Long-Term Effects of Falls: Neurological Symptoms

Regarding the sequelae of injuries from falls?

Several years ago, I fell from the second floor and injured my left hip (did not seek medical attention).
For a while, I was unable to bend my left leg while running.
After standing for a long time, my vision would turn black and white, and my hands would become numb and immobile.
When sitting for extended periods, my left hip feels strange.
Additionally, my fingernails and toenails have developed uneven horizontal ridges.
I have heard that ridges on the nails can be a sign of having experienced a serious illness, but aside from feeling dizzy after standing for a long time, I rarely get sick.
The last time I was ill was over three years ago.
I am unsure if these symptoms are related to the injury I sustained from the fall.

Lin Zongxian, 20~29 year old female. Ask Date: 2012/06/13

Dr. Gao Chunde reply Neurology

Prolonged standing while looking at something can lead to symptoms such as blackouts, dizziness, numbness in the hands, and impaired movement.
The relationship with a fall resulting in a bruised buttock is minimal; most likely, these symptoms are due to a weakened body and insufficient cerebral blood flow.
Evaluations should focus on potential anemia, lack of physical activity, low blood pressure, dehydration, or insufficient sleep.
If dizziness and numbness do not occur during prolonged standing, it is important to be cautious of possible brain or heart issues.

Reply Date: 2012/06/13

More Info

The long-term effects of falls, especially those involving significant trauma to the body, can manifest in various neurological symptoms and physical impairments. In your case, the history of falling from a height and landing on your left side could potentially explain the symptoms you are experiencing today, such as difficulty bending your left leg, episodes of dizziness when standing for extended periods, and the peculiar changes in your fingernails.

When a person falls and sustains an injury, even if they do not seek immediate medical attention, the body can undergo a series of changes that may lead to chronic issues. For instance, trauma to the pelvis or lower back can affect the nerves that control leg movement and sensation. This could explain the difficulty you have in bending your left leg and the numbness or inability to move your hand. Additionally, prolonged pressure on certain areas of the body, such as sitting for long periods, can lead to nerve compression or circulatory issues, which may contribute to the sensations you describe.

The phenomenon of experiencing dizziness or visual disturbances when standing for long periods is known as orthostatic hypotension, which can occur when blood pressure drops significantly upon standing. This can be exacerbated by previous injuries, particularly if they have affected your mobility or circulation. The fact that you have not experienced significant illness in recent years may suggest that your symptoms are more related to the physical consequences of your fall rather than an underlying systemic disease.

Regarding the changes in your fingernails, such as the presence of longitudinal ridges or pitting, these can be indicative of various health issues, including nutritional deficiencies, systemic diseases, or past trauma. While it is true that significant illness can affect nail growth and appearance, it is also possible that the trauma from your fall has had a lasting impact on your body’s overall health and, consequently, on your nails.

In summary, the symptoms you are experiencing could indeed be related to the fall you sustained years ago. It is essential to consult with a healthcare professional, preferably a neurologist or an orthopedic specialist, who can conduct a thorough evaluation. They may recommend imaging studies, such as X-rays or MRIs, to assess any lingering effects of the injury on your musculoskeletal and nervous systems. Additionally, they can provide guidance on rehabilitation strategies to improve your mobility and manage your symptoms effectively.

In the meantime, consider engaging in gentle physical therapy or exercises that focus on improving strength and flexibility in your legs and core. This can help alleviate some of the symptoms you are experiencing and improve your overall quality of life. Remember, it’s crucial to listen to your body and seek medical advice when symptoms persist or worsen.

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