Should I Visit a Hospital for Persistent Ankle Blood Clots After an Accident? - Surgery

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After a car accident, if the blood clot in your ankle is not resolving, should you go to a major hospital for evaluation?


Hello Doctor: I was involved in a motorcycle accident about four months ago, and my ankle was crushed by my own motorcycle.
The blood clot has not resolved, and my ankle remains swollen, although it does not hurt when I walk.
Last month, I visited a general surgery clinic and took medication for three days, but there seems to be no improvement.
Should I go to a regional hospital for treatment, and would I still need to see a general surgeon? Or should I just apply heat and wait for my ankle to heal on its own? Additionally, could you please advise me on what I should pay attention to in order to recover more quickly? Thank you, Doctor!

Chehuohou yizhi mei hao de lunban xingren, 20~29 year old female. Ask Date: 2021/04/15

Dr. Li Zhonghuai reply Surgery


Hello! First, confirm that there are no fractures, and then assess whether the hematoma has resolved.
After four months, it is generally possible to perform fine needle aspiration.
If a capsule has formed nearby and is solid, surgical debridement is still recommended.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2021/04/15

More Info


It sounds like you've been dealing with a persistent issue following your ankle injury from the motorcycle accident. Given that it's been four months and you're still experiencing swelling and blood clots, it's definitely advisable to seek further medical attention. Here’s a detailed response to your concerns.


Should You Visit a Hospital?
Yes, you should consider visiting a hospital, especially if the swelling and blood clots have not improved after four months. While it’s good that you consulted a general surgery clinic, the lack of improvement suggests that there may be underlying issues that need more specialized attention. A regional hospital can provide more comprehensive diagnostic tools, such as ultrasound imaging, to assess the blood flow in your ankle and determine the extent of the blood clots.


Which Department to Visit?
When you go to the hospital, you might want to visit the vascular surgery department or the orthopedic department, as they specialize in conditions related to blood vessels and musculoskeletal injuries, respectively. If you have access to a vascular specialist, they would be particularly suited to evaluate your blood clots and any potential complications, such as deep vein thrombosis (DVT), which can occur after trauma.


What to Expect During Your Visit
During your hospital visit, the doctor will likely perform a physical examination and may order imaging studies, such as an ultrasound, to visualize the blood clots and assess blood flow. Depending on the findings, treatment options may include:
- Medication: Anticoagulants (blood thinners) may be prescribed if there is a risk of DVT.

- Compression Therapy: Wearing compression stockings can help reduce swelling and improve circulation.

- Physical Therapy: A tailored exercise program may be recommended to improve mobility and strength in your ankle.


Self-Care and Recovery Tips
While waiting for your hospital visit, here are some self-care tips that may help manage your symptoms:
1. Elevation: Keep your ankle elevated above the level of your heart when resting to reduce swelling.

2. Compression: If advised by a healthcare professional, consider using a compression bandage to help manage swelling.

3. Ice Therapy: Applying ice packs for 15-20 minutes several times a day can help reduce swelling and discomfort.

4. Gentle Movement: Engage in gentle range-of-motion exercises to maintain mobility without putting too much strain on your ankle.

5. Hydration: Staying well-hydrated can help improve circulation and overall recovery.

6. Avoid Prolonged Immobility: If possible, avoid sitting or standing in one position for too long, as this can exacerbate swelling.


Conclusion
In summary, given the persistence of your symptoms, it is wise to seek further medical evaluation at a hospital. A specialized assessment can help identify any serious conditions that may require intervention. Meanwhile, practicing self-care can aid in managing your symptoms. Remember, early intervention can prevent complications, so don’t hesitate to seek help. Your health is paramount, and addressing these issues sooner rather than later is crucial for your recovery.

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