Tingling and pain down the leg after a car crash

Some pain after a crash does not stay in the back. It runs down the buttock and leg, sometimes to the foot, and comes with tingling, numbness or a leg that feels weak. That is usually a nerve being pressed on, and it deserves a check.

What sciatica is

MedlinePlus, from the U.S. National Library of Medicine, explains that sciatica is not a condition on its own but a symptom: pain, weakness, numbness or tingling in the leg, usually because something is pressing on or damaging the sciatic nerve.

Common causes include a slipped or herniated disk, narrowing of the spinal canal and pelvic injuries or fractures.

What it feels like

• It can range from mild tingling or a dull ache to severe pain that keeps you from moving.
• It almost always affects one side.
• It can run down to the calf or the sole of the foot, and the leg may feel weak.
• It often gets worse after sitting or standing for a long time, or when you cough, sneeze or strain.

When to get care right away

According to MedlinePlus, get care promptly if you have:

• Back pain after a severe blow or fall, such as a crash.
• Weakness or numbness in your buttocks, thighs, legs or pelvis.
• Loss of bladder or bowel control.
• Pain that goes below the knee.
• Fever along with back pain.
• Pain that is very severe, worse when lying down or wakes you at night.

If loss of bladder or bowel control comes on suddenly, go to the emergency room.

What helps while it heals

Most cases improve without surgery. What MedlinePlus recommends:

• Do not stay in bed. Bed rest is not recommended; slowly return to your activities.
• Ice for the first 48 to 72 hours, then heat.
• Over-the-counter pain relievers, as your doctor advises.
• No heavy lifting or forceful twisting for about six weeks after the pain starts.
• Gentle exercises for the back and core, and physical therapy if your doctor recommends it.

Sciatica often improves on its own, but it also commonly comes back. Depending on the cause, numbness or weakness can last. If an episode lasts more than four weeks, go back to your doctor.

How we handle it at the clinic

We treat numbness, tingling and nerve pain after an accident: we assess you, document what we find and, if needed, refer you for imaging, physical therapy or a specialist. In Utah, care for the accident is normally covered by the PIP on your own auto policy, and if you have an attorney we share your records with them directly. The visit happens in English or Spanish.

Sources

• MedlinePlus, U.S. National Library of Medicine. Sciatica.

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This article is general information about our clinic and about sciatica. It is not medical or legal advice and does not replace a consultation with a professional. If you have a medical emergency, call 911.