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Suggest treatment for liagment tear - Online Doctor Chats

Date : 23-Apr-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:I was snowboarding this weekend and did split in the lift line . Felt a distinct pop and now have major bruising and swelling (like a fat very visible black and blue thigh ) in my inner thigh down to mid thigh. Pain with lateral movement but not back and forth. Icing it and using compression pants and taking Advil . Anything else I should do.
Doctor:
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:Hi there, looks like you tore tendon
Doctor:or a ligament
Doctor:I would get an x-ray of your knee when you get a chance
User:It is up in the inner groin area
Doctor:Ahh, Sorry, then an x-ray of your hip would be a better bet, but the chances of a fracture are remote.
Doctor:So don't push for one unless the pain refuses to settle down
User:If no fracture then not much else to do right now?
Doctor:true, Ligaments and tendons tend to repair themselves unless they are completely torn from their attachment
Doctor:Rest, Ice and Elevation are your best bet here
User:How would I know if completely torn ? Would it treat as I am i
Doctor:A complete tear is so excruciating you would pass out. The other thing is the tendons between the hip and the knee tend to bunch up into a hard ball or selling
Doctor:So if you feel something akin to a knot then you need to seek help.
User:Ok will monitor I did almost throw up from the pain when it first happened but now it just throbs a bit . Hard to tell if a ball or jus swelling right now . Also was to be on a one hour flight flight tomorrow am then 2 hour flight on Wednesday . Is there any risk due to the extensive bruising ?
Doctor:oh
Doctor:how old is the injury
User:It happened on this Saturday so two days old now
Doctor:No, there is no risk. It will be very uncomfortable though
Doctor:I would suggest you get to a local ER and let them give you some pain meds for the flight
Doctor:They can get the x-rays too
User:Ok would it make sense to go straight to orthopedist vs urgent care ?
Doctor:I think Urgent care should be faster, otherwise and ortho, if you can get to one in time, then they would be superior.
User:Ok thanks for your help
Doctor:Hey, always happy to help
Doctor:Anything else I can help you with?
User:How long do I need to wait until I can start working out again , how do I tell if it has healed enough ?
Doctor:I would wait SEVERAL weeks
Doctor:to resume your normal workouts.
Doctor:Instead i would do basic light stretches and some Range of motion work so as not to allow the tendons and ligaments to shrink and breakdown.
User:Ok I was afraid of that . So I am icing the area every 3 hours . When would I apply heat?
Doctor:I normally like doing this 20 minues of ice, followed by 20 minutes of a heating pad
Doctor:That can be done 2 to 3 times a day
User:Ok will do so . Any thing else I should consider?
Doctor:the 'reps' all depend on how your feeling
Doctor:Just make sure you give your hip and leg plenty of time to rest
Doctor:and things should get better when the swelling goes down
Doctor:till then you want to make sure the wrenching furing the accident with cause a small fracture, hence the x-ray
User:Any physical therapy?
Doctor:Hmm, if you already had limited mobility, i would say yes. but since your a rather physically active person (skiiing and all), ii'm not sure you need it
Doctor:That having been said there is nor harm in going to a therapist a few weeks from now and getting some advice.
User:Ok I am in good shape now bi
Doctor:Great, you should heal faster because of it.
User:But this will impact my fitness just thinking I may need help with the way to stretch and apply range of motion . Thanks for your help doctor
Doctor:Take care. Injuries happen, don't stress yourself out too much.
User:Ok thanks again
Doctor::-), take care
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