Post-traumatic sequelae from a car accident?
Hello, I would like to ask about my condition.
About 5 or 6 years ago, I had a car accident that resulted in fractures of both bones in my right calf.
They have healed well, as confirmed by an X-ray.
However, since the injury, I have experienced numbness in the sole of my foot, with no sensation upon touch, and the numbness sometimes turns into pain.
I also frequently experience sudden pain originating from the sole of my foot.
After taking nerve repair medication for a period, my doctor advised me to stop the medication, as it should not be taken long-term, but there has been no improvement.
It has only been in the last 2 or 3 years that the numbness has lessened, but I still occasionally experience sudden pain from the sole of my foot, which can be severe enough to prevent me from walking.
This pain can occur after walking for a longer duration, walking quickly, or standing for an extended period, but sometimes it happens even when I am just sitting in a chair or lying in bed.
It takes some time for the pain to subside, which I find very distressing.
joi, 20~29 year old female. Ask Date: 2016/04/29
Dr. Hong Ximing reply Orthopedics
After a fracture, experiencing numbness and pain may indicate nerve damage.
It is advisable to consult a neurologist to determine whether a nerve conduction study is necessary.
Reply Date: 2016/04/29
More Info
Post-car accident complications, particularly those involving leg pain and numbness, can be quite distressing and challenging to manage. In your case, having sustained fractures in both bones of the right calf five to six years ago, it is understandable that you are experiencing ongoing symptoms such as numbness, pain, and discomfort in your foot.
Firstly, it is important to recognize that while the fractures may have healed well, the soft tissues, nerves, and muscles surrounding the injury may still be affected. Nerve damage or irritation can lead to sensations of numbness or pain, which can persist long after the initial injury has healed. This is often referred to as neuropathic pain, which can occur due to nerve injury or compression.
The fact that you experienced numbness in your foot for an extended period, followed by intermittent pain, suggests that there may be ongoing nerve involvement. The pain you describe, which can occur after prolonged standing, walking, or even at rest, could be indicative of a condition known as complex regional pain syndrome (CRPS) or other neuropathic pain syndromes. These conditions can arise after an injury and are characterized by prolonged pain, changes in skin color, temperature, and swelling in the affected area.
It is also worth noting that the symptoms you are experiencing could be exacerbated by factors such as posture, activity level, and even weather changes. For instance, sitting for long periods or standing for too long can put pressure on nerves and lead to increased pain or numbness.
Given that you have already consulted with a physician and have been prescribed nerve repair medications, it may be beneficial to explore additional treatment options. Physical therapy can be particularly effective in managing pain and improving function. A physical therapist can work with you to develop a tailored rehabilitation program that focuses on strengthening the muscles around the affected area, improving flexibility, and addressing any postural issues that may be contributing to your symptoms.
In addition to physical therapy, other treatment modalities may include:
1. Pain Management Techniques: This can involve the use of medications such as non-steroidal anti-inflammatory drugs (NSAIDs) or topical analgesics to help manage pain. In some cases, nerve blocks or other interventional pain management techniques may be considered.
2. Occupational Therapy: If your symptoms are affecting your daily activities, an occupational therapist can help you find ways to adapt your environment and tasks to minimize discomfort.
3. Alternative Therapies: Some individuals find relief through acupuncture, chiropractic care, or massage therapy, which may help alleviate muscle tension and improve circulation.
4. Lifestyle Modifications: Incorporating regular low-impact exercises, such as swimming or cycling, can help maintain mobility without putting excessive strain on your leg. Additionally, practicing good ergonomics while sitting or standing can help reduce nerve compression.
5. Regular Follow-ups: Continuous monitoring of your symptoms with your healthcare provider is essential. If your symptoms worsen or new symptoms arise, further diagnostic imaging or referrals to specialists, such as a neurologist or pain management specialist, may be warranted.
In conclusion, while it is common to experience lingering symptoms after a significant injury like a fracture, it is crucial to address these symptoms proactively. Engaging in a comprehensive rehabilitation program and exploring various treatment options can significantly improve your quality of life and help you manage your pain effectively. Always consult with your healthcare provider before making any changes to your treatment plan.
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