Pain in the thigh after an accident injury.
June 30, 2011 | 12,00 EUR | answered by Dr. med. Ralf Berg
Hello Doctor,
on 11.04.2011, I had an accident as a cyclist with a car. Injuries: large laceration in the left groin, bruises on both thighs. After 13 weeks, I still have pain in my left thigh. The neurologist believes it is nerve pain. I don't think so. Blood tests show no inflammation, blood vessels were examined by ultrasound and are also normal. The wound has healed well. Below the wound, nerves are numb, tissue is hardened, and there are deep burning pains mostly in the evenings. The painful area feels inflamed. Pain is sometimes in the groin area or in the thigh muscle, pulling and tightening in the inner thigh. Swelling has decreased with lymphatic drainage.
Dear patient,
What exactly is your question? You think that besides the nerves, there might be something else causing your pain, sometimes above and sometimes below.
1. Inflammation seems to be ruled out based on your description (negative lab results, good wound healing, no fever).
2. Residual edema = soft tissue swelling, has decreased after lymphatic drainage. Has a "soft tissue" ultrasound (requires a special probe, often available with surgeons) been performed to possibly rule out any remaining hematoma in the depth?
3. The pain characteristics (burning, drilling, occurring mainly at rest) do point to nerves as the cause of your discomfort.
What to do:
If you feel that remaining hardened tissue could be contributing to your pain, I would recommend trying a natural/homeopathic remedy (e.g. Traumeel) as a cream and/or tablets or intravenously.
The good news: Stubborn swellings will be reduced by the body over time, at least to the point where they no longer cause pain.
Unfortunately, the same cannot always be said for nerve pain (neuropathic pain syndrome) or scar pain. These also require a lot of time. However, if the burning persists after 3 months, you should discuss with your neurologist what therapy options to consider.
I hope I could understand the intention of your inquiry and provide you with helpful advice.
With warm regards and get well soon,
R. Berg
