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Suggest Treatment For Severe Soft Tissue Injury

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Posted on Mon, 10 Aug 2015
Question: MVA-rear-end stopped at traffic light by negligent driver when light turned green. Resulted in severe soft tissue and tendon, muscle fibers injury.
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
The level of injury to the muscle fibres needs assessment.

Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone carefully through the details. I would need to know how much exactly and which tendon has been severed and the level of functionality preserved. In case of some tendon getting more than 2/3 severed, surgical interventions might be essential. Otherwise the mentioned treatments are likely to suffice. I would suggest you to get a surgical opinion without delay as negligence may lead to functional loss.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (4 hours later)
I HAVEN'T TO DATE HAD A SHOULDER ORTHO SURGEON, NECK & BACK SURGEON, 2 OR 3 PM & R MD, AND ORTHO SPORTS MEDICINE MD, SEVERAL CHIROPRACTORS OR SEVERAL PHYSICAL THERAPISTS INTODUCE A PARTIAL SEVERED TENDON. THE CLOSEST WS THE KINO CHIRO THAT STATED I MADE NEED TO RETRAIN MY NECK SHOULDER TENDON. PLEASE ADVISE HOW A MEDICAL OPINION CAN DETECT PARTIAL SEVERED TENDON? I HAVE A APPOINTMENT WITH A NEW ORTHO SURGEON FIRM APPOINTMENT 19TH OF AUGUST. I HAVE HAD TWO MRI'S SINCE MVA AND HAVE REQUESTED ULTRA SOUNDS, BUT NO ONE FEELS THAT IS NECESSARY. SHOULD I VISIT HOSPIT AL EMERGENCY ROOM AND USE YOU ANSWER TO REQUEST SOME SPECIAL TESTING TO DETECT PARTIALLY SEVERED TENDON PRIOR TO THIS APPOINTMENT 3 TO 4 WEEKS AWAY?
doctor
Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
You need not visit the ER

Detailed Answer:
Thanks for asking back.

The MRIs should give the exact status of the rupture of the tendon(s) and I do not think that ultrasound is not required. Although an orthopedics surgeon can correctly assess the status and plan the interventions, I would have rather preferred an appointment with a plastic surgeon instead. The domain of a plastic surgeon is more tuned to soft tissue injuries as in your case, in contrast to bony injuries handled by a orthopedician. Surely you would need to retrain your muscles thereafter.

I do not think that visiting the ER would be helpful. Be patient and wait for the appointment. If possible you may reschedule with a plastic surgeon instead.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (2 minutes later)
I WILL PICK UP MY URGENT CARE REPORT TODAY, AND VISIT CHIRO FOR REPORT AND SPECIFIC COMMENT TO REPLY FURTHER. BASED ON THIS INFO I WILL ATTEMPT SOONER VISIT. THANK YOU FOR YOUR REPLY.
doctor
Answered by Dr. Prof. Kunal Saha (8 minutes later)
Brief Answer:
Glad to be of help.

Detailed Answer:
The following link should be helpful for you:
http://www.emedicinehealth.com/ruptured_tendon/page5_em.htm

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (13 hours later)
THANK YOU FOR THE PLASTIC SURGEON SUGGESTION FOR APPOINTMENT.

I COULD NOT EASILY READ THE HAND WRITTEN URGENT CARE HANDWRITTEN REPORT TO REPORT MORE INFORMATION. VISITINGS THE CHIROPRACTOR, HE SAID THE BEST COMMENT HE COULD MAKE IS FACET SYNDROME BETWEEN OTHER PATIENTS. I HAVE APPOINTMENT EARLY MONDAY JULY 27TH.

HOW DO I GET BACK SPECIFICICALLY WITH YOU AS A MD/PROFESSOR DIRECT THRU HEALTHCARE MAGIC, OR ANY OTHER DOCTOR FOR FOLLOW UP QUESTION AFTER DISCUSSION IS CLOSED?
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Glad to be of service

Detailed Answer:
You can get back to me using the following link:
http://tiny.cc/DrKSaha

Feel free to communicate back in case you have any health related queries in the future and I would be glad to help.

In case you found this discussion useful, I would request you to close the thread with a positive review and a 5 star rating.

Wish you all the best.

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. Prasad
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Severe Soft Tissue Injury

Brief Answer: The level of injury to the muscle fibres needs assessment. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through the details. I would need to know how much exactly and which tendon has been severed and the level of functionality preserved. In case of some tendon getting more than 2/3 severed, surgical interventions might be essential. Otherwise the mentioned treatments are likely to suffice. I would suggest you to get a surgical opinion without delay as negligence may lead to functional loss. Regards