Numbness in the legs after a car accident?
Hello doctor, I was in a car accident at the end of November, and my head hit something, causing bleeding.
The wound has healed, but it sometimes itches.
Currently, I don't have any major issues, but recently I've started experiencing persistent numbness in my legs.
This numbness has been ongoing for a while now, and it has worsened to the point where my calves go completely numb while sitting in class.
The position I take during afternoon naps at school is also uncomfortable for my legs; I only start to feel better once I fall asleep.
At night, I have to stretch my legs and place a pillow under them to avoid discomfort, and I also lose sensation once I fall asleep.
My current concern is whether I should see a doctor, and if so, which specialty should I consult? Thank you, doctor.
Rou, 10~19 year old female. Ask Date: 2016/01/11
Dr. Lai Zhaokang reply Neurosurgery
Hello, there are many reasons for numbness in the legs.
If you have been experiencing numbness for more than two weeks, it is advisable to see a doctor.
You may want to consult a neurologist or a neurosurgeon.
Wishing you a speedy recovery.
Dr.
Lai Chao-Kang, Director of Spine Neurosurgery, Changhua Hospital.
Reply Date: 2016/01/11
More Info
After a car accident, experiencing numbness, especially in the legs, can be concerning and warrants careful consideration. Given your description of the symptoms, it is advisable to seek medical attention. Here’s a comprehensive overview of what you should know regarding your situation.
Understanding Numbness Post-Accident
Numbness in the legs following a car accident can arise from various causes. It may be related to nerve compression, injury to the spine, or even issues stemming from the head injury you mentioned. The fact that you experienced a head injury during the accident adds another layer of complexity, as head trauma can sometimes lead to neurological symptoms that manifest in different parts of the body.
1. Nerve Compression or Injury: If your posture while sitting or sleeping is poor, it can lead to compression of nerves in the lower back or legs, resulting in numbness. Additionally, if there was any trauma to the spine during the accident, it could lead to nerve damage or irritation.
2. Cervical or Lumbar Issues: Depending on the nature of the impact, injuries to the cervical spine (neck) or lumbar spine (lower back) can also cause numbness in the legs. For instance, a herniated disc or spinal stenosis could compress nerves that innervate the lower extremities.
3. Circulatory Issues: Although less common, circulatory problems can also lead to numbness. If there was any injury that might have affected blood flow to your legs, it could result in symptoms like you are experiencing.
When to See a Doctor
Given that your numbness has persisted and is affecting your daily activities, it is important to see a doctor. You should not ignore these symptoms, especially since they have been ongoing and are worsening. Here are some guidelines on when to seek medical attention:
- Persistent Symptoms: If the numbness has been consistent and is not improving, it is time to consult a healthcare professional.
- Worsening Condition: If you notice that the numbness is getting worse, or if you experience additional symptoms such as weakness, pain, or changes in bowel or bladder control, seek immediate medical attention.
- Impact on Daily Life: If the numbness is interfering with your ability to sit comfortably in class or sleep at night, it is a sign that you should seek help.
Which Specialist to See
For your symptoms, it would be appropriate to start with a primary care physician who can evaluate your condition and refer you to a specialist if necessary. Depending on the findings, you may be referred to:
- Neurologist: If there are concerns about nerve damage or neurological issues.
- Orthopedic Surgeon: If there is a suspicion of spinal injuries or musculoskeletal issues.
- Physical Therapist: If your symptoms are related to posture or muscle imbalances.
Diagnostic Steps
When you see a doctor, they may recommend several diagnostic tests to determine the cause of your numbness:
- Physical Examination: A thorough examination to assess your neurological function and any physical limitations.
- Imaging Studies: X-rays, MRI, or CT scans may be ordered to visualize the spine and any potential injuries.
- Nerve Conduction Studies: These tests can help assess the function of the nerves and identify any areas of compression or damage.
Conclusion
In summary, experiencing numbness in your legs after a car accident is a symptom that should not be overlooked. It is important to consult a healthcare professional to determine the underlying cause and receive appropriate treatment. Early intervention can help prevent further complications and improve your quality of life. Don’t hesitate to seek help; your health and well-being are paramount.
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