Muscle Numbness After Injections: When to Seek Medical Attention? - Surgery

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Muscle paralysis after injection?


Hello Doctor: Three days ago, I woke up in the morning with a sudden severe headache and nausea, which made me feel like vomiting.
I went to the hospital and saw an emergency doctor who administered two injections in my left upper arm: a pain reliever and an antiemetic.
After returning home, I felt something unusual at the injection site, and upon touching it, I realized that the muscle on that side has become numb.
I can't feel anything when I touch or pinch it.
Today marks the third day, and it is still numb.
I would like to know if I need to see a doctor for this condition.
If so, which department should I visit? Thank you!

Mr. Hong, 30~39 year old female. Ask Date: 2017/03/13

Dr. Ke Fangxu reply Surgery


Answer: Since I am unaware of the medications you received and the diagnosis at that time, I cannot provide you with a definitive answer.
If it is related to the emergency treatment, you should return to the emergency department for evaluation.
If it pertains to follow-up care for your headache, you should visit the outpatient clinic recommended by the emergency department, which may be neurology.

Reply Date: 2017/03/13

More Info


Muscle numbness after injections can be concerning, especially if it persists for several days. In your case, experiencing numbness in the muscle of your left upper arm three days after receiving injections for pain and nausea warrants further evaluation. Here’s a detailed response to your question, along with some medical insights.


When to Seek Medical Attention
1. Duration of Symptoms: Numbness that lasts more than a few hours after an injection is generally not typical. While some temporary numbness can occur due to the injection itself, especially if a nerve is inadvertently affected, lasting numbness should be assessed by a healthcare professional.

2. Associated Symptoms: If you experience additional symptoms such as weakness, tingling, or changes in sensation beyond the numbness, it is crucial to seek medical attention. These could indicate nerve damage or other complications.

3. Location of Injection: Since the injection was administered in your upper arm, and you are experiencing numbness in that area, it is essential to consider the possibility of nerve involvement. The brachial plexus, a network of nerves that innervates the arm, could potentially be affected.


Recommended Actions
- Consult a Physician: Given that the numbness has persisted for three days, it is advisable to see a doctor. You should consider visiting a neurologist, as they specialize in nerve-related issues. Alternatively, you could also consult with a primary care physician who can evaluate your symptoms and refer you to a specialist if necessary.

- Diagnostic Evaluation: The physician may perform a physical examination and may recommend imaging studies, such as an MRI or ultrasound, to assess for any nerve damage or other underlying issues. Electromyography (EMG) and nerve conduction studies may also be conducted to evaluate the function of the nerves in your arm.


Possible Causes of Numbness
1. Nerve Injury: The injection may have inadvertently affected a nearby nerve, leading to numbness. This can happen if the needle comes into contact with a nerve during the injection process.

2. Vascular Compromise: In rare cases, if the injection inadvertently affects blood vessels, it could lead to reduced blood flow to the area, resulting in numbness.

3. Inflammatory Response: Sometimes, the body’s response to the injected medication can lead to localized inflammation, which may compress nearby nerves and cause numbness.


Conclusion
In summary, persistent muscle numbness following an injection is not something to ignore. It is essential to seek medical attention to rule out any serious complications. A neurologist or your primary care physician can provide a thorough evaluation and appropriate management. Early intervention can help prevent potential long-term issues and ensure that you receive the necessary care for your symptoms. Please do not hesitate to reach out to a healthcare provider for further assistance.

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