Delayed Symptoms After Car Accident: Neurological Issues - Neurosurgery

Share to:

Symptoms appearing two months after a car accident?


Hello Dr.
Lai: I was struck in the lower back and pelvis by a moving car while walking on December 14th of last year.
At that time, I only felt soreness and immediately had an X-ray taken, which showed no abnormalities.
However, in early February of this year, I began to experience numbness in my hands and feet, as well as discomfort in my lower back after sitting for extended periods.
I would like to ask Dr.
Lai: 1.
Are these symptoms a result of the car accident? 2.
What could be the reason for the delayed onset of symptoms after the accident? Thank you for your patient response.

Pei, 20~29 year old female. Ask Date: 2018/03/08

Dr. Lai Zhaokang reply Neurosurgery


Hello: Your symptoms suggest that there may be damage to your lumbar spine.
It is recommended that you consult a neurosurgeon for further examination and treatment.
You are 28 years old.
If there are no factors such as heavy lifting, poor posture, or congenital issues, it is less common to have lumbar spine problems (though it does not mean they are absent).
Therefore, it is theoretically possible that this is related to the initial injury.
However, since there is a gap of 1.5 months from December 14 to early February, if there are legal issues, you may need to consult with your treating physician to see if there is sufficient medical evidence.
Best wishes.
// Dr.
Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.

Reply Date: 2018/03/08

More Info


After a car accident, it is not uncommon for individuals to experience delayed symptoms, particularly neurological issues. In your case, the symptoms of numbness in your hands and feet, as well as discomfort in your lower back, may indeed be related to the accident, even if they did not manifest immediately.
1. Delayed Symptoms: It is important to understand that not all injuries are immediately apparent. In some cases, symptoms can take days, weeks, or even months to develop. This is particularly true for conditions related to the nervous system or musculoskeletal injuries. For instance, a whiplash injury or a minor spinal injury may not show up on initial X-rays but can lead to nerve compression or inflammation over time, resulting in symptoms like numbness or pain.

2. Mechanism of Injury: When a person is involved in a car accident, the body undergoes significant stress and trauma. Even if there are no visible injuries or fractures, the impact can cause soft tissue injuries, such as sprains or strains, and can also affect the spinal column. If the spinal nerves are compressed or irritated, this can lead to sensations of numbness or tingling in the extremities. Additionally, prolonged sitting or improper posture due to pain can exacerbate these symptoms.

3. Potential Causes: The symptoms you are experiencing could be due to several factors:
- Nerve Compression: This can occur from swelling or inflammation in the area of the spine where the nerves exit. Conditions such as herniated discs or spinal stenosis can develop after trauma.

- Muscle Strain: The muscles in your back may have been strained during the accident, leading to discomfort that can radiate down to your legs or up to your arms.

- Psychosomatic Factors: Sometimes, the stress and trauma from an accident can lead to psychosomatic symptoms, where the body manifests physical symptoms due to psychological stress.

4. Diagnosis and Treatment: Given the delayed onset of your symptoms, it would be advisable to consult a healthcare professional, preferably a neurologist or an orthopedic specialist. They may recommend further imaging studies, such as an MRI, to assess for any soft tissue injuries or nerve compression that may not have been visible on X-rays. Treatment options may include physical therapy, pain management strategies, and possibly medications to reduce inflammation and improve nerve function.

5. Importance of Follow-Up: It is crucial to follow up on these symptoms, as early intervention can often lead to better outcomes. If left untreated, nerve compression or other underlying issues can lead to chronic pain or long-term neurological deficits.

In conclusion, while it is possible that your symptoms are related to the car accident, a thorough evaluation by a medical professional is necessary to determine the exact cause and appropriate treatment plan. It is important to advocate for your health and seek the necessary follow-up care to address these delayed symptoms effectively.

Similar Q&A

Post-Car Accident Symptoms: Understanding Neurological Issues

Hello Doctor, three months ago, I sustained a head injury due to a car accident. At the time of the injury, there was bleeding from my head, but the doctors and nurses at the hospital could not find any visible wounds. Over the past three months, in addition to dizziness, headach...


Dr. Ding Xianwei reply Neurosurgery
1. The sequelae of head trauma do not resolve quickly, so it may take some time. About 5% of patients may not fully recover from these sequelae. 2. If there is numbness or pain in both hands, it is possible that there was a concomitant cervical spine injury at the time, which is ...

[Read More] Post-Car Accident Symptoms: Understanding Neurological Issues


Understanding Post-Trauma Complications After a Car Accident

Hello, Dr. Chang. I would like to ask you about my condition. I was involved in a traffic accident in June 2023, and the doctor's diagnosis included: 1. Traumatic subarachnoid hemorrhage and subdural hematoma 2. Skull fracture 3. Right lung contusion 4. Right facial nerve pa...


Dr. Zhang Junwei reply Neurosurgery
Some overly subjective symptoms and neurological issues that cannot be verified through tests can only be determined by a physician.

[Read More] Understanding Post-Trauma Complications After a Car Accident


Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain

Hello Doctor: Since the night of the car accident on January 6th, I have experienced sudden jerking movements in my left hand and foot shortly after falling asleep. I wake up and continue to sleep, but the jerking still occurs, though not frequently—about 2 to 3 times. Recently, ...


Dr. Jiang Junyi reply Neurology
Dear Miss Rabbit, You mentioned that "since the night of the car accident on January 6th, my right eye has been blurry, and my left hand and foot have been experiencing spasms... I have never had these symptoms before." Your symptoms may warrant consideration of lesion...

[Read More] Understanding Post-Concussion Symptoms: Tremors, Dizziness, and Pain


Post-Car Accident: Managing Dizziness and Nausea Symptoms

On January 10th, my boyfriend was in a car accident with significant impact, but fortunately, he was well-protected by his clothing and only sustained external injuries. However, he experienced some neck compression and was hospitalized for a week to receive pain relief injection...


Dr. Gao Chunde reply Neurology
The likelihood of inner ear issues is the highest, and otolaryngologists are more specialized in this area. However, if dizziness and vomiting are accompanied by symptoms of neurological deficits such as double vision, slurred speech, delayed cognitive response, or weakness in th...

[Read More] Post-Car Accident: Managing Dizziness and Nausea Symptoms


Related FAQ

Symptoms After A Car Accident

(Neurosurgery)

Car Accident

(Neurosurgery)

Post-Car Accident

(Neurology)

After Car Accident

(Surgery)

Head Injury

(Neurology)

Head Injury

(Surgery)

Post-Brain Surgery

(Neurosurgery)

Cramps

(Neurosurgery)

Headache

(Neurosurgery)

Carpal Tunnel Syndrome

(Neurosurgery)