in your area? Oftentimes they have sliding scales or even actual free full health coverage for people with low/no incomes. That's probably the first thing I'd look into. If nothing else, you could go somewhere where they'll bill you and just worry about the bill when you can. You could probably make payments. Where do you live?

    The very next thing you need to do is write to all your congresspeople and tell them we should have universal healthcare.

    Good luck! :)
  • gimmesometruth27gimmesometruth27 St. Fuckin Louis Posts: 23,303
    you need an x ray. the fibula does not bear a whole bunch of weight, but depending on the fracture you could be setting yourself for some major problems in the future. most fibular fractures, assuming they are not mid shaft fractures are minor enough that they heal on their own without too much intervention. most fibular fractures are tiny avulsion fractures of the very distal end of the ankle bone, and most times those heal just fine in a walking boot and home rehab beginning at the 3 week point.

    then you have the weber fractures. weber a fractures are generally very stable and heal just fine with proper immobilization, usually a walking boot, and proper weight bearing restrictions and home rehab at 4 weeks. the weber b fracture is a fracture of the fibula at the level of the ankle joint. these must be carefully evaluated because a lot of the time they have associated ligament damage. in our office we normally cast these with no weightbearing for 3-4 weeks and then we allow them to walk in the cast. the cast comes off at the 5-6 week point and we transfer to a brace or walking boot if necessary. the home rehab begins at this stage. the weber c fractures are fractures above the level of the joint line. most times these are surgically repaired because since it is above the joint line it is inherently unstable and will leave you with an unstable ankle joint if not treated appropriately. non-surgical treatment of a weber c fracture requires casting with the foot plantar flexed (foot pointing downward) about 30 degrees and strict non weightbearing for 6 weeks, and we order a bone growth stimulator to insure that we get some good bony healing. because of the unstable nature of these fractures our office gets repeat x rays at one, two, and three weeks after the cast is applied, and if the fracture shifts at all in this time we refer to a foot and ankle surgeon. any weightbearing in those 6 weeks can cause the fracture to shift. after 6 weeks of casting we transfer into a walking boot for 2-3 weeks and begin physical therapy at that time.

    also, if it is fractured, it is very important that you take tylenol only. several recent studies have come out the last 4 years that have concluded that taking anti-inflammatory medications like advil, ibuprophen, naproxen, aleve, or motrin actually inhibit fracture healing.

    there are other very significant injuries that can occur in the ankle joint itself that can appear to a patient with no medical training to be fibular injuries. mostly involving the articular cartilage and bone underneath that cartilage. these are called osteochondral lesions or defects. an x ray will tell you if those are present too. if there is an ocd you need an mri to tell you what grade it is. some grades heal well with 2-3 months non weightbearing, while others are surgical problems.

    chances are you have a sprained ankle and if you have a fracture it is an avulsion or a weber a, but it does require x ray and proper treatment. ankle sprains can be quite severe and can take months to heal properly depending on the structures injured. our office works with people that have no insurance. the first visit is the most expensive because that covers evaluation, casting, and x rays. follow ups are a fraction of the initial visit. we try to treat them with as few visits as possible and we give self pay people a 40 or 50% discount. if you had insurance you would be billed a fracture care code that covers all of your office visits, co-pays, x rays, and casting for a full 90 days. most fractures are healed and rehabbed in that time.

    what i suggest you do is get in the phone book and start calling orthopedic physicians and ask if they take patients who are uninsured. i would start with someone who is a Sports Medicine physician because they are not surgeons, specialize in treating nonsurgical orthopedic injuries, are easier to get into, and normally take patients that do not have insurance. most orthopedic surgeons do not see cash patients, or if they do you need to have at least $300 up front at the time of your appointment.

    good luck with this and i hope everything turns out well.
    "You can tell the greatness of a man by what makes him angry."  - Lincoln

    "Well, you tell him that I don't talk to suckas."
  • mickeyratmickeyrat Posts: 40,238
    also look into free clinics in your area. Or just bite the bullet, get seen at an ER. Pay the bill when you can. You can ask about HCAP. Its possible to be seen wiithout charge.

