Post-Accident Leg Numbness: Seeking the Right Specialist for Relief - Surgery

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It sounds like you are experiencing significant discomfort and numbness in your right leg following a car accident about a month and a half ago. Given the symptoms you've described, including intermittent numbness in your thigh and calf, knee pain while standing, and increased discomfort with activity, it is important to consider a few potential underlying issues that may be contributing to your condition.

First, it is worth noting that even if X-rays did not reveal any fractures, soft tissue injuries such as contusions, sprains, or strains can still lead to persistent pain and neurological symptoms like numbness. The bruising you mentioned on the outer thigh could indicate a contusion that may have affected the underlying muscles or nerves. Additionally, the mechanism of injury from the accident could have caused some degree of nerve compression or irritation, particularly if there was any swelling or inflammation in the area.

Since you have already consulted with orthopedic, rehabilitation, traditional Chinese medicine (TCM) acupuncture, and neurosurgery specialists without resolution, it may be beneficial to consider a few additional steps:
1. Neurology Consultation: Given the numbness and pain you are experiencing, a neurologist may be able to provide further insight into whether there is any nerve involvement. They may recommend nerve conduction studies or electromyography (EMG) to assess the function of the nerves in your leg.

2. Physical Therapy: While you have seen rehabilitation specialists, a tailored physical therapy program focusing on strengthening the muscles around your knee and hip, improving flexibility, and addressing any postural issues could be beneficial. A physical therapist can also provide specific exercises to help alleviate pain and improve function.

3. Pain Management Specialist: If your pain continues to be a significant issue, consulting with a pain management specialist could be helpful. They can offer various treatment options, including medication management, injections, or other modalities aimed at reducing pain and improving your quality of life.

4. Further Imaging: If your symptoms persist, it may be worthwhile to discuss the possibility of advanced imaging studies, such as an MRI of the lumbar spine or pelvis, to rule out any herniated discs or other structural issues that could be contributing to your symptoms.

5. Chiropractic Care: Some patients find relief through chiropractic adjustments, which can help with alignment issues that may be contributing to pain and discomfort.

6. Holistic Approaches: Since you have tried acupuncture, you might also explore other holistic approaches such as massage therapy or yoga, which can help with muscle tension and promote relaxation.

In summary, while you have already seen multiple specialists, it may be beneficial to pursue a neurology consultation for a thorough evaluation of your nerve function. Additionally, a targeted physical therapy program and possibly a pain management specialist could provide further relief. It is essential to communicate openly with your healthcare providers about your ongoing symptoms and concerns to ensure you receive the most appropriate care.