Conversation: The conversation between human and AI assistant.
[|Human|] My wife broke her ankle badly 3 1/2 years ago. Thirteen screws and two plates to repair. It has been fine until last night. The plates began hurting in her sleep. Pain of 6 on a scale of 10. It was ok while she went to the gym this morning. Then began hurting again an hour later. Pain was 7 on a scale of 10 then. Now it is tender, but not hurting. She says she can specifically feel the plates. Any input?
[|AI|]  Hi, thank you for providing the brief history. As the Injury was almost three and a half year ago, by this time the bone must have healed. So most of the time when such reaction occurs the choice is to remove the screws and plates. As due to the screws and plates there will be a lot of biomechanical changes in the gait and may lead to pain and aches to the adjacent muscles and fascia. On a longer run, it is advised to remove the plate and screws. Also, avoiding gumming equipment is of choice, since due to impact of the feet on the hard surface of the gym may lead to rise of the Newtons third law of reaction - equal and opposite reaction. So the harder the feet hits the floor of the equipment the harder it hurts the screws and plates. RegardsJay In Chat Doctor.