Persistent Knee Wound After Car Accident: What You Need to Know - Surgery

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It sounds like you are experiencing persistent issues with a knee wound following your car accident on January 1st. The fact that the wound has not healed and has changed in color to red, purple, and black, along with swelling and pain upon contact, is concerning. While I cannot provide a specific diagnosis without a physical examination, I can offer some insights based on common medical knowledge regarding wound healing and potential complications.

Firstly, it is important to understand that wounds, especially those located over joints like the knee, can be particularly challenging to heal. The knee joint is subject to a lot of movement and stress, which can impede the healing process. Additionally, the skin and underlying tissues may have sustained damage that is not immediately visible, such as deep tissue injury or damage to blood vessels and nerves.

The change in color of the wound to purple and black could indicate bruising or hematoma formation, which is a collection of blood outside of blood vessels. This can happen if there was significant trauma to the area, and it may take time for the body to reabsorb this blood. However, if the wound is not healing and remains swollen and painful, it is essential to consider the possibility of an infection or other complications.

Infections can occur even in seemingly minor wounds, particularly if there was any contamination at the time of injury. Signs of infection include increased redness, warmth, swelling, pain, and sometimes discharge from the wound. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

Regarding the medications you were prescribed, it is generally advisable to complete the full course of antibiotics if they were prescribed for an infection, even if you feel better. However, if you have concerns about the effectiveness of the treatment or if your symptoms are worsening, it is best to consult your healthcare provider for further evaluation. They may recommend additional treatments, such as a different antibiotic, wound care strategies, or even imaging studies to assess for deeper tissue damage.

In terms of wound care, keeping the area clean and protected is vital. You should follow your doctor's instructions regarding the use of topical ointments and any dressings. If the wound is still open, it may require regular cleaning and dressing changes to promote healing.

If your knee continues to be painful and swollen, or if you have difficulty moving it, you might benefit from physical therapy. A physical therapist can help you regain strength and mobility in the knee, which is especially important if you want to return to activities like cycling.

In summary, while it is not uncommon for knee wounds to take time to heal, the persistence of your symptoms warrants further evaluation. Please consult with your healthcare provider to discuss your ongoing concerns and to ensure that you receive appropriate care. Your health and recovery are paramount, and addressing these issues early can help prevent further complications.