    GF said she saw Dr OZ today . Look into his website. I guess he finds or links people to free or discounted healthcare. www.doctoroz.com
    _____________________________________SIGNATURE________________________________________________

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  • you need an x ray. the fibula does not bear a whole bunch of weight, but depending on the fracture you could be setting yourself for some major problems in the future. most fibular fractures, assuming they are not mid shaft fractures are minor enough that they heal on their own without too much intervention. most fibular fractures are tiny avulsion fractures of the very distal end of the ankle bone, and most times those heal just fine in a walking boot and home rehab beginning at the 3 week point.

    then you have the weber fractures. weber a fractures are generally very stable and heal just fine with proper immobilization, usually a walking boot, and proper weight bearing restrictions and home rehab at 4 weeks. the weber b fracture is a fracture of the fibula at the level of the ankle joint. these must be carefully evaluated because a lot of the time they have associated ligament damage. in our office we normally cast these with no weightbearing for 3-4 weeks and then we allow them to walk in the cast. the cast comes off at the 5-6 week point and we transfer to a brace or walking boot if necessary. the home rehab begins at this stage. the weber c fractures are fractures above the level of the joint line. most times these are surgically repaired because since it is above the joint line it is inherently unstable and will leave you with an unstable ankle joint if not treated appropriately. non-surgical treatment of a weber c fracture requires casting with the foot plantar flexed (foot pointing downward) about 30 degrees and strict non weightbearing for 6 weeks, and we order a bone growth stimulator to insure that we get some good bony healing. because of the unstable nature of these fractures our office gets repeat x rays at one, two, and three weeks after the cast is applied, and if the fracture shifts at all in this time we refer to a foot and ankle surgeon. any weightbearing in those 6 weeks can cause the fracture to shift. after 6 weeks of casting we transfer into a walking boot for 2-3 weeks and begin physical therapy at that time.

    also, if it is fractured, it is very important that you take tylenol only. several recent studies have come out the last 4 years that have concluded that taking anti-inflammatory medications like advil, ibuprophen, naproxen, aleve, or motrin actually inhibit fracture healing.

    there are other very significant injuries that can occur in the ankle joint itself that can appear to a patient with no medical training to be fibular injuries. mostly involving the articular cartilage and bone underneath that cartilage. these are called osteochondral lesions or defects. an x ray will tell you if those are present too. if there is an ocd you need an mri to tell you what grade it is. some grades heal well with 2-3 months non weightbearing, while others are surgical problems.

    chances are you have a sprained ankle and if you have a fracture it is an avulsion or a weber a, but it does require x ray and proper treatment. ankle sprains can be quite severe and can take months to heal properly depending on the structures injured. our office works with people that have no insurance. the first visit is the most expensive because that covers evaluation, casting, and x rays. follow ups are a fraction of the initial visit. we try to treat them with as few visits as possible and we give self pay people a 40 or 50% discount. if you had insurance you would be billed a fracture care code that covers all of your office visits, co-pays, x rays, and casting for a full 90 days. most fractures are healed and rehabbed in that time.

    what i suggest you do is get in the phone book and start calling orthopedic physicians and ask if they take patients who are uninsured. i would start with someone who is a Sports Medicine physician because they are not surgeons, specialize in treating nonsurgical orthopedic injuries, are easier to get into, and normally take patients that do not have insurance. most orthopedic surgeons do not see cash patients, or if they do you need to have at least $300 up front at the time of your appointment.

    good luck with this and i hope everything turns out well.

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  • lukin2006lukin2006 Posts: 9,087
    KM43590 wrote:
    Hello friends! ...Has anyone ever broken or fractured their fibula bone in the leg? I think I may have, and I have no health Ins any longer and I'm wondering about home remedies! It's been a week and I've been wrapping it up, elevating it and icing it, and taking lots of Tylenol. I can still walk, but with a constant/dull pain and I'm wondering what to do. As I understand it the fibula isn't the main leg bone and only supports 10% of your weight, so it's not as serious as the tibia bone apparently, but of course I'm still concerned.The irony of all this is, 2 weeks ago, I lost my job and health insurance, and because of the stress and depression I was feeling, I had a few too many one night, fell and injured myself. How's that for bad luck? HAHA! Thanks in advance!

