Car accident injuries
I was injured in a car accident this January, where I sustained abrasions on the front side of my left calf, and my entire ankle was bruised.
I had an X-ray taken, which showed no bone issues.
However, my wound did not heal properly and eventually worsened into cellulitis.
It wasn't until last month that the wound finally healed completely.
However, the healed area has developed a large black scar, and it is painful not only when pressed but sometimes even without pressure.
Which specialty should I see for this, general surgery or plastic surgery?
Wei Ling, 40~49 year old female. Ask Date: 2022/06/18
Dr. Li Zhonghuai reply Surgery
Hello! It is inevitable to have superficial nerve injury after a bruise.
Once the wound has healed, there is no need to manipulate it further.
You can take vitamin B12 and muscle relaxants, which will help improve the condition.
Take care! Changhua Hospital cares about you!
Reply Date: 2022/06/18
More Info
After experiencing a leg injury from a car accident, it is crucial to choose the right specialist for your recovery, especially considering the complications you have faced, such as delayed healing and the development of cellulitis. Given your situation, here are some insights and recommendations on which type of specialist to consult.
Understanding Your Condition
From your description, it seems that you initially suffered from a contusion and bruising in the front of your left lower leg, which later progressed to cellulitis, a bacterial skin infection. The fact that your wound took a long time to heal and has left a painful, discolored scar indicates that there may be underlying issues that need to be addressed.
Choosing the Right Specialist
1. General Surgeon: A general surgeon specializes in a wide range of surgical procedures and can manage various types of wounds and infections. If your primary concern is the pain and the healing of the scar, a general surgeon can evaluate the scar tissue and determine if there are any complications that need surgical intervention. They can also assess whether the pain you are experiencing is due to nerve involvement or other factors related to the injury.
2. Plastic Surgeon: If your primary concern is the appearance of the scar and the pain associated with it, a plastic surgeon may be the more appropriate choice. Plastic surgeons specialize in reconstructive and cosmetic surgery, and they can offer options for scar revision, which may help improve the appearance of the scar and alleviate pain. They can also provide treatments such as laser therapy, dermabrasion, or other modalities that can enhance healing and reduce discomfort.
3. Pain Management Specialist: If the pain persists and is affecting your quality of life, consulting a pain management specialist may be beneficial. They can provide a comprehensive approach to managing chronic pain, which may include medications, physical therapy, and interventional procedures.
4. Physical Therapist: Regardless of the specialist you choose, working with a physical therapist can be invaluable in your recovery. They can help you regain strength and mobility in your leg, which may alleviate some of the pain you are experiencing. Physical therapy can also assist in scar management through specific techniques that promote healing and reduce sensitivity.
Additional Considerations
- Follow-Up Care: Since you have experienced complications such as cellulitis, it is essential to ensure that you are monitored for any signs of infection or other complications. Regular follow-up appointments with your chosen specialist will help track your recovery progress.
- Pain Management: Discuss your pain levels openly with your healthcare provider. They may recommend over-the-counter pain relief options or prescribe medications that can help manage your discomfort.
- Wound Care: If your scar is still sensitive or painful, ensure that you are following proper wound care protocols. Keeping the area clean and moisturized can promote healing and reduce discomfort.
Conclusion
In summary, based on your situation, starting with a general surgeon would be a prudent choice to address any underlying issues related to your injury and pain. If the focus shifts to the cosmetic aspect of your scar, a plastic surgeon would be the next step. Additionally, incorporating physical therapy into your recovery plan can significantly enhance your healing process. Always ensure that you communicate your concerns clearly with your healthcare providers to receive the most appropriate care for your recovery.
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