Cellulitis: Managing Pain and Mobility Issues - Internal Medicine

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Unable to walk after contracting cellulitis?


Three days ago, I was diagnosed with an infection in my left leg.
I have been taking my medication regularly, but I have been experiencing fever almost continuously after taking the medication.
Additionally, standing up causes unbearable pain in my left leg, and the only relief I find is when I elevate my leg to waist level.
Is this a normal phenomenon? What can I do to alleviate the discomfort?

Mr. Yan, 20~29 year old female. Ask Date: 2023/09/03

Dr. Lin Wufu reply Internal Medicine


Hello, if you are still experiencing a fever three days after starting antibiotics, it usually indicates that the cellulitis has not been adequately controlled.
It is advisable to return for a follow-up or consult an infectious disease specialist for evaluation.
If the fever has resolved but you experience swelling and pain in your legs when standing, that is a normal post-infection edema phenomenon, which typically lasts for several weeks to a month before gradually improving.

Reply Date: 2023/09/03

More Info


Cellulitis is a common and potentially serious bacterial skin infection that can cause pain, swelling, and redness in the affected area. It typically occurs when bacteria enter through a break in the skin, leading to inflammation and infection. Your symptoms of fever, pain, and the need to elevate your leg to alleviate discomfort are indeed consistent with cellulitis, especially in the context of an infection in your left leg.

When dealing with cellulitis, it is crucial to follow your healthcare provider's recommendations regarding medication, which usually includes antibiotics to combat the infection. The fever you are experiencing is a common response to infection, as your body is working to fight off the bacteria. However, persistent fever, especially if it is high or accompanied by worsening symptoms, should be reported to your healthcare provider, as it may indicate that the infection is not responding to treatment or that there are complications.

The pain you feel when standing or using your leg is also typical in cases of cellulitis. The inflammation and swelling can put pressure on surrounding tissues and nerves, leading to significant discomfort. Elevating the affected limb, as you have been doing, is a recommended practice because it helps reduce swelling and improve circulation, which can alleviate pain. Additionally, applying a cool compress to the area may provide some relief from pain and inflammation.

Here are some additional strategies to manage your symptoms and improve your comfort while dealing with cellulitis:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce pain and fever. However, consult your healthcare provider before taking any new medications, especially if you are already on prescribed antibiotics.

2. Rest and Elevation: Continue to rest and keep your leg elevated as much as possible. This will help reduce swelling and improve blood flow to the area.

3. Hydration: Ensure you are drinking plenty of fluids. Staying hydrated can help your body fight the infection and may assist in reducing fever.

4. Follow-Up Care: Regular follow-up with your healthcare provider is essential. If your symptoms do not improve within a few days of starting antibiotics, or if they worsen, you may need further evaluation. This could include imaging studies to rule out complications such as abscess formation.

5. Monitor Symptoms: Keep a close eye on your symptoms. If you notice increased redness, swelling, or warmth in the affected area, or if you develop new symptoms such as chills or increased pain, seek medical attention promptly.

6. Avoid Strain: Try to avoid putting weight on the affected leg until your symptoms improve. If necessary, use crutches or a walker to assist with mobility while you recover.

In summary, while the symptoms you are experiencing are consistent with cellulitis, it is essential to maintain communication with your healthcare provider regarding your treatment and any changes in your condition. By following their guidance and implementing the strategies mentioned above, you can help manage your pain and improve your mobility during this recovery period. If you have any concerns or if your symptoms worsen, do not hesitate to seek medical attention.

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