    Sorry to hear...you should really get it checked out...hope all goes well.
    I have certain rules I live by ... My First Rule ... I don't believe anything the government tells me ... George Carlin

    "Life Is What Happens To You When Your Busy Making Other Plans" John Lennon
  • tybirdtybird Posts: 17,388
    mickeyrat wrote:
    also look into free clinics in your area. Or just bite the bullet, get seen at an ER. Pay the bill when you can. You can ask about HCAP. Its possible to be seen wiithout charge.

    GF said she saw Dr OZ today . Look into his website. I guess he finds or links people to free or discounted healthcare. http://www.doctoroz.com
    This sounds like a good plan....if it is broken, without proper re-setting....you will be looking at continuing problems down through the years.
    All the world will be your enemy, Prince with a thousand enemies, and whenever they catch you, they will kill you. But first they must catch you, digger, listener, runner, prince with the swift warning. Be cunning and full of tricks and your people shall never be destroyed.
  • chadwickchadwick up my ass Posts: 21,157
    go get your leg looked at. bills come and bills go. owing hospitals is what many do. make payments. hospitals also have social workers from human services that help pay medical bills.
    for poetry through the ceiling. ISBN: 1 4241 8840 7

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  • lukin2006lukin2006 Posts: 9,087
    Just curious...how much would that generally cost in the US?
    I have certain rules I live by ... My First Rule ... I don't believe anything the government tells me ... George Carlin

    "Life Is What Happens To You When Your Busy Making Other Plans" John Lennon
  • chadwickchadwick up my ass Posts: 21,157
    lukin2006 wrote:
    Just curious...how much would that generally cost in the US?
    probably a few grand. xray and cast. it could be worse depending on what is broken and if he needs physical therapy.

    my brother about lost his leg in a traffic accident last year. he was billed something to the tune of almost $100,000. he can't make but modest payments every month. he filed out a form and the bills quit coming and that is that.

    i myself have had to use assisstance with hospitals' medical billing. if you don't have it to give you don't have it to give. i don't have $10,000 (or more) dollars to give to anybody. and what are small payments going to actually do? nothing. that's right. nothing.

    same with student loans. i have two loans that need paid. how does a guy do that when they are jammed up? i've been told to ask for help by applying for it. something i better get on the ball with and soon.
    for poetry through the ceiling. ISBN: 1 4241 8840 7

    "Hear me, my chiefs!
    I am tired; my heart is
    sick and sad. From where
    the sun stands I will fight
    no more forever."

    Chief Joseph - Nez Perce
  • catefrancescatefrances Posts: 29,003
    a few years back my son broke his fibula. he complained of some pain and cause he had no problem walking we delayed taking him to the doc. when we did take him for an xray it was discovered that not only had the bone healed itself, he had an aneurysmal bone cyst. it was the cyst that was causing the pain, not the now healed break. it had eaten its way across most of his fib(just leaving a skin thin slice of bone on the outer and this is why it had broken so easily in the first place.) had we not taken him for an xray that cyst wouldve gotten larger as it ate away the bone til there was every chance the fib would have to have been removed. you need to go get looked at cause there might just be a secondary problem youre missing.
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  • JeanwahJeanwah Posts: 6,363
    UGH. Sorry about your situation, but a broken leg should definitely be seen.

    also, if it is fractured, it is very important that you take tylenol only. several recent studies have come out the last 4 years that have concluded that taking anti-inflammatory medications like advil, ibuprophen, naproxen, aleve, or motrin actually inhibit fracture healing.

