Persistent Chest and Hip Pain After Car Accident: What to Know - Orthopedics

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Hip pain and chest pain?


Hello: Last Friday, I was involved in a collision, and afterward, I experienced left chest pain and shortness of breath, so I went directly to the emergency room.
An X-ray was taken, and it was reported that there were no obvious rib fractures.
I was prescribed pain medication and sent home.
By Tuesday, the left chest pain persisted, so I visited a pulmonologist, who also prescribed pain medication and told me to go home.
I thought that after a week, I would continue to improve, but it seems that since the accident, it has been nine days, and I still experience left chest pain daily.
Coughing and sneezing are particularly painful.
Additionally, I have pain on the left side of my neck that radiates to my head, causing headaches (this is entirely on the left side; there are no symptoms on the right side).
In my lower back, regardless of whether I am sitting, lying down, or standing, I cannot maintain a position for long without feeling soreness.

Yun, 20~29 year old female. Ask Date: 2020/05/03

Dr. Wang Shouji reply Orthopedics


Hello, chest contusion pain is quite common and may require a longer duration of analgesic use, typically alleviating after three to four weeks.
If you continue to experience severe pain, it is advisable to undergo a re-evaluation.
Changhua Hospital cares about your health.
Sincerely, Wang Shou-ji.

Reply Date: 2020/05/03

More Info


After a car accident, experiencing persistent pain in the chest and hip can be concerning and warrants further evaluation. Based on your description, it seems that you have undergone initial assessments, including X-rays, which did not reveal any fractures. However, the ongoing pain, especially when coughing or sneezing, suggests that there may be underlying soft tissue injuries or other issues that need to be addressed.


Understanding the Pain
1. Soft Tissue Injuries: The chest pain you are experiencing could be due to soft tissue injuries such as muscle strains or ligament sprains. These injuries can occur even if there are no visible fractures. The pain may be exacerbated by movements or activities that engage the affected muscles.

2. Referred Pain: The pain radiating from your chest to your neck and head could indicate referred pain, which occurs when pain is perceived in a different location from its source. This can happen with muscle tension or irritation of the nerves in the cervical spine, especially if the accident caused any whiplash or strain in that area.

3. Hip Pain: The discomfort in your hip, regardless of your position (sitting, lying down, or standing), may also be related to soft tissue injuries or could be a result of compensatory mechanisms due to pain in your chest or back. When one area of the body is injured, other areas may become strained as they compensate for the injured area.


Recommendations for Management
1. Follow-Up with a Specialist: Given that your symptoms have persisted for over a week, it is advisable to follow up with a specialist, such as an orthopedic doctor or a physical therapist. They can provide a more thorough evaluation, which may include additional imaging studies like MRI or CT scans to assess soft tissue injuries or any other underlying issues that X-rays might not have captured.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can design a rehabilitation program tailored to your needs, focusing on pain relief, improving mobility, and strengthening the affected areas. They may also employ modalities such as ultrasound, electrical stimulation, or manual therapy to alleviate pain.

3. Pain Management: Continue to manage your pain with prescribed medications, but also consider non-pharmacological approaches such as heat or ice therapy, gentle stretching, and relaxation techniques. These can help reduce muscle tension and improve comfort.

4. Activity Modification: While it is important to remain active, you may need to modify your activities to avoid exacerbating your pain. Gradually increase your activity level as tolerated, and listen to your body’s signals.

5. Monitor Symptoms: Keep track of your symptoms, noting any changes in pain intensity, location, or new symptoms that may arise. This information can be valuable for your healthcare provider in determining the best course of action.


Conclusion
Persistent pain following a car accident should not be ignored, especially when it affects your daily activities and quality of life. While initial assessments may not have shown significant injuries, ongoing symptoms can indicate the need for further evaluation and treatment. Seeking specialized care and engaging in a structured rehabilitation program can help you recover and return to your normal activities, including any sports or physical activities you enjoy. Always prioritize your health and well-being, and do not hesitate to seek further medical advice if your symptoms do not improve.

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