Broken Ribs

2 weeks ago I crashed my bicycle, breaking 3 ribs in the process. I managed this all by myself, there were no cars, dogs, or anyone else involved that I could blame it on.

My ribs hurt, especially when I raise my left arm, or when I have to lift something. Even relatively minor weights are a problem. Walking quickly is not good either.

Several people have given estimates on when I´ll be able to run, bike, and swim again. These range from 2 weeks from now to 4 months. The longest estimates came from the doctor in the hospital, who said that he was a competitive cyclist and had experience with these things. He said that I would probably be able to bike again fairly soon, but it would be months before I can swim comfortably. He also said that I could forget the 2005 season.

It wasn´t clear, but he may have meant with this last remark that with this pause in training I´m not likely to be in good shape for my priority events this summer. Thats true, but I´d like to at least attempt some of them.

What experiences do other people have with this? What is a normal time to have to wait?

many thanks,

Jim

Jim, I have not broken ribs before so I don.t know how it feels. However I know about Lisa Bentley, who had a freek accident while being fitted for a new bike. See below, but remember she is a professional, with lots of support who relies on racing to pay her bills.

"And then, came the crash of 2003! I had a freak bike accident and broke four ribs and my elbow. My first thought when I crashed was that I would have to miss my bike, run and swim workout the next day. Little did I know that I would have to miss all running and swimming for about 3 weeks! If 2003 taught me anything it was that I have a lot less control over life than I thought I did. But, 2003 also taught me to fight back and do everything possible to heal and so, I vowed to become the best athlete with four broken ribs and a broken elbow! Everyday, I went for a very specialized physiotherapy modality called Frequency Specific Microcurrent (FSM) with Dr. Galea. It is used to increase blood flow and healing to the soft tissue. I also went to my regular brilliant physiotherapist, Steve Hill, in order to maintain as much muscular strength as possible, to help me with breathing exercises for my ribs and mobility exercises for my elbow. Some days, I would drive for an hour for FSM therapy and then go to see Steve Hill for his one-on-one treatment. I supplemented both of these with weekly acupuncture and Active Release Therapy (ART) with Dr. Scapaticci. Meanwhile, I maintained as much aerobic fitness as possible by cycling on my Computrainer once or twice each day. Most people would say “the rest will do you good”. I’d like to know when I rested, because as far as I could tell, healing is twice as much work as training!

I actually did not know that my arm and ribs were broken until the fifth day after the accident. I was in a tremendous amount of pain - breathing, coughing, laying down, sitting and general moving around. But, I was determined not to give into the accident and I actually rode my Computrainer the day after the accident and then proceeded to ride it everyday, twice per day until that dreaded Friday when Dr. Galea sent me for x-rays. Gulp! I guess we can all conclude now that I have a very high pain tolerance.

The next two to three weeks were uncomfortable, but I maintained my aerobic base by cycling everyday. After three weeks, I could float in the pool, so I started to do kick sets. I also began running in the water. And then, in that third week, I started to run on land. That was painful - very painful. The marathon will seem so easy now after that horrific 20-minute first run session. But, everytime I ran after that, it got better and better until I was running pain-free at about 4 weeks. That was around the same time that I started to do drills in the pool. Somedays, I did 5 workouts - bike, run on land for a short time, water run for the remainder of the run workout, swim drills and kick and then a second bike workout. Remind me how these broken bones were “good for me”.

At 5 weeks, I was able to swim, bike and run. My swimming was limited to easy swimming and drills, but I was so happy to be a “triathlete” again. At this time, I had told the race directors in Chile that I would have to miss the Pucon Half Ironman - a race that I had won in 2002 and 2003. Lance Watson, my coach, and Steve Hill and I had decided that to race it would risk compensatory injuries especially since I had not been able to do core stability exercises for 5 weeks and my running form depends on a strong core. But on that Sunday of that 5th week, I did a 5 hour Computrainer bike workout with some intensity and a run off of the bike and I decided that I needed to race in Chile for “me”. It would be my reward for maintaining my fitness against all odds It would be my reward for being a champion healer. Lance agreed and we decided that I would race Chile as a fitness builder and winning it would be completely secondary."

There are many levels of “broken ribs”. Little hairline cracks take a lot less time to heal than bigger fractures to heal. Unlike arms and legs where you can isolate and splint a fracture, every time you breath you torque the fracture. So actually heavy training is counterproductive for the fractures healing process. In theory if it takes a good 6-8 weeks to heal, that puts us in July so yes you have lost a good chunk of the 05 season.
Sort of like Eki in the Tour. My non professional advice is do what you can and be happy with that. If it hurts, then you are probably doing too much too early. Life is a gift , appreciate what you have. G

Thanks for the reply. According to the doctor it isn´t hairline cracks. The ribs have not set properly of their own accord and the broken sections are slightly offset. He also says that the ribcage is slightly pushed in on the left side, and some of this is permanent. This sounds alarming to me, but he/they say that I won´t notice the difference once it has healed.

Based on the way things are now, I cannot imagine taking the Lisa Bently approach, and resuming training quickly. However, the situations are different: I merely enjoy sports, and she is a professional.

Jim

Only other piece of advice is to try and get a bone stimular (like Bentley used). I use them all the time for hard to heal, or non-healing fractures. There is no downside to its use (76.6 Hz pulsed magnetic current) except cost if insurance won’t cover it (about $3,500!!!). They likely won’t since rib fractures almost always heal in a timely fashion and without any problems.

Maybe if you have a friend (doc) or rep who can get you one. I can get you one if you are in the Cincy area. My preference is the DJ Ortho or the Exogen (ultrasound) unit. The EBI and Orthologic units are a combine field approach and not as effective.

Good luck!

Two years ago I locked the back truck of my old-school Sims David Andrecht board at the top of a 13 foot vert ramp and burned in from the top. Full-on free fall from top of the vert ramp. In over 25 years of skateboarding, 2 as a pro, I had never done that. It was like stepping off a freeway overpass and doing a belly smacker on plywood. I actually saw stars.

I splated on the bottom of the ramp and broke two ribs. The X-Rays were hilarious- it was a clean break. For the next month sneezing or coughing was very painful- extremely painful. Sleeping on my stomach was out of the question too. If took about eight weeks before it was manageable. To this day, the area is tender. If my massage therapist gets ambitious right there it is pretty sore.

Tough injury- not much they can do. It just takes times. In the mean time, enjoy the rest.

hi. I´ve never heard of these devices before, but will ask a couple of doctors I know.

Thanks for the offer, but I am not even close to where you live. I am just north of Frankfurt, Germany. The accident happened on the IMG bike course.

Right now I´m feeling a little discouraged, but am coming to the conclusion that I´ll just have to wait this out. I´ll ask about the electro-devices though.

Jim

I crashed at the first hydration station in IMWA 11/2004 at 35kph and my right rib cage landed on my aero-bar shifters. Tore all the cartlidge that covers the area and found it very painful running the marathon. After 8 X-rays the conclusion was as previously mentioned. The first two weeks were miserable and had great difficulty getting out of bed ( or any abdominal inclination).

After 4 weeks still pain but could swim.6 weeks was pretty much healed and 8 weeks 100%. Made sure my diet was good and supplemented with glucosamine , chondroitin , branch-chain aminos and rest.

Never broke them but maybe this is similiar , feel sorry for you if it’s worse. Hope you heal up soon !