Should You See an Orthopedist for Pelvic Pain After a Fall?

Fell and hit, experiencing pain near the pelvis?

Doctor: I fell while running in the park on June 5, 2024.
I fell forward and impacted my pelvis against the ground, specifically around the area three fingers' width from my thigh, hitting a brick floor.
I have no issues with daily activities, but I experience slight pain whenever I bend forward or apply pressure to that area.
Should I see an orthopedic specialist for an examination?

En En, 20~29 year old female. Ask Date: 2024/06/08

Dr. Chen Yongxue reply Orthopedics

Hello, based on your letter, there should generally be no major issues.
However, to be cautious, it is advisable to have an X-ray examination at the orthopedic outpatient clinic.
Thank you.

Reply Date: 2024/06/08

More Info

If you've experienced pelvic pain after a fall, especially if it involves direct trauma to the area, it's essential to consider seeing an orthopedist. Pelvic injuries can range from minor soft tissue damage to more severe issues like fractures or dislocations, which may not be immediately apparent.
Given your description of the incident—falling forward and impacting the pelvic area against a hard surface—there is a possibility of sustaining injuries that might not be visible without imaging studies. Symptoms such as pain during certain movements, like bending forward or applying pressure, can indicate underlying issues that require professional evaluation.

Reasons to See an Orthopedist:
1. Assessment of Injury Severity: An orthopedist can perform a thorough physical examination and may recommend imaging tests, such as X-rays or MRIs, to assess for fractures, soft tissue injuries, or other complications. This is crucial because some injuries may not present with severe symptoms initially but can lead to complications if left untreated.

2. Pain Management: If your pain persists or worsens, an orthopedist can provide guidance on pain management strategies. This may include prescribing medications, recommending physical therapy, or suggesting other interventions to alleviate discomfort.

3. Preventing Long-term Issues: Early intervention can prevent chronic pain or mobility issues. If there is a fracture or significant soft tissue injury, appropriate treatment can facilitate better healing and restore function.

4. Guidance on Activity Modification: An orthopedist can advise you on how to modify your activities to avoid exacerbating your injury while it heals. This is particularly important if your daily activities involve movements that could strain the injured area.

5. Rehabilitation: If your injury requires rehabilitation, an orthopedist can refer you to a physical therapist who specializes in pelvic injuries. A tailored rehabilitation program can help restore strength and flexibility, reducing the risk of future injuries.

When to Seek Immediate Care:
- If you experience severe pain that does not improve with rest or over-the-counter pain medications.

- If you notice swelling, bruising, or deformity in the pelvic area.

- If you have difficulty walking or bearing weight on the affected side.

- If you experience any neurological symptoms, such as numbness or tingling in the legs.

Conclusion:
In summary, while you may not have significant issues with daily activities, the presence of pain during specific movements warrants a professional evaluation. An orthopedist can provide a comprehensive assessment and ensure that any potential injuries are properly diagnosed and treated. Ignoring the symptoms could lead to complications down the line, so it’s advisable to err on the side of caution and seek medical advice.

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