Conversation: The conversation between human and AI assistant.
[|Human|] Hi, Can anyone help me. I am a survivor of a near fatal car accident which occurred 2 years ago. I had a grade III laceration of my spleen; my spleen is still with me. I fractured my pelvis in 5 places and have very little feeling in my left foot and lower calf. My muscles in my thigh are beginning to atrophy and my knee now locks and swells. I contiue to suffer from +1 edema which seems to be improing somewhat if stay off of it. I also had an enlarged heart and mediastinum which disappeared following CT scan. Multiple Chest x-rays were performed because they thought I tore my aortic coil which obviously I must not have. I am still having problems. Since my accident I have had an acidic type of stomach which was exactly what I felt immediatley after the accident. The pain that I still suffer in my gluteal region and my entire left leg is horrible. Sometimes I thing I am not going to be able to take anymore. I have had so maby CT scabs that I am not allowed to have anymore. How do I know that my spleen is ok and that I am not going to get worse in regards to the leg. One of the radiologist said I had a pars defect and I was able to find older x-rays predating the time of my injury which means I am told that I probably have a non-helaing or slow healing fracture. Can you help me???
[|AI|]  Hello, You look to be a strong person who survived 5 fracture at hip with laceration at spleen, I also appreciate your doctors' effort in this whole incident. The pelvic bone is one of cancellous bone and these type of bones heal well, if your bone mass and other things are well. The present problem which is concerning me is your left leg. In my OLD, with this type of presentation, I suspect nerve injury as there is weakness of calf and foot muscles are there. It looks like your pelvic fracture is culprit for this. MRI pelvis with NCV and EMG studies are suggested in such cases. You should discuss this from your doctor. Meanwhile, you may have pregabalin for relief in such pain on prescription. Take help of a physiotherapist. He will help in doing exercises & preventing contracture of muscles of limb. You may also use braces to keep your limb in normal position. Hope I have answered your question. Let me know if I can assist you further.