    I trust your judgment Gimme knowing that you have experience in the medical field. I actually just asked my femur specialist doctor how bad the anti-inflammatories are for healing bones because I still have a fracture in my right femur that didn't heal with bone graft surgery. (I need more surgery) He said that these meds are bad but only if taken on a constant or common basis. He said that I'm OK if I only have to take them once in a while due to the pain.
  • gimmesometruth27gimmesometruth27 St. Fuckin Louis Posts: 23,303
    Jeanwah wrote:
    UGH. Sorry about your situation, but a broken leg should definitely be seen.

    also, if it is fractured, it is very important that you take tylenol only. several recent studies have come out the last 4 years that have concluded that taking anti-inflammatory medications like advil, ibuprophen, naproxen, aleve, or motrin actually inhibit fracture healing.

    I trust your judgment Gimme knowing that you have experience in the medical field. I actually just asked my femur specialist doctor how bad the anti-inflammatories are for healing bones because I still have a fracture in my right femur that didn't heal with bone graft surgery. (I need more surgery) He said that these meds are bad but only if taken on a constant or common basis. He said that I'm OK if I only have to take them once in a while due to the pain.
    your doctor is most likely correct with the sporadic use of antiinflammatories. the 2 docs i work with are very evidence based and if there are new trends in the medical literature then they will take that into consideration with their treatment protocols. so about 2 years ago we changed our fracture protocol to tylenol only. we see a lot of patients that have comorbidities such as diabetes or they are a pack a day smoker for 20+ years, and those 2 conditions interfere with fracture healing as well. i guess they did not want to take any chances with introducing heavy antiinflammatory use into an already complicated situation. do what your doc says to do Jean. i was just throwing out my experience trying to give the op as much info as possible. :D
    "You can tell the greatness of a man by what makes him angry."  - Lincoln

    "Well, you tell him that I don't talk to suckas."
  • gimmesometruth27gimmesometruth27 St. Fuckin Louis Posts: 23,303
    "You can tell the greatness of a man by what makes him angry."  - Lincoln

    "Well, you tell him that I don't talk to suckas."
  • lukin2006lukin2006 Posts: 9,087
    chadwick wrote:
    lukin2006 wrote:
    Just curious...how much would that generally cost in the US?
    probably a few grand. xray and cast. it could be worse depending on what is broken and if he needs physical therapy.

    my brother about lost his leg in a traffic accident last year. he was billed something to the tune of almost $100,000. he can't make but modest payments every month. he filed out a form and the bills quit coming and that is that.

    i myself have had to use assisstance with hospitals' medical billing. if you don't have it to give you don't have it to give. i don't have $10,000 (or more) dollars to give to anybody. and what are small payments going to actually do? nothing. that's right. nothing.

    same with student loans. i have two loans that need paid. how does a guy do that when they are jammed up? i've been told to ask for help by applying for it. something i better get on the ball with and soon.

    That much...wow I never realized...without gloating that just make me appreciate my country that much more...
    I have certain rules I live by ... My First Rule ... I don't believe anything the government tells me ... George Carlin

    "Life Is What Happens To You When Your Busy Making Other Plans" John Lennon
  • JeanwahJeanwah Posts: 6,363
    Jeanwah wrote:
    UGH. Sorry about your situation, but a broken leg should definitely be seen.

    also, if it is fractured, it is very important that you take tylenol only. several recent studies have come out the last 4 years that have concluded that taking anti-inflammatory medications like advil, ibuprophen, naproxen, aleve, or motrin actually inhibit fracture healing.

    I trust your judgment Gimme knowing that you have experience in the medical field. I actually just asked my femur specialist doctor how bad the anti-inflammatories are for healing bones because I still have a fracture in my right femur that didn't heal with bone graft surgery. (I need more surgery) He said that these meds are bad but only if taken on a constant or common basis. He said that I'm OK if I only have to take them once in a while due to the pain.
    your doctor is most likely correct with the sporadic use of antiinflammatories. the 2 docs i work with are very evidence based and if there are new trends in the medical literature then they will take that into consideration with their treatment protocols. so about 2 years ago we changed our fracture protocol to tylenol only. we see a lot of patients that have comorbidities such as diabetes or they are a pack a day smoker for 20+ years, and those 2 conditions interfere with fracture healing as well. i guess they did not want to take any chances with introducing heavy antiinflammatory use into an already complicated situation. do what your doc says to do Jean. i was just throwing out my experience trying to give the op as much info as possible. :D

