Nerve Damage After a Fall: Symptoms and Concerns

Q: Nerve Damage After a Fall: Symptoms and Concerns

Hello： Your symptoms indeed warrant consideration of nerve compression. <br>Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. <br>Activities such as typing on a computer or scarrin

I accidentally fell backward while exercising?

Two days ago, I accidentally fell backward while exercising and hit my head.
The next day, I went to see a doctor because my shoulder was very sore.
The doctor advised me to let my muscles rest for a few days.
However, when I got home, my hand started to feel very numb in the evening.
Also, while I was napping at noon, I experienced mild abdominal pain.
I would like to know if the significant impact may have compressed the nerves in my hand and whether there could be any internal injuries.

Chen, 10~19 year old female. Ask Date: 2019/09/24

Dr. Jiang Junyi reply Neurology

Hello: Your symptoms indeed warrant consideration of nerve compression.
Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology.
Activities such as typing on a computer or scarring and fibrous tissue formation due to elbow trauma can also compress the ulnar nerve, resulting in numbness.
When diagnosing ulnar nerve pathology, physicians rely on a detailed medical history and physical examination, paying special attention to the areas of abnormal sensation such as numbness or pain.
Common diagnostic tests include nerve conduction studies and electromyography, as nerve conduction velocity slows when the nerve is compressed or entrapped.

In terms of treatment, it is important to reduce nerve compression.
For individuals who frequently rest their elbows on hard surfaces or have a habit of leaning on their elbows, using a cushion in between can help alleviate pressure.
If you are unsure about your harmful postures, consulting a physician or physical therapist can help identify bad habits or situations that may be exerting pressure or causing injury to the ulnar nerve.
It is advisable to seek discussion and treatment from a neurologist or a rehabilitation physician.
Wishing you good health and peace.

Best regards,
Dr.
Jiang, Neurology Department, Taoyuan Medical Center.

Reply Date: 2019/09/24

More Info

When it comes to understanding nerve damage after a fall, particularly in the context of your recent experience, it’s essential to consider both the immediate and potential long-term effects of such injuries. Falls can lead to various injuries, including soft tissue damage, fractures, and nerve injuries.
Based on your description, it seems that you experienced a significant impact during your fall, which could potentially lead to nerve compression or damage. The symptoms you are experiencing, such as numbness in your hand and abdominal pain, warrant careful evaluation.

Nerve Damage Symptoms
Nerve damage can manifest in several ways, including:
1. Numbness or Tingling: This is often one of the first signs of nerve injury. If a nerve is compressed or damaged, it can lead to sensations of numbness or tingling in the areas supplied by that nerve.

2. Weakness: You may notice difficulty in moving your hand or arm, which could indicate that the nerve responsible for muscle control is affected.

3. Pain: This can be sharp, shooting pain or a more generalized ache, depending on the type of nerve injury.

4. Loss of Coordination: If the nerves that control movement are affected, you might find it challenging to coordinate your movements.

Potential Causes of Your Symptoms
1. Nerve Compression: The impact from your fall could have caused swelling or bruising around the nerves in your shoulder or arm, leading to compression. This is often seen in conditions like thoracic outlet syndrome or carpal tunnel syndrome.

2. Muscle Strain: The soreness in your shoulder could be due to muscle strain from the fall. Muscle injuries can sometimes mimic nerve pain, leading to confusion about the source of your symptoms.

3. Internal Injuries: The abdominal pain you mentioned could be a sign of internal injuries, such as bruising or damage to internal organs. While this is less common, it is crucial to monitor these symptoms closely.

What to Do Next
1. Follow-Up with a Healthcare Provider: Given your symptoms, it’s essential to follow up with a healthcare provider. They may recommend imaging studies, such as X-rays or an MRI, to assess for any fractures or soft tissue injuries that could be affecting your nerves.

2. Physical Therapy: If nerve compression is confirmed, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the muscles around the affected area and improve flexibility, which may alleviate pressure on the nerves.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. However, consult your doctor before starting any medication.

4. Monitor Symptoms: Keep a close eye on your symptoms. If you experience worsening numbness, weakness, or any new symptoms, seek medical attention promptly.

5. Rest and Recovery: Allow your body time to heal. Avoid activities that exacerbate your symptoms, and follow your doctor's advice regarding rest and rehabilitation.

Conclusion
In summary, while your symptoms could be indicative of nerve damage due to the fall, they could also stem from muscle strain or other issues. It’s crucial to seek medical evaluation to determine the exact cause and appropriate treatment. Early intervention can significantly improve outcomes and help you return to your normal activities. Remember, your health is paramount, and addressing these concerns promptly will aid in your recovery.

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