Dealing with Pain After a Slip: When to See an Orthopedist or Rehab Specialist - Orthopedics

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Slipping and landing on the buttocks?


I slipped and fell on my buttocks in the bathroom, experiencing severe pain at that moment.
Since then, every day when I sneeze, I feel pain on both sides of my buttocks, but there is no pain in my coccyx.
Bending down to lift things also causes pain.
I don’t feel pain while walking, only in certain positions.
This has been ongoing for two weeks.
Should I see an orthopedic doctor or a rehabilitation specialist?

Ya, 20~29 year old female. Ask Date: 2024/01/18

Dr. Wang Shouji reply Orthopedics


Orthopedics

Reply Date: 2024/01/18

More Info


When dealing with pain after a slip and fall, especially when the pain persists for two weeks, it is important to carefully evaluate your symptoms and consider seeking medical attention. In your case, the pain localized to your buttocks, particularly when sneezing or bending, suggests that there may be soft tissue injury or strain in the area. Given that the pain is not constant and only occurs with specific movements, it could indicate a muscle strain or ligament injury rather than a more serious condition like a fracture.

In general, if you experience significant pain, swelling, bruising, or difficulty with mobility after a fall, it is advisable to consult a healthcare professional. In your situation, both an orthopedist and a rehabilitation specialist could be appropriate, but the choice may depend on the severity of your symptoms and your personal comfort level.

1. Orthopedic Specialist: If you suspect that there may be a fracture or a more serious injury to the bones or joints, seeing an orthopedic specialist would be beneficial. They can perform imaging studies, such as X-rays or MRIs, to rule out any fractures or structural damage. If there is a fracture or significant injury, they can provide the necessary treatment, which may include immobilization, medication, or even surgery in severe cases.

2. Rehabilitation Specialist: If your pain is primarily muscular and you are experiencing limited mobility or function, a rehabilitation specialist may be more appropriate. They can assess your condition and develop a tailored rehabilitation program that may include physical therapy, exercises to strengthen the surrounding muscles, and techniques to improve flexibility and range of motion. They can also provide guidance on pain management strategies, such as the use of ice, heat, and over-the-counter pain medications.

Given that your symptoms have persisted for two weeks, it is important to address them sooner rather than later. Chronic pain can lead to compensatory movements that may cause further injury or discomfort. If you have not already done so, consider the following steps:
- Rest and Ice: Initially, rest the affected area and apply ice to reduce swelling and pain. Avoid activities that exacerbate the pain.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. However, consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

- Gentle Stretching: Once the acute pain subsides, gentle stretching and strengthening exercises may help restore function and prevent future injuries. A physical therapist can guide you through appropriate exercises.

- Monitor Symptoms: Keep track of your symptoms. If you notice worsening pain, increased swelling, or any new symptoms, seek medical attention promptly.

In conclusion, if you are uncertain whether to see an orthopedist or a rehabilitation specialist, you may start with your primary care physician. They can evaluate your condition and refer you to the appropriate specialist based on your specific needs. Early intervention can lead to better outcomes and a quicker return to your normal activities.

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