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

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Poor blood circulation in the right arm?


Hello, doctor.
I was hit by a taxi from the right rear on October 16 and fell to the ground, supporting myself with both hands.
At the time of the incident, I only felt pain in my right thigh and calf.
After an X-ray at the emergency room showed no issues, I was discharged.
However, starting on October 17, I began to feel numbness in my right arm from the shoulder to the palm, similar to the sensation of having held my arm up for a long time and then letting it down, indicating poor blood circulation.
What should I do about this? Which department should I visit at the hospital?

Sandy, 60~69 year old female. Ask Date: 2018/10/19

Dr. Lai Zhaokang reply Neurosurgery


Hello: It may be a cervical nerve issue.
I recommend consulting a neurosurgeon.
Best wishes to you.
// Director of the Spine and Neurosurgery Department at Changhua Hospital, Dr.
Lai Chao-Kang.

Reply Date: 2018/10/19

More Info


After a car accident, it is not uncommon to experience various symptoms, including arm circulation issues. In your case, the numbness and tingling sensation in your right arm, which began the day after the accident, could be indicative of several underlying issues that may need further evaluation.


Understanding Your Symptoms
1. Nerve Compression or Injury: The position in which you fell and the impact of the accident may have caused compression or injury to the nerves in your arm. This can lead to symptoms such as numbness, tingling, or weakness. The brachial plexus, a network of nerves that sends signals from your spine to your shoulder, arm, and hand, could be affected.

2. Circulatory Issues: Although less common, the accident could have caused vascular issues that affect blood flow to your arm. This could result in sensations similar to what you described, where it feels like your arm has been held up for too long.

3. Musculoskeletal Injuries: Injuries to the shoulder, neck, or upper back can also lead to referred symptoms in the arm. For instance, a strain or sprain in the shoulder area could irritate nearby nerves, leading to numbness or tingling.


Recommended Actions
1. Seek Medical Attention: Given that your symptoms have developed after the accident, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in musculoskeletal injuries, such as an orthopedic doctor or a neurologist. They can perform a thorough examination and may recommend imaging studies, such as an MRI or CT scan, to assess for any nerve or structural damage.

2. Physical Therapy: If nerve compression or musculoskeletal injury is confirmed, physical therapy may be recommended. A physical therapist can help you with exercises to improve strength, flexibility, and circulation in your arm, as well as techniques to relieve nerve compression.

3. Pain Management: If you are experiencing pain along with the numbness, over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate discomfort. However, consult with your healthcare provider before starting any medication.

4. Monitor Symptoms: Keep track of your symptoms. If you notice any worsening of the numbness, weakness, or if you develop new symptoms such as severe pain, swelling, or changes in skin color, seek immediate medical attention.

5. Rest and Avoid Strain: Avoid activities that may exacerbate your symptoms. Resting your arm and avoiding heavy lifting or repetitive motions can help prevent further irritation.


Conclusion
In summary, while the initial X-ray may not have shown any fractures, the development of numbness and tingling in your arm warrants further investigation. It is essential to consult with a healthcare professional who can assess your condition and recommend appropriate treatment. Early intervention can help prevent any potential long-term complications and facilitate a quicker recovery.

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