The front area of the left leg is bruised and is slightly higher than the right leg?
In March, I was hit by a motorcycle and my left calf was X-rayed.
The doctor said there were no issues with the bones, and I was able to walk normally after a month.
However, six months later, the front of my left calf is still slightly higher compared to my uninjured right calf.
Upon closer inspection or by touch, I can feel the difference, but there are no hard lumps or bruising.
When pressed, the response feels normal and rebounds similarly to my right leg.
Could you please explain the reason for this, and will it improve?
Wang, 10~19 year old female. Ask Date: 2022/09/20
Dr. Chen Bingze reply Surgery
Hello, if you can walk normally, that should be fine.
As for why there is a significant increase, it may be necessary to go to the hospital for further examination.
Reply Date: 2022/09/20
More Info
After a motorcycle accident in March, you experienced an injury to your left calf, which was confirmed by an X-ray to have no fractures. However, six months later, you are noticing that the front of your left calf is still slightly swollen compared to your uninjured right calf. You mentioned that there are no hard lumps or bruises, and the rebound sensation when pressing on the calf is normal.
This situation is not uncommon following soft tissue injuries, even when there are no visible fractures or significant damage to the bones. The swelling you are experiencing could be attributed to several factors:
1. Soft Tissue Injury: Even if the X-ray shows no fractures, soft tissue injuries such as strains, sprains, or contusions can lead to prolonged swelling. The body’s inflammatory response to injury can persist for weeks or even months, especially if the injury was significant.
2. Fluid Accumulation: After an injury, fluid can accumulate in the tissues, leading to swelling. This is part of the healing process, but sometimes the fluid does not completely resolve, especially if the area has been immobilized or not used as much during recovery.
3. Muscle Atrophy: If you had to limit the use of your left leg due to pain or discomfort, the muscles in that area may have weakened or atrophied, which can sometimes lead to a perception of swelling or fullness in the area.
4. Scar Tissue Formation: After an injury, scar tissue can form as part of the healing process. This tissue can sometimes feel different from the surrounding tissue and may contribute to a feeling of fullness or swelling.
5. Circulation Issues: Sometimes, injuries can affect circulation in the area, leading to localized swelling. This can be due to changes in blood flow or lymphatic drainage.
As for whether this condition will improve, it is likely that with time and appropriate rehabilitation, the swelling will decrease. Here are some recommendations:
- Physical Therapy: Engaging in physical therapy can help improve circulation, reduce swelling, and strengthen the muscles in your calf. A physical therapist can provide targeted exercises to promote healing and restore function.
- Compression: Using compression garments or wraps can help manage swelling by promoting better blood flow and reducing fluid accumulation.
- Elevation: Keeping your leg elevated when resting can help reduce swelling by allowing fluids to drain away from the injured area.
- Gentle Exercise: Gradually increasing your activity level, as tolerated, can help improve circulation and promote healing. Low-impact activities like swimming or cycling can be beneficial.
- Monitoring: Keep an eye on the swelling and any changes in sensation or function. If the swelling persists or worsens, or if you experience pain, it would be prudent to follow up with your healthcare provider for further evaluation.
In summary, while it can be concerning to see persistent swelling after an injury, it is often a normal part of the healing process. With appropriate care and rehabilitation, you should see improvement over time. If you have ongoing concerns, do not hesitate to consult with a healthcare professional who can provide personalized advice based on your specific situation.
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