(I hope this doesn’t constitute asking for medical advice, because all I want to know is what kind of doctor she should be talking to for the advice.)
A friend of mine, a healthy 22-year-old, slipped and fell (on a small hill) the other day, landed on her butt, and twisted an ankle. It hurt a little, but not enough to stop her from dancing around for four hours later that night. In other words, that night she felt fine.
Fast forward a couple of days and she suddenly wakes up in the middle of the night in great agony all over her body, concentrated most in her ankle, leg, and spine, but really all over. She was also extremely sensitive to touch, meaning anything from a hand or a blanket on her would cause excruciating pain. She spent much of the day writhing and constantly screaming (This is definitely not normal behavior for her)
So fast forward 3 weeks to the present day. By now the pain has decreased in intensity, but it still comes and goes. At night, especially, she’d have recurring bouts of intense pain. This has left her in need of constant care; she can’t move around very well by herself and every 24-48 hours she’d experience so much pain that she becomes bedridden and barely able to move or talk. This would last up to a few hours, but then she’d feel relatively fine for another few hours. The cycle has constantly repeated itself over the past few weeks.
She’s seen two primary care physicians and one osteopath. A spinal x-ray showed nothing abnormal. The doctors weren’t exactly confident of their diagnosis, but they posited the possibilities of: sciatic nerve issue or a possible sacroiliac joint injury combined with something like a twisted disc.
With so little information, she doesn’t even know if this is something that’ll take a few weeks to heal on its own or whether she’ll need massive surgery or a caregiver for the rest of her life, and it’s putting her and everyone around her in a very difficult place.
My question is: What kind of doctor does she need to see (or what kind of test(s) does she need to get) to get a better diagnosis and hopefully a treatment plan?** She has a MRI scheduled for a week from now (soonest they could fit her in), but in the meantime she’s still suffering greatly and there’s no assurance that anything will even show up on the MRI. The osteopath simply said “this isn’t my field and I don’t know what to do” and sent her back to the primary care physician, who has no clue what she can do either. Are there any other paths we could try?
Any tips would be appreciated. Thanks!