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Consequences following a fall with a vertebral fracture

I had a fall from about 2 meters height seven weeks ago, resulting in a vertebral body compression fracture of TH 2 to 5. It was treated conservatively, and I am currently doing daily physiotherapy. For the past few days, I have been experiencing symptoms at night where my arms fall asleep, especially in the outer arm area. Last night, I felt twice that my natural breathing stopped, and I woke up startled but was able to breathe normally. Was that just my imagination, or could it actually happen, even though I don't have any signs of paralysis in my legs or arms? During the day, I occasionally have circulation problems in my fingers, but my arms or legs do not fall asleep. Sometimes there is a tingling or itching sensation in the area of the fracture, and the muscles also hurt with excessive or prolonged exertion. In the past few days, I have increased my physiotherapy and also had a longer car ride, but I only spent it as a passenger in a reclining position. I haven't lifted anything heavy, but I have started moving more normally again, while still maintaining a straight posture. Unfortunately, I am currently abroad and the nearest doctor is far away. Should I be concerned about respiratory paralysis, or is it unlikely to happen if there are no signs of paralysis? There is likely a compression of the nerve area TH2-5, but what are the consequences and how should I proceed? Thank you in advance!

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Experte für Neurology

Dr. med. Ralf Berg

Dr. med. Ralf Berg

Ühlingen-Birkendorf

Studium an der Universität Freiburg
Promotion überdas Monitoring bei Narkosen Universität Freiburg.
Facharztausbildung zum Anästhesisten und FA für Allgemeinmedizin in Freiburg und Hamburg,
Vorlesungsassisten am Lehrstuhl für Allgemeinmedizin an der Uni Hamburg

Rettungsdienstliche Tätigkeiten in Hamburg, Schleswig-Holstein, Niedersachsen, Baden-Württemberg, Hessen und in der Schweiz.

Seit 1998 in eigener Praxis niedergelassen, Nebentätigkeit als Anästhesist und Notdienstätigkeit in Kliniken und ambulant. Leitung von Fortbildungs- und Qualitätszirkeln, Mitglied im DHÄV und der AGSWN, Qualitätszirkel Moderator, Forschungspraxis der Universität Heidelberg , Ausbildungspraxis für Allgemeinmedizin im Rahmen der Verbundweiterbildung der Uni Heidelberg

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