Painful Red Bumps After Injury: When to See a Specialist - Surgery

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When dealing with painful red bumps after an injury, especially in the knee area, it is essential to understand the underlying causes and determine the appropriate course of action. Based on your description, it sounds like you are experiencing localized pain and discomfort in the knee, which could be due to several factors, including inflammation, infection, or even residual effects from the initial injury.

Firstly, it is crucial to assess the nature of the red bumps. If these bumps are accompanied by swelling, warmth, and tenderness, it could indicate an inflammatory response, possibly due to a localized infection or a reaction to the injury. In such cases, it is advisable to consult a healthcare professional to evaluate the situation further.

Given that you mentioned the pain intensifies when pressure is applied to the knee, and you experience numbness or tingling sensations, this could suggest nerve involvement or irritation. This symptomatology may also be associated with conditions like bursitis, tendinitis, or even a more complex issue such as complex regional pain syndrome (CRPS), especially if the pain persists long after the initial injury.

In terms of which specialist to see, it largely depends on the specific symptoms you are experiencing:
1. Orthopedic Surgeon: If the pain is primarily related to the knee joint, such as issues with ligaments, tendons, or cartilage, an orthopedic surgeon would be the most appropriate specialist. They can perform a thorough examination, possibly including imaging studies like X-rays or MRIs, to assess any structural damage or abnormalities.

2. Dermatologist: If the red bumps appear to be primarily skin-related, such as rashes or lesions that do not seem to be associated with deeper structures, a dermatologist may be more suitable. They can evaluate for skin infections, allergic reactions, or other dermatological conditions.

3. Pain Management Specialist: If the pain is chronic and not responding to initial treatments, a pain management specialist could provide additional options, including medication management, physical therapy, or interventional procedures.

4. Physical Therapist: Regardless of the specialist you choose, a physical therapist can be beneficial in addressing pain and improving function through targeted exercises and rehabilitation strategies.

In summary, if the red bumps are painful and associated with significant discomfort in the knee, it would be prudent to start with an orthopedic surgeon. They can provide a comprehensive evaluation and determine if further intervention is necessary. If the bumps are more superficial and related to the skin, then a dermatologist would be the right choice.
It is essential to seek medical attention sooner rather than later, especially if you notice any worsening symptoms, such as increased redness, swelling, or fever, which could indicate an infection. Early intervention can often lead to better outcomes and prevent complications.