    You're probably right about the Tylenol. Like I said, I trust your judgment! I just wished it worked better for pain. I hope the OP's OK!
  • puremagicpuremagic Posts: 1,907
    KM43590 wrote:
    Hello friends! ...Has anyone ever broken or fractured their fibula bone in the leg? I think I may have, and I have no health Ins any longer and I'm wondering about home remedies! It's been a week and I've been wrapping it up, elevating it and icing it, and taking lots of Tylenol. I can still walk, but with a constant/dull pain and I'm wondering what to do. As I understand it the fibula isn't the main leg bone and only supports 10% of your weight, so it's not as serious as the tibia bone apparently, but of course I'm still concerned.The irony of all this is, 2 weeks ago, I lost my job and health insurance, and because of the stress and depression I was feeling, I had a few too many one night, fell and injured myself. How's that for bad luck? HAHA! Thanks in advance!

    This is where your social program are suppose to kick in and help you. You should have called 911 and went directly to an emergency room, insurance or not. A broken bone is an emergency situation as it can harm blood vessels leading to blood clots, which, if not caught leads to sudden death.

    You need to get to a physician right away. You should contact your local health department to see how you can qualify for temporary Medicaid or Medicare assistance, these programs are not just for the poor or old, they’re for people in need, people like you, who, for whatever reason don’t have health insurance coverage.

    If you are worried about people saying you should have insurance, the point is moot. Maybe they should be concern that if you don't get proper medical help, you may end up disabled, unable to work and guess what as taxpayers we will still be taking care of you, simply because you failed to take care of yourself. Don't let pride get in your way, GO GET PROPER MEDICAL HELP.
    SIN EATERS--We take the moral excrement we find in this equation and we bury it down deep inside of us so that the rest of our case can stay pure. That is the job. We are morally indefensible and absolutely necessary.
  • gimmesometruth27gimmesometruth27 St. Fuckin Louis Posts: 23,303
    puremagic wrote:
    KM43590 wrote:
    Hello friends! ...Has anyone ever broken or fractured their fibula bone in the leg? I think I may have, and I have no health Ins any longer and I'm wondering about home remedies! It's been a week and I've been wrapping it up, elevating it and icing it, and taking lots of Tylenol. I can still walk, but with a constant/dull pain and I'm wondering what to do. As I understand it the fibula isn't the main leg bone and only supports 10% of your weight, so it's not as serious as the tibia bone apparently, but of course I'm still concerned.The irony of all this is, 2 weeks ago, I lost my job and health insurance, and because of the stress and depression I was feeling, I had a few too many one night, fell and injured myself. How's that for bad luck? HAHA! Thanks in advance!

    This is where your social program are suppose to kick in and help you. You should have called 911 and went directly to an emergency room, insurance or not. A broken bone is an emergency situation as it can harm blood vessels leading to blood clots, which, if not caught leads to sudden death.

    You need to get to a physician right away. You should contact your local health department to see how you can qualify for temporary Medicaid or Medicare assistance, these programs are not just for the poor or old, they’re for people in need, people like you, who, for whatever reason don’t have health insurance coverage.

    If you are worried about people saying you should have insurance, the point is moot. Maybe they should be concern that if you don't get proper medical help, you may end up disabled, unable to work and guess what as taxpayers we will still be taking care of you, simply because you failed to take care of yourself. Don't let pride get in your way, GO GET PROPER MEDICAL HELP.
    problem is the ambulance ride costs over $500. many times they are not affiliated with a hospital and many insurances do not cover the transportation so you are automatically on the hook for having to pay for the ambulance.

    i saw a story on the news a few months ago about this guy who needed the emergency helicopter and his transport bill was $40,000 and was not covered by his insurance. :shock: :shock: :shock:
    "You can tell the greatness of a man by what makes him angry."  - Lincoln

    "Well, you tell him that I don't talk to suckas."
  • wpg pearlwpg pearl Posts: 1,258
    wow.....that really sucks , good luck
    at least your not on my fantasy football team lol i would be pissed
    ajb
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