One and a half months after the car accident?
Hello doctor, last month I had a motorcycle accident where I injured my left ankle.
It was slightly swollen at first, but the swelling went down after a few days.
It feels like there is some internal bruising (there's no visible discoloration, but pressing on it causes pain similar to that of a bruise).
A few days later, my left foot became very numb.
I consulted a traditional Chinese medicine practitioner and took some medication, which alleviated the numbness.
However, I later felt something unusual in my groin while walking.
After acupuncture, that sensation went away, but recently I've been experiencing some pain from my left buttock down to my groin, and the invisible bruising around my ankle still hurts.
My walking and bending are normal, but I occasionally experience numbness and soreness in my groin, and the bruising hasn't healed.
Do you think I need to go to a major hospital for a CT scan?
Shi Shaonü Laizhe, 10~19 year old female. Ask Date: 2018/01/08
Dr. Li Zhonghuai reply Surgery
Hello! If occasional numbness and leg pain are manageable, that's fine.
However, if the pain intensifies or becomes more frequent, it is advisable to seek medical evaluation.
Take care! Changhua Hospital cares about you!
Reply Date: 2018/01/08
More Info
After an accident, such as a motorcycle crash, it is not uncommon to experience pain and discomfort in the affected area, in this case, the left ankle. Your symptoms of swelling, tenderness, and the sensation of bruising without visible discoloration suggest that there may be underlying soft tissue injury, such as a sprain or strain, or even a possible fracture that is not immediately apparent.
In general, when to seek advanced medical imaging, such as a CT scan or MRI, depends on several factors:
1. Severity of Symptoms: If the pain persists or worsens, or if you experience significant swelling, inability to bear weight, or severe bruising, these are indicators that further evaluation is necessary. The fact that you are experiencing pain radiating from your ankle to your hip could suggest that the injury is more extensive than initially thought.
2. Duration of Symptoms: If your symptoms have not improved after a reasonable period (typically a few days to a week), it is advisable to seek further medical evaluation. Persistent symptoms, especially those that interfere with daily activities, warrant further investigation.
3. Neurological Symptoms: The numbness and tingling you experienced in your leg could indicate nerve involvement, which is a significant concern. If these symptoms return or worsen, it is crucial to seek medical attention promptly.
4. Functional Limitations: If you find that your ability to walk, bend, or perform daily activities is compromised, this is another sign that advanced imaging may be necessary to rule out serious injuries.
In your case, given the ongoing discomfort, the sensation of bruising, and the pain radiating from your ankle to your hip, it would be prudent to consult with a healthcare professional who can perform a thorough physical examination and determine the need for imaging studies. A CT scan can provide detailed images of bone structures and help identify fractures, while an MRI is better suited for assessing soft tissue injuries, such as ligament tears or muscle strains.
Additionally, while conservative treatments like acupuncture and medication may provide temporary relief, they may not address the underlying issue if there is a more serious injury. If imaging reveals a significant injury, treatment options may include physical therapy, immobilization, or even surgical intervention, depending on the severity of the injury.
In summary, if your symptoms persist or worsen, especially with the presence of neurological symptoms or functional limitations, it is advisable to seek advanced medical imaging. Early diagnosis and appropriate treatment are crucial for optimal recovery and to prevent long-term complications. Always prioritize your health and consult with a healthcare provider to ensure that you receive the care you need.
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