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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In Shin Bone,since From 4 Years.Treatment??

A few years ago a wooden sledge which had metal around the front came down a hill very fast. It ran straight into my shin bone. I couldn't get up or put pressure on my leg. Now it feels like a chip in my one and it has almost been 4 years since the accident occurred. It gives me significant amounts of pain which is aching and shooting pains. Could you please explain what this may be?
Thu, 31 Oct 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hi, thanks for writing to HCM.

Based on the description, I suspect that you could have developed Osteomyelitis of the tibial bone which is still causing pain (even 4 years after the incident).

Xrays of the involved bone will show up any pathological changes inside. A few blood investigations like ESR & C-reactive protein level estimation will provide a clue on the amount of inflammation/infection. MRI scans are needed to assess the soft tissue involvement. Blood culture may also be needed to know the offending microorganism.

So, I suggest you to consult an orthopedic surgeon for further evaluation and management.

Hope this information is helpful. Good day
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Severe Pain In Shin Bone,since From 4 Years.Treatment??

Hi, thanks for writing to HCM. Based on the description, I suspect that you could have developed Osteomyelitis of the tibial bone which is still causing pain (even 4 years after the incident). Xrays of the involved bone will show up any pathological changes inside. A few blood investigations like ESR & C-reactive protein level estimation will provide a clue on the amount of inflammation/infection. MRI scans are needed to assess the soft tissue involvement. Blood culture may also be needed to know the offending microorganism. So, I suggest you to consult an orthopedic surgeon for further evaluation and management. Hope this information is helpful. Good day