Managing Persistent Swelling After Calf Bone Injury at Work - Surgery

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The shinbone was hit?


I bumped my calf bone while climbing at work.
Initially, there was bruising and swelling, and while the bruise has faded, the swelling is still increasing.
What should I do now?

Wuming Shi, 20~29 year old female. Ask Date: 2021/07/17

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to go to the hospital for an X-ray to check if there are any fractures in the bones.
Hematomas are generally treated conservatively.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2021/07/17

More Info


Managing persistent swelling after a calf bone injury can be a challenging situation, especially when it affects your ability to work and perform daily activities. It’s important to understand the underlying causes of swelling and the appropriate steps to take for effective management.

Initially, the swelling you are experiencing could be a result of several factors, including inflammation from the injury, fluid accumulation, or even a response to the trauma itself. Since you mentioned that the bruising has subsided but the swelling persists, it is crucial to consider the possibility of underlying issues such as a fracture, soft tissue injury, or even complications like a hematoma or deep vein thrombosis (DVT).

Here are some steps you can take to manage the swelling effectively:
1. Rest and Elevation: It is essential to give your calf adequate rest. Avoid putting weight on the injured leg as much as possible. Elevating the leg above heart level can help reduce swelling by promoting venous return and decreasing fluid accumulation in the area.

2. Ice Therapy: Applying ice to the swollen area can help reduce inflammation and numb the pain. Use an ice pack wrapped in a cloth for 15-20 minutes every hour as needed. Avoid placing ice directly on the skin to prevent frostbite.

3. Compression: Using a compression bandage can help control swelling. Make sure the bandage is snug but not too tight, as excessive pressure can impede circulation. Compression socks or sleeves designed for calf injuries can also be beneficial.

4. Gentle Movement: While rest is important, gentle range-of-motion exercises can help maintain mobility and prevent stiffness. Consult with a healthcare professional or physical therapist for appropriate exercises that won’t exacerbate the swelling.

5. Hydration and Diet: Staying well-hydrated can help your body manage swelling. Additionally, a balanced diet rich in anti-inflammatory foods (like fruits, vegetables, and omega-3 fatty acids) may support recovery.

6. Monitor Symptoms: Keep an eye on the swelling and any other symptoms. If the swelling worsens, or if you experience increased pain, redness, warmth, or fever, it is crucial to seek medical attention promptly. These could be signs of infection or other complications.

7. Consult a Healthcare Professional: If the swelling persists despite these measures, it is advisable to consult a healthcare provider. They may recommend imaging studies, such as an X-ray or MRI, to rule out fractures or other injuries that may not be immediately apparent.

8. Physical Therapy: If the swelling is due to a soft tissue injury or if you have difficulty regaining full function, a physical therapist can provide tailored rehabilitation exercises and modalities to facilitate recovery.

In conclusion, while managing persistent swelling after a calf bone injury, it is vital to take a comprehensive approach that includes rest, elevation, ice, compression, and gentle movement. Monitoring your symptoms closely and seeking professional medical advice when necessary will ensure that you address any underlying issues effectively. Remember, your body needs time to heal, and being proactive about your recovery can help you return to work and your normal activities safely and efficiently.

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