Nerve Issues After a Fall: Symptoms and Solutions

The nerves in my toes feel strange..?

Two months ago, I fell from a workbench about 15 centimeters high.
Aside from a bruise approximately 10 centimeters in diameter on the back of my calf near the ankle, I didn't have any major issues.
However, the bruise hasn't faded, and after walking for a long time, I experience some numbness on the top of my foot.
I later visited a traditional Chinese medicine clinic, where they helped to reduce the bruise, but the numbness on the top of my foot persists.
Recently, the numbness has extended to my toes; at certain angles, my little finger and ring finger feel slightly numb, as if the nerves are being pulled, with occasional twitching.
Just now, while scratching an itch, my little finger and ring finger suddenly twitched when I touched a specific spot.
Why is that happening? The practitioner at the clinic mentioned that I might have twisted my foot during the fall.
Additionally, a couple of days ago, when I woke up, I found that my entire arm was immobile.
It didn't feel like numbness but rather like stiffness.
Is this a musculoskeletal issue?

Māo māo, 20~29 year old female. Ask Date: 2012/09/09

Dr. Gao Chunde reply Neurology

The nerve on the outer side of the foot runs along the outer ankle, so any bruising or swelling in this area that compresses the tissue could cause the symptoms you described.
Removing the source of compression will allow the nerve to gradually recover.
If there is no swelling or compression but the nerve symptoms persist, it is advisable to see a physician to check for other underlying causes that may require further treatment.
Waking up with a stiff arm is often due to poor sleeping posture affecting the muscles and circulation.
Symptoms can improve by adjusting the height and softness of the mattress and pillow, as well as being mindful of sleeping positions.
If necessary, consulting a rehabilitation specialist may be beneficial.

Reply Date: 2012/09/09

More Info

It sounds like you’ve been experiencing a range of concerning symptoms following your fall, and it’s understandable to feel anxious about them. Based on your description, it seems that you may be dealing with nerve-related issues stemming from the injury. Let’s break down your symptoms and explore potential causes and solutions.

Symptoms Overview
1. Bruising and Swelling: The bruise you mentioned on your lower leg is a common result of trauma. While bruising itself is not usually a cause for concern, persistent swelling can indicate underlying issues, such as hematomas or inflammation.

2. Numbness and Tingling: The sensations of numbness in your foot and toes, as well as the tingling in your pinky and ring fingers, suggest that there may be nerve involvement. This could be due to compression or irritation of the nerves, possibly from swelling or changes in posture after the fall.

3. Stiffness and Weakness: Waking up with a stiff arm that you couldn’t move could indicate that you were in a position that compressed nerves or blood vessels overnight. This is often temporary, but if it recurs, it’s worth investigating further.

Possible Causes
1. Nerve Compression: The symptoms you describe, particularly the numbness and tingling, could be due to nerve compression. This can happen if there is swelling in the area of the injury or if there is a structural issue, such as a herniated disc in the spine or a pinched nerve in the arm.

2. Circulatory Issues: If blood flow is restricted due to swelling or positioning, it can lead to numbness and tingling. This is often temporary but should be monitored.

3. Muscle Strain or Sprain: If you twisted your ankle or leg during the fall, it could lead to muscle strain or ligament sprain, which might contribute to your symptoms.

Recommended Actions
1. Medical Evaluation: Since your symptoms have persisted and even worsened, it’s crucial to seek a thorough evaluation from a healthcare professional. A neurologist or orthopedic specialist can provide insights into whether there is nerve damage or other structural issues.

2. Imaging Studies: Depending on the evaluation, your doctor may recommend imaging studies, such as an MRI or ultrasound, to assess the condition of your nerves and surrounding tissues.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can help you with exercises to strengthen the affected areas, improve mobility, and alleviate nerve compression.

4. Pain Management: If you are experiencing pain or discomfort, over-the-counter pain relievers may help. However, consult with your doctor before starting any medication.

5. Monitor Symptoms: Keep a record of your symptoms, noting when they occur and any activities that seem to exacerbate them. This information can be valuable for your healthcare provider.

6. Lifestyle Adjustments: Pay attention to your posture, especially during sleep. Using supportive pillows and adjusting your sleeping position may help prevent nerve compression.

Conclusion
While it’s easy to feel overwhelmed by these symptoms, many nerve-related issues can improve with appropriate treatment and care. It’s essential to take your symptoms seriously and seek professional guidance to ensure that you receive the right diagnosis and treatment plan. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare provider for assistance.

Similar Q&A

Post-Surgery Nerve Pain: Understanding Ankle Fracture Complications

Hello Doctor, I am writing on behalf of my father. He is 56 years old. Last September, he had an accident while riding an electric scooter and fell into a ditch, resulting in a fracture above his left ankle. My father works as a mechanic, and to speed up his recovery and ensure s...

Dr. Jiang Junyi reply Neurology
Hello: You mentioned that your father is experiencing peripheral nerve damage. If the peripheral neuropathy is caused by nerve compression, it may exhibit the following characteristics: 1. The pain is described as burning or electric-like. 2. Symptoms have a specific dermatomal d...

Understanding Ligament and Nerve Issues After Wrist Injury

Hello, I was injured by a hard object in May, resulting in internal injuries and damage to ligaments and nerves. I have a torn ligament in my left wrist (not completely torn) and nerve damage as well. I have undergone surgery and suturing, and now it has been almost three months....

Dr. Su Hongci reply Rehabilitation
Hello: Trauma may lead to peripheral nerve injury, which can cause mild symptoms such as limb numbness and sensory abnormalities, or severe consequences like limb paralysis and loss of function. Accurate diagnosis and timely medical intervention can alleviate nerve compression an...

Understanding Nerve Damage After a Fall: Symptoms and Concerns

Two days ago, I accidentally fell backward while exercising and hit my head. The next day, I went to see a doctor because my shoulder was very sore. The doctor advised me to let my muscles rest for a few days. However, when I got home, my hand started to feel very numb in the eve...

Dr. Jiang Junyi reply Neurology
Hello: Your symptoms indeed warrant consideration of nerve compression. Taking the ulnar nerve as an example, resting the elbow on a hard surface or applying pressure to the elbow can likely lead to ulnar nerve pathology. Activities such as typing on a computer or scarring and fi...

Post-Accident Nerve Pain: Understanding Symptoms and Recovery in the Foot

Hello Doctor: In February 2021, I was involved in a motorcycle accident that resulted in a fracture of the left femur, which impacted the hip bone and caused a dislocation (emergency surgery was performed for reduction and a plate was installed). I also sustained a torn posterior...

Dr. Lai Zhaokang reply Neurosurgery
Hello, it is recommended to consult a neurosurgeon and arrange for a nerve conduction study. Best wishes. // Neurosurgeon Dr. Lai Chao-Kang.