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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Body Pain, Swollen Hand And Shoulder After Fall, Cold Arm, Tingling Neck. Help

is it free to ask a question.my daughter is incarcerated and she fell lasts night on the concrete floor that was wet inside the jail.there was standing puddles in the rec room where they were taken for a shake down lasts night.she is experiencing severe pain in her body and her hand and shoulder is swollen they took exrays but no one to read them and now her hand and arm is ice cold and she is tingling through her neck to her hand, and they told her theres nothing they can do,please help
Fri, 16 Aug 2013
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General & Family Physician 's  Response
Hello,
thanks for using health care magic

Its an unfortunate situation what you have described.

Swellings and severe pains on the areas of trauma are indications of a severe

underlying trauma.

Its a good thing that she did the x-rays but its unfortunate that the x-rays

were not interpreted to say if there were associated fractures or not.

If fractures are available, the management would be different.

However, other signs such as loss of function, change in normal position of

body parts affected are indications of an underlying fracture.

Pain killers are always needed be it a fracture or simple contusion of soft tissue.

Codiene or tramadol or paracetamol associated with ibuprofen would do some

good.

Best regards
Dr Achuo
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

Based on the description, her swelling of the hand & shoulder could be due to a soft tissue contusion or a bony injury. An xray of the injured area will show up a fracture. Soft tissue contusions need only Ice packing, rest, moist heat fomentation and analgesic medications.

Tingling in the hand is a symptom of nerve irritation which could possibly in the cervical spine. An MRI scan of the cervical spine diagnoses this condition.

Consult an orthopedic surgeon for a detailed workup and further management.

Hope this information is helpful. Good day
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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Body Pain, Swollen Hand And Shoulder After Fall, Cold Arm, Tingling Neck. Help

Hello, thanks for using health care magic Its an unfortunate situation what you have described. Swellings and severe pains on the areas of trauma are indications of a severe underlying trauma. Its a good thing that she did the x-rays but its unfortunate that the x-rays were not interpreted to say if there were associated fractures or not. If fractures are available, the management would be different. However, other signs such as loss of function, change in normal position of body parts affected are indications of an underlying fracture. Pain killers are always needed be it a fracture or simple contusion of soft tissue. Codiene or tramadol or paracetamol associated with ibuprofen would do some good. Best regards Dr Achuo