Ankle injury
After a collision with another person, I sustained a bruise on the protruding bone of my left ankle.
It has been one month since the incident.
I went to the emergency room on the day of the injury and underwent debridement.
I returned for a follow-up appointment three days later, and the doctor advised that I could use artificial skin.
Currently, there is a white ring around the wound, and I'm unsure what it is.
The wound experiences sharp pain, and I am unable to stand for long periods.
Is this normal?
Qiao, 40~49 year old female. Ask Date: 2023/10/31
Dr. Peng Xianwen reply Surgery
Hello, Ms.
Chiao: Based on the situation you described, it is recommended that you return to the surgical outpatient clinic for a follow-up to address the issue.
Director Peng Hsien-Wen of the General Surgery Department at Nantou Hospital.
Reply Date: 2023/10/31
More Info
When dealing with ankle injuries, particularly those resulting from trauma such as a collision, it's essential to understand the healing process, symptoms, and proper care techniques. Based on your description, it seems you have sustained a contusion to the bony prominence of your left ankle, which has been ongoing for about a month. You mentioned that you received debridement in the emergency department and were advised to use artificial skin for wound care.
Healing Process and Symptoms
The healing time for ankle injuries can vary significantly depending on the severity of the injury, the specific structures involved (such as ligaments, tendons, or bones), and the individual's overall health. Generally, soft tissue injuries like contusions can take anywhere from a few weeks to several months to heal completely.
The presence of a white ring around the wound could indicate several things. It might be a sign of the healing process, such as granulation tissue forming, or it could suggest a possible infection or reaction to the artificial skin. The stinging pain you experience could be due to nerve endings being irritated during the healing process or could indicate that the wound is not healing as expected.
Care Tips
1. Wound Care: Continue to keep the wound clean and dry. If you notice increased redness, swelling, or discharge, it may be a sign of infection, and you should consult a healthcare professional immediately. Change the artificial skin as recommended by your doctor, and avoid picking at the wound.
2. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain and inflammation. However, always follow the dosage instructions and consult your doctor if you have any concerns.
3. Rest and Elevation: It’s crucial to rest the injured ankle as much as possible. Elevating the ankle above heart level can help reduce swelling. Avoid standing for long periods, as this can exacerbate pain and swelling.
4. Compression: Using a compression bandage can help manage swelling. Ensure it’s not too tight, as this can impede circulation.
5. Physical Therapy: Once the initial pain and swelling have subsided, gentle range-of-motion exercises can help regain mobility. A physical therapist can provide a tailored rehabilitation program to strengthen the ankle and prevent future injuries.
6. Monitor Symptoms: Keep an eye on your symptoms. If the pain worsens, or if you experience new symptoms such as fever, increased swelling, or inability to bear weight on the ankle, seek medical attention promptly.
Conclusion
In summary, while some discomfort and symptoms are normal during the healing process, persistent pain, especially if accompanied by other concerning signs, should not be ignored. It's essential to maintain open communication with your healthcare provider regarding your symptoms and progress. If you have any doubts or if your condition does not improve, do not hesitate to seek further medical evaluation. Proper care and attention to your injury will facilitate a smoother recovery and help you return to your normal activities as soon as possible.
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