Persistent Numbness After Car Accident Injuries - Surgery

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The wound from the car accident is healing, but there is a persistent numbness?


Hello, doctor.
After my car accident, I have a bruise on my knee.
During the treatment process, I received a tetanus shot and general disinfection and bandaging.
Even after the wound has healed, the injured area continues to have a numb sensation (it doesn't hurt, but it feels tingly and has reduced sensitivity when touched).
I would like to ask the doctor what this condition is and how to manage it.
Thank you!

Sandy, 20~29 year old female. Ask Date: 2024/05/04

Dr. Li Qinglong reply Surgery


Hello Sandy: After an injury, if you experience a "tingling" sensation at the wound site, it may indicate damage to the superficial nerves in that area.
Once superficial nerves are injured, they can be difficult to recover.
It is recommended to increase your intake of B vitamins, which may help alleviate the tingling sensation.
Thank you.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2024/05/04

More Info


After a car accident, experiencing persistent numbness or a tingling sensation in the injured area, such as your knee, can be concerning. This sensation, often described as a "numb" feeling, can arise from several factors related to the injury and the healing process.

Firstly, the numbness you are experiencing could be due to nerve irritation or damage that occurred during the accident. When trauma occurs, especially in areas with a high concentration of nerves, such as the knee, the nerves can become compressed, stretched, or even partially torn. This can lead to sensations of numbness, tingling, or a "pins and needles" feeling. It is important to note that while these sensations can be uncomfortable, they do not always indicate severe damage.
Another possibility is that the numbness is a result of inflammation in the surrounding tissues. After an injury, the body responds with inflammation, which can sometimes affect nearby nerves, leading to altered sensations. This is particularly common in soft tissue injuries, where the muscles, tendons, and ligaments are affected.
Additionally, the healing process itself can contribute to these sensations. As the body repairs itself, scar tissue may form, which can also impact nerve function. Scar tissue can create adhesions that may compress or irritate nerves, leading to persistent numbness or altered sensations in the area.

In terms of management, it is crucial to monitor the symptoms. If the numbness persists or worsens, or if you begin to experience additional symptoms such as pain, weakness, or changes in mobility, it is advisable to seek further medical evaluation. A healthcare professional may recommend imaging studies, such as an MRI or ultrasound, to assess the extent of any nerve involvement or soft tissue damage.

Physical therapy can also be beneficial in addressing numbness and promoting healing. A physical therapist can provide targeted exercises to improve strength, flexibility, and range of motion in the affected area. They may also employ modalities such as electrical stimulation or ultrasound therapy to help alleviate symptoms and promote nerve healing.

In some cases, medications may be prescribed to manage nerve-related symptoms. These can include anti-inflammatory medications, pain relievers, or even medications specifically designed to address nerve pain, such as gabapentin or pregabalin.

In conclusion, while persistent numbness after a car accident can be concerning, it is often a result of nerve irritation, inflammation, or the healing process itself. Monitoring your symptoms and seeking medical advice if they persist is essential. Engaging in physical therapy and following your healthcare provider's recommendations can aid in recovery and help restore normal sensation and function in the affected area. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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