Post-Car Accident Numbness in Feet: Seeking Medical Advice - Neurology

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Dear Henry,
Thank you for sharing your concerns regarding the aftermath of your car accident. Based on your description, it appears that you are experiencing significant discomfort and functional limitations in your right shoulder and elbow. The X-ray reports indicate no fractures, but the persistent pain and inability to fully extend your elbow suggest that there may be underlying soft tissue injuries, such as a rotator cuff injury or tendinitis.


Understanding Your Symptoms
1. Shoulder Pain and Weakness: The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint and allow for a wide range of motion. Injuries to the rotator cuff can occur due to trauma, such as in your case, or from repetitive strain. Symptoms often include pain, weakness, and a limited range of motion, particularly when lifting the arm or performing overhead activities. The fact that you are experiencing weakness and pain when lifting your arm sideways is indicative of a possible rotator cuff injury.

2. Elbow Pain and Inability to Extend: The inability to fully extend your elbow, combined with pain, could be due to several factors. One possibility is that you may have sustained a strain or sprain to the muscles or ligaments around the elbow joint. Additionally, conditions such as tendinitis or even a small tear in the soft tissues could be contributing to your symptoms. The fact that you experienced a sudden onset of pain after carrying luggage suggests that you may have exacerbated an existing injury.


Recommended Actions
1. MRI Examination: As suggested by Dr. Yeh, an MRI is a crucial next step. This imaging technique provides detailed images of soft tissues, including muscles, tendons, and ligaments. It can help confirm the diagnosis of a rotator cuff tear or other soft tissue injuries that may not be visible on X-rays.

2. Physical Therapy: Engaging in physical therapy can be beneficial for both your shoulder and elbow. A physical therapist can develop a tailored rehabilitation program that focuses on improving your range of motion, strengthening the surrounding muscles, and reducing pain. Techniques may include stretching exercises, strengthening exercises, and modalities such as ultrasound or electrical stimulation for pain relief.

3. Pain Management: Continue to manage your pain with over-the-counter medications as needed, and consider using topical analgesics like BenGay. If your pain persists or worsens, consult your physician about prescription options or other pain management strategies.

4. Activity Modification: While you are recovering, it is essential to modify your activities to avoid aggravating your injuries. Avoid heavy lifting or overhead activities until you have been evaluated and treated appropriately.

5. Follow-Up: Since you have a follow-up appointment scheduled for August 16th, ensure you discuss all your symptoms in detail with your physician. If your symptoms worsen before then, or if you experience new symptoms such as increased swelling, numbness, or significant changes in function, consider visiting an emergency room for immediate evaluation.


Conclusion
It is understandable to feel anxious about your recovery, especially after a traumatic event like a car accident. However, with appropriate medical evaluation and treatment, many individuals can achieve significant improvements in their symptoms and regain function. Please ensure you follow through with the recommended MRI and physical therapy, and keep an open line of communication with your healthcare providers regarding your progress.

Take care, and I wish you a smooth recovery.

Best regards.