Bruising and swelling after an injury?
Hello Dr.
Lee, I originally had a lipoma on my knee, but a few days ago I accidentally fell and injured my knee.
As a result, the area where the lipoma is located has become red and swollen, and I feel pain when bending my knee.
Today, there are some small white spots appearing, resembling pustules.
Should I see a doctor for this, or will it resolve on its own? Thank you.
Ting, 30~39 year old female. Ask Date: 2023/06/28
Dr. Li Zhonghuai reply Surgery
Hello! It is recommended to perform debridement and excision.
Wishing you a safe recovery! Changhua Hospital cares about you!
Reply Date: 2023/06/28
More Info
After experiencing an injury, especially one involving a fall that has resulted in swelling and pain, it is crucial to assess the situation carefully. In your case, the presence of a lipoma (a benign fatty tumor) that has become red, swollen, and painful after the injury, along with the emergence of white spots resembling pus, indicates that you should definitely seek medical attention.
Here are several reasons why seeing a doctor is advisable:
1. Infection Risk: The appearance of white spots that look like pus could suggest an infection. When the skin is broken or irritated, bacteria can enter the area, leading to an infection. This can cause increased redness, swelling, warmth, and pain. If left untreated, an infection can spread and lead to more serious complications.
2. Assessment of Injury: While the lipoma itself is typically harmless, the injury you sustained may have caused additional damage to the surrounding tissues, including muscles, ligaments, or even the knee joint itself. A healthcare professional can perform a thorough examination and may recommend imaging studies, such as an ultrasound or MRI, to evaluate the extent of the injury.
3. Pain Management: If you are experiencing significant pain, a doctor can provide appropriate pain management strategies. This may include prescribing medications or recommending physical therapy to aid in recovery.
4. Treatment Options: Depending on the diagnosis, treatment options may vary. If an infection is confirmed, antibiotics may be necessary. If there is significant swelling, your doctor might recommend rest, ice, compression, and elevation (RICE) as initial management strategies. In some cases, drainage of any abscess may be required.
5. Monitoring for Complications: After an injury, it’s essential to monitor for complications such as persistent swelling, increased pain, or changes in mobility. A healthcare provider can help you understand what symptoms to watch for and when to seek further care.
In summary, given the symptoms you are experiencing—specifically the redness, swelling, pain, and the development of white spots—it is prudent to see a doctor. They can provide a proper evaluation and determine the best course of action to ensure your recovery and prevent any potential complications. Ignoring these symptoms could lead to worsening conditions, so timely medical intervention is key.
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