Alex Smith, former NFL quarterback, is opening up about his journey of surgeries, pain, depression, and resilience to inspire others.… More
WARNING: This article will contain graphic images of leg wounds.
Alex Smith, a tall and handsome professional athlete with a wife and kids, had his life changed after sustaining a leg injury on the field in 2018. The injury fractured his tibia and fibula in multiple locations, leading to a series of traumatic events including a life-threatening infection, 17 operations, mental struggles, and immense pain. In a recent interview, Smith candidly shares his challenging yet resilient journey, along with his partnership with Vertex Pharmaceuticals for the Pain Game Plan, aiming to empower individuals to advocate for their physical and mental well-being.
Necrotizing Fasciitis
Alex Smith’s right lower leg developed necrotizing fasciitis, a rare and life-threatening infection. … More
Following the initial surgery, Smith experienced an infection in his right leg, a common occurrence after such traumatic injuries. With multiple fractures, including an open or compound fracture that carries a high risk of infection, Smith was diagnosed with necrotizing fasciitis, a rare and dangerous condition often caused by bacterial infections. Prompt medical intervention with antibiotics and surgery was crucial to saving Smith’s limb and life.
Reflecting on his experience, Smith recalls the progression of his treatment, including 17 surgeries and frequent debridements to remove infected tissue. Today, although his leg bears the marks of his ordeal, it remains functional, a testament to his resilience and gratitude for surviving such a critical period.
“It was a tumultuous journey, but somehow I found myself back on the field, playing quarterback again,” expressed Smith, acknowledging the remarkable recovery he underwent.
Dealing With Pain
Alex Smith endured numerous surgeries and extensive rehabilitation to save his limb and life. … More
The road to recovery for Smith was far more complex and prolonged than he anticipated. With nearly 20 surgeries, each accompanied by varying levels of pain, and the requirement to wear an external fixator on his leg for an extended period, Smith navigated through challenges with resilience. Despite the constant pain, he rarely discussed it and felt overwhelmed by its intensity. The lack of clear guidance on pain management from his medical team left him and his family anxious and uncertain.
“Pain is a universal experience that can be consuming. It’s difficult to escape its grasp,” shared Smith, highlighting the emotional and physical toll pain can take. Looking back, he regrets not having more open conversations about pain management with his healthcare providers.
As an addiction medicine specialist and former primary care physician, I have witnessed the impact of pain on many patients. However, the inadequacies in pain management education during medical training contribute to the widespread undertreatment or improper treatment of pain. Like Smith, individuals experiencing pain often feel guilty or hesitant to seek relief.
Treating Pain Safely And Effectively
Pain presents differently for each individual, requiring personalized treatment approaches based on its characteristics and underlying causes. Establishing treatment goals and utilizing a step-wise approach are essential in managing pain effectively. Non-pharmacologic interventions such as physical therapy, exercise, and relaxation techniques can often alleviate pain without the need for medication.
Pharmacotherapy options include over-the-counter pain relievers, topical agents, antidepressants, and antiepileptic drugs. In cases where these methods are insufficient, opioids may be considered, but careful monitoring and assessment of risks and benefits are crucial. Additionally, naloxone, an opioid overdose reversal agent, should be readily available for individuals on opioid therapy.
Procedural interventions like injections, nerve blocks, and surgical procedures can also be effective in managing pain. Complementary therapies such as meditation and cognitive behavioral therapy offer additional avenues for pain relief.
Mental Health Manifestations
Pain often coexists with mental health conditions such as depression and anxiety.
“The physical journey mirrors the mental journey,” emphasized Smith, reflecting on his challenging recovery process. Coping with physical limitations, ongoing pain, and emotional distress, Smith found himself in a dark place mentally during his rehabilitation. The interconnectedness of pain and mental health is well-documented, with a significant percentage of individuals with chronic pain experiencing depression and anxiety simultaneously.
Smith’s experience underscores the need for open dialogue about pain and mental health, encouraging individuals to seek support and communicate their needs effectively.
Strategies Moving Forward
Looking back, Smith regrets not engaging in more discussions about pain management with his healthcare team, emphasizing the importance of advocating for oneself in the face of pain. He encourages individuals to ask questions and seek clarity on their treatment plans, dispelling the notion that seeking help is a sign of weakness.
Smith’s message of teamwork and community support resonates strongly, highlighting the power of connection in overcoming challenges. Asking for help is a demonstration of strength, not a sign of vulnerability, and fostering a supportive environment is crucial for holistic healing and well-being.
