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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Treatment For Pain, Bruising, Swelling After Knee Injury?

I had a fall 11 days ago. I fell on my right knee. It was immediately sore and swollen. I developed significant bruising on and around the knee within hours. I rested my leg for 3 consecutive days by elevating it. I applied a cold towel to try and stem the swelling in my lower leg. As the days progressed more of my lower leg became bruised and now some 11 days after injury I have total bruising from about 3 inches above the knee to my foot and into my toes. I also have significant swelling of my knee to my foot. i have been hospitalised in the meantime because the pain from the bruising and swelling got unbearable and I was concerned that I would exacerbate dvt which I previously had in my leg. I have been taking Xarelto tablets for the past few months and I think this has also contributed to the severity of my injury. I am on antibiotics at the moment for the swelling and bruising. I have returned to work and now have ongoing pain, bruising and swelling. I try to elevate my leg as much as possible at work as well as at home. Is there anything else I can be doing to recover from this injury and heal quicker. I should also note that the leg has been xrayed and an ultra sound done which have confirmed no break but a small amount of fluid in my knee with no evidence of dvt.
Mon, 28 Nov 2016
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Orthopaedic Surgeon 's  Response
Hi
Good that DVR been ruled out.Traumatic synovitis of knee and infection spreading down the leg is unusual,however.There should be culture and sensitivity test of fluid aspiration to know offending microbe, bacteria.Certain android bacteria are fulminating causes and tough to treat.culture will give a. Clue for organism and suitable antibiotic may then be selected.If I were to treat, I would proceed this way and add infusions of metronidazole 8hourly for covering android microbes too in addition to other broad spectrum antibioticsDo some knee strapping for support and discuss what I suggest with your doctor if possible
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Treatment For Pain, Bruising, Swelling After Knee Injury?

Hi Good that DVR been ruled out.Traumatic synovitis of knee and infection spreading down the leg is unusual,however.There should be culture and sensitivity test of fluid aspiration to know offending microbe, bacteria.Certain android bacteria are fulminating causes and tough to treat.culture will give a. Clue for organism and suitable antibiotic may then be selected.If I were to treat, I would proceed this way and add infusions of metronidazole 8hourly for covering android microbes too in addition to other broad spectrum antibioticsDo some knee strapping for support and discuss what I suggest with your doctor if possible