Managing Bruises and Numbness After a Knee Injury: What to Do? - Surgery

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Bruising or contusion?


I fell while turning, and my left knee hit the ground with significant force.
After the impact, there was no bruising at the site of the collision, but I have no sensation when I touch that area.
However, I can feel sensation in the nearby bruised areas.
Now, three days later, when I press firmly, it feels a bit numb, and the bruising has spread from my knee down to my calf.
I'm not sure what to do; I've been very busy and haven't had time to see a doctor.
I have applied ice to the area.
Thank you for your response.

Ting, 20~29 year old female. Ask Date: 2020/07/03

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended that you go to the hospital for an X-ray to ensure that there are no issues with your bones.
The rest is simply treatment for a bruise.
Take care! Changhua Hospital cares about you!

Reply Date: 2020/07/03

More Info


After a knee injury, especially one involving a significant impact like a fall from a motorcycle, it's crucial to monitor your symptoms closely. The presence of bruising and numbness can indicate underlying issues that may require medical attention. Here’s a comprehensive approach to managing your symptoms and understanding what you might be experiencing.


Understanding Your Symptoms
1. Bruising: Bruises occur when small blood vessels break under the skin due to trauma, leading to bleeding in the surrounding tissues. The discoloration you see is a result of this bleeding and the body’s process of breaking down the blood cells. Bruising can spread over time, which is likely why you’re seeing it extend from your knee to your calf.

2. Numbness: The numbness you’re experiencing in the area of impact could be due to nerve compression or damage. This can happen if swelling from the bruise puts pressure on nearby nerves. The fact that you have sensation in the areas surrounding the bruise is a good sign, but persistent numbness should not be ignored.


Immediate Management
1. Ice Therapy: You mentioned that you have been using ice, which is excellent. Ice therapy helps reduce swelling and numbing pain. Apply ice wrapped in a cloth to the affected area for 15-20 minutes every hour as needed. Avoid direct contact with ice to prevent frostbite.

2. Rest and Elevation: Resting the injured leg and elevating it above heart level can help reduce swelling. Avoid putting weight on the injured knee until you can assess the pain and numbness more clearly.

3. Compression: If you have access to an elastic bandage or compression wrap, gently wrapping the knee can help control swelling. Ensure it’s not too tight, as this can impede circulation and worsen numbness.

4. Pain Management: If you’re experiencing pain, over-the-counter pain relievers like acetaminophen or ibuprofen can be helpful, provided you are not allergic to them. However, consult with a healthcare professional if you have any concerns about medication.


When to Seek Medical Attention
While it’s understandable that you’re busy, certain symptoms warrant a visit to a healthcare provider:
- Persistent Numbness: If the numbness does not improve or worsens, it’s essential to see a doctor. This could indicate nerve damage or other complications.


- Increased Swelling or Pain: If you notice that the swelling is increasing or if the pain becomes severe, this could suggest a more serious injury, such as a fracture or ligament damage.

- Mobility Issues: If you find it difficult to move your knee or if it feels unstable, you should seek medical evaluation.

- Signs of Infection: If you notice increased redness, warmth, or discharge from the bruised area, these could be signs of infection.


Long-term Considerations
If you experience ongoing issues such as chronic pain, instability, or recurrent numbness, it may be necessary to undergo imaging studies like an X-ray or MRI to rule out fractures or soft tissue injuries.

Conclusion
In summary, while managing bruises and numbness after a knee injury, focus on rest, ice, elevation, and gentle compression. Monitor your symptoms closely, and don’t hesitate to seek medical attention if your condition does not improve or worsens. Remember, your health is paramount, and addressing these symptoms early can prevent further complications down the line.

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