Knee injury
Hello, at the beginning of August, I fell while riding my bike and injured my knee.
However, the wound on my knee has scabbed over and has not healed yet.
I would like to know if this could be due to high blood sugar or staying up late.
Should I see a doctor? Thank you.
A Zhu, 20~29 year old female. Ask Date: 2017/08/22
Dr. Ye Qianyu reply Family Medicine
Hello! Since I cannot directly see the wound, I can only provide suggestions based on your description.
The knee joint is constantly in motion, which makes it more difficult for the wound to heal.
Please consult your surgeon or orthopedic physician to confirm whether there are any foreign bodies remaining in the wound, as this can also affect healing.
If the wound is clean, you may use a povidone-iodine ointment to keep it moist and prevent dryness and cracking.
Regarding blood sugar levels, if you have a family history, are overweight, have experienced recent weight loss, have increased thirst, or urinate frequently, please visit a metabolic specialist for evaluation.
Thank you for your inquiry, and I wish you a speedy recovery!
Reply Date: 2017/08/22
More Info
Knee injuries can be quite complex and may arise from various causes, including falls, accidents, or sports-related activities. In your case, it sounds like you experienced a significant injury from a motorcycle accident in early August, and now you are dealing with a wound that has not healed properly. It is essential to understand when to seek medical attention for knee injuries, especially when complications arise.
Firstly, if you have a wound that has not healed after several weeks, it is crucial to consult a healthcare professional. Delayed healing can be attributed to several factors, including high blood sugar levels, which can impair the body’s ability to heal. Diabetes and elevated blood sugar levels can lead to poor circulation and reduced immune response, making it more challenging for wounds to heal. Additionally, lifestyle factors such as lack of sleep can also negatively impact your body’s healing processes. Chronic sleep deprivation can lead to increased inflammation and a weakened immune system, further complicating recovery.
When assessing whether to seek medical attention, consider the following signs and symptoms:
1. Persistent Pain: If you are experiencing ongoing pain that does not improve with rest or over-the-counter pain medications, it may indicate a more severe injury, such as a ligament tear or cartilage damage.
2. Swelling and Inflammation: Significant swelling or inflammation around the knee joint can suggest an underlying issue, such as a meniscus tear or ligament injury. If the swelling does not subside after a few days of rest and ice application, it is advisable to see a doctor.
3. Limited Range of Motion: If you find it difficult to bend or straighten your knee, this could indicate damage to the ligaments or cartilage. A healthcare provider can perform a physical examination and possibly imaging studies, such as an MRI, to assess the extent of the injury.
4. Signs of Infection: If the wound appears red, warm, or produces pus, these could be signs of an infection. Infections can complicate healing and may require antibiotics or other interventions.
5. Chronic Conditions: Given your mention of high blood sugar, it is essential to manage any underlying conditions that could affect healing. If you have diabetes or any other chronic health issues, it is vital to keep them under control and discuss them with your healthcare provider.
In your situation, it would be prudent to schedule an appointment with a healthcare professional, preferably an orthopedic specialist, who can evaluate your knee injury comprehensively. They may perform a physical examination, assess your range of motion, and possibly order imaging studies to determine if there are any underlying injuries that need to be addressed.
In summary, if your knee wound has not healed after several weeks, and especially if you are experiencing pain, swelling, or other concerning symptoms, it is essential to seek medical attention. Early intervention can prevent complications and promote better healing outcomes. Additionally, managing your blood sugar levels and ensuring adequate rest can significantly contribute to your recovery process.
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