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What Causes Swelling On Skin Graft Site On Foot?

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Posted on Wed, 5 Aug 2015
Question: Hello Doctor

One of my friend had undergone through Grafting on her foot 5 yrs ago. Now she has big scar or marks on her foot.
One more thin doctor, she is having swelling on her foot where grafting was done. But this swelling occurs only when sge sits on the chair for long hours. This Swelling disappears when she takes rest.
Doctor i have following queries
1. Is there any way to reduce or remove this grafting scar or marks ?
2. Can this grafting create any problem in her future?
3. is this swelling coming due to grafting or there is any other reason for this ?

Doctor please provide your suggesstion
doctor
Answered by Dr. Charu Bansal (19 minutes later)
Brief Answer:
kindly upload images

Detailed Answer:
Hello. Welcome to Healthcaremagic.com.
I have read your query.
I understand your concern.
I want to know following details -
1 ) What was the indication of grafting?
2) Has she taken any treatment for the scar?
3) Is she having any other disease of the leg like varicose veins?
4) Any medical illness like Cardiac, pulmonary, diabetes, hypertension?
5) Does she get swelling in both legs or only in the grafted one?
Kindly reply to the questions and upload imges of the scar so that i can help you to my best.
Thanks
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Charu Bansal (3 hours later)
Doctor please find below the answers of your Questions

1. I don't know the indication of the grafting. I know only one thing that her foot skin got damaged in car accident.
right now i don't have the photographs
2. No she has not taken any treatment for the scar
3. No she is not suffering from vericose veins
4. She does not have any medical disease like Cardiac, Pulmonary, diabetes, hypertension
5. She gets the swelling only in the grafted leg
doctor
Answered by Dr. Charu Bansal (1 hour later)
Brief Answer:
venous insufficiency most likely cause for swelling

Detailed Answer:
Hello. Welcome back.

The treatment of scar will depend on its type and thickness. If it is hypertrophic scar, then intralesional steroid injections is the treatment of choice.
Else various medicines are available in cream formulations containing heparin, slicone gel etc.
Regarding the swelling in the leg, the most likely possibility for this is a condition called Post traumatic Venous Insufficiency.

I would advise you to get her Color venous doppler to look for venous insufficiency or any valve defect of the involved limb.
Till then she should take following precautions-
1) Wrap crepe bandage in the involved limb from foot to knee while standing.
2) put pillow beneath legs while lying down such that the level of limbs is above the level of heart.
3) Raise the legs and support against wall for five minutes 3 times a day .
This will improve the circulation in lower limbs thus reducing the swelling.

Kindly provide images of the scar so that I can help you to my best.
Thanks
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Charu Bansal

Dermatologist

Practicing since :2010

Answered : 773 Questions

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What Causes Swelling On Skin Graft Site On Foot?

Brief Answer: kindly upload images Detailed Answer: Hello. Welcome to Healthcaremagic.com. I have read your query. I understand your concern. I want to know following details - 1 ) What was the indication of grafting? 2) Has she taken any treatment for the scar? 3) Is she having any other disease of the leg like varicose veins? 4) Any medical illness like Cardiac, pulmonary, diabetes, hypertension? 5) Does she get swelling in both legs or only in the grafted one? Kindly reply to the questions and upload imges of the scar so that i can help you to my best. Thanks