Knee abrasion with swelling?
Hello, I had a car accident last Wednesday and sustained a scrape on my knee.
After getting it bandaged at the hospital, I noticed that my knee was swollen that evening.
The next day, when I went to another hospital for a dressing change, the doctor advised me to apply ice.
I've been icing it about twice a day for around 20 minutes each time.
Now, more than a week has passed, and it's still swollen, and I experience pain when walking.
Is this normal? The swelling is present, but there is no redness, although I do have some bruising.
Dun, 10~19 year old female. Ask Date: 2016/08/19
Dr. Shi Guozheng reply Orthopedics
It may be due to the fact that the abrasions and contusions have not fully healed, as bruising can take two to four weeks to resolve.
The mild pain should gradually improve.
However, if there are still significant issues after six weeks, a follow-up with a physician will be necessary.
Reply Date: 2016/08/19
More Info
After a knee injury, such as the one you experienced in a motorcycle accident, it is not uncommon to experience swelling, bruising, and pain. These symptoms can persist for several days or even weeks, depending on the severity of the injury and the body's healing response.
In your case, the swelling of the knee a week after the injury is generally considered normal, especially if there was a significant impact or trauma to the area. The swelling is often a result of inflammation, which is the body's natural response to injury. When tissues are damaged, the body sends fluid and white blood cells to the area to help with healing, which can lead to swelling. The presence of bruising indicates that there was some bleeding under the skin, which is also a common occurrence after trauma.
You mentioned that you have been applying ice to the knee, which is a recommended practice for managing swelling and pain in the acute phase of an injury. Ice helps to constrict blood vessels, reducing blood flow to the area and thereby decreasing swelling. It is advisable to continue this practice, applying ice for about 15-20 minutes at a time, several times a day, especially in the first few days following the injury.
The fact that your knee is still swollen and painful after a week does not necessarily indicate a serious problem, but it is important to monitor your symptoms. If the swelling does not begin to decrease in the next few days, or if you experience increased pain, redness, warmth, or difficulty moving the knee, it would be wise to follow up with a healthcare provider. These could be signs of complications such as a more serious injury, like a ligament tear or a fracture that may not have been detected initially.
In terms of recovery, soft tissue injuries, such as sprains or strains, can take several weeks to heal fully. The timeline for recovery can vary widely based on the extent of the injury, your overall health, and how well you follow rehabilitation guidelines. It is essential to gradually increase your activity level as tolerated, but avoid pushing through significant pain. Gentle range-of-motion exercises can help maintain mobility in the knee joint, but be cautious not to overdo it.
If you are still experiencing significant swelling and pain after a week, consider consulting a physical therapist or a doctor who specializes in sports medicine. They can provide a more thorough evaluation and may recommend additional treatments, such as physical therapy, to help you regain strength and function in your knee.
In summary, while some swelling and discomfort after a knee injury are normal, persistent symptoms warrant further evaluation. Continue with ice therapy, monitor your symptoms, and seek medical advice if your condition does not improve. Remember that healing takes time, and patience is key in the recovery process.
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