Post-Car Accident Injuries: Should I See a Neurologist?

Injury issues due to a car accident?

Hello, doctor.
I was sent to the emergency room due to a car accident, and I experienced pain in multiple areas, including my head, lower back, hands, ankles, and toes.
The hospital performed a CT scan on my head and lower back, and X-rays on the other joints.
The results showed no abnormalities, and I was advised to monitor for a concussion.
They prescribed a topical ointment, antipyretics, and muscle relaxants.

The next day, I noticed that areas that weren't very painful before (my fingers and toes) became weak and somewhat painful when I tried to make a fist.
When my toes are flat, I feel a similar weakness and discomfort when I exert force.
I'm worried about potential long-term effects.
A nurse suggested that I see a neurologist, but I'm unsure if that's the right choice and I'm concerned about seeing the wrong specialist.
Could you please advise me if seeing a neurologist is appropriate? If not, I would appreciate any recommendations.
Thank you!

Xiao Fangkuai, 50~59 year old female. Ask Date: 2021/04/28

Dr. Cai Zongzhang reply Neurology

Hello, Xiao Fangkuai! The process of injury from a car accident can cause multiple contusions.
The purpose of an X-ray is solely to check for fractures; contusions can only be assessed based on external signs such as redness, swelling, and pain, as X-rays cannot visualize contusion lesions.
Typically, swelling and increased pain the day after an injury do not necessarily indicate worsening of the condition.
However, if weakness persists, it is advisable to consult a neurologist for further evaluation.

Reply Date: 2021/04/28

More Info

After a car accident, it is not uncommon to experience a variety of symptoms, including pain, neurological issues, and emotional disturbances. Given your situation, where you have sustained multiple injuries and are experiencing ongoing pain and weakness in your fingers and toes, it is indeed advisable to consult a neurologist.

Neurologists specialize in diagnosing and treating conditions related to the nervous system, which includes the brain, spinal cord, and peripheral nerves. Since you mentioned that you have had a CT scan and X-rays that did not reveal any immediate issues, it is possible that your symptoms could be related to nerve damage or other neurological conditions that may not be visible on standard imaging tests.
Your symptoms of weakness and pain in your fingers and toes, especially if they are worsening or not improving, warrant further investigation. A neurologist can perform a comprehensive evaluation, which may include a detailed neurological examination, nerve conduction studies, or electromyography (EMG) to assess the function of your nerves and muscles. These tests can help identify any underlying nerve injuries or conditions that may be contributing to your symptoms.

Additionally, the emotional and cognitive effects of a car accident should not be overlooked. Many individuals experience anxiety, depression, or cognitive changes following such traumatic events. If you find yourself feeling more irritable, having difficulty concentrating, or experiencing mood swings, these could be related to the trauma of the accident and may require psychological support or intervention.

In terms of your concerns about potential long-term effects or "residuals" from your injuries, it is important to keep a detailed record of your symptoms and any changes you notice over time. This documentation can be valuable for your healthcare providers in understanding the progression of your condition and for any potential insurance claims related to your injuries.

If you are hesitant about seeing a neurologist, consider discussing your symptoms with your primary care physician first. They can provide guidance on whether a referral to a neurologist is appropriate based on your specific symptoms and medical history.
In summary, seeing a neurologist is a reasonable step given your ongoing symptoms after the car accident. They can help determine if there are any neurological issues that need to be addressed and guide you on the best course of treatment. Additionally, addressing any emotional or psychological impacts of the accident is equally important for your overall recovery.

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