Managing Swollen Knee Injury After Accident: What to Do Next - Surgery

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After a car accident, the wound that had scabbed over was accidentally bumped again, causing the wound to swell up like a blister?


Hello doctor, I had a significant abrasion on my knee from a car accident on October 30th.
When the wound was almost healed, I bumped my knee against something two days ago, which caused immediate pain and intermittent discomfort.
The appearance of the wound seemed normal, but today I noticed some swelling that looks a bit like a blister, although it shouldn't be a blister.
What should I do about this?

123, 20~29 year old female. Ask Date: 2016/01/15

Dr. Li Zhonghuai reply Surgery


Hello! If it's a blister, it's best to consult a surgeon for a proper evaluation.
Avoid contact with tap water for now.
Changhua Hospital cares about you!

Reply Date: 2016/01/15

More Info


After experiencing a knee injury from a car accident, especially with the recent incident of hitting your knee again, it is not uncommon to encounter swelling and pain. The symptoms you describe, including intermittent pain and swelling that resembles a blister, suggest that there may be underlying issues that need to be addressed. Here’s a comprehensive approach to managing your swollen knee injury and what steps you should take next.


Understanding the Injury
1. Soft Tissue Damage: The initial injury from the car accident may have caused damage to the soft tissues around the knee, including ligaments, tendons, and muscles. The subsequent impact could have exacerbated this damage, leading to inflammation and swelling.

2. Joint Effusion: The swelling you observe could be due to joint effusion, which is the accumulation of fluid in the knee joint. This can occur after trauma and may be a response to injury, leading to pain and limited mobility.

3. Contusion or Bruising: If you hit your knee again, it could have caused a contusion, which is a bruise that can lead to swelling and tenderness in the area.


Immediate Management Steps
1. Rest: It’s crucial to give your knee some time to heal. Avoid putting weight on it and refrain from activities that may aggravate the injury.

2. Ice Therapy: Apply ice to the swollen area for 15-20 minutes every couple of hours. This can help reduce swelling and numb the pain. Make sure to wrap the ice pack in a cloth to prevent frostbite.

3. Compression: Use an elastic bandage or a knee sleeve to provide compression. This can help control swelling and provide support to the knee.

4. Elevation: Keep your knee elevated above the level of your heart when resting. This can help reduce swelling by promoting fluid drainage.

5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation. Always follow the recommended dosage and consult with a healthcare provider if you have any concerns.


When to Seek Medical Attention
Given your symptoms, it’s advisable to consult a healthcare professional, especially if:
- The swelling persists or worsens despite home treatment.

- You experience severe pain that is not relieved by over-the-counter medications.

- You notice any changes in the color or temperature of your knee, which could indicate a more serious issue such as infection.

- You have difficulty moving your knee or bearing weight on it.


Further Evaluation
A healthcare provider may perform a physical examination and could recommend imaging studies such as an X-ray or MRI to assess for any underlying injuries, such as ligament tears or cartilage damage. This is particularly important if you have a history of knee issues or if the swelling does not improve.


Rehabilitation and Recovery
Once the acute phase of your injury has passed, a physical therapist can help you with a rehabilitation program tailored to your needs. This may include exercises to improve strength, flexibility, and range of motion in your knee. Early intervention can significantly enhance recovery and prevent long-term complications.


Conclusion
In summary, managing a swollen knee after an accident involves a combination of rest, ice, compression, and elevation. Monitoring your symptoms and seeking medical advice when necessary is crucial for proper recovery. Remember, your knee is a complex joint, and addressing any injuries promptly will help ensure a better outcome. Take care of yourself, and don’t hesitate to reach out to a healthcare professional for personalized guidance.

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