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What Causes Left Arm Paralysis, Right Hip Bruise And Groin Pull?
Question: My husband fell, blunt trauma last Sunday. He is 63 years old and is a fall risk as he had a stroke 8 years ago while fighting a a fire as a fireman (chemical reaction) Anyway, he was left with left arm paralysis but everything else was OK. He fell last Sunday. He can stand and move both legs when in his wheelchair. He has had normal V/ S and is cognition is fine. But he is afraid to walk. He has a right hip bruise. Our doc has been treating him with norco which I am starting to wean back due to constipation. He refused treatment, yet he said he pulled a muscle in his groin and that is the reason for him not walking .. !!!! Help.
He has had one or two formed bowel movements but most of it is fluid. Again, he is AAO x 3; he said he afraid to walk due to groin pain. Very stubborn, former paramedic. I am an RN and at my witts end. I went to the doctor and showed him a pix of his bruise on his right hip and doc said that is typical of a fall, but since he can stand and move his feet around while in his wheelchair, he is ruling out a fx.
I think he needs PT - conversion syndrome? so afraid to walk and fall again.
He has had one or two formed bowel movements but most of it is fluid. Again, he is AAO x 3; he said he afraid to walk due to groin pain. Very stubborn, former paramedic. I am an RN and at my witts end. I went to the doctor and showed him a pix of his bruise on his right hip and doc said that is typical of a fall, but since he can stand and move his feet around while in his wheelchair, he is ruling out a fx.
I think he needs PT - conversion syndrome? so afraid to walk and fall again.
Brief Answer:
Needs to upload pictures
Detailed Answer:
Hi, I am Dr Mittal. I have read your message. I think I can help you.
I would like to view the picture. so please upload it.
Also , has the power changed between before and after fall?
Will try to help thereafter. Dr Mittal
Needs to upload pictures
Detailed Answer:
Hi, I am Dr Mittal. I have read your message. I think I can help you.
I would like to view the picture. so please upload it.
Also , has the power changed between before and after fall?
Will try to help thereafter. Dr Mittal
Above answer was peer-reviewed by :
Dr. Prasad
what do you mean - "power" has changed? I will try to upload pix.
What is the upload address?
What is the upload address?
Brief Answer:
Specific information
Detailed Answer:
By power I meant the strength in the limbs.
You can upload it on to the website. Look for an option that says "upload reports" or "attach reports", on the right hand side of this question thread.
If you have difficulties uploading the reports by above method, please send them as e-mail attachments to YYYY@YYYY or YYYY@YYYY with the subject line reading "Attn - reports for Dr. XXXXXXX Mittal", our customercare team will make sure that the images reach me.
Awaiting the images.
Specific information
Detailed Answer:
By power I meant the strength in the limbs.
You can upload it on to the website. Look for an option that says "upload reports" or "attach reports", on the right hand side of this question thread.
If you have difficulties uploading the reports by above method, please send them as e-mail attachments to YYYY@YYYY or YYYY@YYYY with the subject line reading "Attn - reports for Dr. XXXXXXX Mittal", our customercare team will make sure that the images reach me.
Awaiting the images.
Above answer was peer-reviewed by :
Dr. Yogesh D
He said he had no changes to the strength of his legs prior to the fall.
Brief Answer:
Suggestions
Detailed Answer:
Hi,
Thanks for your response.
Fear of fall is a common feature in patients with prior history of stroke.
Their weakness and imbalance contributed the fear.
An actual fall further affects him.
I agree with the doctor that there may be no fracture especially since he says power is normal.
I would suggest a good physiotherapy for him.
That is the best way to get him out of the chair and walking.
I also suggest a CT brain to rule out NPH.
It's a frequent cause of fear of fall which is often missed in stroke patients.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal.
Suggestions
Detailed Answer:
Hi,
Thanks for your response.
Fear of fall is a common feature in patients with prior history of stroke.
Their weakness and imbalance contributed the fear.
An actual fall further affects him.
I agree with the doctor that there may be no fracture especially since he says power is normal.
I would suggest a good physiotherapy for him.
That is the best way to get him out of the chair and walking.
I also suggest a CT brain to rule out NPH.
It's a frequent cause of fear of fall which is often missed in stroke patients.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What is N P H?
Brief Answer:
Normal pressure hydrocephalus
Detailed Answer:
NPH or normal pressure hydrocephalus is a condition where extra fluid is filled in brain leading to problem.
Normal pressure hydrocephalus
Detailed Answer:
NPH or normal pressure hydrocephalus is a condition where extra fluid is filled in brain leading to problem.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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