Car accident injuries?
Hello Dr.
Yeh: A few days ago, I was in a car accident.
I do not have any serious external injuries, but I have two areas on my right calf that I am unsure if they are burns or cuts.
The wounds are very painful, and I experience pain in the sole of my foot when walking.
I am concerned about the possibility of a fracture, internal bleeding, or tetanus.
Should I go to the emergency department of a major hospital for an examination, or would it be sufficient to visit a general ENT clinic?
Ms. Huang, 20~29 year old female. Ask Date: 2016/02/14
Dr. Ye Qingnian reply Orthopedics
If you are experiencing significant pain in the soles of your feet while walking and suspect an orthopedic issue, it is advisable to visit an orthopedic specialist for an X-ray to determine if there is a fracture.
If the area is very painful, it is also important to check for any signs of infection.
An orthopedic doctor will be able to assess your condition during the examination.
Reply Date: 2016/02/14
More Info
After a car accident, it is crucial to monitor any injuries closely, especially when experiencing pain in the legs or any other body part. In your case, you mentioned having two painful areas on your right calf that could potentially be burns or cuts, along with pain in the sole of your foot when walking. Given these symptoms, it is essential to consider a few key factors regarding when to seek medical attention.
Firstly, any persistent pain, especially after a traumatic event like a car accident, warrants a thorough evaluation. While you may not have experienced severe external injuries, the pain in your calf and foot could indicate underlying issues such as fractures, soft tissue injuries, or even complications like internal bleeding. It is important to note that sometimes, injuries may not be immediately apparent, and symptoms can develop or worsen over time.
In your situation, here are some recommendations:
1. Seek Immediate Medical Attention: Given your concerns about potential fractures or internal bleeding, it is advisable to visit an emergency department rather than a general practice or an ENT specialist. Emergency departments are equipped to handle trauma cases and can perform necessary imaging studies, such as X-rays, to rule out fractures or other serious injuries.
2. Assessing the Wound: If the areas on your calf are indeed cuts or burns, proper wound care is essential. Signs of infection (such as increased redness, swelling, warmth, or discharge) should be monitored. If you notice any of these signs, it is crucial to seek medical care promptly.
3. Pain Management: While waiting for your medical appointment, you can manage pain with over-the-counter pain relievers, such as ibuprofen or acetaminophen, as long as you have no contraindications to these medications. However, this should not replace a medical evaluation.
4. Watch for Other Symptoms: Pay attention to any additional symptoms that may arise, such as swelling, bruising, or changes in sensation in your leg or foot. If you experience severe pain, inability to bear weight, or any signs of systemic issues (like fever), seek medical attention immediately.
5. Tetanus Consideration: If your injuries are due to cuts, it is important to consider your tetanus vaccination status. If you have not had a tetanus booster in the last five years, you may need one, especially if the wound is deep or contaminated.
In summary, given your symptoms and the context of a recent car accident, it is advisable to go to an emergency room for a comprehensive evaluation. They can assess your injuries, provide appropriate treatment, and ensure that no serious complications arise. Remember, it is always better to err on the side of caution when it comes to health matters, especially after a traumatic event.
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