Post-Car Accident Pain: Seeking Orthopedic Care for Recovery

Q: Post-Car Accident Pain: Seeking Orthopedic Care for Recovery

Hello： You have been injured for over three weeks, and the X-ray examination shows no bone issues. <br>It is recommended that you try rehabilitation (physical therapy, local heat application) and occasionally use medication (anti-inflammatory pain relievers and muscle relaxants).

Injuries from a car accident can lead to recurrent tension or soreness?

Hello, doctor.
I was involved in a car accident on October 15, 2022, where I was thrown from the vehicle.
From a frontal perspective, the main impact areas were my right lower back and right hip (pelvis?).
I sustained multiple abrasions and contusions: a large area on my right arm, extensive bruising on both buttocks, a small wound on my left shoulder, and a faint bruise on my left cheek (which I noticed only after returning home).
At the time of the accident, I was unable to walk, but X-rays showed no issues.
After receiving initial trauma treatment, I switched to traditional Chinese medicine.
In the early stages, any position other than lying down caused significant pain in my lower back and back.
At work, I often needed to alternate between standing and sitting to manage the discomfort until the date of my inquiry (November 20, 2022).
I have been undergoing acupuncture treatment for nearly a month now.
Currently, I frequently feel tightness in my right lower back and hip, with occasional pain in my left lower back and hip.
However, my acupuncturist advised me that I may not need further treatment and suggested I rest more.
Since my friends in nursing have recommended that I see an orthopedic, neurosurgery, or neurology specialist, and they also suggested I get an MRI, I would like to ask the doctor if it would be appropriate for me to visit a large hospital and see an orthopedic specialist, or if you have any other recommendations for my treatment direction?

jane, 20~29 year old female. Ask Date: 2022/11/21

Dr. Li Wenhong reply Orthopedics

Hello: You have been injured for over three weeks, and the X-ray examination shows no bone issues.
It is recommended that you try rehabilitation (physical therapy, local heat application) and occasionally use medication (anti-inflammatory pain relievers and muscle relaxants).
You can visit either an orthopedic or neurosurgery outpatient clinic.
Whether an MRI is necessary will be determined by the physician based on clinical symptoms.
Changhua Hospital Orthopedics Dr.
Li Wen-Hong.

Reply Date: 2022/11/21

More Info

After a car accident, it is common for patients to experience various types of pain and discomfort, especially in areas that sustained direct impact. In your case, you mentioned experiencing significant pain in the right side of your lower back and hip, along with multiple bruises and abrasions. Given the nature of your injuries and the ongoing discomfort, it is essential to approach your recovery with a comprehensive plan that includes appropriate medical evaluation and rehabilitation.

Understanding Your Symptoms
The pain you are experiencing in your right lower back and hip could be attributed to several factors, including soft tissue injuries, muscle strains, or even potential nerve involvement. The fact that you were unable to walk immediately after the accident raises concerns about possible underlying injuries that may not have been visible on initial X-rays. While X-rays are excellent for detecting fractures, they may not reveal soft tissue injuries, ligament damage, or issues related to the spine and nerves.

Seeking Orthopedic Care
Visiting an orthopedic specialist is a prudent step in your recovery process. Orthopedic doctors specialize in musculoskeletal injuries and can provide a thorough evaluation of your condition. They may recommend imaging studies such as MRI (Magnetic Resonance Imaging) to assess soft tissues, ligaments, and any potential nerve compression that could be contributing to your pain. An MRI can provide a clearer picture of the structures in your lower back and help identify any issues that may require specific treatment.

Rehabilitation and Pain Management
In addition to seeking orthopedic care, engaging in a structured rehabilitation program is crucial for your recovery. Physical therapy can help you regain strength, improve flexibility, and alleviate pain. A physical therapist can design a personalized exercise program that focuses on:
1. Pain Management: Techniques such as heat therapy, cold packs, and electrical stimulation can help reduce pain and inflammation.

2. Strengthening Exercises: Targeted exercises to strengthen the muscles around your lower back and hips can provide better support and stability.

3. Stretching and Flexibility: Gentle stretching can help improve your range of motion and reduce tightness in the affected areas.

4. Posture and Body Mechanics: Learning proper body mechanics can help prevent further injury and reduce strain on your back during daily activities.

Alternative Treatments
While you have been receiving acupuncture treatment, which can be beneficial for pain relief, it is essential to ensure that it complements your overall recovery plan. Discuss with your healthcare provider whether continuing acupuncture alongside physical therapy and orthopedic care is appropriate for your situation.

Conclusion
In summary, it is advisable to follow up with an orthopedic specialist to ensure that any underlying injuries are properly diagnosed and treated. Additionally, engaging in a comprehensive rehabilitation program will be vital for your recovery. Remember to communicate openly with your healthcare providers about your symptoms and any concerns you may have. Recovery from a car accident can take time, but with the right approach, you can work towards regaining your strength and returning to your normal activities.

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