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Query about patella pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3397 Questions

User :   Hello
Doctor :   how can i help you today ?
User :   About 1 week ago I hit the area just under my kneecap hard.
Doctor :   may i know your age ? and also how did the injury occur ?
User :   And as days apssed my foot started to get black and blue and is swollen
User :   I'm 57
Doctor :   you mean to say , u hit your knee and your feet, got swollen ?
User :   The knee has a bump and doesn't hurt too bad axcept when I apply pressure on the area
User :   Jusy my knee
User :   Hit my knee on the corner of concrete
Doctor :   ok,
Doctor :   now do u have any pain in the concerned foot ?
User :   No
User :   Just the swelling and black and Blue
Doctor :   any numbness ?
User :   No
Doctor :   is the black and blue swelling only on the upper surface or also on the lower sole as well ?
User :   At this point upper surface and sides some on the toes as well
Doctor :   ok,
Doctor :   are u able to walk properly ?
User :   My knee is feeling a little better than like the day after I hit it. Still has the bruise though not as big as it was at first
User :   Yes
Doctor :   It seems that the change in color could be due to synovitis and
User :   I'm just concerned as to why my foot would get swollen and black and blue
Doctor :   and the oozing of blood must have trickled via the subcutaneosus tissue into the foot
Doctor :   probably an injury of a bloood vessel , has caused blood to ooze beneath the skin
User :   I see, is that from gravity drawing it down to the lower extremity
Doctor :   have you been to a doctor any time ?
User :   Not
Doctor :   yes that seems that way
User :   Not yet
Doctor :   for the mean time, i would advise you to apply ice packs to the swelling
User :   What would be the best course of action as long as it down't become painful or numb
Doctor :   also keep the foot elevated
User :   Okay
User :   Would it be advised to see a doctor or see if it begins clearing up
Doctor :   Seeking medical opinion and getting the limb tested is better
Doctor :   no at your age, please see a doctor
User :   What test would b used
Doctor :   waiting for it to heal , may cause some troble if complications occur
Doctor :   a Xray and a doppler ultrasound
User :   Okay, thank you
Doctor :   these tests will help to know if any vessel is torn or anything else
User :   Sounds good, thank you for your help
Doctor :   In case there is suspicion of any ligament tear, a MRI may be adviced by your doctor just to be sure
Doctor :   You r welcome
Doctor :   i hope i have answered your questions
User :   Have a good day
User :   You have, thank you
Doctor :   you too,
Doctor :   please leave your feedbcak as u log out
Doctor :   it will be appreciated very much
User :   Okay
Doctor :   take care and have a good day
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