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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Injury Due To Fall, Purple Bruise On Right Knee, Swollen Wrist, Pain. Treatment?

I fell yesterday and landed on my right side. I have a large purplish bruise mark on my right knee , but my hand took the most weight when I landed. The wrist is swollen, with the purple bruise marks going down my wrist toward my thumb and also going up my right wrist about about 6 inches. There is pain there, and it is pretty swollen. What should I do??
Wed, 12 Sep 2012
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Internal Medicine Specialist 's  Response
Hi Lon
Welcome to healthcare Magic!
The bruises with swelling indicate that you have fairly bad fall.
first and foremost you need Xrays of the swollen and bruises areas and if any thing significant(remember you may be having fractures there) consult an Orthopedician, if no fractures then you can take OTC Painkillers like diclofenac and paracetamol combinations.
Take care.
Wish you a great health!
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Pulmonologist Dr. Arnab Maji's  Response
Hi,
Thanks for writing in.

Our primary aim in your case is to exclude underlying fracture. As there is severe pain along with swelling there is high chance of having an underlying fracture especially at your wrist mainly Cole's fracture or fracture both bone of lower part of your forearm.

So its very urgent to have a x-ray evaluation of your right hand both AP and Lateral and it will be wise to have a x-ray of your knee joint also. If any fracture is there then consult an orthopedic surgeon immediately and take his consultation and operative intervention may also be needed if there is fracture both bone of your forearm.

In the meanwhile you may apply ice pack locally along with analgesic gel for symptomatic relief. You can take non-steroidal anti-inflammatory drugs for pain relief along with pantoprazole tablets.

Regards,
Dr Arnab Maji

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Injury Due To Fall, Purple Bruise On Right Knee, Swollen Wrist, Pain. Treatment?

Hi Lon Welcome to healthcare Magic! The bruises with swelling indicate that you have fairly bad fall. first and foremost you need Xrays of the swollen and bruises areas and if any thing significant(remember you may be having fractures there) consult an Orthopedician, if no fractures then you can take OTC Painkillers like diclofenac and paracetamol combinations. Take care. Wish you a great health!