Spent some time on the ground...
 

So, I guess I over did it tonight. As I was walking from my car into the house tonight, my foot decided to stop supporting me causing me to wipe out. The damage is a twisted ankle and a few scrapes. Even worse than the fall was the getting into the house.
What is the best way to treat an injury? Do I baby it, or do I try to just buck up and walk on it the best I can?
Any thoughts?

Depends on what you did to it. Wash the scrapes, ice the ankle to keep swelling down and if you can walk on it afterwards I'd think you're ok to roll. Don't keep walking on it if you instinctively want to baby it though.

In addition to my MG, I have a condition where the bones in my feet periodically scrape the sheath off the nerves that run between them up to the toes (it is quite painful to walk on as you can imagine). The fix for this is not worth the risks to me, so I suck it up and walk the best I can, take pain killers etc. The problem is walking like this is not a normal gait and it makes the walking muscles work harder so the MG certainly notices this. Walking with a sore ankle is similar, you're not walking with a normal gait so watch out for MG kicking in on the over-worked muscles on the other side of your body around the hip & hamstring.

I think my first question would be did your MG cause your leg/ankle/foot to have so much weakness that it went out from under you? Were you weak? If you are getting so bad that your muscles are "giving out," you need to call your neuro.

And pushing your MG is not a good idea!!! Especially in this heat. What if the next time you end up on the ground, you are not near anyone! Do you have a cell phone?

RICE: Rest, ice, compression, elevation. That's the mnemonic (knee-mawn-ick) doctor's use for this kind of thing.

However, ankle injuries can be VERY hard to heal. You really need to see a doctor. They may want to x-ray it and give you a particular type of "compression" like an air splint. If you don't treat an ankle injury properly, it can actually cause nerve damage. Back in 1986, someone who was drunk totaled my car. I had slammed on the brakes with my left ankle to try to avoid getting hit. All these years later, in spite of the intervention that included a walking cast, I have a peripheral neuropathy constantly in that ankle/foot. You really need to be seen!

I hope you'll take it easy.

Annie

I did call the neuro this morning. The nurse told me to get it checked and that he would tell the doctor about it.
The Xray came back ok. No fractures.
Tonight, I just discovered that the neuro had left me a message, which I wasn't exactly expecting. From what the message said, the doctor is quite concerned with this added weakness and wants me to start the plasmapheresis treatments asap. The problem is that my insurance isn't cooperating with the authorization and is requiring them to send them a ton of paperwork, yada yada. Because this could be quite the delay, he is wondering if I would be willing to get admitted to the hospital so I can get this going faster than doing it outpatient.
I think i will be getting admitted in the very near future....

Go ahead and be admitted. You don't want to wait until your MG gets to an MG crisis point. It's far harder to recover once that happens. ALL insurance companies make it hard for doctors to approve anything but that does not mean it's impossible. They cannot keep you from a life-saving treatment. There are ways around that, such as being admitted.

Go ahead and let them do it! You need to put your ankle up and rest it anyway. ;) They will treat it in the hospital as well. I hope you'll be ok.

Annie

That's how I finally got my IVIG started - had to be admitted because ins was dragging their feet.

Good luck!