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What Causes Bruise To Spread After A Knee Injury?

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Posted on Mon, 26 May 2014
Question: Fell down. Knee is severely bruised and swollen. The bruise is spreading. Normal?
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Answered by Dr. Vaibhav Gandhi (1 hour later)
Brief Answer:
Do not neglect

Detailed Answer:
Hello,

I have studied your case.
I will advise to
Rest the part and avoid any movements that produce pain.
Apply ice or a cold pack to the painful area for 15 to 20 minutes, 4 times a day for several days. Wrap the ice or cold pack in a towel.
Till time you can take anti-inflammatory and antibiotic if infection is suspected.

If swelling and bruise is not reducing and giving pain while I will advise you to further investigate
I will advise you to do X ray and Ultrasound of the swelling.
Partial ligament injury can be managed conservatively with physiotherapy with USG and TENS.

Another possibility of infection post injury
DO NOT IGNORE INFECTION IN POST TKR.
You may need to investigate like CRP, CBC, ESR
PCR culture is very useful to find culprit organism.

If infection is confirmed then debridement is required .Persistent infection revision operation is required.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Causes Bruise To Spread After A Knee Injury?

Brief Answer: Do not neglect Detailed Answer: Hello, I have studied your case. I will advise to Rest the part and avoid any movements that produce pain. Apply ice or a cold pack to the painful area for 15 to 20 minutes, 4 times a day for several days. Wrap the ice or cold pack in a towel. Till time you can take anti-inflammatory and antibiotic if infection is suspected. If swelling and bruise is not reducing and giving pain while I will advise you to further investigate I will advise you to do X ray and Ultrasound of the swelling. Partial ligament injury can be managed conservatively with physiotherapy with USG and TENS. Another possibility of infection post injury DO NOT IGNORE INFECTION IN POST TKR. You may need to investigate like CRP, CBC, ESR PCR culture is very useful to find culprit organism. If infection is confirmed then debridement is required .Persistent infection revision operation is required. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.