Fever After a Fracture: Causes and Care Tips

Fever after a fracture?

Hello doctor, I fell on May 27 and caused cracks in my right ankle and patella.
I have been using a brace for stabilization and initially took anti-inflammatory pain medication to reduce swelling.
However, on June 4, my knee suddenly became red, swollen, and warm, and I developed a slight fever (ranging between 37°C and 37.9°C).

1.
Is it normal to have a low-grade fever with a fracture like this?
2.
Should I apply heat or ice at this time? Thank you for your clarification, doctor.

Xiao Boli, 50~59 year old female. Ask Date: 2022/06/06

Dr. You Dianqi reply Orthopedics

You can apply ice packs initially, and it is advisable to schedule a follow-up appointment to consult with your primary physician.
Thank you.

Reply Date: 2022/06/06

More Info

Experiencing a fever after a fracture can be concerning, and it's essential to understand the potential causes and appropriate care measures. In your case, you mentioned that you sustained fractures in your right ankle and patella (kneecap) and that you are experiencing localized redness and swelling in your knee along with a mild fever ranging from 37 to 37.9 degrees Celsius.
1. Is a low-grade fever normal after a fracture?
A low-grade fever can occur after a fracture for several reasons. Initially, the body's inflammatory response to injury can cause a mild increase in body temperature. This is a natural response as the body works to heal itself. However, persistent or rising fevers, especially when accompanied by localized symptoms such as redness, swelling, and pain, may indicate an underlying issue, such as an infection. Infections can arise from open fractures, surgical procedures, or even from the skin surrounding the injury. Therefore, while a mild fever can be normal, it is crucial to monitor its progression and any accompanying symptoms closely.

2. Should I use heat or ice?
In the case of localized swelling and redness, ice is generally recommended over heat. Ice can help reduce inflammation and numb the area, providing relief from pain. Applying ice for 15-20 minutes at a time, several times a day, can be beneficial. Heat, on the other hand, can increase blood flow to the area, which may exacerbate swelling and inflammation, especially if there is an underlying infection.

Additional Care Tips:
- Monitor Symptoms: Keep a close eye on your symptoms. If the fever persists, increases, or if you notice worsening redness, swelling, or pain, it is essential to seek medical attention promptly. These could be signs of an infection that may require treatment.

- Medication: Continue taking any prescribed anti-inflammatory or pain-relief medications as directed by your healthcare provider. These can help manage pain and reduce inflammation.

- Rest and Elevation: Ensure you are resting the injured area and keeping it elevated when possible. This can help reduce swelling.

- Hydration and Nutrition: Stay well-hydrated and maintain a balanced diet rich in nutrients that support healing, such as proteins, vitamins, and minerals.

- Follow-Up Care: Regular follow-ups with your healthcare provider are crucial. They can assess the healing process and determine if any further interventions are necessary.

- Physical Activity: Avoid putting weight on the injured leg until cleared by your doctor. Engage in gentle movements as recommended by your healthcare provider or physical therapist to promote circulation without stressing the injury.

In summary, while a mild fever can be a normal response to a fracture, it is essential to monitor your symptoms closely. Ice is the preferred method for managing localized swelling and pain. If you have any concerns about your symptoms or if they worsen, do not hesitate to contact your healthcare provider for further evaluation and guidance. Your health and recovery are paramount, and proactive care can help ensure a smoother healing process.

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