Hello, doctors - I'm overseas in SE Asia. Ten days
Probably muscle contusion, follow the advice below.
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Your symptoms seem to be related to a muscle contusion.
I recommend to use anti-inflammatory medication for the pain such as Ibuprofen 400 mg three tablets per day.
I recommend using cool compresses at the area of
I suggest to avoid movements that can trigger the symptoms.
The symptoms may need two to four weeks to go away.
Hope I have answered your query. Let me know if I can assist you further.
As mentioned, I walk a lot here - back and forth/to class (I serve as a volunteer English teacher to a great group of Lao high-school students)...and rent a studio on the 2nd floor of the house in which I live. Since this injury, I've tried not to carry anything heavy - but going to class, I carry my laptop/charger/and my bag - no choice.
You state avoid movements that would trigger/exacerbate symptoms: could you please perhaps specify such as? The pain is constant - even lying in bed (semi-firm/comfortable mattress) I feel it.
Many thanks for your time. XXXXXXX XXXXXXX
I've never had such an injury before...but, God-willing, in another two weeks, the contusion will have lessened. I fell the morning of April 8, while getting ready to leave for the airport in the U.S....4:00 a.m. - and still somewhat sleepy - obviously the reason for my fall!
Follow up queries explained below in details.
Hi again dear,
Thank you for your questions.
Yes, you can use a wet towel to compress after putting it in the refrigerator to chill.
You can use it for 15 to 20 minutes, four times a day.
You can use it as long as you will need it, it will help with the pain.
Some gentle stretching and movement of the contused muscle also helps to encourage the damaged tissue to recover faster.
Any other movement is not advised during the period of healing.
Feel free to contact me again for further clarification.
Wishing you a fast recovery.
I just have one more question, which I neglected to ask previously: there's an excellent 5-star hotel close to where I live here in Luang Prabang - I occasionally do part-time work for the management and am 'rewarded' by the luxury of aromatherapy massages in the hotel Spa, by equally excellent, professional masseuses!
Would an hour's aromatherapy massage help or hinder my healing process? In your response just now, you recommend no movement during healing period, except gentle stretching/light movement of muscle. If not immediately, then, perhaps in a week or so?
Is all the walking and moving around I do, OK? Unfortunately, since I'm out most of each day, I won't be able to apply the towel compress except in the mornings and at night...but, of course, if and when I do find myself at home with some free time, I will certainly apply the compress whenever possible.
I've been awake most of the night, worrying about this contusion issue - and it's now coming up to 7 a.m. local time here in Laos....so I'll go back to bed for an hour or so, but keep this screen open for your response re: the above. Again, I do so greatly appreciate your expertise.....now I don't need to fly to Bangkok and, God-willing, will feel less pain within the next couple of weeks. Important: I will buy the ibuprofen when I'm up and around later this morning - that is, IF I can find ibuprofen at a pharmacy here....failing that, do you have another recommendation as effective? (Nothing containing aspirin).
Thanks so much. XXXXXXX XXXXXXX
You can do a aromatherapy gentle massage.
Hi again dear,
I am glad that I could help you.
Regarding the aromatherapy massage I would recommend postponing it in a week.
The massage should be very gentle to encourage a higher volume of blood flow to the area.
I do not recommend deep tissue massage which does more damage.
This may break the blood vessels under the skin and make the contusion area larger.
I would suggest to do moderate movements which does not trigger the healing process.
If you don't find Ibuprofen you can try Acetaminophen 500 mg which should be used three times a day.
You will feel better in a week. The complete healing process may require a few weeks.
Wishing you all the best dear.
Thank you so very, very much - your expertise is so reassuring. I have used the towel as a compress twice today, and will do so again this evening, when I get home from teaching my students. I lie on my bed, and place it under my mid-back....very soothing!
I've also found ibuprofen 400 mg. and will take one pill 3x/day as you prescribe, starting tonight, after I've had dinner. God-willing the pain will subside sooner rather than later...it is so uncomfortable!
Again - thank you for all your time and kindness. God-willing I can find you again on-line at 'Ask A Doctor' in a couple of weeks and I will give you an update as to how I feel!
Please would you kindly reply to this message, Dr. Gurabardhi, so that I can click on "Close Discussion and Review Doctor". It would be my great pleasure to most assuredly give you rave reviews!
Also - thank you for the advice about massages....I will not hurry to get one - better to wait a while as you suggest.
All good wishes to you and 'Sabaidee' from beautiful Luang Prabang...which will be even more beautiful when my back muscle contusion has left me!! Gillian XXXXXXX
You are welcome dear.
Hi again dear,
Thank you very much for your kind words.
I am glad that I could help you.
You are welcome any time for further queries.
Wishing you a good health.
Take care dear,
Dr. Dorina Gurabardhi
The User accepted the expert's answer
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