After the car accident, there is weakness in the right leg muscles and frequent sensations of numbness?
Hello, Dr.
Jiang.
I was in a car accident on June 4, 2017, during which I sustained noticeable abrasions on my right foot and right hand.
However, after 2-3 weeks, the abrasions healed.
Since then, I have been experiencing soreness and numbness in my right foot, and there are several painful points on my right ankle.
Recently, I consulted a traditional Chinese medicine doctor who suggested that I may have a tendon injury.
I also visited the neurology department at China Medical University, where I underwent X-rays and an MRI.
Both reports indicated that there is no damage to my lumbar spine or bones, but the soreness and numbness persist.
It is evident that the muscles in my right calf are weaker compared to those in my left calf, and it feels like there may be some atrophy.
I am very concerned about potential long-term effects and would like to ask Dr.
Jiang what I should do next.
Chen Wei-Yu, 20~29 year old female. Ask Date: 2017/07/18
Dr. Jiang Junyi reply Neurology
Hello, based on your description, your symptoms may be related to a tendon injury.
The lumbar spine can become inflamed or compress the nerve roots due to external forces.
If rehabilitation treatment is not pursued due to pain, muscle atrophy may occur from disuse.
In addition to pain relief medications, it is recommended to strengthen the core muscle groups (including the multifidus and erector spinae in the back, transverse abdominis, internal and external obliques, and pelvic floor muscles).
I suggest discussing examination and treatment options with a rehabilitation physician.
Wishing you good health and peace.
Dr.
Tao, Shen Nei, cares about you.
Reply Date: 2017/07/18
More Info
Hello, thank you for sharing your concerns regarding the symptoms you are experiencing after your car accident. It sounds like you have been through a challenging time, and it's understandable to be worried about the potential long-term effects of your injuries.
From your description, it seems that you have experienced significant trauma to your right leg, which has resulted in weakness, numbness, and pain in the ankle area. The fact that you have already sought medical attention and undergone imaging studies like X-rays and MRI is a positive step, as these tests can help rule out any serious structural damage to the bones and spine.
The symptoms you are describing—weakness, numbness, and pain—could be indicative of several possible issues, including soft tissue injuries, nerve compression, or even referred pain from the lumbar spine. Given that your imaging studies have shown no fractures or significant damage, it is possible that you are dealing with a soft tissue injury, such as a sprain or strain, or perhaps a nerve-related issue, such as neuropathy or radiculopathy.
Soft tissue injuries can take time to heal, and symptoms may persist for weeks or even months after the initial injury. The fact that you are experiencing muscle weakness and a feeling of atrophy in your right calf could be due to disuse, as pain and discomfort may lead you to avoid using that leg as much as possible. This can create a cycle where the muscle weakens further due to lack of use.
Here are some recommendations for managing your symptoms and promoting recovery:
1. Physical Therapy: Engaging in a structured physical therapy program can be highly beneficial. A physical therapist can assess your condition and design a personalized rehabilitation program that focuses on strengthening the affected muscles, improving range of motion, and addressing any balance issues. They can also provide modalities such as ultrasound or electrical stimulation to help alleviate pain.
2. Pain Management: Continue to manage your pain with over-the-counter pain relievers, as recommended by your healthcare provider. If your pain is severe or persistent, discussing other pain management options with your doctor may be necessary.
3. Activity Modification: While it is important to stay active, you should modify your activities to avoid exacerbating your symptoms. Gradually increase your activity level as tolerated, focusing on low-impact exercises that do not put excessive strain on your injured leg.
4. Nerve Health: If you suspect nerve involvement, consider discussing this with your healthcare provider. They may recommend nerve conduction studies or other evaluations to assess the function of the nerves in your leg.
5. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your progress. If your symptoms do not improve or worsen, further evaluation may be necessary.
6. Patience and Self-Care: Recovery from soft tissue injuries can be slow, and it's important to be patient with yourself. Incorporate self-care practices such as gentle stretching, warm baths, and adequate rest to support your healing process.
In conclusion, while it is natural to be concerned about potential long-term effects from your injuries, many people recover well from soft tissue injuries with appropriate care and rehabilitation. Stay proactive in your recovery, and do not hesitate to seek further medical advice if your symptoms persist or worsen. Your health and well-being are the top priority, and with time and the right approach, you can work towards regaining strength and function in your right leg.
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