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85 year old had a skull fracture, intra cranial bleeding and contusion in the arm after a fall. Need pain medication

My mother is 84 years old. She took a fall last september and had skull fructure, intracranial bleed and soft tissue contusion on her left arm, elbow, and hand. She was paralized on her left side for a couple of months immediate after her injury. Now she is able to walk and do simple physical work at home. However, she started to have left arm and shoulder pain at night. She took some commen pain medication one can buy from drug store, like Ibufropen, but no help. The pain has become so bad that she could not sleep. Dr. Grief, why the pain occured so many month after her injury? And what kind of treatment can ease the severe pain? Thanks you so much for any help you can give her!
Asked On : Fri, 5 Apr 2013
Answers:  1 Views:  30
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Critical Care Specialist 's  Response
Hi thanks for your question.
Your 84 years old mother is having pain left shoulder and left arm many months after a traumatic left hemiplegia.She is 84 years old and most probably this pain has some other origin and not related to her old trauma.The commonest cause of pain joint at this age is osteoporsis(decrease bone masss due to loss of calcium) and osteo arthritis (inflammation of joints).I would suggest you to consult a orthopediac specialist who may be able to evaluate your mother for this pain and accordingly he/ she may treat her pain.She may need some blood and radiological work up.
Hope this answers your question.
Answered: Thu, 2 May 2013
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