Persistent Bruising and Pain After Car Accident: What to Do? - Surgery

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Bruising on the lower leg that does not resolve after a car accident?


Hello Doctor, I had a car accident on June 9, where my left calf sustained a severe impact.
Since there were no serious external injuries, I did not seek medical attention.
Initially, I did not pay much attention to it, but by July, I started to feel something was off.
I asked my parents, and they suggested that massage and applying medicated patches would help it heal over time.
However, after another month, the injured area still hurts, and I now feel a stabbing pain.
The bruising in the most affected area has not faded and there are still dark marks present.
What could be the possible condition? My parents believe it might be a minor injury, which is why they haven't taken me for an examination.
Therefore, I am asking about my situation on this website.
Thank you for taking the time to read this, and I hope it hasn't caused you any inconvenience.

Elaine, 10~19 year old female. Ask Date: 2016/08/07

Dr. Xu Kaixi reply Surgery


Hello: After a blunt contusion to the calf, localized bruising and inflammatory responses may occur, leading to swelling and discoloration due to pigment deposition.
These are normal phenomena that will improve over time.
If you are concerned or if it does not improve over an extended period, it is advisable to visit a hospital for a surgical evaluation.

Reply Date: 2016/08/07

More Info


It sounds like you’ve been dealing with a persistent issue following your car accident, and it’s understandable to be concerned about the ongoing pain and bruising. Based on your description, there are several potential explanations for your symptoms, and it’s important to approach this situation with care.

First, it’s essential to recognize that even if there were no visible severe injuries immediately after the accident, underlying damage can still occur. The symptoms you describe—persistent pain, bruising that hasn’t resolved, and the sensation of “pulling” or “aching”—could indicate several possibilities, including soft tissue injuries, such as muscle strains or ligament sprains, or even more serious conditions like a hematoma or fracture that may not have been initially apparent.

1. Soft Tissue Injury: Bruising and pain can often result from soft tissue injuries. These injuries can take time to heal, and if the area continues to be stressed or used, it may prolong the healing process. Massage and topical treatments can help, but they may not be sufficient if there is significant damage.

2. Hematoma: A hematoma occurs when blood collects outside of blood vessels, often due to trauma. If the bruise is still present and painful, it may indicate that a hematoma has formed and is not resolving. Hematomas can sometimes require medical intervention, especially if they are large or causing significant discomfort.

3. Fracture: Although you mentioned that there were no severe external injuries, it’s possible to sustain a fracture without immediate symptoms. Stress fractures, in particular, can develop over time and may not be visible on initial examinations. If the pain persists, it’s crucial to rule out this possibility.

4. Nerve Involvement: The sensation of “pulling” or “aching” could also suggest that a nerve in the area has been affected. This can happen if there is swelling or pressure on a nerve due to the injury.

Given that your symptoms have persisted for several months, it is highly advisable to seek medical attention. A healthcare professional can perform a thorough examination, which may include imaging studies such as X-rays or MRIs, to assess for any underlying injuries that may not be visible externally.
In the meantime, here are some general recommendations to help manage your symptoms:
- Rest: Avoid putting weight on the affected leg as much as possible to allow for healing.

- Ice: Applying ice to the area can help reduce swelling and alleviate pain. Use ice packs for 15-20 minutes every few hours.

- Compression: Consider using a compression bandage to help reduce swelling and provide support.

- Elevation: Keeping your leg elevated can also help reduce swelling.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation.

It’s important to communicate openly with your parents about your symptoms and the need for medical evaluation. Persistent pain and bruising are not to be taken lightly, and getting a professional opinion is crucial for your health and recovery. Don’t hesitate to advocate for yourself and seek the care you need.

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