I Was In A Car Wreck Out Of February 14th

Posted on Sat, 8 Jun 2019

Question: I was in a car wreck out of February 14th of this year at fractured my femur in spots and I fractured my hip over the past two or three days I've been having some pretty bad pain in my upper thigh and into my groin today I'm not able hardly to walk and the pain is strictly in my groin going into my testicles I was wondering if there's something I could do or if I should be concerned about this pain I haven't had it since I've had surgery and I'm a little over 3 months out of surgery there is a x-ray attached to this question

Answered by Dr. AJEET SINGH (2 hours later)

Brief Answer:
Fracture FEMUR

Detailed Answer:
Hi....
Welcome to Ask a doctor.
I am Dr Ajeet XXXXXXX
Internal fixation of your femur has been done by screws.Usually it takes 6 weeks of time to heal.It is almost 12 weeks ago when you had the incident.
Here I would like you to share a few things.Do you smoke? Have you taken iboprofen in postoperative periods?Do you have any co morbid condition like diabetes?Is fever there?Do you have some urinary complaints since last 2-3 days?Has your calcium and vitamin D3 levels checked?
Actually symptoms of a fracture that has not healed normally include tenderness, swelling, and an aching pain that may be felt deep within the affected bone and groin region.Often, the bone isn’t strong enough to bear weight too.
The majority of broken bones heal normally when surgically stabilized.However, an inadequate blood supply to the bone may lead to an interference in normal healing process. Blood vessels provide bone with oxygen and chemicals called growth factors that encourage healing.Smoking,some drugs like ibuprofen and corticosteroids,minor repeated trauma etc reduce the bone’s blood supply and interfere with healing.
Diabetes and uncontrolled blood sugars reduce the concentration of nutrients in the blood and decrease blood flow.It also increases the proneness for infection.
Adequate levels of vitamin C,vitamin D and calcium are required in postoperative period.
An infection in the bone called osteomyelitis, may also delay or prevent healing.It needs an appropriate antibiotic course.
Time being,take some analgesic (except ibuprofen) and avoid over ambulation.
I am waiting for you to revert.
Regards.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. AJEET SINGH (58 minutes later)

i do take ibuprofen and tylenol. tylenol more cause it seems to help more. i take the ibuprofen when i feel stiffness and feel that it is swollen. i am not a diabetic. i do smoke but i have maybe between 2 maybe 3 cigs. a day. no complaints with the urinary trac or anything like that.no fever and my vitamin lecels have not been checked. i thought at first maybe i was getting compartment syndrome but my thigh is nice and soft and is not warm to the touch. i have been walking with put a canr alot of the time vefore this started Nd had cery little pain. the o ly pain i would have would be just from the stress of the day just dping normal stuff. there were times.i was also using a vzne cUse there was times i felt i needed it if it felt Little shaky. i was able to bend at the knee completley just last week cause i was able to peddle a bike. now it is completley opposite my range of motion has decreased significantly. there is no pain in my knee at all my knee is stiff and the skin fells tight but no pain. the pain only in the upper thigh but mostly in the groin area and a little bit in to my scrodum. it is bad enough that it gets to the point where its so bad i have to hop back to bed or to the car or where ever i am sitting and laying. i am.still.using ice to help but it really does nothing.

Answered by Dr. AJEET SINGH (50 minutes later)

Brief Answer:
Fracture FEMUR

Detailed Answer:
Hi....
Thanks for sharing your history.
From your description,It seems that you are having a muscular strain which has caused pain in groin and scrotum (all the structures are very nearby in hip region).This has also caused a limitation of range of movement.
Please don't use ice.Instead,use moist heat.Give rest to the joint.Take some NSAIDs for pain.You can take Acetaminophen or diclofenac.
I don't think that there is anything wrong with the operated joints.There are no evident signs of inflammation.But to be on safer side,curtail your cigarettes and use of ibuprofen.Take maximum dairy products like milk and yogurt.This will make the calcium stores which are important for bone strength.
After a brief period of time,get your physical therapy restarted with initially focus on range-of-motion and strengthening exercises.
Hope that I have answered your query.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng