Persistent Leg Swelling After Motorcycle Accident: What to Do? - Surgery

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The swelling in the calf after the car accident won't go away?


I would like to ask, after my motorcycle accident on November 20, my motorcycle was pressed against the inner side of my left calf.
Later, the inner side of my calf became bruised and swollen, and the skin feels numb to the touch, but I can still feel pain when pressing hard.

Ren, 20~29 year old female. Ask Date: 2022/11/22

Dr. Peng Xianwen reply Surgery


It is advisable to return for a follow-up consultation with the physician.
Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.

Reply Date: 2022/11/22

More Info


After a motorcycle accident, persistent leg swelling, especially in the area where the motorcycle made contact, can be concerning. Given your description of bruising, swelling, and a tingling sensation in the skin, it is essential to approach this situation with caution.

Firstly, the symptoms you are experiencing—bruising, swelling, and a tingling sensation—suggest that there may be soft tissue injury, possibly involving muscles, tendons, or ligaments in the affected area. The fact that you can still feel pain when pressing on the area indicates that there is likely some degree of inflammation or injury present. The tingling sensation could be a sign of nerve involvement, which may occur if there is swelling pressing on nearby nerves.

In the immediate aftermath of an injury like this, the R.I.C.E. method is often recommended:
1. Rest: Avoid putting weight on the injured leg to prevent further injury.

2. Ice: Apply ice packs to the swollen area for 15-20 minutes every hour as needed to reduce swelling and numb the pain.

3. Compression: Use an elastic bandage to wrap the area, which can help control swelling. Be careful not to wrap it too tightly, as this can impede circulation.

4. Elevation: Keep the leg elevated above the level of the heart to help reduce swelling.

However, given that the swelling persists and you are experiencing numbness and pain, it is crucial to seek medical attention. A healthcare professional may recommend imaging studies, such as an X-ray or MRI, to rule out any fractures or more serious injuries to the soft tissues or nerves.
In addition to imaging, a thorough physical examination will help assess the extent of the injury. If there is significant swelling, it may be necessary to drain any accumulated fluid if a hematoma (a localized collection of blood outside of blood vessels) has formed.
Physical therapy may also be beneficial in your recovery. A physical therapist can guide you through exercises to improve strength and flexibility in the affected leg, which can help restore function and reduce the risk of long-term complications.

If you notice any of the following symptoms, you should seek immediate medical attention:
- Increased swelling or pain
- Changes in skin color (such as redness or a bluish tint)
- Fever, which could indicate an infection
- Inability to move your toes or foot
- Severe pain that is not relieved by over-the-counter pain medications
In summary, while some swelling and bruising are expected after an injury, persistent symptoms warrant further evaluation. It is essential to consult with a healthcare provider who can provide a comprehensive assessment and appropriate treatment plan tailored to your specific situation. Early intervention can significantly impact your recovery and help prevent complications.

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