Yes coming off can really be painful and as I know all too well is that the older you get the longer it takes to mend. Came off in 2006 broke scapular, collar bone, and two bones in my wrist, the collar bone has never mended and told by the hospital that due to my age it probably will never mend. And had a bad off in 1979 broke both my legs off work for a year and now have arthritis in both legs, some days have difficulty in walking due to the pain.