Nerve Issues After a Car Accident: What to Do Next - Neurosurgery

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Neurological issues from a car accident?


On July 18 of this year, I was in a car accident and was unable to put weight on my right leg.
When I was taken by ambulance, I felt that the right side of my buttocks was elevated while lying on the stretcher.
An X-ray was taken and showed no issues.
I have since been able to walk normally, but I have lost sensation in the right side of my lower back when I touch it.
At night, when I turn over in bed, I experience a burning sensation and pain in my right buttock.
What could be the cause of this? Which specialist should I see?

Jiu Bi, 20~29 year old female. Ask Date: 2016/10/20

Dr. Lai Zhaokang reply Neurosurgery


Hello, you can consult with the Department of Neurosurgery at Changhua Hospital, with Dr.
Lai Chao-Kang, the Director of Spinal Neurosurgery.

Reply Date: 2016/10/20

More Info


After experiencing a car accident, it is not uncommon to encounter various neurological symptoms, especially if there was any impact to the head or spine. In your case, you mentioned that you had difficulty standing and felt a loss of sensation in your right side, particularly around the hip and buttock area. Additionally, you are experiencing pain and a burning sensation in that region. These symptoms can be concerning and warrant further evaluation.

Firstly, the loss of sensation in your right hip and buttock could indicate nerve involvement, possibly due to a compression or injury to the nerves that innervate that area. The fact that you felt unable to bear weight on your right leg immediately after the accident suggests that there may have been some trauma to the nerves or surrounding structures, even if the X-rays did not show any fractures. Nerve injuries can sometimes occur without visible damage on X-rays, especially if there is swelling or other soft tissue injury.

The burning sensation and pain you are experiencing could be a result of neuropathic pain, which occurs when there is damage to the nerves themselves. This type of pain can manifest as burning, tingling, or a feeling of heat in the affected area. It is essential to monitor these symptoms closely, as they can indicate ongoing nerve irritation or damage.

Given your symptoms, it would be advisable to consult a neurologist or an orthopedic specialist who can perform a thorough examination and possibly recommend further imaging studies, such as an MRI. An MRI can provide a more detailed view of the soft tissues, including the spinal cord and nerves, and can help identify any potential issues that may not have been visible on X-rays.

In the meantime, managing your pain and discomfort is crucial. Over-the-counter pain medications, such as ibuprofen or acetaminophen, may help alleviate some of your symptoms. However, it is essential to consult with a healthcare provider before starting any new medication, especially considering your recent accident.

Physical therapy may also be beneficial for you. A physical therapist can work with you to improve your strength, flexibility, and overall function. They can provide exercises tailored to your specific needs and help you regain strength in your right leg and hip area. Additionally, they can teach you strategies to manage pain and improve your mobility.

It's also important to take care of your overall well-being during this recovery period. Ensure you are getting adequate rest, staying hydrated, and eating a balanced diet to support your healing process. If you notice any worsening of your symptoms, such as increased pain, weakness, or changes in sensation, it is crucial to seek medical attention promptly.

In summary, your symptoms following the car accident suggest potential nerve involvement, and it would be wise to consult with a neurologist or orthopedic specialist for a comprehensive evaluation. They can help determine the best course of action for your recovery, which may include imaging studies, pain management strategies, and physical therapy. Remember to prioritize your health and well-being as you navigate this recovery process.

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