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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persisting Swelling Since Deep Shin Abrasion Post Weeks. When Will Get Back To Normal?

Hi, I have a deep shin abrasion from falling 3 or 4 feet onto the sharp corner of a bookcase in my storage unit. It s been nearly 3 weeks and the abrasion area (3 x.75 ) is still swollen. How long before I can expect it to return to normal? I know there will probably forever be a scar there, but I m wondering about the swelling reduction.
Tue, 24 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
This is a contusion ( blood clot ) underneath the skin and above bone ( usually there are no subcutaneous fat deposition ) hence swelling is there.
As you mentioned that 3 weeks passed after injury & still contusion is there.
Sometimes this may happen and I assure that there will not be any scar.
Massage with ice pack . use serratiopeptidase tablets after consultation with a doctor as these drugs reduces contusion.
Heparin cream for local application help.
But confirm that there is no hair line fracture underlying bone ( shin of tibia ) so consult an orthopedician and get his opinion ,if swelling didn't resolve within next 7 days after above treatment.
Good luck.
Dr. HET
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

Swelling is a common finding after any injury. In a deep shin abrasion, all the superficial venous plexes might have been damaged. The swelling is going to be persistent till the time new venous channels are formed. This may take any way around 6-8 weeks.

Untill that time keep you limb in elevation most of the times and use an elastic compression bandage around the swollen area.

Hope this information is helpful. Good day
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Persisting Swelling Since Deep Shin Abrasion Post Weeks. When Will Get Back To Normal?

Hello, Thanks for the query to H.C.M. Forum. This is a contusion ( blood clot ) underneath the skin and above bone ( usually there are no subcutaneous fat deposition ) hence swelling is there. As you mentioned that 3 weeks passed after injury & still contusion is there. Sometimes this may happen and I assure that there will not be any scar. Massage with ice pack . use serratiopeptidase tablets after consultation with a doctor as these drugs reduces contusion. Heparin cream for local application help. But confirm that there is no hair line fracture underlying bone ( shin of tibia ) so consult an orthopedician and get his opinion ,if swelling didn t resolve within next 7 days after above treatment. Good luck. Dr. HET