Broke My Clavicle: Hi Everyone, I went on a bike... - PMRGCAuk

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Broke My Clavicle

Lenore58 profile image
17 Replies

Hi Everyone,

I went on a bike ride yesterday. My front wheel hit something and I fell. Scrapes, and broken clavicle. Bad timing, as I am planning my daughter’s wedding for Sept. 7th. I’m currently on 2 mg. pred. Also have been on Actemra, although I suspended it while getting over Covid. I’m about to take another dose, as over Covid. My question is, should I up my prednisone?

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Lenore58 profile image
Lenore58
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17 Replies
DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

ouch…

Have you been prescribed painkillers to help. You probably don’t need to increase Pred to help with pain as such, but do be aware your adrenals may well struggle and/or the accident may cause a flare so just keep an open mind for now.

Hope you soon improve, and do as much delegating as you can, and that wedding goes smoothly.

Lenore58 profile image
Lenore58 in reply toDorsetLady

Yes, prescribed pain killers. Ok, will stay on two unless I see signs of a flare. Have felt concerned because: Covid on top of an accident/broken bone, on top of all the happy stress of planning a wedding! Thank you DL!

PMRpro profile image
PMRproAmbassador

I would say only if you feel a real need to. It is unlikely to help the injuries, but it is possible 2mg is a bit low to help with the shock. Keep a sharp eye out for feeling unwell, shaky and confused and take maybe 10mg pred if you do rather than upping the pred unnecessarily.

Sharitone profile image
Sharitone

My son is getting married on the same day! 300 miles away, so I don't know how I will cope with the fatigue. Will be thinking of you!

Lenore58 profile image
Lenore58 in reply toSharitone

what a coincidence! I’ll be thinking of you now too! What country is your son getting married in? I know you are in the UK.

Sharitone profile image
Sharitone in reply toLenore58

North of England - 300 miles from here. We have to take my parents, with dementia and difficult! Fortunately we didn't have to do much organising for tis one, just footed some of the bill!

I hope you get good weather and it all goes off without a hitch.🙂

Lenore58 profile image
Lenore58 in reply toSharitone

I am the mother of the bride so most of the planning has been on me! Somehow, I’ve managed it. And I’ll have lots of help the week of. I live on the central coast of California so it should be beautiful weather for our wedding! I wish you the same!

PMRpro profile image
PMRproAmbassador in reply toLenore58

When my second daughter got married I did NOTHING - partly because I was in Italy and she was getting married in the north of England!

Lenore58 profile image
Lenore58

*Update*

My bones are misaligned, so surgery is scheduled for Wednesday. Any advice regarding prednisone, Actemra, etc? (I suspended Actemra a month ago when I got Covid.)

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply toLenore58

You need to discuss your meds with the anaesthetist - and you will be given Pred in IV form during your procedure… and they may suggest you up your normal dose for a few days post operation.

Have you take a dose of a Actemra since covid -mask you mentioned in original post? Just looked, and that should be stopped before an operation.. so if you have taken a dose then you need to tell anaesthetist that as well.

Good luck…

PMRpro profile image
PMRproAmbassador in reply toLenore58

Pred - that is the anaesthetist's province, they will probably provide intraoperative cover with hydrocortisone in the drip. Actemra should be stopped before elective surgery, so you should be fine there if you haven't started again after Covid. 4 weeks before for infusions, 2 weeks for sub cutaneous injections. It shouldn't be restarted after surgery until there is good wound healing, typically 14 days,

Lenore58 profile image
Lenore58

thank you. The office told me I could take my 2 mg of prednisone with just a sip of water prior to surgery. Should I do that?

PMRpro profile image
PMRproAmbassador in reply toLenore58

Or take it the night before - though the hydrocortisone in the drip will probably do for one day.

Lenore58 profile image
Lenore58 in reply toPMRpro

Oh good idea! I’ll take it with my usual couple TBSPs if greek yogurt before bed instead of morning!

emersee profile image
emersee in reply toLenore58

Just make sure you clearly tell the anaesthetist at what time you took your last steroid does, and how much.

Lenore58 profile image
Lenore58 in reply toemersee

thank you… My surgery was last Wednesday ha ha!

Lenore58 profile image
Lenore58

update: I took the prednisone the night before with my usual yogurt. I’ve been off Actemra for about a month. The surgery went very well. The first two days postop were pretty rough, but this is the third day and I’m feeling surprisingly well!

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