Managing Post-Car Accident Swelling and Numbness in the Leg - Surgery

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Bruising from a car accident?


Doctor, after my car accident, my calf swelled up and looked like a water balloon.
After three days of icing, the swelling has decreased, but the area that looked like a water balloon feels like mochi when pressed and has no sensation.
What should I do? Should I go to the hospital for treatment? The bones are not injured.
If I need to see a doctor, which specialty should I consult? Can I go to a dermatologist?

Mr. Chen, 20~29 year old female. Ask Date: 2018/01/24

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to see a general surgeon.
The hematoma wound is not necrotic, and conservative treatment is advised.
Take care! Changhua Hospital cares about you!

Reply Date: 2018/01/24

More Info


After a car accident, experiencing swelling and numbness in the leg can be concerning and warrants careful attention. Based on your description, it seems that you have developed significant swelling in your calf area, which initially resembled a water balloon. The fact that you have been applying ice and have noticed some reduction in swelling is a positive sign, but the persistent numbness and unusual texture of the area (described as resembling mochi) indicate that further evaluation may be necessary.

Swelling after an injury is a common response as the body reacts to trauma. This swelling, known as edema, can occur due to inflammation, fluid accumulation, or even injury to the soft tissues surrounding the area. The numbness you are experiencing could be attributed to several factors, including nerve compression, damage to the nerves, or even vascular issues that may have arisen from the trauma.

Given that you mentioned there is no bone injury, it is essential to consider the soft tissue structures, including muscles, tendons, ligaments, and nerves. The numbness could suggest that a nerve may be compressed or irritated due to swelling or inflammation. In such cases, it is advisable to consult with a healthcare professional who specializes in musculoskeletal injuries.
While dermatology may address skin-related issues, your symptoms are more aligned with orthopedic or possibly neurology concerns. An orthopedic specialist can evaluate the soft tissue injuries and assess for any potential nerve involvement. They may conduct a physical examination and, if necessary, imaging studies such as an MRI or ultrasound to get a clearer picture of the underlying issues.

In the meantime, here are some general recommendations for managing swelling and numbness:
1. Rest: Avoid putting weight on the affected leg to prevent further injury.

2. Ice Therapy: Continue applying ice packs to the swollen area for 15-20 minutes every couple of hours. This can help reduce swelling and numbness.

3. Elevation: Elevate your leg above the level of your heart when resting. This can help decrease swelling by promoting venous return.

4. Compression: Consider using a compression bandage to help control swelling, but ensure it is not too tight to avoid further restricting blood flow.

5. Gentle Movement: If possible, engage in gentle range-of-motion exercises to promote circulation without causing pain.

If the numbness persists or worsens, or if you experience additional symptoms such as severe pain, changes in skin color, or temperature changes in the leg, it is crucial to seek medical attention promptly. These could be signs of more serious complications that require immediate intervention.

In summary, while some swelling and numbness can be expected after a car accident, the persistence of these symptoms warrants further evaluation by an orthopedic specialist. They can provide a comprehensive assessment and recommend appropriate treatment options to facilitate your recovery.

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