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Warning-sign checks

Skeletal limb abnormalities: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Get emergency help after an injury or procedure if the limb becomes pale, blue, unusually cold, or difficult to move.

    Rapidly worsening severe pain, major swelling, loss of sensation, uncontrolled bleeding, or an open injury with visible bone also requires emergency assessment.

    These signs can indicate reduced blood flow, nerve injury, compartment syndrome, or a serious fracture.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt medical advice for:

    • New redness, warmth, swelling, drainage, or fever
    • Increasing pain or reduced movement without a clear reason
    • A brace, splint, or prosthesis causing sores or broken skin
    • A cast that feels too tight, becomes damaged, or gets wet inside
    • A child suddenly refusing to use a limb or bear weight
    • New numbness, weakness, or repeated falls
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you notice a persistent difference in limb length, shape, joint movement, or walking.

    Assessment is also appropriate if an existing difference begins causing pain, limits activity, or affects footwear, braces, or a prosthesis.

Every sign above is quoted from the sofidex article on Skeletal limb abnormalities. If you are not sure, err upward — it is always reasonable to be checked.