Pain and Swelling After a Leg Abrasion Injury - Surgery

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Pain in the abrasion area of the left calf?


Hello, I would like to ask a question.
I was in a car accident on Monday, and my left side hit the ground.
I have a large abrasion on my left calf.
After going to the hospital and returning home, it has now been five days.
Whenever I try to stand up from a lying position or change from lying down to sitting, the abrasion on my calf causes intense pain.
Is this normal? The pain occurs every time I change positions, and I also experience intermittent pain when standing.
Additionally, my left calf appears to be more swollen than my right calf.

Gao Xiansheng, 20~29 year old female. Ask Date: 2021/08/27

Dr. Li Zhonghuai reply Surgery


Hello! For large wounds that are exposed to the ground, there may be a lot of dirt and debris on them.
It is important to clean them daily with a sterile cotton swab and saline solution; otherwise, they will remain in an infected state, causing pain and swelling.
It is advisable to return to the hospital for dressing changes.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2021/08/27

More Info


After experiencing a leg abrasion injury from a car accident, it is not uncommon to encounter pain and swelling in the affected area. The symptoms you describe—intense pain when changing positions from lying down to standing or sitting, as well as noticeable swelling in the left calf compared to the right—are indicative of the body's response to trauma.

When an injury occurs, especially one involving the skin and underlying tissues, the body initiates an inflammatory response. This process is characterized by swelling, redness, heat, and pain, which are all part of the healing mechanism. In your case, the abrasion on your left calf has likely led to localized inflammation, which can cause discomfort when you move or change positions. The pain you experience during these movements is likely due to the strain placed on the injured tissues, as well as the activation of pain receptors in the area.

The swelling you observe is a result of fluid accumulation in the tissues, which is common after an injury. This fluid buildup can increase pressure in the area, leading to further discomfort. It is also important to consider that the pain may be exacerbated by the position of your leg; for example, lying down may cause the injured area to be in a position that puts additional strain on the tissues when you attempt to move.

While some level of pain and swelling is expected following an abrasion, it is crucial to monitor your symptoms. If the pain becomes increasingly severe, or if you notice additional symptoms such as increased redness, warmth, or discharge from the wound, it may indicate an infection or other complications that require medical attention. Additionally, if the swelling does not begin to subside after a few days, or if you experience difficulty moving your leg, it would be wise to consult a healthcare professional for further evaluation.

In terms of management, here are some recommendations to help alleviate your symptoms:
1. Rest: Avoid putting weight on the injured leg as much as possible to allow the tissues to heal.

2. Ice Therapy: Applying ice to the swollen area can help reduce inflammation and numb the pain. It is advisable to ice the area for 15-20 minutes every hour, especially during the first 48 hours post-injury.

3. Elevation: Keeping your leg elevated can help reduce swelling. Try to elevate your leg above the level of your heart when resting.

4. Compression: Using a compression bandage can help control swelling. However, ensure it is not too tight, as this can impede circulation.

5. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosage and consult with a healthcare provider if you have any concerns.

6. Gentle Movement: Once the initial pain and swelling begin to decrease, gentle range-of-motion exercises can help maintain mobility and prevent stiffness. However, avoid any movements that cause pain.

If your symptoms persist or worsen, it is advisable to seek further evaluation from a healthcare professional, such as an orthopedic specialist or a physical therapist. They can assess the extent of your injury and provide tailored rehabilitation strategies to facilitate recovery and prevent future complications.

In conclusion, while the pain and swelling you are experiencing are common after a leg abrasion, it is essential to monitor your symptoms closely and take appropriate measures to promote healing. If you have any doubts or concerns about your recovery, do not hesitate to reach out to a medical professional for guidance.

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